NPI: 1740664879 · FONTANA, CA 92336 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 11,320 | $234K |
| 2019 | 11,225 | $302K |
| 2020 | 10,297 | $293K |
| 2021 | 10,519 | $268K |
| 2022 | 12,915 | $356K |
| 2023 | 12,211 | $418K |
| 2024 | 10,859 | $412K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | 5,474 | 5,448 | $341K | |
| D0120 | 5,334 | 5,301 | $283K | |
| D7210 | 2,028 | 932 | $233K | |
| D1351 | 7,253 | 1,435 | $197K | |
| D1120 | 4,795 | 4,723 | $174K | |
| D1110 | 1,838 | 1,820 | $150K | |
| D0210 | 3,199 | 3,175 | $146K | |
| D2392 | 2,061 | 1,143 | $135K | |
| D2740 | 280 | 184 | $131K | |
| D0230 | 30,983 | 8,544 | $128K | |
| D0274 | 4,982 | 4,888 | $101K | |
| D1208 | 7,559 | 7,461 | $90K | |
| D9430 | 1,241 | 1,211 | $40K | |
| D4341 | 514 | 150 | $35K | |
| D9223 | 166 | 115 | $27K | |
| D4910 | 216 | 212 | $16K | |
| D9222 | 115 | 114 | $12K | |
| D2954 | 105 | 72 | $11K | |
| D2391 | 138 | 84 | $7K | |
| D9230 | 147 | 125 | $6K | |
| D7230 | 23 | 12 | $4K | |
| D0272 | 363 | 355 | $4K | |
| D2393 | 35 | 28 | $3K | |
| D2930 | 25 | 12 | $3K | |
| D7140 | 46 | 14 | $3K | |
| D4342 | 53 | 15 | $2K | |
| D9241 | 26 | 26 | $1K | |
| D0220 | 112 | 111 | $1K | |
| D9910 | 36 | 35 | $827.75 | |
| D9242 | 26 | 26 | $531.00 | |
| D0350 | 21 | 12 | $201.60 | |
| D1206 | 12 | 12 | $120.00 | |
| D0270 | 13 | 12 | $60.00 | |
| D0140 | 50 | 48 | $0.00 | |
| D7953 | 48 | 36 | $0.00 | |
| D4381 | 29 | 20 | $0.00 |