WAL-MART STORES EAST LP
NPI: 1487735973
· BRIDGETON, MO 63044
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
396 |
$6K |
| 2019 |
520 |
$8K |
| 2020 |
182 |
$3K |
| 2021 |
227 |
$3K |
| 2022 |
318 |
$6K |
| 2023 |
430 |
$11K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
1,314 |
1,302 |
$27K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
501 |
495 |
$5K |
| V2100 |
Lens spher single plano 4.00 |
258 |
258 |
$3K |