NPI: 1376750307 · PERRIS, CA 92570 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 7,534 | $193K |
| 2019 | 7,258 | $191K |
| 2020 | 4,842 | $150K |
| 2021 | 8,498 | $224K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2391 | 2,853 | 1,063 | $152K | |
| D0150 | 1,293 | 1,292 | $79K | |
| D2392 | 1,074 | 564 | $71K | |
| D0120 | 1,582 | 1,581 | $62K | |
| D1120 | 1,980 | 1,978 | $58K | |
| D1110 | 600 | 600 | $45K | |
| D0230 | 9,648 | 2,871 | $40K | |
| D0274 | 1,930 | 1,925 | $34K | |
| D2150 | 399 | 201 | $27K | |
| D1208 | 2,545 | 2,543 | $26K | |
| D7140 | 450 | 251 | $25K | |
| D2930 | 131 | 77 | $16K | |
| D9993 | 253 | 253 | $15K | |
| D3220 | 143 | 84 | $14K | |
| D7210 | 112 | 59 | $13K | |
| D9230 | 313 | 284 | $12K | |
| D1310 | 253 | 253 | $11K | |
| D0210 | 219 | 219 | $10K | |
| D2160 | 111 | 71 | $9K | |
| D0220 | 620 | 590 | $7K | |
| D0350 | 671 | 312 | $6K | |
| D2330 | 78 | 58 | $6K | |
| D1351 | 243 | 86 | $5K | |
| D2140 | 54 | 38 | $3K | |
| D0603 | 207 | 207 | $3K | |
| D4341 | 54 | 13 | $2K | |
| D0272 | 200 | 200 | $2K | |
| D1510 | 13 | 12 | $2K | |
| D0145 | 20 | 20 | $1K | |
| D1206 | 54 | 53 | $564.00 | |
| D0602 | 29 | 29 | $420.00 |