WAL-MART STORES EAST, LP
NPI: 1497836860
· WESTMINSTER, MD 21157
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
122 |
$4K |
| 2020 |
92 |
$1K |
| 2021 |
368 |
$9K |
| 2022 |
345 |
$7K |
| 2023 |
57 |
$1K |
| 2024 |
187 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
738 |
693 |
$21K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
287 |
275 |
$5K |
| V2100 |
Lens spher single plano 4.00 |
34 |
34 |
$1K |
| V2025 |
Eyeglasses delux frames |
17 |
17 |
$510.00 |
| V2784 |
Lens polycarb or equal |
57 |
57 |
$278.00 |
| V2750 |
Anti-reflective coating |
38 |
37 |
$174.00 |