NPI: 1962633685 · POMONA, CA 91767 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,363 | $11K |
| 2019 | 999 | $21K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| L0650 | Lso sc r ant/pos pnl pre ots | 675 | 641 | $10K |
| L1851 | Ko single upright prefab ots | 462 | 407 | $7K |
| L3960 | Sewho airplan desig abdu pos | 228 | 214 | $4K |
| L3916 | Who nontorsion jnts pre ots | 294 | 264 | $3K |
| L1971 | Afo w/ankle joint, prefab | 83 | 41 | $3K |
| L3761 | Eo, adj lock joint prefab ot | 72 | 41 | $2K |
| L2397 | Suspension sleeve lower ext | 467 | 433 | $1K |
| L1833 | Ko adj jnt pos r sup pre ots | 21 | 19 | $932.43 |
| L3170 | Foot plas heel stabi pre ots | 60 | 40 | $108.45 |