NPI: 1982349619 · RIALTO, CA 92376 · 1223G0001X
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 833 | $28K |
| 2023 | 1,871 | $67K |
| 2024 | 3,889 | $121K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | 783 | 773 | $51K | |
| D0210 | 678 | 671 | $32K | |
| D1110 | 279 | 279 | $24K | |
| D2392 | 352 | 174 | $21K | |
| D0350 | 1,220 | 380 | $11K | |
| D2391 | 236 | 98 | $11K | |
| D0120 | 151 | 151 | $11K | |
| D7210 | 88 | 44 | $10K | |
| D1208 | 610 | 610 | $9K | |
| D1120 | 168 | 168 | $9K | |
| D0230 | 1,705 | 337 | $7K | |
| D2751 | 14 | 12 | $7K | |
| D4341 | 52 | 13 | $4K | |
| D0274 | 154 | 153 | $3K | |
| D4910 | 28 | 28 | $2K | |
| D2954 | 17 | 13 | $2K | |
| D9430 | 45 | 43 | $1K | |
| D0220 | 13 | 12 | $144.00 |