NPI: 1780068825 · UPLAND, CA 91786 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,292 | $43K |
| 2019 | 1,994 | $42K |
| 2020 | 1,168 | $34K |
| 2021 | 1,226 | $43K |
| 2022 | 752 | $37K |
| 2023 | 1,440 | $61K |
| 2024 | 2,174 | $120K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | 1,931 | 1,922 | $118K | |
| D0210 | 1,405 | 1,401 | $65K | |
| D2740 | 123 | 68 | $54K | |
| D0120 | 977 | 976 | $48K | |
| D1120 | 645 | 644 | $23K | |
| D0274 | 906 | 904 | $19K | |
| D0230 | 3,775 | 1,341 | $15K | |
| D4341 | 204 | 54 | $14K | |
| D4910 | 139 | 138 | $10K | |
| D9430 | 127 | 118 | $4K | |
| D1206 | 425 | 422 | $4K | |
| D1208 | 236 | 236 | $3K | |
| D2954 | 16 | 12 | $2K | |
| D0220 | 30 | 30 | $348.00 | |
| D0270 | 12 | 12 | $60.00 | |
| D0140 | 95 | 95 | $0.00 |