WAL-MART STORES EAST, LP
NPI: 1821171802
· FAIRFAX, VA 22033
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
348 |
$20K |
| 2019 |
284 |
$14K |
| 2023 |
12 |
$155.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2100 |
Lens spher single plano 4.00 |
276 |
275 |
$24K |
| V2020 |
Vision svcs frames purchases |
308 |
308 |
$9K |
| V2750 |
Anti-reflective coating |
60 |
60 |
$1K |