WAL-MART STORES EAST, LP
NPI: 1619059102
· ALAMOGORDO, NM 88310
· 156FX1800X
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
297 |
$0.00 |
| 2021 |
605 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2100 |
Lens spher single plano 4.00 |
154 |
142 |
$0.00 |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
13 |
13 |
$0.00 |
| V2020 |
Vision svcs frames purchases |
413 |
383 |
$0.00 |
| 92340 |
|
322 |
308 |
$0.00 |