NPI: 1134456049 · JUANA DIAZ, PR 00795 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 888 | $17K |
| 2019 | 827 | $19K |
| 2020 | 1,326 | $31K |
| 2021 | 2,051 | $38K |
| 2022 | 1,766 | $30K |
| 2023 | 442 | $14K |
| 2024 | 160 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92015 | 2,558 | 2,484 | $65K | |
| 92012 | 1,306 | 1,283 | $42K | |
| 92002 | 949 | 915 | $30K | |
| V2020 | Vision svcs frames purchases | 1,278 | 1,251 | $13K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 27 | 27 | $4K |
| 92250 | 28 | 28 | $319.48 | |
| 92060 | 15 | 15 | $310.50 | |
| V2781 | Progressive lens per lens | 350 | 349 | $0.00 |
| V2744 | Tint photochromatic lens/es | 205 | 205 | $0.00 |
| 3072F | 199 | 199 | $0.00 | |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 262 | 261 | $0.00 |
| V2745 | Tint, any color/solid/grad | 171 | 171 | $0.00 |
| V2750 | Anti-reflective coating | 86 | 86 | $0.00 |
| V2199 | Lens single vision not oth c | 26 | 13 | $0.00 |