NPI: 1871874750 · VEGA BAJA, PR 00693 · Optometrist · NPI assigned 09/06/2011
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 107 | $3K |
| 2020 | 314 | $5K |
| 2021 | 435 | $7K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92015 | Determination of refractive state | 369 | 364 | $9K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 141 | 139 | $4K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 38 | 37 | $1K |
| V2020 | Frames, purchases | 254 | 251 | $100.00 |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | 54 | 54 | $0.00 |