WAL-MART STORES EAST, LP
NPI: 1467534560
· MIDLOTHIAN, VA 23112
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
244 |
$15K |
| 2019 |
141 |
$8K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2100 |
Lens spher single plano 4.00 |
192 |
191 |
$19K |
| V2020 |
Vision svcs frames purchases |
193 |
191 |
$4K |