WAL-MART STORES EAST, LP
NPI: 1497837926
· GALLUP, NM 87301
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
15 |
$238.00 |
| 2020 |
33 |
$535.50 |
| 2021 |
168 |
$3K |
| 2022 |
78 |
$1K |
| 2023 |
121 |
$3K |
| 2024 |
60 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
446 |
445 |
$9K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
29 |
29 |
$627.50 |