WAL-MART STORES EAST, LP
NPI: 1730262338
· LA CROSSE, WI 54601
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
44 |
$704.00 |
| 2019 |
80 |
$1K |
| 2020 |
13 |
$222.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
113 |
112 |
$2K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
24 |
24 |
$580.00 |