WAL-MART STORES TEXAS, LP
NPI: 1366523730
· AMARILLO, TX 79119
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
1,410 |
$27K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
1,049 |
1,049 |
$20K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
289 |
289 |
$7K |
| V2750 |
Anti-reflective coating |
72 |
72 |
$102.00 |