NPI: 1972800530 · CAROLINA, PR 00983 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 205 | $2K |
| 2019 | 812 | $16K |
| 2020 | 1,196 | $37K |
| 2021 | 1,243 | $34K |
| 2022 | 1,136 | $32K |
| 2023 | 705 | $23K |
| 2024 | 528 | $20K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92002 | 2,008 | 1,913 | $86K | |
| 92015 | 2,520 | 2,351 | $57K | |
| V2020 | Vision svcs frames purchases | 951 | 942 | $15K |
| 92012 | 169 | 155 | $7K | |
| V2200 | Lens spher bifoc plano 4.00d | 50 | 50 | $0.00 |
| V2784 | Lens polycarb or equal | 58 | 58 | $0.00 |
| 92004 | 51 | 51 | $0.00 | |
| V2300 | Lens sphere trifocal 4.00d | 18 | 18 | $0.00 |