WAL-MART STORES EAST, LP
NPI: 1760565980
· MARSHALL, MO 65340
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
108 |
$2K |
| 2024 |
28 |
$113.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
124 |
124 |
$2K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
12 |
12 |
$116.00 |