NPI: 1588392005 · PICO RIVERA, CA 90660 · 261QD0000X
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 1,187 | $26K |
| 2024 | 3,314 | $69K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | 500 | 498 | $25K | |
| D0150 | 279 | 277 | $18K | |
| D1208 | 510 | 507 | $11K | |
| D1310 | 222 | 222 | $10K | |
| D0230 | 1,955 | 334 | $8K | |
| D0120 | 107 | 107 | $6K | |
| D0350 | 448 | 178 | $5K | |
| D2392 | 67 | 30 | $4K | |
| D0603 | 174 | 174 | $3K | |
| D0220 | 115 | 115 | $1K | |
| D9248 | 30 | 30 | $1K | |
| D0272 | 70 | 70 | $840.00 | |
| D0210 | 12 | 12 | $528.00 | |
| D9230 | 12 | 12 | $480.00 |