NPI: 1588914717 · ROSEMEAD, CA 91770 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,172 | $67K |
| 2019 | 3,541 | $94K |
| 2020 | 1,434 | $29K |
| 2021 | 2,548 | $62K |
| 2022 | 3,765 | $114K |
| 2023 | 3,804 | $109K |
| 2024 | 3,357 | $102K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | 2,101 | 2,098 | $119K | |
| D1110 | 1,229 | 1,224 | $106K | |
| D0150 | 1,153 | 1,146 | $72K | |
| D1120 | 1,353 | 1,351 | $52K | |
| D2391 | 857 | 260 | $46K | |
| D1208 | 2,838 | 2,829 | $37K | |
| D0210 | 705 | 699 | $33K | |
| D0230 | 7,906 | 2,559 | $31K | |
| D0274 | 1,471 | 1,470 | $30K | |
| D4341 | 373 | 96 | $25K | |
| D0350 | 978 | 382 | $10K | |
| D1351 | 210 | 40 | $6K | |
| D1320 | 201 | 201 | $4K | |
| D4910 | 26 | 26 | $2K | |
| D2150 | 28 | 14 | $2K | |
| D2392 | 24 | 12 | $2K | |
| D0272 | 119 | 118 | $1K | |
| D0330 | 37 | 37 | $995.00 | |
| D9430 | 12 | 12 | $384.00 |