WAL-MART STORES TEXAS, LLC
NPI: 1982098471
· TEMPLE, TX 76502
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
15 |
$610.00 |
| 2023 |
25 |
$827.97 |
| 2024 |
25 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2025 |
Eyeglasses delux frames |
26 |
26 |
$2K |
| V2020 |
Vision svcs frames purchases |
15 |
14 |
$610.00 |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
12 |
12 |
$226.08 |
| V2750 |
Anti-reflective coating |
12 |
12 |
$142.56 |