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FAIRMOUNT PEDIATRICS AND ADOLESCENT MEDICINE
FAIRMOUNT PEDIATRICS AND ADOLESCENT MEDICINE
NPI: 1487987020
· PHILA, PA 19130
· 261QP2300X
$315.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
17 |
$315.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 90460 |
|
17 |
14 |
$315.00 |