NPI: 1164066627 · ELK GROVE, CA 95758 · 261QD0000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 543 | $17K |
| 2021 | 4,901 | $207K |
| 2022 | 9,336 | $472K |
| 2023 | 12,051 | $573K |
| 2024 | 9,945 | $405K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | 4,260 | 4,249 | $326K | |
| D0150 | 3,739 | 3,720 | $219K | |
| D2392 | 3,176 | 1,873 | $200K | |
| D2391 | 2,636 | 1,464 | $133K | |
| D0210 | 3,463 | 3,442 | $123K | |
| D0120 | 2,237 | 2,232 | $94K | |
| D2751 | 166 | 152 | $77K | |
| D2393 | 930 | 659 | $68K | |
| D4341 | 1,182 | 470 | $66K | |
| D1208 | 2,487 | 2,481 | $66K | |
| D1120 | 1,417 | 1,412 | $62K | |
| D9999 | 509 | 478 | $60K | |
| D1351 | 1,777 | 519 | $52K | |
| D0274 | 2,147 | 2,144 | $33K | |
| D7210 | 238 | 183 | $23K | |
| D4910 | 145 | 145 | $14K | |
| D0350 | 1,744 | 852 | $14K | |
| D0230 | 2,898 | 1,898 | $10K | |
| D2332 | 115 | 81 | $9K | |
| D0220 | 884 | 884 | $9K | |
| D7140 | 119 | 73 | $6K | |
| D2330 | 72 | 43 | $5K | |
| D1206 | 192 | 191 | $3K | |
| D0999 | 34 | 34 | $2K | |
| D0330 | 67 | 66 | $1K | |
| D4342 | 26 | 12 | $972.00 | |
| D1999 | 63 | 61 | $260.00 | |
| D0272 | 17 | 16 | $152.00 | |
| D1320 | 20 | 20 | $150.00 | |
| D0270 | 16 | 16 | $70.00 |