DAVILA RODRIGUEZ, LOURDES
NPI: 1699869941
· COAMO, PR 00769
· 152W00000X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
540 |
$9K |
| 2019 |
682 |
$12K |
| 2020 |
640 |
$10K |
| 2021 |
984 |
$14K |
| 2022 |
698 |
$13K |
| 2023 |
195 |
$6K |
| 2024 |
26 |
$760.50 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
|
1,308 |
1,285 |
$38K |
| 92012 |
|
830 |
812 |
$26K |
| 92002 |
|
14 |
14 |
$458.50 |
| V2020 |
Vision svcs frames purchases |
950 |
937 |
$0.00 |
| 92014 |
|
148 |
148 |
$0.00 |
| V2744 |
Tint photochromatic lens/es |
167 |
164 |
$0.00 |
| V2200 |
Lens spher bifoc plano 4.00d |
234 |
228 |
$0.00 |
| V2781 |
Progressive lens per lens |
114 |
114 |
$0.00 |