NPI: 1144340092 · SAN JOSE, CA 95122 · 1223G0001X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,695 | $61K |
| 2019 | 3,022 | $58K |
| 2020 | 2,009 | $36K |
| 2021 | 2,052 | $41K |
| 2022 | 2,758 | $66K |
| 2023 | 2,623 | $66K |
| 2024 | 2,336 | $59K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | 2,056 | 2,036 | $105K | |
| D1120 | 2,266 | 2,247 | $85K | |
| D1110 | 896 | 883 | $77K | |
| D0230 | 8,031 | 3,630 | $32K | |
| D0272 | 2,062 | 2,040 | $24K | |
| D1351 | 825 | 207 | $21K | |
| D0274 | 972 | 962 | $21K | |
| D1208 | 821 | 804 | $11K | |
| D0150 | 122 | 122 | $8K | |
| D0220 | 180 | 177 | $2K | |
| D2391 | 16 | 12 | $873.60 | |
| D0350 | 80 | 45 | $681.60 | |
| D1203 | 61 | 53 | $40.00 | |
| D1999 | 107 | 107 | $0.00 |