NPI: 1568063634 · ONTARIO, CA 91762 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 85 | $5K |
| 2021 | 2,176 | $101K |
| 2022 | 1,914 | $77K |
| 2023 | 2,109 | $92K |
| 2024 | 2,254 | $107K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | 2,010 | 2,002 | $133K | |
| D0210 | 1,616 | 1,609 | $77K | |
| D0120 | 436 | 436 | $33K | |
| D0230 | 1,094 | 1,044 | $24K | |
| D1120 | 521 | 515 | $24K | |
| D7210 | 151 | 54 | $18K | |
| D4910 | 242 | 242 | $18K | |
| D0274 | 677 | 668 | $14K | |
| D4341 | 190 | 73 | $13K | |
| D1206 | 692 | 682 | $10K | |
| D1208 | 331 | 331 | $5K | |
| D1110 | 57 | 57 | $5K | |
| D2150 | 25 | 12 | $2K | |
| D7140 | 27 | 12 | $2K | |
| D2392 | 20 | 13 | $1K | |
| D0350 | 100 | 51 | $960.00 | |
| D9230 | 13 | 12 | $520.00 | |
| D0330 | 12 | 12 | $360.00 | |
| D0272 | 12 | 12 | $144.00 | |
| D1330 | 312 | 312 | $0.00 |