WAL-MART STORES TEXAS, LLC
NPI: 1760806806
· BRYAN, TX 77807
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
13 |
$161.50 |
| 2022 |
95 |
$3K |
| 2023 |
137 |
$4K |
| 2024 |
15 |
$337.82 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
84 |
78 |
$3K |
| V2750 |
Anti-reflective coating |
131 |
129 |
$2K |
| V2025 |
Eyeglasses delux frames |
13 |
13 |
$782.94 |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
32 |
32 |
$479.82 |