WAL-MART STORES LOUISIANA, LLC
NPI: 1962580191
· LA PLACE, LA 70068
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
83 |
$3K |
| 2021 |
227 |
$6K |
| 2022 |
248 |
$7K |
| 2024 |
22 |
$369.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
482 |
432 |
$15K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
72 |
66 |
$1K |
| V2100 |
Lens spher single plano 4.00 |
26 |
24 |
$469.25 |