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SERVICIOS DE SALUD PRIMARIOS DE BARCELONETA, INC. ( OPTOMETRIA)
SERVICIOS DE SALUD PRIMARIOS DE BARCELONETA, INC. ( OPTOMETRIA)
NPI: 1326409665
· BARCELONETA, PR 00617
· Eyewear Supplier
· NPI assigned 03/15/2016
$778.70
Total Medicaid Paid
Provider Details
| Authorized Official | PADILLA, JENNY (BILLING SUPERVISOR) |
| NPI Enumeration Date | 03/15/2016 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
74 |
$650.00 |
| 2022 |
18 |
$128.70 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
53 |
48 |
$428.70 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
21 |
16 |
$350.00 |
| V2020 |
Frames, purchases |
18 |
13 |
$0.00 |