WAL-MART STORES EAST, LP
NPI: 1740361260
· WALDORF, MD 20601
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
27 |
$581.00 |
| 2021 |
378 |
$11K |
| 2022 |
605 |
$15K |
| 2023 |
715 |
$17K |
| 2024 |
435 |
$8K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
1,167 |
1,135 |
$35K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
545 |
501 |
$10K |
| V2100 |
Lens spher single plano 4.00 |
164 |
153 |
$4K |
| V2025 |
Eyeglasses delux frames |
124 |
122 |
$3K |
| V2750 |
Anti-reflective coating |
145 |
134 |
$501.00 |
| V2784 |
Lens polycarb or equal |
15 |
12 |
$129.00 |