WAL-MART STORES EAST, L.P.
NPI: 1962611152
· MILLVILLE, NJ 08332
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
76 |
$0.00 |
| 2019 |
56 |
$0.00 |
| 2020 |
73 |
$0.00 |
| 2021 |
240 |
$2K |
| 2022 |
429 |
$4K |
| 2023 |
409 |
$5K |
| 2024 |
162 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
1,065 |
1,058 |
$7K |
| V2100 |
Lens spher single plano 4.00 |
258 |
254 |
$5K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
47 |
47 |
$733.00 |
| V2744 |
Tint photochromatic lens/es |
13 |
13 |
$0.00 |
| V2750 |
Anti-reflective coating |
62 |
61 |
$0.00 |