WAL-MART STORES TEXAS, LLC
NPI: 1912445487
· CASTROVILLE, TX 78009
· Optician
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2020 |
40 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| V2025 |
Deluxe frame |
26 |
26 |
$1K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
14 |
13 |
$201.00 |