NPI: 1275521072 · RIALTO, CA 92376 · 1223G0001X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 6,353 | $72K |
| 2019 | 5,511 | $76K |
| 2020 | 1,432 | $18K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | 1,294 | 1,254 | $28K | |
| D2392 | 333 | 151 | $20K | |
| D1120 | 870 | 840 | $19K | |
| D1208 | 1,288 | 1,247 | $18K | |
| D1110 | 455 | 441 | $16K | |
| D1351 | 588 | 167 | $13K | |
| D0272 | 1,219 | 1,175 | $12K | |
| D0230 | 5,051 | 1,285 | $12K | |
| D0220 | 1,443 | 1,361 | $11K | |
| D9230 | 501 | 437 | $10K | |
| D0330 | 89 | 82 | $3K | |
| D0140 | 133 | 129 | $3K | |
| D2393 | 20 | 12 | $1K | |
| D9999 | 12 | 12 | $303.38 |