ULTRAVISION OPTICAL SERVICES
NPI: 1386962751
· NARANJITO, PR 00719
· Optometrist
· NPI assigned 05/11/2010
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
54 |
$560.00 |
| 2021 |
39 |
$760.50 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
27 |
27 |
$911.00 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
27 |
27 |
$409.50 |
| V2020 |
Frames, purchases |
26 |
26 |
$0.00 |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
13 |
13 |
$0.00 |