NPI: 1376909564 · RIALTO, CA 92376 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,831 | $76K |
| 2019 | 3,616 | $64K |
| 2020 | 3,006 | $57K |
| 2021 | 3,457 | $81K |
| 2022 | 4,238 | $95K |
| 2023 | 3,689 | $98K |
| 2024 | 3,975 | $108K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | 2,140 | 2,132 | $131K | |
| D0120 | 1,456 | 1,451 | $87K | |
| D1120 | 1,692 | 1,680 | $63K | |
| D0210 | 1,281 | 1,275 | $60K | |
| D0230 | 13,953 | 2,761 | $58K | |
| D2751 | 70 | 53 | $33K | |
| D2392 | 489 | 259 | $33K | |
| D0274 | 1,399 | 1,395 | $29K | |
| D1208 | 2,368 | 2,355 | $28K | |
| D2150 | 315 | 154 | $21K | |
| D8670 | 30 | 30 | $9K | |
| D2391 | 130 | 67 | $7K | |
| D1110 | 76 | 76 | $7K | |
| D2954 | 34 | 25 | $4K | |
| D2140 | 55 | 42 | $3K | |
| D2160 | 34 | 24 | $3K | |
| D2393 | 30 | 21 | $2K | |
| D2161 | 18 | 12 | $2K | |
| D1351 | 49 | 12 | $1K | |
| D0350 | 88 | 50 | $771.60 | |
| D0272 | 68 | 68 | $753.00 | |
| D0140 | 13 | 13 | $440.00 | |
| D9430 | 12 | 12 | $384.00 | |
| D0220 | 12 | 12 | $144.00 |