NPI: 1649869587 · MODESTO, CA 95356 · 261QD0000X
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 1,107 | $27K |
| 2023 | 3,924 | $102K |
| 2024 | 8,479 | $228K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | 1,807 | 1,789 | $85K | |
| D1310 | 1,240 | 1,238 | $55K | |
| D0120 | 741 | 739 | $49K | |
| D0150 | 725 | 724 | $46K | |
| D1206 | 1,768 | 1,750 | $40K | |
| D0145 | 346 | 346 | $23K | |
| D0230 | 4,201 | 1,348 | $15K | |
| D0603 | 670 | 668 | $9K | |
| D0272 | 791 | 790 | $8K | |
| D1351 | 211 | 57 | $7K | |
| D9230 | 134 | 123 | $5K | |
| D0220 | 476 | 473 | $5K | |
| D0602 | 317 | 317 | $5K | |
| D2392 | 53 | 28 | $3K | |
| D0601 | 30 | 30 | $435.00 |