NPI: 1760721641 · SAN BERNARDINO, CA 92408 · 261QD0000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 123 | $4K |
| 2021 | 1,933 | $68K |
| 2022 | 3,919 | $121K |
| 2023 | 4,154 | $124K |
| 2024 | 3,961 | $121K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | 1,458 | 1,456 | $96K | |
| D0120 | 628 | 627 | $51K | |
| D0210 | 1,022 | 1,020 | $49K | |
| D4910 | 602 | 595 | $45K | |
| D2740 | 83 | 68 | $40K | |
| D0230 | 5,983 | 1,558 | $25K | |
| D1110 | 278 | 278 | $24K | |
| D4341 | 310 | 90 | $21K | |
| D9430 | 579 | 556 | $18K | |
| D2392 | 237 | 153 | $16K | |
| D0274 | 770 | 769 | $16K | |
| D1120 | 306 | 306 | $15K | |
| D0350 | 918 | 419 | $9K | |
| D1208 | 566 | 566 | $8K | |
| D1206 | 157 | 157 | $2K | |
| D0220 | 151 | 149 | $2K | |
| D2393 | 17 | 15 | $1K | |
| D0330 | 12 | 12 | $330.00 | |
| D0270 | 13 | 13 | $63.75 |