WAL-MART STORES TEXAS, LP
NPI: 1780783126
· BEAUMONT, TX 77706
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
14 |
$229.39 |
| 2021 |
539 |
$11K |
| 2022 |
442 |
$13K |
| 2023 |
322 |
$11K |
| 2024 |
249 |
$8K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2025 |
Eyeglasses delux frames |
527 |
525 |
$28K |
| V2100 |
Lens spher single plano 4.00 |
306 |
300 |
$6K |
| V2020 |
Vision svcs frames purchases |
256 |
253 |
$4K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
290 |
287 |
$4K |
| V2750 |
Anti-reflective coating |
187 |
187 |
$878.05 |