NPI: 1275566861 · MANALAPAN, NJ 07726 · Pediatrics Physician · NPI assigned 07/08/2006
| Authorized Official | POLLICOVE, HELEN (PRACTICE MANAGER) |
| NPI Enumeration Date | 07/08/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 163 | $10K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 137 | 115 | $10K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 14 | 13 | $161.00 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 12 | 12 | $57.00 |