NPI: 1124496021 · MONTCLAIR, CA 91763 · 207R00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 50 | $638.35 |
| 2019 | 121 | $756.26 |
| 2020 | 12 | $90.00 |
| 2021 | 132 | $1K |
| 2022 | 1,857 | $2K |
| 2023 | 2,950 | $2K |
| 2024 | 75 | $218.64 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | 473 | 467 | $3K | |
| 99215 | Prolong outpt/office vis | 155 | 154 | $2K |
| 99213 | 163 | 162 | $1K | |
| 99205 | Prolong outpt/office vis | 282 | 282 | $1K |
| 94760 | 17 | 17 | $20.13 | |
| 3008F | 1,028 | 1,003 | $0.00 | |
| 0545F | 346 | 346 | $0.00 | |
| 3074F | 548 | 538 | $0.00 | |
| 3048F | 43 | 43 | $0.00 | |
| 3079F | 285 | 282 | $0.00 | |
| 3080F | 103 | 102 | $0.00 | |
| 3014F | 15 | 15 | $0.00 | |
| 3075F | 79 | 79 | $0.00 | |
| 3044F | 67 | 67 | $0.00 | |
| 3017F | 12 | 12 | $0.00 | |
| 3078F | 474 | 466 | $0.00 | |
| 3077F | 222 | 218 | $0.00 | |
| 1159F | 475 | 475 | $0.00 | |
| 1160F | 410 | 410 | $0.00 |