NPI: 1457541732 · RANCHO CORDOVA, CA 95670 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 22,719 | $326K |
| 2019 | 19,203 | $263K |
| 2020 | 12,936 | $160K |
| 2021 | 4,157 | $38K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | 5,976 | 5,914 | $117K | |
| D1351 | 6,157 | 1,750 | $113K | |
| D0120 | 4,963 | 4,913 | $95K | |
| D1208 | 5,854 | 5,803 | $85K | |
| D2150 | 1,692 | 1,058 | $71K | |
| D0220 | 6,440 | 6,260 | $50K | |
| D2930 | 505 | 320 | $38K | |
| D7140 | 897 | 520 | $31K | |
| D0150 | 1,191 | 1,182 | $30K | |
| D0272 | 3,738 | 3,708 | $30K | |
| D2140 | 897 | 661 | $30K | |
| D0230 | 9,325 | 5,587 | $26K | |
| D3220 | 245 | 157 | $17K | |
| D0274 | 916 | 898 | $10K | |
| D2332 | 162 | 92 | $9K | |
| D0350 | 1,865 | 1,810 | $9K | |
| D1999 | 114 | 114 | $7K | |
| D0210 | 166 | 166 | $7K | |
| D1206 | 280 | 270 | $5K | |
| D1110 | 171 | 171 | $4K | |
| D0140 | 222 | 219 | $4K | |
| D2160 | 16 | 15 | $720.00 | |
| D9430 | 55 | 51 | $612.00 | |
| D0602 | 749 | 740 | $0.00 | |
| D1310 | 2,334 | 2,314 | $0.00 | |
| D0603 | 1,284 | 1,271 | $0.00 | |
| D0601 | 110 | 110 | $0.00 | |
| D9993 | 2,334 | 2,315 | $0.00 | |
| D9986 | 301 | 287 | $0.00 | |
| D9987 | 56 | 53 | $0.00 |