WAL-MART STORES EAST, LP
NPI: 1205917044
· HANNIBAL, MO 63401
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
220 |
$2K |
| 2019 |
162 |
$1K |
| 2020 |
140 |
$1K |
| 2021 |
119 |
$1K |
| 2022 |
260 |
$3K |
| 2023 |
152 |
$4K |
| 2024 |
228 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
642 |
641 |
$11K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
350 |
348 |
$2K |
| V2100 |
Lens spher single plano 4.00 |
142 |
142 |
$1K |
| V2025 |
Eyeglasses delux frames |
147 |
145 |
$0.00 |