NPI: 1275241028 · MANTECA, CA 95336 · 261QD0000X
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 424 | $16K |
| 2023 | 5,958 | $236K |
| 2024 | 6,383 | $241K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | 1,290 | 1,290 | $85K | |
| D1110 | 826 | 826 | $72K | |
| D4910 | 741 | 741 | $57K | |
| D4341 | 715 | 190 | $50K | |
| D0210 | 900 | 900 | $43K | |
| D0120 | 515 | 515 | $39K | |
| D1120 | 731 | 731 | $38K | |
| D1206 | 1,688 | 1,688 | $29K | |
| D2392 | 264 | 139 | $18K | |
| D2391 | 266 | 98 | $15K | |
| D0230 | 3,228 | 1,083 | $13K | |
| D0274 | 574 | 572 | $12K | |
| D1351 | 166 | 36 | $6K | |
| D0220 | 516 | 496 | $6K | |
| D7210 | 28 | 12 | $3K | |
| D9430 | 69 | 66 | $2K | |
| D0350 | 142 | 49 | $1K | |
| D0272 | 94 | 94 | $1K | |
| D1310 | 12 | 12 | $552.00 |