NPI: 1467016469 · TRACY, CA 95304 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 683 | $29K |
| 2020 | 575 | $26K |
| 2021 | 2,208 | $79K |
| 2022 | 1,124 | $48K |
| 2023 | 534 | $23K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | 1,315 | 1,309 | $86K | |
| D0210 | 822 | 817 | $39K | |
| D1120 | 480 | 479 | $17K | |
| D0230 | 800 | 727 | $15K | |
| D2150 | 198 | 104 | $13K | |
| D0120 | 135 | 135 | $10K | |
| D1208 | 583 | 582 | $7K | |
| D0274 | 244 | 244 | $5K | |
| D2160 | 50 | 31 | $4K | |
| D1351 | 172 | 46 | $4K | |
| D0350 | 231 | 107 | $2K | |
| D7140 | 31 | 12 | $2K | |
| D1110 | 12 | 12 | $1K | |
| D0272 | 39 | 39 | $468.00 | |
| D9430 | 12 | 12 | $384.00 |