SANTOS-DELGADO, GABRIEL
NPI: 1760724777
· FAJARDO, PR 00738
· Optometrist
· NPI assigned 03/18/2013
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
40 |
$855.00 |
| 2019 |
27 |
$0.00 |
| 2021 |
382 |
$3K |
| 2022 |
48 |
$778.70 |
| 2023 |
134 |
$4K |
| 2024 |
114 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92002 |
|
222 |
207 |
$6K |
| 92250 |
|
207 |
192 |
$3K |
| 92015 |
Determination of refractive state |
236 |
220 |
$2K |
| 92060 |
|
26 |
26 |
$786.63 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
16 |
16 |
$560.00 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
12 |
12 |
$295.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
12 |
12 |
$0.00 |
| V2025 |
Deluxe frame |
14 |
13 |
$0.00 |