WAL-MART STORES EAST, LP
NPI: 1891879482
· WOODBRIDGE, VA 22192
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,014 |
$54K |
| 2019 |
641 |
$31K |
| 2021 |
54 |
$1K |
| 2022 |
121 |
$3K |
| 2023 |
227 |
$3K |
| 2024 |
32 |
$730.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2100 |
Lens spher single plano 4.00 |
764 |
764 |
$62K |
| V2020 |
Vision svcs frames purchases |
995 |
995 |
$22K |
| V2750 |
Anti-reflective coating |
287 |
287 |
$6K |
| V2200 |
Lens spher bifoc plano 4.00d |
16 |
16 |
$2K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
12 |
12 |
$292.50 |
| V2781 |
Progressive lens per lens |
15 |
15 |
$0.00 |