WAL-MART STORES EAST, LP
NPI: 1891877791
· SAVANNAH, TN 38372
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
105 |
$1K |
| 2019 |
136 |
$2K |
| 2020 |
111 |
$1K |
| 2021 |
129 |
$853.35 |
| 2022 |
354 |
$2K |
| 2023 |
364 |
$2K |
| 2024 |
124 |
$980.95 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
1,014 |
915 |
$9K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
116 |
111 |
$2K |
| V2784 |
Lens polycarb or equal |
79 |
64 |
$50.00 |
| V2744 |
Tint photochromatic lens/es |
14 |
14 |
$0.00 |
| V2781 |
Progressive lens per lens |
19 |
12 |
$0.00 |
| V2750 |
Anti-reflective coating |
81 |
78 |
$0.00 |