WAL-MART STORES, INC.
NPI: 1235212796
· SIOUX FALLS, SD 57106
· Optician
· NPI assigned 10/20/2006
$124K
Total Medicaid Paid
Provider Details
| Authorized Official | EPPERSON, LINDA (NPI COORDINATOR) |
| NPI Enumeration Date | 10/20/2006 |
Related Entities
Other providers sharing the same authorized official: EPPERSON, LINDA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
300 |
$10K |
| 2019 |
298 |
$0.00 |
| 2020 |
235 |
$8K |
| 2021 |
777 |
$27K |
| 2022 |
979 |
$31K |
| 2023 |
703 |
$18K |
| 2024 |
805 |
$29K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| V2020 |
Frames, purchases |
2,224 |
2,113 |
$82K |
| V2199 |
Not otherwise classified, single vision lens |
1,832 |
1,745 |
$42K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
41 |
38 |
$0.00 |