NPI: 1629557996 · SANTA ROSA, CA 95403 · 1223G0001X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 274 | $5K |
| 2020 | 1,214 | $39K |
| 2021 | 5,225 | $0.00 |
| 2022 | 11,465 | $0.00 |
| 2023 | 3,720 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | 3,145 | 3,108 | $8K | |
| D1206 | 384 | 384 | $7K | |
| D1120 | 2,733 | 2,702 | $7K | |
| D2930 | 25 | 16 | $6K | |
| D1110 | 758 | 747 | $5K | |
| D0274 | 1,557 | 1,534 | $4K | |
| D0272 | 1,084 | 1,070 | $3K | |
| D0140 | 93 | 88 | $2K | |
| D0150 | 355 | 350 | $873.94 | |
| D0330 | 660 | 652 | $804.54 | |
| D9230 | 270 | 249 | $592.55 | |
| D0220 | 3,088 | 3,023 | $276.96 | |
| D0603 | 283 | 283 | $0.12 | |
| D1208 | 2,961 | 2,922 | $0.00 | |
| D0230 | 3,898 | 2,880 | $0.00 | |
| D9920 | 12 | 12 | $0.00 | |
| D2392 | 390 | 197 | $0.00 | |
| D1351 | 96 | 29 | $0.00 | |
| D3120 | 106 | 43 | $0.00 |