NPI: 1679263990 · VICTORVILLE, CA 92395 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 28,217 | $1.24M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | 2,595 | 2,595 | $171K | |
| D2930 | 1,207 | 448 | $144K | |
| D1120 | 2,866 | 2,866 | $139K | |
| D1351 | 3,616 | 969 | $137K | |
| D3220 | 1,139 | 419 | $112K | |
| D2150 | 1,152 | 498 | $77K | |
| D1310 | 1,351 | 1,351 | $59K | |
| D9230 | 1,447 | 1,422 | $58K | |
| D7140 | 754 | 393 | $43K | |
| D0230 | 2,086 | 2,081 | $43K | |
| D2392 | 629 | 275 | $42K | |
| D1206 | 1,101 | 1,101 | $33K | |
| D0210 | 663 | 663 | $32K | |
| D1208 | 1,627 | 1,627 | $20K | |
| D0145 | 337 | 337 | $20K | |
| D2140 | 361 | 199 | $20K | |
| D0350 | 916 | 814 | $16K | |
| D0220 | 1,062 | 1,059 | $13K | |
| D0603 | 830 | 830 | $12K | |
| D2391 | 212 | 130 | $12K | |
| D0272 | 773 | 773 | $9K | |
| D1320 | 870 | 870 | $9K | |
| D2160 | 84 | 55 | $7K | |
| D0602 | 336 | 336 | $5K | |
| D2393 | 58 | 32 | $5K | |
| D2330 | 36 | 25 | $3K | |
| D2331 | 23 | 14 | $2K | |
| D0274 | 71 | 71 | $2K | |
| D0120 | 15 | 15 | $675.00 |