WAL-MART STORES EAST, LP.
NPI: 1477320653
· LYNN, MA 01905
· 332H00000X
$364.32
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
196 |
$364.32 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
182 |
181 |
$364.32 |
| V2781 |
Progressive lens per lens |
14 |
14 |
$0.00 |