NPI: 1811980915 · CANOVANAS, PR 00729 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,091 | $22K |
| 2019 | 1,371 | $27K |
| 2020 | 730 | $19K |
| 2021 | 908 | $30K |
| 2022 | 947 | $33K |
| 2023 | 1,332 | $48K |
| 2024 | 1,619 | $69K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92002 | 2,319 | 1,864 | $106K | |
| 92015 | 3,560 | 2,927 | $75K | |
| 92012 | 969 | 834 | $40K | |
| V2020 | Vision svcs frames purchases | 629 | 582 | $25K |
| V2100 | Lens spher single plano 4.00 | 86 | 84 | $2K |
| V2784 | Lens polycarb or equal | 304 | 269 | $372.26 |
| V2200 | Lens spher bifoc plano 4.00d | 118 | 114 | $124.00 |
| 3072F | 13 | 12 | $0.00 |