WAL-MART STORES EAST, LP
NPI: 1861577413
· RICHLAND, MS 39218
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
284 |
$4K |
| 2019 |
433 |
$6K |
| 2020 |
300 |
$5K |
| 2021 |
391 |
$6K |
| 2022 |
601 |
$8K |
| 2023 |
450 |
$5K |
| 2024 |
395 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
1,792 |
1,587 |
$22K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
675 |
607 |
$12K |
| V2100 |
Lens spher single plano 4.00 |
371 |
350 |
$8K |
| V2781 |
Progressive lens per lens |
16 |
16 |
$0.00 |