NPI: 1811596307 · ELIZABETH, NJ 07201 · 1223G0001X
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 49 | $614.00 |
| 2023 | 693 | $6K |
| 2024 | 6,507 | $74K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0210 | 837 | 802 | $15K | |
| D0150 | 1,444 | 1,390 | $15K | |
| D4341 | 385 | 182 | $9K | |
| D1110 | 522 | 499 | $8K | |
| D2750 | 38 | 24 | $7K | |
| D2392 | 200 | 128 | $5K | |
| D1120 | 327 | 317 | $4K | |
| D2393 | 131 | 86 | $4K | |
| D0140 | 310 | 288 | $4K | |
| D2391 | 158 | 75 | $3K | |
| D0120 | 195 | 189 | $2K | |
| D1208 | 245 | 226 | $1K | |
| D0220 | 686 | 638 | $1K | |
| D0274 | 137 | 129 | $692.50 | |
| D7140 | 54 | 29 | $665.00 | |
| D0230 | 508 | 420 | $555.00 | |
| D2950 | 20 | 16 | $530.00 | |
| D0330 | 12 | 12 | $234.00 | |
| D0272 | 19 | 19 | $80.00 | |
| D1330 | 922 | 874 | $0.00 | |
| D9986 | 99 | 89 | $0.00 |