WAL-MART STORES LOUISIANA, LLC
NPI: 1427137488
· GONZALES, LA 70737
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
34 |
$550.00 |
| 2022 |
120 |
$2K |
| 2023 |
368 |
$6K |
| 2024 |
243 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
628 |
521 |
$12K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
137 |
97 |
$2K |