WAL-MART STORES EAST, LP
NPI: 1336318393
· BERNALILLO, NM 87004
· 332H00000X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
120 |
$2K |
| 2020 |
26 |
$307.06 |
| 2021 |
102 |
$2K |
| 2022 |
64 |
$1K |
| 2023 |
79 |
$2K |
| 2024 |
138 |
$8K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
397 |
396 |
$14K |
| V2100 |
Lens spher single plano 4.00 |
24 |
24 |
$809.38 |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
30 |
30 |
$577.60 |
| 92340 |
|
78 |
77 |
$163.08 |