WAL-MART STORES EAST, LP
NPI: 1912080995
· WINCHESTER, VA 22601
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
163 |
$10K |
| 2019 |
55 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| V2100 |
Lens spher single plano 4.00 |
109 |
108 |
$10K |
| V2020 |
Vision svcs frames purchases |
109 |
109 |
$3K |