WAL-MART STORES EAST, LP
NPI: 1609951201
· NEPTUNE, NJ 07753
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
14 |
$0.00 |
| 2021 |
139 |
$2K |
| 2022 |
240 |
$4K |
| 2023 |
374 |
$6K |
| 2024 |
142 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
641 |
640 |
$8K |
| V2100 |
Lens spher single plano 4.00 |
227 |
225 |
$6K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
41 |
41 |
$728.50 |