WAL-MART STORES EAST, LP
NPI: 1427130970
· EATON, OH 45320
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
184 |
$3K |
| 2019 |
275 |
$4K |
| 2020 |
393 |
$10K |
| 2021 |
417 |
$13K |
| 2022 |
135 |
$10K |
| 2023 |
27 |
$223.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
1,066 |
1,041 |
$34K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
336 |
335 |
$6K |
| V2784 |
Lens polycarb or equal |
12 |
12 |
$254.10 |
| V2100 |
Lens spher single plano 4.00 |
17 |
16 |
$164.16 |