WAL-MART STORES EAST, LP
NPI: 1891878989
· LIVONIA, MI 48150
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
191 |
$4K |
| 2020 |
25 |
$763.10 |
| 2021 |
93 |
$2K |
| 2022 |
66 |
$2K |
| 2023 |
61 |
$974.70 |
| 2024 |
63 |
$521.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
427 |
427 |
$8K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
72 |
72 |
$2K |