WAL-MART STORES EAST, LP
NPI: 1467537050
· HENDERSONVILLE, TN 37075
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
46 |
$538.70 |
| 2019 |
87 |
$1K |
| 2020 |
27 |
$357.70 |
| 2021 |
219 |
$3K |
| 2022 |
189 |
$2K |
| 2023 |
336 |
$4K |
| 2024 |
239 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
915 |
868 |
$11K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
152 |
149 |
$3K |
| V2750 |
Anti-reflective coating |
59 |
54 |
$125.00 |
| V2781 |
Progressive lens per lens |
17 |
13 |
$43.50 |