WAL-MART STORES EAST, LP
NPI: 1700202801
· HOMESTEAD, FL 33033
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
87 |
$813.00 |
| 2022 |
566 |
$7K |
| 2023 |
786 |
$9K |
| 2024 |
588 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
1,125 |
722 |
$15K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
515 |
316 |
$7K |
| V2100 |
Lens spher single plano 4.00 |
41 |
25 |
$573.00 |
| V2750 |
Anti-reflective coating |
346 |
249 |
$0.00 |