NPI: 1659417723 · BAYAMON, PR 00961 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,318 | $65K |
| 2019 | 903 | $28K |
| 2020 | 991 | $48K |
| 2021 | 276 | $16K |
| 2023 | 1,339 | $70K |
| 2024 | 2,801 | $130K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 1,429 | 1,213 | $127K |
| 92002 | 2,813 | 2,488 | $100K | |
| 92015 | 4,240 | 3,759 | $80K | |
| 92012 | 1,280 | 1,122 | $38K | |
| V2100 | Lens spher single plano 4.00 | 361 | 231 | $6K |
| V2784 | Lens polycarb or equal | 111 | 82 | $3K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 394 | 190 | $1K |