WAL-MART STORES EAST, LP
NPI: 1841200920
· SUMMERSVILLE, WV 26651
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
104 |
$4K |
| 2023 |
378 |
$14K |
| 2024 |
531 |
$19K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
607 |
599 |
$26K |
| V2100 |
Lens spher single plano 4.00 |
365 |
360 |
$10K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
41 |
40 |
$802.00 |