WAL-MART STORES LOUISIANA, LLC
NPI: 1326126111
· OPELOUSAS, LA 70570
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
17 |
$225.00 |
| 2021 |
163 |
$3K |
| 2022 |
413 |
$7K |
| 2023 |
462 |
$9K |
| 2024 |
627 |
$12K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
1,300 |
1,158 |
$24K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
311 |
261 |
$5K |
| V2100 |
Lens spher single plano 4.00 |
40 |
36 |
$576.75 |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
19 |
13 |
$546.00 |
| V2784 |
Lens polycarb or equal |
12 |
12 |
$149.00 |