WAL-MART STORES EAST, LP
NPI: 1649352089
· STATE COLLEGE, PA 16801
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
50 |
$1K |
| 2021 |
135 |
$4K |
| 2022 |
42 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
208 |
148 |
$6K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
19 |
15 |
$458.90 |