NPI: 1225269087 · HARRISBURG, PA 17110 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 243 | $8K |
| 2021 | 2,579 | $92K |
| 2024 | 831 | $22K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2393 | 375 | 196 | $24K | |
| D1110 | 609 | 592 | $22K | |
| D2392 | 324 | 203 | $19K | |
| D0274 | 671 | 651 | $19K | |
| D0120 | 481 | 471 | $10K | |
| D0330 | 216 | 208 | $8K | |
| D0150 | 359 | 350 | $7K | |
| D1206 | 223 | 223 | $4K | |
| D1120 | 119 | 119 | $4K | |
| D1351 | 96 | 12 | $2K | |
| D0140 | 36 | 36 | $2K | |
| D0220 | 100 | 91 | $800.00 | |
| D0272 | 27 | 27 | $456.32 | |
| D1999 | 17 | 17 | $0.00 |