WAL-MART STORES EAST, LP
NPI: 1821176066
· RIDGELAND, MS 39157
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
681 |
$9K |
| 2019 |
681 |
$10K |
| 2020 |
358 |
$5K |
| 2021 |
409 |
$5K |
| 2022 |
763 |
$10K |
| 2023 |
442 |
$6K |
| 2024 |
314 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
2,206 |
1,979 |
$27K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
1,031 |
893 |
$16K |
| V2100 |
Lens spher single plano 4.00 |
396 |
372 |
$8K |
| V2781 |
Progressive lens per lens |
15 |
14 |
$0.00 |