NPI: 1376942672 · RANCHO CUCAMONGA, CA 91730 · 302F00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 248 | $7K |
| 2019 | 192 | $11K |
| 2020 | 982 | $48K |
| 2021 | 3,979 | $106K |
| 2022 | 5,100 | $130K |
| 2023 | 4,758 | $119K |
| 2024 | 5,035 | $103K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | 1,967 | 1,962 | $127K | |
| D2392 | 1,354 | 840 | $90K | |
| D0210 | 1,765 | 1,763 | $84K | |
| D0350 | 8,453 | 2,642 | $80K | |
| D0120 | 497 | 497 | $36K | |
| D9430 | 557 | 527 | $18K | |
| D0230 | 4,000 | 1,050 | $17K | |
| D4341 | 162 | 52 | $11K | |
| D4910 | 128 | 124 | $10K | |
| D0274 | 401 | 401 | $8K | |
| D2751 | 15 | 14 | $7K | |
| D2393 | 80 | 66 | $6K | |
| D3330 | 13 | 12 | $6K | |
| D1120 | 108 | 108 | $4K | |
| D1320 | 275 | 275 | $4K | |
| D2391 | 78 | 52 | $4K | |
| D1208 | 273 | 268 | $4K | |
| D4342 | 81 | 24 | $3K | |
| D7210 | 25 | 13 | $3K | |
| D1110 | 22 | 17 | $2K | |
| D0220 | 40 | 40 | $442.00 |