NPI: 1770935686 · HARRISBURG, PA 17109 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 29 | $594.64 |
| 2020 | 1,817 | $38K |
| 2021 | 4,014 | $85K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | 508 | 505 | $18K | |
| D0274 | 585 | 581 | $16K | |
| D1351 | 591 | 109 | $15K | |
| D0120 | 673 | 670 | $14K | |
| D7140 | 198 | 99 | $13K | |
| D0150 | 358 | 353 | $8K | |
| D2392 | 128 | 75 | $8K | |
| D1120 | 236 | 236 | $7K | |
| D0210 | 139 | 137 | $5K | |
| D0230 | 701 | 586 | $5K | |
| D0220 | 643 | 634 | $5K | |
| D1208 | 200 | 200 | $4K | |
| D2391 | 50 | 26 | $2K | |
| D1206 | 124 | 123 | $2K | |
| D0272 | 78 | 78 | $1K | |
| D1999 | 648 | 616 | $0.00 |