NPI: 1336315688 · SAN BERNARDINO, CA 92404 · 1223G0001X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 5,262 | $107K |
| 2019 | 6,079 | $155K |
| 2020 | 3,315 | $80K |
| 2021 | 2,512 | $50K |
| 2022 | 4,972 | $142K |
| 2023 | 3,584 | $100K |
| 2024 | 3,076 | $82K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | 3,693 | 3,647 | $195K | |
| D1120 | 3,257 | 3,212 | $121K | |
| D1110 | 1,300 | 1,289 | $109K | |
| D0150 | 867 | 862 | $53K | |
| D1208 | 3,890 | 3,855 | $46K | |
| D0272 | 3,541 | 3,503 | $42K | |
| D0230 | 9,339 | 3,946 | $37K | |
| D2391 | 585 | 312 | $32K | |
| D7111 | 349 | 182 | $20K | |
| D1351 | 518 | 154 | $12K | |
| D2150 | 175 | 93 | $12K | |
| D1206 | 640 | 625 | $12K | |
| D1310 | 236 | 236 | $11K | |
| D9993 | 109 | 109 | $7K | |
| D2140 | 72 | 36 | $4K | |
| D9430 | 54 | 54 | $2K | |
| D0220 | 92 | 92 | $1K | |
| D0210 | 27 | 27 | $1K | |
| D0601 | 56 | 56 | $840.00 |