NPI: 1952885709 · HARTFORD, CT 06106 · 363LF0000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 2,263 | $229K |
| 2020 | 1,733 | $220K |
| 2021 | 922 | $107K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic service | 3,047 | 2,810 | $494K |
| 99396 | 354 | 350 | $27K | |
| 99395 | 113 | 112 | $19K | |
| S0302 | Completed epsdt | 726 | 719 | $7K |
| 90686 | 173 | 173 | $3K | |
| 90471 | 140 | 139 | $3K | |
| 90715 | 42 | 42 | $1K | |
| 83036 | 122 | 122 | $1K | |
| 87880 | 64 | 64 | $781.44 | |
| 87804 | 49 | 49 | $599.27 | |
| 81002 | 63 | 63 | $166.32 | |
| 93000 | 12 | 12 | $162.12 | |
| 81025 | 13 | 12 | $84.76 |