NPI: 1699925453 · SACRAMENTO, CA 95816 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,256 | $220K |
| 2019 | 1,225 | $158K |
| 2020 | 1,104 | $251K |
| 2021 | 1,294 | $261K |
| 2022 | 1,617 | $299K |
| 2023 | 1,169 | $280K |
| 2024 | 2,482 | $342K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D3330 | 2,012 | 1,843 | $1.45M | |
| D0150 | 2,108 | 2,069 | $132K | |
| D3320 | 189 | 173 | $109K | |
| D0120 | 1,076 | 1,047 | $31K | |
| D1120 | 985 | 952 | $25K | |
| D1208 | 603 | 596 | $15K | |
| D0220 | 1,032 | 1,017 | $11K | |
| D9310 | 219 | 217 | $10K | |
| D1206 | 481 | 458 | $7K | |
| D2392 | 173 | 86 | $6K | |
| D0230 | 685 | 495 | $4K | |
| D0270 | 251 | 251 | $3K | |
| D2391 | 83 | 51 | $2K | |
| D0272 | 122 | 120 | $1K | |
| D0210 | 26 | 26 | $1K | |
| D9999 | 12 | 12 | $1K | |
| D0999 | 16 | 16 | $960.00 | |
| D0274 | 14 | 12 | $54.00 | |
| D1330 | 47 | 46 | $0.00 | |
| D0140 | 13 | 13 | $0.00 |