WAL-MART STORES EAST, LP
NPI: 1205919701
· BRANDON, MS 39047
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
170 |
$2K |
| 2019 |
328 |
$4K |
| 2020 |
187 |
$3K |
| 2021 |
228 |
$4K |
| 2022 |
280 |
$5K |
| 2023 |
56 |
$792.50 |
| 2024 |
201 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
872 |
808 |
$11K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
377 |
332 |
$7K |
| V2100 |
Lens spher single plano 4.00 |
185 |
182 |
$4K |
| V2781 |
Progressive lens per lens |
16 |
14 |
$0.00 |