WAL-MART STORES TEXAS, LLC
NPI: 1023409976
· DONNA, TX 78537
· Optician
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
86 |
$3K |
| 2021 |
215 |
$5K |
| 2022 |
329 |
$13K |
| 2023 |
303 |
$15K |
| 2024 |
239 |
$9K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2025 |
Deluxe frame |
443 |
436 |
$35K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
314 |
308 |
$5K |
| V2750 |
Anti-reflective coating, per lens |
265 |
262 |
$2K |
| V2020 |
Frames, purchases |
136 |
133 |
$2K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
14 |
12 |
$207.40 |