NPI: 1578661617 · MANTECA, CA 95336 · 1223G0001X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 570 | $27K |
| 2020 | 2,381 | $84K |
| 2021 | 5,626 | $177K |
| 2022 | 6,869 | $231K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | 1,249 | 1,249 | $83K | |
| D1110 | 873 | 873 | $78K | |
| D2391 | 1,255 | 370 | $68K | |
| D2392 | 829 | 363 | $55K | |
| D0210 | 1,056 | 1,056 | $50K | |
| D0120 | 576 | 576 | $36K | |
| D1120 | 866 | 866 | $33K | |
| D1206 | 1,845 | 1,841 | $28K | |
| D4910 | 308 | 308 | $24K | |
| D0230 | 3,800 | 1,210 | $16K | |
| D4341 | 196 | 54 | $14K | |
| D0350 | 1,272 | 442 | $13K | |
| D0274 | 371 | 371 | $8K | |
| D0220 | 636 | 602 | $8K | |
| D1351 | 129 | 28 | $3K | |
| D0272 | 141 | 141 | $2K | |
| D1310 | 28 | 28 | $1K | |
| D9993 | 16 | 16 | $975.00 |