NPI: 1770575946 · DORADO, PR 00646 · Pediatric Optometrist · NPI assigned 08/16/2005
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 679 | $876.00 |
| 2021 | 923 | $0.00 |
| 2022 | 45 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2025 | Deluxe frame | 610 | 401 | $611.00 |
| 92002 | 382 | 255 | $240.00 | |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 239 | 145 | $25.00 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 394 | 269 | $0.00 |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | 22 | 12 | $0.00 |