WAL-MART STORES EAST, LP
NPI: 1750439352
· COMMACK, NY 11725
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
45 |
$875.00 |
| 2022 |
13 |
$237.00 |
| 2023 |
106 |
$4K |
| 2024 |
181 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
305 |
304 |
$12K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
40 |
40 |
$983.00 |