NPI: 1164626958 · PALMDALE, CA 93550 · 1223G0001X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,551 | $7K |
| 2019 | 1,720 | $0.00 |
| 2020 | 759 | $0.00 |
| 2021 | 432 | $63.47 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | 278 | 272 | $1K | |
| D0120 | 658 | 638 | $1K | |
| D1208 | 713 | 697 | $918.04 | |
| D0220 | 1,073 | 1,035 | $832.13 | |
| D1110 | 174 | 166 | $606.45 | |
| D0230 | 855 | 805 | $563.31 | |
| D0140 | 167 | 154 | $556.13 | |
| D0272 | 153 | 149 | $533.10 | |
| D0274 | 221 | 212 | $382.35 | |
| D2392 | 33 | 14 | $72.67 | |
| D0150 | 17 | 15 | $68.84 | |
| D1999 | 271 | 238 | $0.00 | |
| D9996 | 22 | 21 | $0.00 | |
| D1330 | 827 | 782 | $0.00 |