WAL-MART STORES EAST, LP
NPI: 1588746408
· CADILLAC, MI 49601
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
230 |
$4K |
| 2021 |
65 |
$1K |
| 2022 |
29 |
$423.00 |
| 2023 |
24 |
$309.90 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
257 |
257 |
$4K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
65 |
65 |
$2K |
| V2784 |
Lens polycarb or equal |
26 |
26 |
$328.70 |