NPI: 1770645640 · SLEEPY HOLLOW, NY 10591 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,536 | $2K |
| 2019 | 3,954 | $0.00 |
| 2020 | 1,973 | $25.30 |
| 2021 | 2,660 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | 1,026 | 1,026 | $465.50 | |
| D0120 | 1,576 | 1,576 | $332.50 | |
| D1206 | 551 | 551 | $312.00 | |
| D1351 | 315 | 67 | $148.20 | |
| D2391 | 655 | 481 | $118.75 | |
| D2392 | 448 | 357 | $85.50 | |
| D0272 | 402 | 402 | $83.60 | |
| D1110 | 1,311 | 1,311 | $55.10 | |
| D0220 | 806 | 804 | $45.60 | |
| D0150 | 645 | 645 | $39.55 | |
| D0140 | 183 | 183 | $25.65 | |
| D0274 | 645 | 645 | $0.00 | |
| D0180 | 15 | 15 | $0.00 | |
| D0270 | 56 | 55 | $0.00 | |
| D0330 | 17 | 17 | $0.00 | |
| D0210 | 314 | 314 | $0.00 | |
| D1208 | 392 | 391 | $0.00 | |
| D1330 | 1,431 | 1,430 | $0.00 | |
| D1310 | 507 | 507 | $0.00 | |
| D0230 | 828 | 824 | $0.00 |