NPI: 1982016838 · SAN BERNARDINO, CA 92408 · 122300000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,923 | $93K |
| 2019 | 7,778 | $366K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | 1,315 | 1,313 | $86K | |
| D1110 | 671 | 670 | $59K | |
| D2392 | 866 | 492 | $58K | |
| D0210 | 1,106 | 1,106 | $53K | |
| D7210 | 305 | 162 | $36K | |
| D2391 | 565 | 300 | $31K | |
| D4341 | 376 | 100 | $26K | |
| D9430 | 731 | 612 | $23K | |
| D2393 | 254 | 175 | $20K | |
| D1120 | 453 | 453 | $13K | |
| D1208 | 937 | 937 | $11K | |
| D0350 | 601 | 292 | $6K | |
| D4342 | 117 | 33 | $5K | |
| D0230 | 520 | 306 | $4K | |
| D9993 | 60 | 60 | $4K | |
| D4910 | 47 | 47 | $4K | |
| D7140 | 57 | 38 | $3K | |
| D1310 | 61 | 61 | $3K | |
| D1206 | 157 | 157 | $2K | |
| D2330 | 30 | 14 | $2K | |
| D1351 | 106 | 34 | $2K | |
| D0274 | 85 | 85 | $2K | |
| D0272 | 105 | 103 | $1K | |
| D0330 | 40 | 40 | $1K | |
| D9230 | 28 | 26 | $1K | |
| D0601 | 61 | 61 | $870.00 | |
| D0120 | 15 | 15 | $675.00 | |
| D1354 | 16 | 16 | $420.00 | |
| D0220 | 16 | 15 | $168.00 |