NPI: 1629301296 · MANATI, PR 00674 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 127 | $2K |
| 2019 | 640 | $9K |
| 2020 | 708 | $13K |
| 2021 | 1,358 | $22K |
| 2022 | 976 | $15K |
| 2023 | 694 | $18K |
| 2024 | 484 | $14K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92015 | 1,925 | 1,794 | $40K | |
| 92002 | 1,122 | 1,045 | $35K | |
| 92012 | 519 | 494 | $17K | |
| V2020 | Vision svcs frames purchases | 757 | 745 | $2K |
| V2200 | Lens spher bifoc plano 4.00d | 220 | 198 | $0.00 |
| V2781 | Progressive lens per lens | 221 | 221 | $0.00 |
| V2744 | Tint photochromatic lens/es | 199 | 199 | $0.00 |
| V2100 | Lens spher single plano 4.00 | 12 | 12 | $0.00 |
| V2750 | Anti-reflective coating | 12 | 12 | $0.00 |