NPI: 1699980961 · RIALTO, CA 92376 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 5,112 | $129K |
| 2019 | 3,085 | $72K |
| 2020 | 905 | $21K |
| 2021 | 2,009 | $41K |
| 2022 | 1,691 | $37K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2150 | 927 | 290 | $58K | |
| D0150 | 759 | 754 | $44K | |
| D0120 | 745 | 737 | $32K | |
| D2140 | 576 | 210 | $29K | |
| D0210 | 641 | 636 | $28K | |
| D1120 | 873 | 865 | $27K | |
| D0230 | 5,606 | 1,064 | $23K | |
| D2392 | 297 | 117 | $20K | |
| D1208 | 865 | 857 | $8K | |
| D0274 | 298 | 297 | $6K | |
| D7140 | 108 | 44 | $6K | |
| D1351 | 231 | 77 | $5K | |
| D0220 | 365 | 350 | $4K | |
| D2391 | 73 | 33 | $4K | |
| D0350 | 340 | 95 | $3K | |
| D1110 | 26 | 26 | $2K | |
| D9430 | 28 | 28 | $843.00 | |
| D0272 | 44 | 44 | $482.00 |