WAL-MART STORES EAST, LP
NPI: 1215018114
· MOBERLY, MO 65270
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
493 |
$6K |
| 2019 |
532 |
$7K |
| 2020 |
98 |
$1K |
| 2021 |
404 |
$4K |
| 2022 |
409 |
$8K |
| 2023 |
417 |
$11K |
| 2024 |
413 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
1,606 |
1,603 |
$33K |
| V2100 |
Lens spher single plano 4.00 |
533 |
533 |
$3K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
589 |
584 |
$2K |
| V2025 |
Eyeglasses delux frames |
38 |
38 |
$0.00 |