WAL-MART STORES EAST, LP
NPI: 1609643543
· WILLOW GROVE, PA 19090
· 332H00000X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
109 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
44 |
39 |
$2K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
29 |
17 |
$790.91 |
| 92015 |
|
36 |
36 |
$0.00 |