WAL-MART STORES LOUISIANA, LLC
NPI: 1356425433
· SLIDELL, LA 70461
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2021 |
61 |
$1K |
| 2022 |
342 |
$9K |
| 2023 |
398 |
$10K |
| 2024 |
251 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| V2020 |
Vision svcs frames purchases |
775 |
709 |
$21K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
238 |
219 |
$5K |
| V2100 |
Lens spher single plano 4.00 |
27 |
25 |
$478.00 |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
12 |
12 |
$298.00 |