NPI: 1962940874 · RANCHO CUCAMONGA, CA 91730 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 73 | $2K |
| 2020 | 1,626 | $50K |
| 2021 | 7,030 | $234K |
| 2022 | 12,818 | $349K |
| 2023 | 18,346 | $595K |
| 2024 | 20,915 | $614K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2740 | 578 | 471 | $273K | |
| D0150 | 2,366 | 2,350 | $154K | |
| D1110 | 1,713 | 1,700 | $150K | |
| D2392 | 2,173 | 1,284 | $144K | |
| D9430 | 4,405 | 3,675 | $139K | |
| D0350 | 15,286 | 4,110 | $136K | |
| D0120 | 1,657 | 1,643 | $126K | |
| D4910 | 1,417 | 1,395 | $103K | |
| D0210 | 1,923 | 1,908 | $90K | |
| D1120 | 1,612 | 1,597 | $73K | |
| D4341 | 983 | 272 | $69K | |
| D0230 | 15,251 | 3,453 | $64K | |
| D2391 | 1,121 | 698 | $61K | |
| D1206 | 3,373 | 3,345 | $54K | |
| D2954 | 511 | 424 | $53K | |
| D2393 | 423 | 320 | $33K | |
| D0274 | 1,597 | 1,579 | $33K | |
| D0220 | 2,436 | 2,108 | $29K | |
| D2751 | 36 | 27 | $17K | |
| D3330 | 27 | 27 | $13K | |
| D0250 | 460 | 458 | $10K | |
| D1320 | 345 | 345 | $5K | |
| D0240 | 472 | 276 | $4K | |
| D0272 | 251 | 251 | $3K | |
| D1310 | 114 | 114 | $2K | |
| D4342 | 34 | 14 | $1K | |
| D7210 | 17 | 13 | $1K | |
| D2394 | 13 | 12 | $1K | |
| D9110 | 12 | 12 | $756.00 | |
| D0602 | 105 | 105 | $675.00 | |
| D1208 | 46 | 46 | $637.50 | |
| D0999 | 16 | 13 | $92.00 | |
| D2999 | 35 | 16 | $0.00 |