WAL-MART STORES EAST, LP
NPI: 1386065720
· WARREN, MI 48093
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
24 |
$605.80 |
| 2021 |
68 |
$1K |
| 2022 |
448 |
$8K |
| 2023 |
272 |
$4K |
| 2024 |
287 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
876 |
874 |
$13K |
| V2100 |
Lens spher single plano 4.00 |
211 |
210 |
$4K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
12 |
12 |
$189.28 |