WAL-MART STORES EAST, LP
NPI: 1932281862
· LEBANON, TN 37087
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
475 |
$7K |
| 2019 |
716 |
$11K |
| 2020 |
367 |
$5K |
| 2021 |
746 |
$6K |
| 2022 |
585 |
$4K |
| 2023 |
728 |
$6K |
| 2024 |
256 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
2,284 |
2,083 |
$22K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
983 |
934 |
$18K |
| V2100 |
Lens spher single plano 4.00 |
56 |
56 |
$1K |
| V2750 |
Anti-reflective coating |
327 |
306 |
$255.00 |
| V2784 |
Lens polycarb or equal |
174 |
135 |
$205.00 |
| V2744 |
Tint photochromatic lens/es |
33 |
29 |
$60.00 |
| V2781 |
Progressive lens per lens |
16 |
12 |
$0.00 |