NPI: 1992864011 · ELK GROVE, CA 95758 · 1223G0001X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 5,299 | $86K |
| 2019 | 4,487 | $71K |
| 2020 | 4,402 | $110K |
| 2021 | 5,383 | $151K |
| 2022 | 6,624 | $160K |
| 2023 | 5,980 | $150K |
| 2024 | 4,396 | $119K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | 4,231 | 4,166 | $156K | |
| D1110 | 2,122 | 2,089 | $152K | |
| D1208 | 4,511 | 4,451 | $100K | |
| D1120 | 2,387 | 2,355 | $91K | |
| D2392 | 1,355 | 848 | $73K | |
| D0220 | 4,017 | 3,910 | $45K | |
| D0230 | 9,874 | 3,378 | $37K | |
| D0274 | 1,794 | 1,776 | $36K | |
| D2391 | 661 | 408 | $29K | |
| D0150 | 572 | 563 | $28K | |
| D4910 | 170 | 170 | $22K | |
| D0210 | 420 | 413 | $18K | |
| D2393 | 271 | 200 | $18K | |
| D9430 | 544 | 479 | $15K | |
| D0272 | 985 | 979 | $12K | |
| D1999 | 949 | 919 | $9K | |
| D0170 | 37 | 27 | $2K | |
| D0999 | 27 | 27 | $2K | |
| D0160 | 37 | 29 | $1K | |
| D9999 | 13 | 13 | $1K | |
| D1351 | 49 | 12 | $704.00 | |
| D0602 | 162 | 162 | $155.00 | |
| D0603 | 126 | 126 | $99.00 | |
| D0601 | 12 | 12 | $12.00 | |
| D1330 | 1,008 | 1,005 | $0.00 | |
| D9993 | 237 | 237 | $0.00 |