WAL-MART STORES EAST, LP
NPI: 1467532846
· NORTH BRUNSWICK, NJ 08902
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
171 |
$0.00 |
| 2019 |
211 |
$0.00 |
| 2020 |
210 |
$0.00 |
| 2021 |
758 |
$6K |
| 2022 |
1,316 |
$9K |
| 2023 |
1,479 |
$8K |
| 2024 |
409 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2100 |
Lens spher single plano 4.00 |
662 |
624 |
$10K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
725 |
676 |
$9K |
| V2020 |
Vision svcs frames purchases |
1,885 |
1,867 |
$8K |
| V2784 |
Lens polycarb or equal |
196 |
168 |
$433.96 |
| V2104 |
Spherocylindr 4.00d/2.12-4d |
12 |
12 |
$167.75 |
| V2750 |
Anti-reflective coating |
607 |
541 |
$0.00 |
| V2025 |
Eyeglasses delux frames |
467 |
458 |
$0.00 |