WAL-MART STORES EAST, LP
NPI: 1245320829
· CULPEPER, VA 22701
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
403 |
$13K |
| 2021 |
110 |
$2K |
| 2022 |
225 |
$4K |
| 2023 |
356 |
$6K |
| 2024 |
28 |
$779.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2100 |
Lens spher single plano 4.00 |
280 |
279 |
$12K |
| V2020 |
Vision svcs frames purchases |
703 |
695 |
$12K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
73 |
71 |
$2K |
| V2750 |
Anti-reflective coating |
66 |
66 |
$69.00 |