NPI: 1891872081 · MONTCLAIR, CA 91763 · 224Z00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,965 | $72K |
| 2019 | 2,394 | $63K |
| 2020 | 1,959 | $49K |
| 2021 | 2,400 | $59K |
| 2022 | 1,922 | $47K |
| 2023 | 2,967 | $71K |
| 2024 | 3,076 | $76K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| X3908 | 5,810 | 1,994 | $123K | |
| X3920 | 2,786 | 2,498 | $101K | |
| X4110 | 4,731 | 2,197 | $100K | |
| X3922 | 1,398 | 1,329 | $42K | |
| X4100 | 941 | 877 | $33K | |
| X4102 | 674 | 647 | $21K | |
| X4112 | 768 | 606 | $7K | |
| X3926 | 268 | 257 | $6K | |
| X4104 | 131 | 131 | $3K | |
| X3928 | 84 | 80 | $2K | |
| X4120 | 15 | 15 | $314.70 | |
| X3910 | 34 | 30 | $230.86 | |
| X3930 | 31 | 31 | $210.49 | |
| X4106 | 12 | 12 | $81.48 |