WAL-MART STORES EAST, LP.
NPI: 1316714470
· WATERFORD, CT 06385
· 332H00000X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2024 |
145 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| V2020 |
Vision svcs frames purchases |
116 |
101 |
$1K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
29 |
25 |
$204.00 |