WAL-MART STORES EAST LP
NPI: 1548271265
· PINEVILLE, MO 64856
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
26 |
$873.90 |
| 2023 |
27 |
$643.08 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
39 |
39 |
$832.28 |
| 92004 |
|
14 |
14 |
$684.70 |