WAL-MART STORES EAST, LP
NPI: 1932283223
· EAST STROUDSBURG, PA 18301
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
33 |
$897.00 |
| 2021 |
364 |
$10K |
| 2022 |
350 |
$9K |
| 2023 |
236 |
$6K |
| 2024 |
198 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
718 |
586 |
$20K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
451 |
218 |
$13K |
| 92014 |
|
12 |
12 |
$480.00 |