NPI: 1174694640 · RESEDA, CA 91335 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 26 | $31.20 |
| 2020 | 357 | $6K |
| 2021 | 1,323 | $34K |
| 2022 | 1,780 | $50K |
| 2023 | 2,159 | $63K |
| 2024 | 3,607 | $125K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | 857 | 856 | $59K | |
| D9999 | 299 | 288 | $37K | |
| D0150 | 553 | 551 | $32K | |
| D0120 | 605 | 604 | $29K | |
| D0230 | 1,746 | 1,571 | $28K | |
| D1206 | 1,032 | 1,029 | $25K | |
| D0274 | 1,068 | 1,066 | $13K | |
| D2393 | 141 | 51 | $12K | |
| D0220 | 1,677 | 1,634 | $12K | |
| D4341 | 150 | 41 | $10K | |
| D9430 | 341 | 286 | $9K | |
| D1120 | 157 | 155 | $6K | |
| D1320 | 317 | 317 | $2K | |
| D1208 | 65 | 65 | $2K | |
| D1999 | 216 | 212 | $1K | |
| D0999 | 12 | 12 | $720.00 | |
| D9995 | 16 | 13 | $345.60 |