WAL-MART STORES EAST, LP
NPI: 1881777563
· MANASSAS, VA 20110
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
900 |
$46K |
| 2019 |
408 |
$17K |
| 2024 |
13 |
$181.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2100 |
Lens spher single plano 4.00 |
450 |
450 |
$41K |
| V2020 |
Vision svcs frames purchases |
531 |
531 |
$14K |
| V2750 |
Anti-reflective coating |
340 |
340 |
$8K |