NPI: 1790374791 · SAN BERNARDINO, CA 92405 · 261QD0000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 8,458 | $164K |
| 2022 | 13,836 | $300K |
| 2023 | 13,051 | $279K |
| 2024 | 14,502 | $347K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | 2,273 | 2,264 | $178K | |
| D1120 | 2,810 | 2,798 | $135K | |
| D0150 | 1,945 | 1,939 | $129K | |
| D1351 | 3,114 | 1,154 | $106K | |
| D1110 | 1,141 | 1,139 | $101K | |
| D0230 | 23,707 | 4,340 | $98K | |
| D0274 | 3,544 | 3,533 | $76K | |
| D1208 | 3,976 | 3,963 | $57K | |
| D2150 | 560 | 316 | $37K | |
| D0350 | 3,861 | 1,224 | $37K | |
| D2391 | 513 | 242 | $28K | |
| D2751 | 50 | 42 | $24K | |
| D9430 | 659 | 632 | $21K | |
| D2392 | 249 | 122 | $17K | |
| D7140 | 289 | 151 | $16K | |
| D2160 | 122 | 77 | $10K | |
| D0220 | 693 | 682 | $8K | |
| D2954 | 28 | 24 | $3K | |
| D4341 | 37 | 12 | $3K | |
| D1310 | 53 | 52 | $2K | |
| D0272 | 185 | 185 | $2K | |
| D0601 | 38 | 38 | $555.00 |