WAL-MART STORES EAST, LP
NPI: 1821171463
· ROLLA, MO 65401
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
432 |
$6K |
| 2019 |
508 |
$8K |
| 2020 |
93 |
$1K |
| 2021 |
28 |
$508.80 |
| 2022 |
38 |
$917.08 |
| 2023 |
64 |
$2K |
| 2024 |
30 |
$190.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
736 |
728 |
$13K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
283 |
276 |
$4K |
| V2100 |
Lens spher single plano 4.00 |
145 |
145 |
$2K |
| V2025 |
Eyeglasses delux frames |
29 |
28 |
$0.00 |