NPI: 1245336783 · RIALTO, CA 92376 · 1223G0001X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 8,131 | $154K |
| 2019 | 8,069 | $197K |
| 2020 | 4,412 | $107K |
| 2021 | 6,284 | $155K |
| 2022 | 6,875 | $200K |
| 2023 | 6,166 | $194K |
| 2024 | 5,602 | $187K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | 4,749 | 4,729 | $222K | |
| D1120 | 3,360 | 3,349 | $125K | |
| D1110 | 1,167 | 1,164 | $103K | |
| D0150 | 1,654 | 1,646 | $103K | |
| D4910 | 1,294 | 1,292 | $98K | |
| D2150 | 1,393 | 921 | $92K | |
| D0210 | 1,951 | 1,942 | $89K | |
| D0230 | 18,546 | 4,036 | $74K | |
| D4341 | 1,000 | 332 | $70K | |
| D0274 | 2,529 | 2,520 | $53K | |
| D1208 | 4,016 | 3,999 | $46K | |
| D2140 | 765 | 534 | $41K | |
| D1351 | 1,029 | 306 | $22K | |
| D9430 | 664 | 652 | $21K | |
| D0272 | 1,218 | 1,211 | $14K | |
| D2751 | 25 | 18 | $12K | |
| D7140 | 100 | 53 | $6K | |
| D2330 | 20 | 14 | $2K | |
| D2160 | 13 | 13 | $1K | |
| D4342 | 22 | 12 | $924.00 | |
| D0220 | 12 | 12 | $144.00 | |
| D0270 | 12 | 12 | $60.00 |