WAL-MART STORES EAST, LP
NPI: 1861573362
· BRANSON WEST, MO 65737
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
75 |
$2K |
| 2023 |
642 |
$16K |
| 2024 |
749 |
$8K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
828 |
828 |
$17K |
| V2100 |
Lens spher single plano 4.00 |
414 |
414 |
$6K |
| V2784 |
Lens polycarb or equal |
131 |
131 |
$2K |
| V2744 |
Tint photochromatic lens/es |
63 |
63 |
$791.10 |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
30 |
30 |
$328.75 |