WAL-MART STORES EAST, L.P.
NPI: 1801927330
· WARREN, PA 16365
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
43 |
$2K |
| 2021 |
641 |
$28K |
| 2022 |
567 |
$27K |
| 2023 |
244 |
$14K |
| 2024 |
159 |
$8K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2025 |
Eyeglasses delux frames |
1,080 |
924 |
$67K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
384 |
317 |
$7K |
| V2020 |
Vision svcs frames purchases |
121 |
94 |
$2K |
| V2744 |
Tint photochromatic lens/es |
13 |
12 |
$654.00 |
| V2750 |
Anti-reflective coating |
42 |
31 |
$422.00 |
| V2100 |
Lens spher single plano 4.00 |
14 |
13 |
$411.10 |