WAL-MART STORES EAST, LP
NPI: 1598848210
· DYERSBURG, TN 38024
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
348 |
$5K |
| 2019 |
299 |
$5K |
| 2020 |
267 |
$4K |
| 2021 |
832 |
$4K |
| 2022 |
1,416 |
$5K |
| 2023 |
1,001 |
$5K |
| 2024 |
513 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
2,260 |
2,011 |
$19K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
520 |
495 |
$9K |
| V2100 |
Lens spher single plano 4.00 |
25 |
25 |
$528.64 |
| V2750 |
Anti-reflective coating |
665 |
602 |
$435.00 |
| V2784 |
Lens polycarb or equal |
377 |
319 |
$296.00 |
| V2025 |
Eyeglasses delux frames |
12 |
12 |
$54.00 |
| V2744 |
Tint photochromatic lens/es |
525 |
488 |
$0.00 |
| V2781 |
Progressive lens per lens |
292 |
272 |
$0.00 |