NPI: 1902336472 · RANCHO CORDOVA, CA 95670 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 10,979 | $220K |
| 2022 | 16,214 | $446K |
| 2023 | 14,271 | $382K |
| 2024 | 13,179 | $333K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | 5,560 | 5,553 | $255K | |
| D1120 | 5,909 | 5,901 | $252K | |
| D1351 | 6,624 | 2,067 | $210K | |
| D1206 | 6,060 | 6,051 | $200K | |
| D0220 | 6,841 | 6,726 | $73K | |
| D0274 | 3,389 | 3,384 | $72K | |
| D9999 | 687 | 665 | $59K | |
| D2150 | 870 | 611 | $53K | |
| D0230 | 10,699 | 6,253 | $43K | |
| D1310 | 1,183 | 1,180 | $39K | |
| D2140 | 723 | 558 | $33K | |
| D0150 | 460 | 460 | $28K | |
| D0272 | 2,175 | 2,173 | $18K | |
| D0999 | 211 | 211 | $13K | |
| D2930 | 66 | 42 | $7K | |
| D0603 | 713 | 712 | $6K | |
| D9430 | 192 | 184 | $5K | |
| D1320 | 389 | 389 | $3K | |
| D1110 | 29 | 28 | $2K | |
| D0601 | 446 | 446 | $2K | |
| D0602 | 262 | 261 | $2K | |
| D7140 | 25 | 17 | $1K | |
| D1208 | 53 | 53 | $1K | |
| D7111 | 29 | 14 | $1K | |
| D1999 | 53 | 52 | $520.00 | |
| D0140 | 12 | 12 | $350.00 | |
| D9993 | 621 | 618 | $270.00 | |
| D9986 | 318 | 304 | $0.00 | |
| D9987 | 44 | 44 | $0.00 |