NPI: 1447660428 · RIALTO, CA 92376 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,757 | $88K |
| 2019 | 1,615 | $78K |
| 2020 | 618 | $26K |
| 2021 | 4,013 | $171K |
| 2022 | 4,241 | $180K |
| 2023 | 4,912 | $242K |
| 2024 | 2,671 | $245K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2391 | 3,633 | 1,446 | $195K | |
| D2392 | 2,571 | 1,382 | $171K | |
| D0150 | 2,308 | 2,294 | $139K | |
| D0210 | 2,121 | 2,107 | $95K | |
| D2751 | 191 | 114 | $90K | |
| D7210 | 421 | 210 | $48K | |
| D1110 | 548 | 542 | $47K | |
| D3330 | 93 | 73 | $43K | |
| D2330 | 412 | 222 | $31K | |
| D0350 | 2,946 | 1,106 | $27K | |
| D3320 | 73 | 55 | $27K | |
| D9430 | 743 | 674 | $24K | |
| D4341 | 291 | 87 | $20K | |
| D1208 | 1,064 | 1,055 | $14K | |
| D2954 | 118 | 64 | $12K | |
| D2393 | 136 | 97 | $11K | |
| D0230 | 2,090 | 451 | $9K | |
| D4342 | 174 | 56 | $7K | |
| D1120 | 179 | 176 | $5K | |
| D0120 | 123 | 121 | $5K | |
| D0220 | 315 | 299 | $4K | |
| D2331 | 25 | 14 | $2K | |
| D4910 | 20 | 20 | $2K | |
| D1320 | 66 | 65 | $1K | |
| D0272 | 102 | 97 | $1K | |
| D9110 | 13 | 13 | $756.00 | |
| D0274 | 12 | 12 | $259.20 | |
| D1330 | 39 | 39 | $0.00 |