NPI: 1518553809 · SAN JACINTO, CA 92582 · 1223G0001X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 110 | $2K |
| 2022 | 3,362 | $88K |
| 2023 | 4,674 | $110K |
| 2024 | 9,645 | $430K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2751 | 225 | 155 | $107K | |
| D2392 | 1,155 | 520 | $76K | |
| D0150 | 1,115 | 1,109 | $74K | |
| D1120 | 805 | 800 | $41K | |
| D0210 | 828 | 828 | $40K | |
| D2393 | 337 | 189 | $27K | |
| D0350 | 2,565 | 842 | $26K | |
| D2391 | 429 | 216 | $23K | |
| D0120 | 307 | 307 | $23K | |
| D4341 | 327 | 88 | $23K | |
| D0230 | 5,257 | 1,083 | $22K | |
| D2954 | 213 | 149 | $22K | |
| D1208 | 887 | 882 | $16K | |
| D9430 | 457 | 435 | $15K | |
| D0340 | 262 | 262 | $13K | |
| D1110 | 144 | 144 | $13K | |
| D4910 | 146 | 146 | $11K | |
| D1320 | 619 | 619 | $11K | |
| D0330 | 328 | 328 | $10K | |
| D3330 | 18 | 17 | $8K | |
| D9230 | 171 | 171 | $7K | |
| D1310 | 149 | 149 | $7K | |
| D0220 | 455 | 443 | $5K | |
| D1206 | 262 | 262 | $5K | |
| D0274 | 120 | 120 | $3K | |
| D2150 | 27 | 12 | $2K | |
| D0603 | 113 | 113 | $2K | |
| D0272 | 70 | 69 | $816.00 |