NPI: 1164910154 · SPRINGFIELD, VA 22150 · 390200000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 5,149 | $198K |
| 2022 | 9,414 | $530K |
| 2023 | 3,498 | $223K |
| 2024 | 402 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2392 | 2,189 | 981 | $213K | |
| D2393 | 949 | 503 | $121K | |
| D2740 | 152 | 107 | $90K | |
| D1110 | 1,742 | 1,717 | $86K | |
| D2391 | 908 | 459 | $73K | |
| D0330 | 801 | 794 | $48K | |
| D0150 | 1,345 | 1,277 | $44K | |
| D0274 | 1,402 | 1,385 | $41K | |
| D2950 | 300 | 232 | $38K | |
| D0230 | 2,430 | 1,170 | $28K | |
| D0120 | 1,203 | 1,194 | $25K | |
| D0220 | 1,877 | 1,709 | $21K | |
| D0140 | 730 | 692 | $20K | |
| D4341 | 176 | 70 | $17K | |
| D4910 | 193 | 193 | $15K | |
| D1120 | 397 | 393 | $15K | |
| D4342 | 204 | 97 | $12K | |
| D9630 | 465 | 461 | $11K | |
| D7140 | 121 | 61 | $9K | |
| D1206 | 385 | 383 | $9K | |
| D2331 | 43 | 25 | $4K | |
| D1208 | 146 | 145 | $3K | |
| D2394 | 18 | 14 | $2K | |
| D0272 | 87 | 83 | $2K | |
| D0210 | 164 | 99 | $1K | |
| D9994 | 13 | 13 | $107.64 | |
| D1999 | 23 | 15 | $0.00 |