NPI: 1689018483 · POMONA, CA 91767 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,191 | $116K |
| 2019 | 3,925 | $92K |
| 2020 | 2,490 | $46K |
| 2021 | 2,746 | $56K |
| 2022 | 2,687 | $67K |
| 2023 | 2,323 | $53K |
| 2024 | 2,585 | $73K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | 1,063 | 1,049 | $87K | |
| D0120 | 1,262 | 1,256 | $68K | |
| D0150 | 900 | 900 | $55K | |
| D2150 | 817 | 345 | $54K | |
| D0230 | 8,701 | 1,866 | $37K | |
| D1120 | 971 | 965 | $34K | |
| D7210 | 291 | 137 | $32K | |
| D0210 | 639 | 639 | $30K | |
| D1208 | 2,300 | 2,294 | $27K | |
| D2140 | 451 | 168 | $25K | |
| D0350 | 1,982 | 915 | $19K | |
| D0274 | 741 | 739 | $15K | |
| D2160 | 86 | 50 | $7K | |
| D0220 | 345 | 335 | $4K | |
| D1351 | 148 | 39 | $4K | |
| D9430 | 92 | 92 | $3K | |
| D1320 | 158 | 158 | $3K |