WAL-MART STORES LOUISIANA, LLC
NPI: 1306929880
· PINEVILLE, LA 71360
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
94 |
$1K |
| 2021 |
64 |
$1K |
| 2022 |
225 |
$4K |
| 2023 |
254 |
$5K |
| 2024 |
302 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
842 |
755 |
$16K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
84 |
76 |
$2K |
| V2100 |
Lens spher single plano 4.00 |
13 |
13 |
$285.75 |