WAL-MART STORES EAST, LP
NPI: 1508946120
· AVON, OH 44011
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
122 |
$2K |
| 2019 |
215 |
$3K |
| 2020 |
351 |
$9K |
| 2021 |
572 |
$18K |
| 2022 |
1,176 |
$38K |
| 2023 |
931 |
$13K |
| 2024 |
365 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
2,134 |
1,918 |
$59K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
1,110 |
987 |
$22K |
| V2100 |
Lens spher single plano 4.00 |
220 |
199 |
$5K |
| V2784 |
Lens polycarb or equal |
167 |
160 |
$3K |
| V2025 |
Eyeglasses delux frames |
13 |
13 |
$40.00 |
| V2750 |
Anti-reflective coating |
88 |
83 |
$0.00 |