NPI: 1518639681 · VICTORVILLE, CA 92392 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 1,468 | $23K |
| 2022 | 3,402 | $36K |
| 2023 | 4,835 | $56K |
| 2024 | 3,768 | $41K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0350 | 4,515 | 1,115 | $37K | |
| D0150 | 499 | 495 | $33K | |
| D0230 | 6,138 | 1,154 | $26K | |
| D0274 | 548 | 546 | $12K | |
| D9110 | 174 | 89 | $10K | |
| D1120 | 176 | 176 | $8K | |
| D9430 | 245 | 221 | $7K | |
| D1208 | 438 | 436 | $7K | |
| D0220 | 552 | 479 | $7K | |
| D0120 | 67 | 67 | $5K | |
| D2392 | 34 | 25 | $2K | |
| D1351 | 61 | 13 | $1K | |
| D1110 | 12 | 12 | $967.50 | |
| D0210 | 14 | 14 | $576.00 |