WAL-MART STORES EAST, LP
NPI: 1932283538
· CONWAY, SC 29526
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
12 |
$313.50 |
| 2024 |
77 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
61 |
61 |
$1K |
| V2100 |
Lens spher single plano 4.00 |
28 |
28 |
$661.00 |