WAL-MART STORES EAST, LP
NPI: 1801974852
· LOS LUNAS, NM 87031
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
504 |
$8K |
| 2022 |
313 |
$6K |
| 2023 |
66 |
$1K |
| 2024 |
84 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
630 |
630 |
$13K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
240 |
240 |
$5K |
| V2784 |
Lens polycarb or equal |
85 |
85 |
$279.00 |
| V2750 |
Anti-reflective coating |
12 |
12 |
$0.00 |