NPI: 1235286758 · RIALTO, CA 92376 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 1,773 | $59K |
| 2021 | 13,089 | $358K |
| 2022 | 12,826 | $382K |
| 2023 | 13,797 | $404K |
| 2024 | 11,068 | $359K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2392 | 3,269 | 1,813 | $218K | |
| D0120 | 2,833 | 2,805 | $210K | |
| D0150 | 2,691 | 2,683 | $178K | |
| D1120 | 3,827 | 3,795 | $170K | |
| D2391 | 2,822 | 1,293 | $153K | |
| D0230 | 18,445 | 3,923 | $88K | |
| D0210 | 1,648 | 1,643 | $79K | |
| D0274 | 2,733 | 2,712 | $59K | |
| D1208 | 4,452 | 4,417 | $58K | |
| D1351 | 1,721 | 506 | $53K | |
| D1110 | 559 | 559 | $50K | |
| D0350 | 3,806 | 1,746 | $45K | |
| D2393 | 530 | 387 | $42K | |
| D4341 | 498 | 193 | $34K | |
| D2751 | 63 | 54 | $30K | |
| D4910 | 328 | 325 | $25K | |
| D9430 | 779 | 744 | $25K | |
| D2954 | 83 | 57 | $9K | |
| D1310 | 134 | 134 | $6K | |
| D0272 | 458 | 455 | $5K | |
| D0330 | 160 | 160 | $5K | |
| D0220 | 392 | 379 | $5K | |
| D9993 | 81 | 81 | $5K | |
| D4342 | 106 | 38 | $4K | |
| D7210 | 16 | 12 | $2K | |
| D2330 | 22 | 16 | $2K | |
| D0140 | 42 | 42 | $1K | |
| D1206 | 43 | 43 | $1K | |
| D0601 | 12 | 12 | $180.00 |