NPI: 1891369864 · MODESTO, CA 95354 · 261QD0000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 127 | $7K |
| 2022 | 2,025 | $63K |
| 2023 | 2,238 | $69K |
| 2024 | 3,901 | $162K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | 1,249 | 1,244 | $82K | |
| D0210 | 820 | 818 | $39K | |
| D2392 | 556 | 296 | $37K | |
| D1110 | 410 | 410 | $35K | |
| D1120 | 604 | 602 | $30K | |
| D7210 | 123 | 76 | $14K | |
| D1351 | 376 | 100 | $14K | |
| D0230 | 2,829 | 528 | $12K | |
| D1208 | 580 | 579 | $11K | |
| D0120 | 137 | 136 | $10K | |
| D4342 | 95 | 26 | $4K | |
| D2391 | 47 | 38 | $3K | |
| D0274 | 119 | 119 | $2K | |
| D7140 | 34 | 12 | $2K | |
| D0220 | 144 | 144 | $2K | |
| D9230 | 39 | 29 | $2K | |
| D1310 | 26 | 26 | $1K | |
| D0350 | 66 | 51 | $585.60 | |
| D0330 | 12 | 12 | $360.00 | |
| D9993 | 25 | 25 | $0.00 |