WAL-MART STORES EAST, LP
NPI: 1831270925
· NEVADA, MO 64772
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
28 |
$509.50 |
| 2019 |
24 |
$409.80 |
| 2021 |
12 |
$222.00 |
| 2022 |
13 |
$298.02 |
| 2023 |
125 |
$4K |
| 2024 |
16 |
$122.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
206 |
206 |
$5K |
| V2100 |
Lens spher single plano 4.00 |
12 |
12 |
$236.00 |