WAL-MART STORES TEXAS, LP
NPI: 1790869345
· GRAPEVINE, TX 76051
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
138 |
$1K |
| 2021 |
554 |
$6K |
| 2022 |
244 |
$3K |
| 2023 |
408 |
$5K |
| 2024 |
184 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
669 |
648 |
$12K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
313 |
303 |
$6K |
| V2750 |
Anti-reflective coating |
534 |
522 |
$1K |
| V2100 |
Lens spher single plano 4.00 |
12 |
12 |
$174.00 |