NPI: 1760709794 · PHILADELPHIA, PA 19148 · 261QD0000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 292 | $46K |
| 2019 | 34 | $6K |
| 2020 | 58 | $11K |
| 2021 | 435 | $66K |
| 2023 | 21 | $3K |
| 2024 | 4,172 | $215K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 2,140 | 1,742 | $347K |
| D0603 | 90 | 90 | $0.00 | |
| D0210 | 71 | 71 | $0.00 | |
| D0602 | 164 | 164 | $0.00 | |
| D1330 | 378 | 365 | $0.00 | |
| D1310 | 308 | 296 | $0.00 | |
| D0120 | 284 | 284 | $0.00 | |
| D0230 | 294 | 291 | $0.00 | |
| D0150 | 83 | 83 | $0.00 | |
| D0601 | 46 | 46 | $0.00 | |
| D5899 | 17 | 13 | $0.00 | |
| D2392 | 69 | 62 | $0.00 | |
| D0140 | 59 | 59 | $0.00 | |
| D2391 | 53 | 51 | $0.00 | |
| D0220 | 388 | 387 | $0.00 | |
| D1110 | 285 | 284 | $0.00 | |
| D0274 | 228 | 228 | $0.00 | |
| D9110 | 55 | 55 | $0.00 |