NPI: 1184858466 · CIALES, PR 00638 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 168 | $2K |
| 2020 | 409 | $6K |
| 2021 | 641 | $9K |
| 2022 | 456 | $7K |
| 2023 | 158 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92015 | 596 | 589 | $17K | |
| 92014 | 462 | 459 | $13K | |
| V2744 | Tint photochromatic lens/es | 41 | 41 | $0.00 |
| V2200 | Lens spher bifoc plano 4.00d | 113 | 113 | $0.00 |
| V2300 | Lens sphere trifocal 4.00d | 157 | 156 | $0.00 |
| V2020 | Vision svcs frames purchases | 448 | 443 | $0.00 |
| V2204 | Lens sphcy bifocal 4.00d/2.1 | 15 | 15 | $0.00 |