NPI: 1629456868 · PASSAIC, NJ 07055 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,371 | $17K |
| 2019 | 1,066 | $19K |
| 2023 | 573 | $12K |
| 2024 | 157 | $7K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | 826 | 826 | $17K | |
| D0120 | 815 | 815 | $12K | |
| D2392 | 233 | 178 | $10K | |
| D1208 | 756 | 756 | $3K | |
| D2391 | 116 | 91 | $3K | |
| D0273 | 437 | 437 | $2K | |
| D1206 | 103 | 103 | $2K | |
| D0272 | 129 | 129 | $1K | |
| D0603 | 126 | 126 | $1K | |
| D1351 | 555 | 106 | $1K | |
| D7140 | 23 | 13 | $719.50 | |
| D1110 | 24 | 24 | $696.00 | |
| D0330 | 12 | 12 | $161.00 | |
| D1320 | 12 | 12 | $72.00 |