NPI: 1750690467 · PASSAIC, NJ 07055 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,272 | $9K |
| 2019 | 1,923 | $12K |
| 2020 | 2,295 | $9K |
| 2021 | 2,369 | $11K |
| 2022 | 2,042 | $7K |
| 2023 | 1,417 | $7K |
| 2024 | 255 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | 1,874 | 1,871 | $20K | |
| D0120 | 1,559 | 1,557 | $10K | |
| D0150 | 1,020 | 1,020 | $5K | |
| D2392 | 290 | 133 | $4K | |
| D0274 | 1,427 | 1,418 | $4K | |
| D0330 | 532 | 532 | $4K | |
| D1120 | 266 | 266 | $3K | |
| D0220 | 2,157 | 2,139 | $2K | |
| D1208 | 286 | 286 | $2K | |
| D0230 | 2,012 | 2,001 | $2K | |
| D2391 | 98 | 39 | $1K | |
| D2393 | 40 | 27 | $85.00 | |
| D8660 | 12 | 12 | $0.00 |