WAL-MART STORES EAST, LP.
NPI: 1821865999
· BRANFORD, CT 06405
· 332H00000X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
277 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
183 |
167 |
$4K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
81 |
79 |
$2K |
| V2100 |
Lens spher single plano 4.00 |
13 |
13 |
$315.00 |