NPI: 1427469287 · SAN JOSE, CA 95116 · 305R00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,687 | $41K |
| 2019 | 2,239 | $50K |
| 2020 | 1,686 | $33K |
| 2021 | 2,660 | $64K |
| 2022 | 4,875 | $112K |
| 2023 | 4,991 | $119K |
| 2024 | 3,828 | $106K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | 1,222 | 1,206 | $104K | |
| D0120 | 1,550 | 1,543 | $98K | |
| D0150 | 1,165 | 1,156 | $73K | |
| D1120 | 1,261 | 1,257 | $53K | |
| D0210 | 811 | 800 | $37K | |
| D0230 | 9,141 | 2,264 | $35K | |
| D1208 | 2,552 | 2,534 | $34K | |
| D0274 | 1,017 | 1,014 | $21K | |
| D0220 | 1,654 | 1,542 | $20K | |
| D2392 | 204 | 162 | $13K | |
| D2150 | 193 | 138 | $13K | |
| D9430 | 333 | 331 | $11K | |
| D0350 | 682 | 412 | $6K | |
| D4910 | 38 | 38 | $3K | |
| D2393 | 29 | 25 | $2K | |
| D1206 | 100 | 98 | $934.00 | |
| D2391 | 14 | 13 | $764.40 |