NPI: 1265085864 · UPPER DARBY, PA 19082 · 251K00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 50 | $1K |
| 2024 | 3,032 | $56K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | 422 | 395 | $13K | |
| D0274 | 389 | 365 | $10K | |
| D0120 | 491 | 464 | $9K | |
| D2392 | 132 | 89 | $7K | |
| D0220 | 601 | 551 | $4K | |
| D9110 | 154 | 139 | $4K | |
| D0230 | 552 | 508 | $4K | |
| D0150 | 109 | 103 | $2K | |
| D1208 | 70 | 67 | $1K | |
| D0330 | 39 | 32 | $982.74 | |
| D7140 | 15 | 13 | $682.50 | |
| D0602 | 43 | 41 | $380.00 | |
| D1330 | 49 | 47 | $277.94 | |
| D1120 | 16 | 16 | $239.25 |