NPI: 1306004718 · VICTORVILLE, CA 92394 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 7,052 | $114K |
| 2019 | 7,639 | $128K |
| 2020 | 6,056 | $89K |
| 2021 | 6,877 | $99K |
| 2022 | 6,331 | $123K |
| 2023 | 8,606 | $165K |
| 2024 | 9,956 | $171K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | 3,215 | 3,213 | $180K | |
| D1120 | 3,955 | 3,953 | $152K | |
| D0230 | 25,723 | 4,573 | $105K | |
| D1351 | 3,375 | 1,066 | $91K | |
| D2150 | 1,381 | 801 | $91K | |
| D0150 | 1,085 | 1,085 | $69K | |
| D2140 | 1,016 | 614 | $54K | |
| D0272 | 4,168 | 4,165 | $49K | |
| D1208 | 3,956 | 3,954 | $43K | |
| D0350 | 4,440 | 1,293 | $42K | |
| D2392 | 82 | 41 | $6K | |
| D2160 | 40 | 25 | $3K | |
| D1110 | 25 | 25 | $2K | |
| D2391 | 34 | 19 | $2K | |
| D7140 | 22 | 13 | $1K |