NPI: 1639321672 · HARRISBURG, PA 17110 · 1223G0001X
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 7,031 | $170K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | 752 | 752 | $27K | |
| D0120 | 978 | 978 | $20K | |
| D7140 | 250 | 149 | $18K | |
| D0274 | 526 | 525 | $15K | |
| D0330 | 359 | 359 | $12K | |
| D2391 | 221 | 145 | $12K | |
| D1120 | 374 | 374 | $11K | |
| D1330 | 1,149 | 1,149 | $10K | |
| D1310 | 1,138 | 1,138 | $10K | |
| D2392 | 157 | 115 | $10K | |
| D1208 | 503 | 503 | $9K | |
| D0140 | 189 | 184 | $9K | |
| D0150 | 274 | 274 | $6K | |
| D0220 | 112 | 108 | $898.02 | |
| D0272 | 49 | 49 | $812.26 |