NPI: 1043590060 · RIALTO, CA 92376 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 115 | $7K |
| 2019 | 951 | $31K |
| 2020 | 345 | $11K |
| 2021 | 1,003 | $28K |
| 2022 | 1,434 | $32K |
| 2023 | 1,121 | $21K |
| 2024 | 2,282 | $96K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | 714 | 714 | $47K | |
| D2751 | 83 | 57 | $40K | |
| D0120 | 330 | 328 | $23K | |
| D2391 | 387 | 114 | $21K | |
| D0210 | 380 | 380 | $18K | |
| D2392 | 256 | 101 | $17K | |
| D0230 | 3,196 | 778 | $13K | |
| D3330 | 16 | 14 | $7K | |
| D0350 | 857 | 202 | $7K | |
| D0274 | 310 | 310 | $6K | |
| D1120 | 131 | 126 | $6K | |
| D2954 | 58 | 43 | $6K | |
| D1208 | 342 | 337 | $5K | |
| D4341 | 58 | 16 | $4K | |
| D4910 | 39 | 39 | $3K | |
| D2150 | 33 | 18 | $2K | |
| D0220 | 28 | 28 | $336.00 | |
| D0272 | 14 | 14 | $168.00 | |
| D1999 | 19 | 19 | $0.00 |