NPI: 1306904909 · PHILA, PA 19141 · 1223E0200X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 51 | $368.80 |
| 2021 | 1,024 | $37K |
| 2023 | 33 | $28.00 |
| 2024 | 1,111 | $22K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D3330 | 73 | 70 | $24K | |
| D0140 | 592 | 572 | $13K | |
| D7140 | 145 | 82 | $6K | |
| D0220 | 627 | 604 | $4K | |
| D0330 | 112 | 112 | $3K | |
| D0150 | 114 | 114 | $2K | |
| D0270 | 256 | 250 | $2K | |
| D0120 | 62 | 62 | $1K | |
| D1110 | 33 | 33 | $948.60 | |
| D0230 | 110 | 109 | $823.00 | |
| D0210 | 15 | 15 | $607.50 | |
| D1120 | 29 | 29 | $554.40 | |
| D0274 | 12 | 12 | $302.40 | |
| D1208 | 13 | 13 | $198.90 | |
| D1206 | 12 | 12 | $194.40 | |
| D9995 | 14 | 13 | $10.00 |