NPI: 1447229240 · PATILLAS, PR 00723 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,307 | $54K |
| 2019 | 1,124 | $37K |
| 2020 | 1,178 | $41K |
| 2021 | 1,054 | $34K |
| 2022 | 552 | $18K |
| 2023 | 619 | $25K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92002 | 1,834 | 1,781 | $78K | |
| 92015 | 2,461 | 2,362 | $60K | |
| 92060 | 955 | 914 | $38K | |
| 92081 | 1,115 | 1,054 | $25K | |
| 92012 | 157 | 144 | $8K | |
| 92285 | 12 | 12 | $186.74 | |
| 92004 | 121 | 106 | $0.00 | |
| 3072F | 61 | 61 | $0.00 | |
| V2200 | Lens spher bifoc plano 4.00d | 59 | 55 | $0.00 |
| V2020 | Vision svcs frames purchases | 59 | 55 | $0.00 |