WAL-MART STORES EAST, LP
NPI: 1710060538
· STARKVILLE, MS 39759
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
36 |
$449.77 |
| 2020 |
57 |
$1K |
| 2021 |
80 |
$2K |
| 2022 |
35 |
$728.00 |
| 2023 |
15 |
$167.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
181 |
164 |
$4K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
42 |
38 |
$670.69 |