WAL-MART STORES TEXAS, LP
NPI: 1083712954
· TOMBALL, TX 77375
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
66 |
$1K |
| 2021 |
363 |
$10K |
| 2022 |
432 |
$15K |
| 2023 |
407 |
$17K |
| 2024 |
391 |
$16K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2025 |
Eyeglasses delux frames |
645 |
644 |
$48K |
| V2100 |
Lens spher single plano 4.00 |
356 |
356 |
$7K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
223 |
221 |
$4K |
| V2750 |
Anti-reflective coating |
412 |
410 |
$1K |
| V2020 |
Vision svcs frames purchases |
23 |
23 |
$420.50 |