NPI: 1811092687 · DALY CITY, CA 94015 · 213E00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,784 | $35K |
| 2019 | 2,655 | $33K |
| 2020 | 2,058 | $31K |
| 2021 | 2,469 | $36K |
| 2022 | 2,471 | $39K |
| 2023 | 2,413 | $37K |
| 2024 | 2,182 | $35K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 11730 | 2,456 | 2,447 | $64K | |
| 11057 | 4,040 | 4,015 | $57K | |
| 11721 | 4,248 | 4,210 | $53K | |
| 99213 | 4,783 | 4,487 | $38K | |
| 10060 | 457 | 449 | $13K | |
| 11042 | 228 | 204 | $7K | |
| A5513 | Multi den insert custom mold | 108 | 108 | $5K |
| 10061 | 124 | 122 | $4K | |
| 99307 | 281 | 280 | $2K | |
| 11056 | 86 | 86 | $1K | |
| 99203 | 80 | 80 | $881.04 | |
| 99214 | 21 | 21 | $152.49 | |
| 99348 | 12 | 12 | $102.47 | |
| A5500 | Diab shoe for density insert | 108 | 108 | $0.00 |