WAL-MART STORES TEXAS, LP
NPI: 1104907112
· DENTON, TX 76205
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
32 |
$289.00 |
| 2021 |
529 |
$6K |
| 2022 |
349 |
$5K |
| 2023 |
249 |
$5K |
| 2024 |
126 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
728 |
709 |
$13K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
304 |
292 |
$5K |
| V2750 |
Anti-reflective coating |
253 |
245 |
$402.02 |