WAL-MART STORES EAST, LP
NPI: 1902998446
· FLORIDA CITY, FL 33034
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2021 |
78 |
$160.00 |
| 2022 |
32 |
$329.00 |
| 2023 |
649 |
$7K |
| 2024 |
538 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| V2020 |
Vision svcs frames purchases |
778 |
486 |
$10K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
251 |
145 |
$4K |
| V2750 |
Anti-reflective coating |
268 |
189 |
$0.00 |