WAL-MART STORES EAST, LP
NPI: 1952414393
· MARION, OH 43302
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
73 |
$19.00 |
| 2024 |
831 |
$14K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
551 |
425 |
$8K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
319 |
237 |
$6K |
| V2100 |
Lens spher single plano 4.00 |
34 |
29 |
$539.00 |