NPI: 1588617765 · PONCE, PR 00716 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,322 | $80K |
| 2019 | 2,841 | $83K |
| 2020 | 2,987 | $120K |
| 2021 | 4,183 | $165K |
| 2022 | 3,461 | $137K |
| 2023 | 4,101 | $194K |
| 2024 | 4,128 | $211K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92002 | 5,816 | 5,338 | $307K | |
| V2020 | Vision svcs frames purchases | 2,386 | 2,112 | $193K |
| 92015 | 8,527 | 7,816 | $189K | |
| 92012 | 3,017 | 2,754 | $155K | |
| 92250 | 3,774 | 3,396 | $121K | |
| 92225 | 1,186 | 572 | $23K | |
| 92202 | 217 | 205 | $4K | |
| V2100 | Lens spher single plano 4.00 | 24 | 15 | $153.54 |
| V2200 | Lens spher bifoc plano 4.00d | 76 | 76 | $0.00 |