WAL-MART STORES EAST LP
NPI: 1649511346
· DAVIE, FL 33328
· Optician
· NPI assigned 03/06/2013
Provider Details
| Authorized Official | GRIDER, SARIAN (SPECIALIST PLAN ENROLLMENT) |
| Parent Organization | WAL-MART STORES INC |
| NPI Enumeration Date | 03/06/2013 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
48 |
$500.00 |
| 2020 |
182 |
$2K |
| 2021 |
95 |
$804.00 |
| 2022 |
242 |
$4K |
| 2023 |
300 |
$4K |
| 2024 |
193 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
594 |
473 |
$10K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
238 |
170 |
$3K |
| V2750 |
Anti-reflective coating, per lens |
182 |
155 |
$296.00 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
14 |
12 |
$140.00 |
| V2025 |
Deluxe frame |
32 |
13 |
$0.00 |