NPI: 1780194985 · WEST COVINA, CA 91791 · Dental Clinic/Center
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 13 | $455.00 |
| 2019 | 784 | $32K |
| 2020 | 1,875 | $86K |
| 2021 | 2,387 | $167K |
| 2022 | 1,790 | $137K |
| 2023 | 4,555 | $569K |
| 2024 | 5,944 | $599K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2751 | 986 | 760 | $469K | |
| D3330 | 850 | 761 | $393K | |
| D0150 | 2,965 | 2,954 | $195K | |
| D2954 | 1,178 | 837 | $124K | |
| D7210 | 486 | 295 | $57K | |
| D9430 | 1,636 | 1,470 | $49K | |
| D3320 | 123 | 106 | $44K | |
| D2392 | 588 | 330 | $39K | |
| D0230 | 3,122 | 2,895 | $37K | |
| D0330 | 841 | 835 | $25K | |
| D4910 | 316 | 316 | $24K | |
| D0210 | 496 | 496 | $23K | |
| D7140 | 348 | 206 | $20K | |
| D2740 | 33 | 14 | $16K | |
| D0120 | 202 | 202 | $15K | |
| D0274 | 681 | 681 | $15K | |
| D0350 | 700 | 601 | $13K | |
| D4341 | 114 | 31 | $8K | |
| D0220 | 564 | 551 | $7K | |
| D0272 | 385 | 383 | $4K | |
| D3310 | 14 | 12 | $4K | |
| D2391 | 76 | 51 | $4K | |
| D0270 | 574 | 572 | $3K | |
| D1120 | 26 | 26 | $1K | |
| D2393 | 14 | 13 | $1K | |
| D1208 | 30 | 30 | $458.00 |