NPI: 1316665524 · RANCHO CUCAMONGA, CA 91730 · 261QP1100X
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 665 | $24K |
| 2024 | 1,554 | $57K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 1,253 | 1,087 | $30K | |
| 99204 | 180 | 180 | $13K | |
| L3000 | Ft insert ucb berkeley shell | 45 | 27 | $12K |
| 11721 | 261 | 260 | $7K | |
| 99215 | Prolong outpt/office vis | 105 | 91 | $6K |
| 99205 | Prolong outpt/office vis | 68 | 68 | $5K |
| 11056 | 209 | 209 | $5K | |
| 20550 | 37 | 31 | $1K | |
| 99214 | 29 | 28 | $1K | |
| J3301 | Triamcinolone acet inj nos | 32 | 32 | $136.86 |