WAL-MART STORES EAST, L.P.
NPI: 1518098045
· MARYVILLE, TN 37803
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
171 |
$2K |
| 2019 |
272 |
$4K |
| 2020 |
231 |
$4K |
| 2021 |
314 |
$3K |
| 2022 |
157 |
$1K |
| 2023 |
198 |
$1K |
| 2024 |
31 |
$260.60 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
1,038 |
946 |
$11K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
226 |
206 |
$4K |
| V2100 |
Lens spher single plano 4.00 |
25 |
25 |
$560.36 |
| V2750 |
Anti-reflective coating |
85 |
75 |
$0.00 |