WAL-MART STORES TEXAS, LP
NPI: 1750464350
· GREENVILLE, TX 75402
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
225 |
$9K |
| 2021 |
1,011 |
$31K |
| 2022 |
835 |
$18K |
| 2023 |
440 |
$11K |
| 2024 |
273 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
1,487 |
1,462 |
$55K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
800 |
787 |
$14K |
| V2750 |
Anti-reflective coating |
325 |
321 |
$3K |
| V2100 |
Lens spher single plano 4.00 |
112 |
106 |
$2K |
| V2104 |
Spherocylindr 4.00d/2.12-4d |
60 |
56 |
$894.00 |