NPI: 1518667948 · HARRISBURG, PA 17109 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 9,003 | $177K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1351 | 1,379 | 239 | $32K | |
| D1110 | 755 | 701 | $27K | |
| D0120 | 1,011 | 939 | $20K | |
| D0274 | 830 | 774 | $18K | |
| D1120 | 557 | 522 | $15K | |
| D0230 | 1,381 | 1,034 | $10K | |
| D0220 | 1,194 | 1,115 | $9K | |
| D0150 | 468 | 448 | $9K | |
| D1208 | 442 | 398 | $8K | |
| D2391 | 134 | 67 | $7K | |
| D1206 | 287 | 287 | $6K | |
| D0140 | 118 | 117 | $5K | |
| D2392 | 77 | 40 | $5K | |
| D0210 | 97 | 97 | $4K | |
| D0272 | 245 | 230 | $3K | |
| D0270 | 28 | 27 | $218.40 |