WAL-MART STORES TEXAS, LP
NPI: 1336240878
· THE WOODLANDS, TX 77384
· 156FX1800X
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
53 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2025 |
Eyeglasses delux frames |
27 |
26 |
$0.00 |
| V2750 |
Anti-reflective coating |
13 |
13 |
$0.00 |
| V2100 |
Lens spher single plano 4.00 |
13 |
13 |
$0.00 |