WAL-MART STORES EAST, LP
NPI: 1417039314
· HAMILTON, NJ 08691
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
63 |
$724.50 |
| 2022 |
46 |
$336.00 |
| 2023 |
161 |
$1K |
| 2024 |
74 |
$688.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
268 |
266 |
$2K |
| V2100 |
Lens spher single plano 4.00 |
24 |
24 |
$505.50 |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
12 |
12 |
$162.50 |
| V2025 |
Eyeglasses delux frames |
40 |
38 |
$0.00 |