NPI: 1477896785 · WOODBRIDGE, VA 22192 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 24 | $1K |
| 2020 | 110 | $2K |
| 2021 | 725 | $20K |
| 2022 | 1,105 | $44K |
| 2023 | 1,568 | $29K |
| 2024 | 1,127 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0330 | 491 | 411 | $19K | |
| D0150 | 867 | 777 | $17K | |
| D1110 | 512 | 506 | $12K | |
| D2392 | 283 | 161 | $11K | |
| D0140 | 474 | 464 | $8K | |
| D0210 | 375 | 268 | $8K | |
| D0274 | 506 | 493 | $7K | |
| D2391 | 136 | 77 | $3K | |
| D0120 | 315 | 310 | $3K | |
| D2393 | 17 | 12 | $2K | |
| D0220 | 371 | 360 | $2K | |
| D1208 | 82 | 82 | $2K | |
| D0230 | 104 | 102 | $610.26 | |
| D9630 | 26 | 26 | $568.26 | |
| D2740 | 82 | 44 | $0.00 | |
| D7210 | 18 | 14 | $0.00 |