WAL-MART STORES EAST, LP
NPI: 1558442699
· HACKETTSTOWN, NJ 07840
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
30 |
$0.00 |
| 2023 |
177 |
$443.70 |
| 2024 |
62 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
108 |
108 |
$826.00 |
| V2100 |
Lens spher single plano 4.00 |
17 |
17 |
$483.00 |
| V2784 |
Lens polycarb or equal |
34 |
28 |
$232.94 |
| V2025 |
Eyeglasses delux frames |
77 |
75 |
$0.00 |
| V2750 |
Anti-reflective coating |
33 |
25 |
$0.00 |