WAL-MART STORES EAST, LP
NPI: 1629153564
· EXTON, PA 19341
· Optician
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2021 |
45 |
$983.70 |
| 2022 |
83 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| V2020 |
Frames, purchases |
107 |
78 |
$3K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
21 |
12 |
$575.13 |