NPI: 1821495144 · HARRISBURG, PA 17109 · 1223G0001X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 67 | $2K |
| 2021 | 2,491 | $67K |
| 2024 | 35 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | 400 | 398 | $15K | |
| D0150 | 463 | 462 | $13K | |
| D2392 | 197 | 80 | $13K | |
| D0274 | 327 | 327 | $8K | |
| D2391 | 116 | 42 | $6K | |
| D0140 | 160 | 158 | $6K | |
| D0120 | 164 | 164 | $3K | |
| D0220 | 355 | 352 | $3K | |
| D0230 | 252 | 204 | $2K | |
| D1206 | 80 | 80 | $1K | |
| D1120 | 28 | 28 | $810.00 | |
| D0210 | 14 | 14 | $630.00 | |
| D0330 | 12 | 12 | $407.00 | |
| D9110 | 12 | 12 | $360.00 | |
| D0270 | 13 | 13 | $152.00 |