WAL-MART STORES EAST, LP
NPI: 1932298726
· FOREST, MS 39074
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
729 |
$12K |
| 2019 |
942 |
$16K |
| 2020 |
606 |
$11K |
| 2021 |
846 |
$13K |
| 2022 |
1,111 |
$18K |
| 2023 |
554 |
$9K |
| 2024 |
575 |
$11K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
3,005 |
2,677 |
$47K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
1,388 |
1,225 |
$22K |
| V2100 |
Lens spher single plano 4.00 |
871 |
839 |
$19K |
| V2750 |
Anti-reflective coating |
58 |
55 |
$566.40 |
| V2781 |
Progressive lens per lens |
41 |
40 |
$0.00 |