WAL-MART STORES EAST, LP
NPI: 1952484578
· SEDALIA, MO 65301
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,790 |
$16K |
| 2019 |
1,228 |
$12K |
| 2020 |
588 |
$7K |
| 2021 |
397 |
$3K |
| 2022 |
494 |
$8K |
| 2023 |
410 |
$12K |
| 2024 |
150 |
$634.01 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
2,343 |
2,336 |
$51K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
1,407 |
1,404 |
$4K |
| V2100 |
Lens spher single plano 4.00 |
773 |
769 |
$3K |
| V2104 |
Spherocylindr 4.00d/2.12-4d |
52 |
51 |
$188.50 |
| V2781 |
Progressive lens per lens |
49 |
49 |
$167.00 |
| V2025 |
Eyeglasses delux frames |
433 |
433 |
$0.00 |