NPI: 1962619064 · POMONA, CA 91768 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 5,332 | $109K |
| 2019 | 4,170 | $97K |
| 2020 | 2,442 | $53K |
| 2021 | 4,369 | $126K |
| 2022 | 4,407 | $204K |
| 2023 | 4,721 | $319K |
| 2024 | 5,121 | $405K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2740 | 919 | 597 | $434K | |
| D0150 | 2,558 | 2,552 | $150K | |
| D0120 | 2,289 | 2,277 | $102K | |
| D0210 | 2,157 | 2,152 | $91K | |
| D1110 | 1,034 | 1,030 | $79K | |
| D2954 | 637 | 454 | $66K | |
| D2392 | 944 | 626 | $62K | |
| D2150 | 785 | 455 | $47K | |
| D0230 | 11,894 | 2,735 | $45K | |
| D1120 | 1,200 | 1,194 | $38K | |
| D0274 | 2,183 | 2,167 | $37K | |
| D7210 | 334 | 182 | $32K | |
| D2391 | 596 | 352 | $31K | |
| D9430 | 889 | 816 | $28K | |
| D3330 | 38 | 37 | $17K | |
| D2393 | 155 | 113 | $12K | |
| D1208 | 970 | 966 | $10K | |
| D2160 | 132 | 74 | $10K | |
| D4341 | 106 | 29 | $7K | |
| D2140 | 129 | 95 | $6K | |
| D0350 | 268 | 70 | $2K | |
| D1206 | 105 | 105 | $1K | |
| D1351 | 47 | 12 | $990.00 | |
| D7140 | 18 | 12 | $963.20 | |
| D0330 | 24 | 24 | $644.00 | |
| D0220 | 124 | 119 | $377.00 | |
| D0272 | 15 | 14 | $106.00 | |
| D0270 | 12 | 12 | $60.50 |