WAL-MART STORES TEXAS LLC
NPI: 1972751261
· RICHMOND, TX 77406
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
67 |
$1K |
| 2021 |
338 |
$10K |
| 2022 |
416 |
$11K |
| 2023 |
352 |
$10K |
| 2024 |
274 |
$9K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2025 |
Eyeglasses delux frames |
463 |
462 |
$32K |
| V2100 |
Lens spher single plano 4.00 |
219 |
218 |
$4K |
| V2750 |
Anti-reflective coating |
623 |
617 |
$2K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
129 |
128 |
$2K |
| V2020 |
Vision svcs frames purchases |
13 |
13 |
$229.00 |