NPI: 1801430913 · SANTA ANA, CA 92704 · 261QD0000X
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 1,818 | $8K |
| 2023 | 8,715 | $12K |
| 2024 | 17,250 | $296K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D9920 | 321 | 274 | $96K | |
| D5110 | 90 | 90 | $46K | |
| D9410 | 318 | 271 | $40K | |
| D9999 | 156 | 153 | $36K | |
| D0150 | 3,300 | 3,287 | $33K | |
| D1110 | 1,032 | 1,027 | $13K | |
| D0210 | 2,697 | 2,691 | $12K | |
| D0140 | 777 | 769 | $6K | |
| D0120 | 476 | 476 | $6K | |
| D9932 | 71 | 71 | $6K | |
| D4341 | 2,185 | 1,031 | $6K | |
| D1206 | 1,204 | 1,203 | $5K | |
| D0350 | 2,173 | 2,164 | $2K | |
| D1330 | 919 | 915 | $2K | |
| D4921 | 94 | 28 | $1K | |
| D9933 | 12 | 12 | $1K | |
| D0274 | 331 | 331 | $1K | |
| D0220 | 1,037 | 1,008 | $849.60 | |
| D0230 | 1,580 | 583 | $121.50 | |
| D9996 | 394 | 389 | $84.00 | |
| D7140 | 1,257 | 807 | $0.00 | |
| D2392 | 27 | 26 | $0.00 | |
| D9450 | 37 | 37 | $0.00 | |
| D0170 | 27 | 27 | $0.00 | |
| D9912 | 2,499 | 2,122 | $0.00 | |
| D5214 | 143 | 141 | $0.00 | |
| D0603 | 139 | 138 | $0.00 | |
| D5120 | 13 | 13 | $0.00 | |
| D0171 | 21 | 21 | $0.00 | |
| D0708 | 24 | 23 | $0.00 | |
| D9986 | 2,759 | 2,647 | $0.00 | |
| D0351 | 131 | 131 | $0.00 | |
| D0191 | 587 | 585 | $0.00 | |
| D9430 | 355 | 352 | $0.00 | |
| D1354 | 368 | 173 | $0.00 | |
| D5213 | 13 | 13 | $0.00 | |
| D0190 | 164 | 163 | $0.00 | |
| D4910 | 28 | 28 | $0.00 | |
| D7210 | 24 | 15 | $0.00 |