WAL-MART STORES EAST, LP
NPI: 1831272335
· BARTLETT, TN 38133
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
22 |
$204.80 |
| 2019 |
64 |
$1K |
| 2020 |
14 |
$297.15 |
| 2021 |
73 |
$861.00 |
| 2022 |
46 |
$467.40 |
| 2024 |
33 |
$449.14 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
225 |
211 |
$3K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
27 |
26 |
$475.14 |