NPI: 1720493422 · VICTORVILLE, CA 92395 · 261QD0000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 15,276 | $340K |
| 2019 | 17,743 | $475K |
| 2020 | 12,824 | $344K |
| 2021 | 16,883 | $447K |
| 2022 | 4,691 | $143K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | 3,481 | 3,480 | $215K | |
| D0120 | 3,865 | 3,863 | $175K | |
| D2150 | 2,596 | 1,536 | $174K | |
| D1120 | 4,551 | 4,548 | $138K | |
| D0210 | 2,864 | 2,863 | $134K | |
| D1351 | 6,301 | 1,794 | $130K | |
| D7140 | 1,989 | 979 | $114K | |
| D2140 | 1,782 | 1,078 | $97K | |
| D1110 | 1,154 | 1,153 | $95K | |
| D0230 | 21,713 | 5,097 | $87K | |
| D4341 | 1,063 | 289 | $73K | |
| D0274 | 2,653 | 2,653 | $56K | |
| D0350 | 4,934 | 2,313 | $50K | |
| D1208 | 4,979 | 4,975 | $49K | |
| D2160 | 516 | 366 | $41K | |
| D7210 | 308 | 233 | $37K | |
| D9993 | 332 | 332 | $21K | |
| D9430 | 665 | 651 | $21K | |
| D1310 | 332 | 332 | $15K | |
| D1206 | 741 | 740 | $13K | |
| D2391 | 122 | 82 | $7K | |
| D0272 | 274 | 274 | $3K | |
| D2330 | 23 | 13 | $2K | |
| D0603 | 85 | 85 | $1K | |
| D0270 | 79 | 79 | $375.00 | |
| D9999 | 15 | 13 | $48.96 |