NPI: 1225189285 · ONTARIO, CA 91761 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 221 | $9K |
| 2019 | 310 | $14K |
| 2020 | 208 | $7K |
| 2021 | 512 | $12K |
| 2022 | 620 | $21K |
| 2023 | 774 | $28K |
| 2024 | 984 | $28K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | 642 | 641 | $40K | |
| D0210 | 536 | 534 | $24K | |
| D0120 | 165 | 164 | $11K | |
| D2751 | 17 | 12 | $8K | |
| D1110 | 67 | 67 | $6K | |
| D1208 | 422 | 417 | $5K | |
| D0350 | 504 | 127 | $5K | |
| D1120 | 114 | 114 | $5K | |
| D0230 | 975 | 178 | $4K | |
| D4341 | 45 | 12 | $3K | |
| D2954 | 27 | 13 | $3K | |
| D2392 | 26 | 12 | $2K | |
| D0274 | 64 | 64 | $1K | |
| D0330 | 13 | 13 | $390.00 | |
| D1206 | 12 | 12 | $216.00 |