NPI: 1619455219 · UPPER DARBY, PA 19082 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 159 | $3K |
| 2021 | 445 | $9K |
| 2024 | 4,154 | $102K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | 678 | 674 | $22K | |
| D2392 | 206 | 175 | $19K | |
| D0274 | 657 | 654 | $17K | |
| D0120 | 810 | 806 | $15K | |
| D2391 | 174 | 151 | $14K | |
| D0330 | 277 | 276 | $9K | |
| D0220 | 913 | 905 | $7K | |
| D0230 | 618 | 615 | $4K | |
| D1351 | 41 | 19 | $4K | |
| D0140 | 69 | 68 | $1K | |
| D1208 | 46 | 46 | $744.48 | |
| D1120 | 38 | 38 | $536.83 | |
| D1310 | 86 | 86 | $430.00 | |
| D1330 | 86 | 86 | $430.00 | |
| D0603 | 36 | 36 | $350.00 | |
| D0601 | 23 | 23 | $230.00 |