NPI: 1598854648 · SAN BERNARDINO, CA 92405 · 1223G0001X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,115 | $55K |
| 2019 | 3,345 | $69K |
| 2020 | 1,594 | $32K |
| 2021 | 2,468 | $55K |
| 2022 | 2,620 | $74K |
| 2023 | 1,741 | $52K |
| 2024 | 2,034 | $68K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | 2,004 | 1,995 | $107K | |
| D1120 | 1,854 | 1,849 | $69K | |
| D0150 | 916 | 915 | $57K | |
| D0210 | 1,033 | 1,029 | $48K | |
| D1206 | 2,377 | 2,363 | $29K | |
| D0230 | 6,353 | 2,671 | $25K | |
| D7140 | 368 | 219 | $21K | |
| D0272 | 1,434 | 1,430 | $17K | |
| D1110 | 173 | 173 | $13K | |
| D4341 | 114 | 29 | $8K | |
| D4910 | 69 | 69 | $5K | |
| D0274 | 205 | 205 | $4K | |
| D2140 | 17 | 13 | $928.20 |