NPI: 1619654183 · RIALTO, CA 92376 · 1223G0001X
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 9,391 | $260K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | 1,020 | 1,015 | $66K | |
| D2392 | 570 | 296 | $38K | |
| D0210 | 754 | 752 | $35K | |
| D0350 | 2,835 | 739 | $21K | |
| D1120 | 409 | 407 | $19K | |
| D1110 | 227 | 227 | $19K | |
| D2391 | 266 | 156 | $14K | |
| D1351 | 310 | 87 | $11K | |
| D1208 | 690 | 685 | $10K | |
| D2393 | 121 | 84 | $9K | |
| D1320 | 357 | 353 | $6K | |
| D0230 | 1,048 | 231 | $4K | |
| D4341 | 52 | 14 | $4K | |
| D0140 | 35 | 35 | $1K | |
| D0274 | 70 | 70 | $1K | |
| D1310 | 14 | 14 | $598.00 | |
| D0330 | 593 | 591 | $480.00 | |
| D0272 | 20 | 20 | $240.00 |