WAL-MART STORES EAST, LP
NPI: 1972689180
· PETERSBURG, VA 23805
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
34 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
17 |
17 |
$1K |
| V2100 |
Lens spher single plano 4.00 |
17 |
17 |
$916.83 |