WAL-MART STORES EAST, LP
NPI: 1427132067
· O FALLON, MO 63366
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
62 |
$620.50 |
| 2019 |
86 |
$1K |
| 2020 |
26 |
$415.00 |
| 2021 |
12 |
$89.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
71 |
71 |
$1K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
115 |
112 |
$1K |