NPI: 1053800342 · ONTARIO, CA 91761 · 291U00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,207 | $2K |
| 2019 | 456 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 86001 | 79 | 77 | $1K | |
| 87633 | 215 | 194 | $1K | |
| 87507 | 125 | 122 | $907.66 | |
| 87505 | 218 | 197 | $125.69 | |
| 87798 | 216 | 195 | $108.54 | |
| 87581 | 216 | 195 | $34.39 | |
| 87486 | 216 | 195 | $34.39 | |
| 36415 | 13 | 13 | $0.00 | |
| P9603 | One-way allow prorated miles | 14 | 14 | $0.00 |
| 86003 | 118 | 113 | $0.00 | |
| G0483 | Drug test def 22+ classes | 233 | 199 | $0.00 |