WAL-MART STORES TEXAS, LLC
NPI: 1750462149
· AMARILLO, TX 79110
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
73 |
$1K |
| 2022 |
50 |
$1K |
| 2023 |
214 |
$9K |
| 2024 |
13 |
$862.55 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2025 |
Eyeglasses delux frames |
217 |
217 |
$11K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
119 |
119 |
$2K |
| V2750 |
Anti-reflective coating |
14 |
14 |
$164.33 |