NPI: 1184409328 · UPPER DARBY, PA 19082 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 3,203 | $76K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2391 | 323 | 143 | $14K | |
| D1110 | 411 | 409 | $14K | |
| D2392 | 235 | 118 | $12K | |
| D0274 | 413 | 411 | $10K | |
| D0120 | 462 | 460 | $9K | |
| D0330 | 166 | 164 | $6K | |
| D0220 | 513 | 510 | $4K | |
| D0230 | 350 | 350 | $3K | |
| D1351 | 80 | 13 | $2K | |
| D0140 | 79 | 79 | $2K | |
| D1208 | 30 | 30 | $491.91 | |
| D1310 | 59 | 59 | $322.61 | |
| D1330 | 58 | 58 | $318.24 | |
| D1120 | 12 | 12 | $272.11 | |
| D0603 | 12 | 12 | $120.00 |