WA-MART STORES TEXAS, LP
NPI: 1205917648
· LONGVIEW, TX 75604
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
38 |
$493.66 |
| 2021 |
162 |
$4K |
| 2022 |
240 |
$7K |
| 2023 |
119 |
$3K |
| 2024 |
65 |
$899.50 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2025 |
Eyeglasses delux frames |
140 |
139 |
$8K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
209 |
209 |
$3K |
| V2020 |
Vision svcs frames purchases |
148 |
144 |
$2K |
| V2750 |
Anti-reflective coating |
115 |
115 |
$1K |
| V2744 |
Tint photochromatic lens/es |
12 |
12 |
$330.00 |