NPI: 1902822059 · VICTORVILLE, CA 92395 · 207QA0401X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,734 | $9K |
| 2019 | 796 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 1,504 | 1,394 | $9K | |
| 99392 | 548 | 544 | $851.79 | |
| 99391 | 174 | 172 | $820.78 | |
| 99393 | 300 | 299 | $764.16 | |
| 99460 | 12 | 12 | $548.55 | |
| 90680 | 15 | 13 | $441.54 | |
| 99214 | 145 | 142 | $311.85 | |
| 99383 | 13 | 13 | $238.84 | |
| 90670 | 176 | 174 | $135.00 | |
| 90698 | 115 | 113 | $126.80 | |
| 90686 | 31 | 31 | $108.00 | |
| 90744 | 33 | 32 | $9.00 | |
| 84439 | 42 | 42 | $0.00 | |
| 90700 | 16 | 16 | $0.00 | |
| 90734 | 17 | 17 | $0.00 | |
| 90685 | 22 | 22 | $0.00 | |
| 81003 | 29 | 29 | $0.00 | |
| 90461 | 178 | 174 | $0.00 | |
| 90460 | 224 | 218 | $0.00 | |
| 80061 | 26 | 26 | $0.00 | |
| 90633 | 144 | 140 | $0.00 | |
| 90710 | 121 | 121 | $0.00 | |
| 99394 | 25 | 25 | $0.00 | |
| 90715 | 16 | 16 | $0.00 | |
| 86003 | 14 | 14 | $0.00 | |
| 99211 | 28 | 28 | $0.00 | |
| 90648 | 12 | 12 | $0.00 | |
| G0402 | Initial preventive exam | 15 | 15 | $0.00 |
| 36415 | 225 | 213 | $0.00 | |
| 84443 | 48 | 47 | $0.00 | |
| 85025 | 106 | 101 | $0.00 | |
| 83036 | 12 | 12 | $0.00 | |
| 80053 | 91 | 91 | $0.00 | |
| 90651 | 25 | 24 | $0.00 | |
| 90696 | 28 | 28 | $0.00 |