WAL-MART STORES EAST, LP
NPI: 1942383443
· BARBOURSVILLE, WV 25504
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2020 |
12 |
$640.00 |
| 2021 |
49 |
$2K |
| 2022 |
82 |
$3K |
| 2023 |
15 |
$561.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| V2020 |
Vision svcs frames purchases |
107 |
106 |
$5K |
| V2100 |
Lens spher single plano 4.00 |
51 |
51 |
$1K |