NPI: 1457996035 · BUENA PARK, CA 90621 · 261QD0000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 29 | $2K |
| 2021 | 634 | $23K |
| 2022 | 656 | $31K |
| 2023 | 570 | $23K |
| 2024 | 940 | $43K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | 660 | 659 | $43K | |
| D1110 | 240 | 240 | $21K | |
| D0210 | 388 | 388 | $18K | |
| D9430 | 320 | 291 | $10K | |
| D1208 | 486 | 486 | $7K | |
| D0120 | 84 | 84 | $6K | |
| D1120 | 124 | 124 | $5K | |
| D0350 | 99 | 97 | $3K | |
| D0330 | 178 | 177 | $3K | |
| D1206 | 110 | 110 | $1K | |
| D4910 | 13 | 13 | $1K | |
| D1320 | 44 | 44 | $762.50 | |
| D0274 | 26 | 26 | $507.60 | |
| D0230 | 57 | 29 | $346.28 |