WAL-MART STORES TEXAS, LLC
NPI: 1144301581
· AZLE, TX 76020
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
231 |
$3K |
| 2021 |
974 |
$14K |
| 2022 |
311 |
$5K |
| 2023 |
251 |
$5K |
| 2024 |
139 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
1,010 |
993 |
$19K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
558 |
545 |
$10K |
| V2750 |
Anti-reflective coating |
312 |
305 |
$820.00 |
| V2104 |
Spherocylindr 4.00d/2.12-4d |
13 |
13 |
$177.00 |
| V2100 |
Lens spher single plano 4.00 |
13 |
12 |
$130.00 |