WAL-MART STORES EAST, LP
NPI: 1477643187
· DICKSON, TN 37055
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
64 |
$900.99 |
| 2019 |
41 |
$779.35 |
| 2020 |
30 |
$899.25 |
| 2021 |
128 |
$619.00 |
| 2022 |
370 |
$995.40 |
| 2023 |
375 |
$980.10 |
| 2024 |
451 |
$961.35 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
910 |
763 |
$6K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
13 |
13 |
$278.04 |
| V2784 |
Lens polycarb or equal |
167 |
116 |
$218.00 |
| V2781 |
Progressive lens per lens |
56 |
48 |
$0.00 |
| V2750 |
Anti-reflective coating |
313 |
252 |
$0.00 |