WAL-MART STORES EAST, LP
NPI: 1992883946
· CLOVIS, NM 88101
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
17 |
$257.00 |
| 2023 |
59 |
$2K |
| 2024 |
141 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
187 |
187 |
$7K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
30 |
30 |
$772.90 |