WAL-MART STORES EAST, LP
NPI: 1750463667
· SHAWANO, WI 54166
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
55 |
$0.00 |
| 2022 |
291 |
$0.00 |
| 2023 |
313 |
$0.00 |
| 2024 |
256 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2025 |
Eyeglasses delux frames |
369 |
346 |
$4K |
| V2020 |
Vision svcs frames purchases |
482 |
444 |
$2K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
64 |
64 |
$210.00 |