NPI: 1114559424 · SAN BERNARDINO, CA 92410 · 261QD0000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 2,714 | $98K |
| 2021 | 1,936 | $83K |
| 2022 | 3,564 | $140K |
| 2023 | 2,976 | $125K |
| 2024 | 2,390 | $109K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | 1,668 | 1,649 | $109K | |
| D1110 | 1,270 | 1,255 | $105K | |
| D0210 | 1,458 | 1,442 | $64K | |
| D2392 | 876 | 498 | $58K | |
| D2391 | 1,043 | 561 | $56K | |
| D0120 | 658 | 653 | $46K | |
| D1208 | 2,024 | 2,007 | $26K | |
| D1120 | 545 | 533 | $21K | |
| D0350 | 1,641 | 638 | $17K | |
| D7210 | 150 | 103 | $17K | |
| D2330 | 181 | 105 | $14K | |
| D0274 | 395 | 391 | $8K | |
| D0230 | 1,571 | 618 | $7K | |
| D2150 | 49 | 37 | $3K | |
| D5750 | 13 | 13 | $2K | |
| D2393 | 26 | 14 | $2K | |
| D9110 | 12 | 12 | $630.00 |