WAL-MART STORES TEXAS, LLC
NPI: 1790125581
· VICTORIA, TX 77901
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
47 |
$2K |
| 2022 |
24 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2025 |
Eyeglasses delux frames |
53 |
53 |
$3K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
18 |
18 |
$312.57 |