WAL-MART STORES TEXAS, LLC
NPI: 1437540150
· LOS FRESNOS, TX 78566
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2021 |
51 |
$2K |
| 2023 |
109 |
$6K |
| 2024 |
32 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| V2025 |
Eyeglasses delux frames |
120 |
120 |
$9K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
32 |
30 |
$503.32 |
| V2750 |
Anti-reflective coating |
40 |
38 |
$326.71 |