NPI: 1710177514 · SAN FERNANDO, CA 91340 · 1223P0221X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 689 | $54K |
| 2019 | 475 | $34K |
| 2020 | 8,152 | $210K |
| 2021 | 4,143 | $104K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2930 | 775 | 183 | $91K | |
| D3220 | 569 | 158 | $55K | |
| D0150 | 793 | 793 | $52K | |
| D1120 | 961 | 958 | $28K | |
| D0230 | 5,230 | 1,059 | $26K | |
| D9993 | 379 | 379 | $24K | |
| D1351 | 859 | 310 | $19K | |
| D1310 | 380 | 380 | $17K | |
| D7140 | 292 | 148 | $16K | |
| D9230 | 377 | 367 | $15K | |
| D2150 | 192 | 101 | $13K | |
| D1208 | 953 | 949 | $10K | |
| D2330 | 107 | 40 | $8K | |
| D0274 | 321 | 320 | $7K | |
| D0272 | 504 | 500 | $6K | |
| D3230 | 40 | 13 | $4K | |
| D0603 | 262 | 260 | $4K | |
| D0120 | 52 | 52 | $2K | |
| D0350 | 173 | 93 | $2K | |
| D0220 | 131 | 128 | $2K | |
| D2140 | 24 | 18 | $1K | |
| D0602 | 72 | 72 | $930.00 | |
| D0145 | 13 | 13 | $767.00 |