NPI: 1689057580 · CHRISTIANSTED, VI 00820 · 332H00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 117 | $9K |
| 2019 | 179 | $17K |
| 2020 | 122 | $6K |
| 2021 | 95 | $7K |
| 2022 | 446 | $31K |
| 2023 | 612 | $11K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 746 | 714 | $54K |
| V2200 | Lens spher bifoc plano 4.00d | 213 | 127 | $18K |
| V2744 | Tint photochromatic lens/es | 246 | 128 | $5K |
| V2755 | Uv lens/es | 268 | 135 | $2K |
| V2203 | Lens sphcyl bifocal 4.00d/.1 | 37 | 20 | $1K |
| V2781 | Progressive lens per lens | 24 | 12 | $240.00 |
| V2025 | Eyeglasses delux frames | 37 | 37 | $0.00 |