NPI: 1316951551 · WHITE PLAINS, NY 10603 · 1223G0001X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 204 | $1K |
| 2019 | 306 | $2K |
| 2020 | 2,467 | $24K |
| 2021 | 61 | $713.99 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0274 | 389 | 388 | $5K | |
| D0120 | 337 | 337 | $5K | |
| D0220 | 826 | 800 | $4K | |
| D0140 | 356 | 347 | $4K | |
| D1120 | 162 | 162 | $4K | |
| D0150 | 156 | 156 | $2K | |
| D1208 | 187 | 187 | $1K | |
| D1110 | 31 | 31 | $1K | |
| D0330 | 64 | 64 | $1K | |
| D2392 | 17 | 13 | $566.52 | |
| D0270 | 89 | 88 | $498.81 | |
| D2391 | 17 | 16 | $486.53 | |
| D0230 | 82 | 82 | $374.40 | |
| D0240 | 29 | 17 | $209.24 | |
| D0272 | 15 | 15 | $92.62 | |
| D1310 | 108 | 108 | $0.00 | |
| D1330 | 143 | 143 | $0.00 | |
| D0999 | 30 | 30 | $0.00 |