WAL-MART STORES LOUISIANA, LLC
NPI: 1740368109
· HARAHAN, LA 70123
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
261 |
$4K |
| 2021 |
317 |
$5K |
| 2022 |
891 |
$18K |
| 2023 |
1,089 |
$22K |
| 2024 |
985 |
$22K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
2,042 |
1,824 |
$47K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
840 |
738 |
$14K |
| V2100 |
Lens spher single plano 4.00 |
378 |
361 |
$8K |
| V2784 |
Lens polycarb or equal |
200 |
186 |
$1K |
| V2781 |
Progressive lens per lens |
14 |
14 |
$465.00 |
| V2750 |
Anti-reflective coating |
69 |
67 |
$383.00 |