WAL-MART STORES EAST, LP
NPI: 1821179284
· MARLTON, NJ 08053
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
64 |
$2K |
| 2019 |
49 |
$1K |
| 2020 |
27 |
$1K |
| 2021 |
58 |
$295.00 |
| 2022 |
120 |
$288.25 |
| 2023 |
165 |
$1K |
| 2024 |
111 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
|
71 |
70 |
$3K |
| 92004 |
|
38 |
38 |
$1K |
| V2020 |
Vision svcs frames purchases |
200 |
199 |
$937.00 |
| 92081 |
|
57 |
57 |
$880.00 |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
27 |
26 |
$356.75 |
| 92015 |
|
187 |
184 |
$0.00 |
| V2025 |
Eyeglasses delux frames |
14 |
14 |
$0.00 |