WAL-MART STORES EAST, LP
NPI: 1700960390
· LEESBURG, VA 20176
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
45 |
$2K |
| 2019 |
30 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| V2020 |
Vision svcs frames purchases |
47 |
47 |
$2K |
| V2100 |
Lens spher single plano 4.00 |
28 |
28 |
$2K |