WAL-MART STORE TEXAS, LLC
NPI: 1376674630
· FRISCO, TX 75034
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
29 |
$469.00 |
| 2021 |
190 |
$2K |
| 2022 |
166 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
238 |
232 |
$4K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
25 |
25 |
$449.00 |
| V2750 |
Anti-reflective coating |
122 |
121 |
$40.00 |