WAL-MART STORES EAST, LP
NPI: 1538243936
· BERLIN, NJ 08091
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
116 |
$0.00 |
| 2019 |
141 |
$0.00 |
| 2020 |
105 |
$0.00 |
| 2021 |
306 |
$2K |
| 2022 |
382 |
$2K |
| 2023 |
478 |
$3K |
| 2024 |
130 |
$814.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2103 |
Spherocylindr 4.00d/12-2.00d |
395 |
381 |
$4K |
| V2020 |
Vision svcs frames purchases |
1,057 |
1,048 |
$4K |
| V2100 |
Lens spher single plano 4.00 |
64 |
63 |
$685.00 |
| V2025 |
Eyeglasses delux frames |
61 |
60 |
$0.00 |
| V2750 |
Anti-reflective coating |
81 |
78 |
$0.00 |