NPI: 1497184675 · SAN JACINTO, CA 92582 · 1223G0001X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,823 | $46K |
| 2019 | 2,209 | $41K |
| 2020 | 2,469 | $56K |
| 2021 | 2,604 | $55K |
| 2022 | 2,606 | $54K |
| 2023 | 1,992 | $53K |
| 2024 | 2,055 | $73K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | 1,631 | 1,623 | $102K | |
| D0210 | 1,178 | 1,174 | $55K | |
| D0120 | 943 | 941 | $52K | |
| D1110 | 495 | 495 | $41K | |
| D0230 | 9,284 | 1,818 | $37K | |
| D1120 | 804 | 800 | $27K | |
| D2740 | 39 | 19 | $19K | |
| D1206 | 1,034 | 1,033 | $14K | |
| D7210 | 104 | 45 | $11K | |
| D0272 | 517 | 512 | $6K | |
| D1351 | 227 | 51 | $5K | |
| D1208 | 308 | 308 | $4K | |
| D0274 | 153 | 153 | $3K | |
| D2150 | 28 | 12 | $2K | |
| D9430 | 13 | 13 | $416.00 |