WAL-MART STORES TEXAS, LP
NPI: 1063593077
· NORTH RICHLAND HILLS, TX 76180
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
65 |
$1K |
| 2022 |
55 |
$1K |
| 2023 |
17 |
$300.00 |
| 2024 |
15 |
$310.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
127 |
126 |
$2K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
25 |
25 |
$489.50 |