| # | Provider | ZIP | Codes | Claims | Total Paid |
| 1 |
SAN JOAQUIN BEHAVIORAL HEALTH SERVICES |
95202 |
47 |
3,632,423 |
$211.49M |
| 2 |
PERMANENTE MEDICAL GROUP INC |
95210 |
607 |
4,998,449 |
$125.88M |
| 3 |
PORT CITY OPERATING COMPANY, LLC |
95204 |
330 |
1,873,230 |
$121.39M |
| 4 |
COMMUNITY MEDICAL CENTERS, INC |
95205 |
163 |
1,772,910 |
$77.88M |
| 5 |
SAN JOAQUIN COUNTY BEHAVIORAL HEALTH SERVICES |
95202 |
20 |
262,439 |
$65.64M |
| 6 |
COMMUNITY MEDICAL CENTERS, INC |
95202 |
171 |
1,163,229 |
$37.93M |
| 7 |
SAN JOAQUIN COUNTY BEHAVIORAL HEALTH SERVICES |
95202 |
1 |
17,419 |
$32.63M |
| 8 |
SAN JOAQUIN COUNTY BEHAVIORAL HEALTH SERVICES |
95202 |
21 |
98,728 |
$30.34M |
| 9 |
SAN JOAQUIN COUNTY BEHAVIORAL HEALTH SERVICES |
95202 |
10 |
176,596 |
$30.13M |
| 10 |
COMMUNITY MEDICAL CENTERS INC |
95210 |
105 |
700,157 |
$26.56M |
| 11 |
DAMERON HOSPITAL ASSOCIATION |
95203 |
216 |
858,168 |
$26.28M |
| 12 |
AMERICAN MEDICAL RESPONSE WEST |
95204 |
11 |
383,063 |
$24.93M |
| 13 |
COMMUNITY MEDICAL CENTERS INC |
95210 |
137 |
715,069 |
$23.42M |
| 14 |
AL DEL MONTE INC |
95204 |
2 |
34,484 |
$22.82M |
| 15 |
SAHDEV SAHARAN, M.D., INC. |
95204 |
24 |
42,362 |
$20.02M |
| 16 |
CALIFORNIA URGENT CARE CENTER PROFESSIONAL CORPORATION |
95210 |
65 |
600,927 |
$19.59M |
| 17 |
COUNTY OF SAN JOAQUIN |
95202 |
62 |
326,738 |
$19.44M |
| 18 |
CHO DENTAL CORPORATION |
95210 |
32 |
192,347 |
$14.50M |
| 19 |
COMMUNITY MEDICAL CENTERS, INC |
95207 |
69 |
107,169 |
$13.95M |
| 20 |
COUNTY OF SAN JOAQUIN |
95202 |
36 |
159,393 |
$13.04M |
| 21 |
SATELLITE DIALYSIS OF SOUTH STOCKTON LLC |
95204 |
38 |
119,595 |
$13.03M |
| 22 |
STOCKTON DIAGNOSTIC IMAGING |
95210 |
64 |
102,764 |
$12.56M |
| 23 |
ALLERGY IMMUNOLOGY AND ASTHMA MEDICAL GROUP INC. |
95207 |
23 |
341,334 |
$12.39M |
| 24 |
SAN JOAQUIN COUNTY BEHAVIORAL HEALTH SERVICES |
95202 |
14 |
39,276 |
$11.74M |
| 25 |
VITREO-RETINAL MEDICAL GROUP, INC. |
95219 |
16 |
54,602 |
$11.61M |
| 26 |
ROOSE DIALYSIS LLC |
95210 |
20 |
135,286 |
$11.12M |
| 27 |
CORAL DIALYSIS LLC |
95206 |
11 |
85,079 |
$11.05M |
| 28 |
PLANNED PARENTHOOD MAR MONTE, INC |
95207 |
52 |
177,088 |
$10.87M |
| 29 |
TOTAL RENAL CARE INC |
95210 |
10 |
79,987 |
$10.10M |
| 30 |
SPECIALIZED DAYCARE SERVICES, INC |
95204 |
2 |
35,862 |
$9.81M |
| 31 |
SAN JOAQUIN COUNTY BEHAVIORAL HEATLH SERVICES |
95202 |
10 |
63,500 |
$9.68M |
| 32 |
STOCKTON PREGNANCY CONTROL MEDICAL CLINIC |
95204 |
25 |
76,081 |
$9.55M |
| 33 |
CENTER FOR SIGHT OF STOCKTON A MEDICAL CORPORATION |
95207 |
32 |
165,226 |
$9.51M |
| 34 |
WESTERN DENTAL SERVICES, INC. |
95210 |
32 |
249,659 |
$9.49M |
| 35 |
TRU-HEALTH, INC. |
95206 |
1 |
2,844 |
$9.05M |
| 36 |
SAN JOAQUIN COUNTY BEHAVIORAL HEALTH SERVICES |
95202 |
7 |
34,936 |
$8.28M |
| 37 |
STOCKTON HEMATOLOGY ONCOLOGY MEDICAL GROUP, INC |
95204 |
33 |
88,170 |
$8.18M |
| 38 |
SAN JOAQUIN COUNTY BEHAVIORAL HEALTH SERVICES |
95202 |
12 |
31,322 |
$8.12M |
| 39 |
MANSHADI HEART INSTITUTE INC |
95204 |
31 |
104,616 |
$8.09M |
| 40 |
COVENANT CARE CALIFORNIA, LLC |
95209 |
1 |
2,985 |
$8.06M |
| 41 |
SAN JOAQUIN COUNTY BEHAVIORAL HEALTH SERVICES |
95202 |
10 |
29,452 |
$8.03M |
| 42 |
COUNTY OF SAN JOAQUIN |
95202 |
54 |
88,096 |
$7.82M |
| 43 |
SATELLITE DIALYSIS OF STOCKTON LLC |
95210 |
32 |
78,197 |
$7.76M |
| 44 |
SAN JOAQUIN COUNTY BEHAVIORAL HEALTH SERVICES |
95207 |
10 |
28,844 |
$7.43M |
| 45 |
COMMUNITY MEDICAL CENTERS, INC. |
95205 |
88 |
270,332 |
$7.11M |
| 46 |
DENTAL SURGERY CENTERS OF AMERICA |
95210 |
37 |
72,567 |
$6.82M |
| 47 |
DR. SYED S.RIZVI DDS. A PROFESSIONAL CORPORATION |
95202 |
31 |
280,052 |
$6.72M |
| 48 |
PLANNED PARENTHOOD MAR MONTE, INC |
95205 |
44 |
118,490 |
$6.65M |
| 49 |
SAN JOAQUIN COUNTY BEHAVIORAL HEALTH SERVICES |
95202 |
12 |
19,961 |
$6.45M |
| 50 |
STOCKTON CARDIOLOGY MEDICAL GROUP COMPLETE HEART CARE INC |
95204 |
52 |
94,209 |
$6.30M |
| 51 |
PORT CITY OPERATING COMPANY, LLC |
95203 |
5 |
24,414 |
$6.24M |
| 52 |
SAN JOAQUIN KIDNEY CLINIC, INC |
95210 |
17 |
84,775 |
$6.14M |
| 53 |
KARIM ELNOKRASHY DENTAL CORPORATION |
95210 |
32 |
287,386 |
$6.08M |
| 54 |
SAN JOAQUIN COUNTY BEHAVIORAL HEALTH SERVICES |
95202 |
1 |
4,839 |
$5.58M |
| 55 |
STOCKTON UNIFIED SCHOOL DISTRICT |
95202 |
17 |
200,218 |
$5.52M |
| 56 |
STOCKTON PATHOLOGY MEDICAL GROUP |
95204 |
132 |
1,254,298 |
$5.22M |
| 57 |
RAI CARE CENTERS OF NORTHERN CALIFORNIA I, LLC |
95219 |
34 |
68,424 |
$5.08M |
| 58 |
JESMOND RIDGE MEDICAL SERVICES A MEDICAL CORPORATION |
95203 |
7 |
79,015 |
$4.99M |
| 59 |
KUMARS TRANSPORT |
95203 |
4 |
212,121 |
$4.94M |
| 60 |
MELBA A. BERBANO MD INC |
95210 |
30 |
30,522 |
$4.90M |
| 61 |
GENTRY VU MD INC |
95204 |
20 |
40,475 |
$4.79M |
| 62 |
SAN JOAQUIN COUNTY BEHAVIORAL HEALTH SERVICES |
95202 |
9 |
18,761 |
$4.76M |
| 63 |
WESTERN DENTAL SERVICES, INC. |
95207 |
34 |
107,231 |
$4.69M |
| 64 |
ST. JOSEPH'S SURGERY CENTER LP |
95204 |
6 |
2,913 |
$4.69M |
| 65 |
SAN JOAQUIN COUNTY BEHAVIORAL HEALTH SERVICES |
95207 |
9 |
14,526 |
$4.56M |
| 66 |
JACOBSON DENTAL CORP |
95207 |
26 |
169,463 |
$4.42M |
| 67 |
WESTERN DENTAL SERVICES, INC. |
95205 |
33 |
91,138 |
$4.37M |
| 68 |
WESTERN DENTAL SERVICES, INC. |
95210 |
38 |
98,910 |
$4.30M |
| 69 |
ADVANCED RADIOLOGY AND INTERVENTIONAL ASSOCIATES INC |
95204 |
94 |
215,511 |
$4.25M |
| 70 |
HOSPICE OF SAN JOAQUIN |
95204 |
5 |
7,986 |
$4.24M |
| 71 |
SAN JOAQUIN CARDIOLOGY MEDICAL GROUP INC |
95204 |
29 |
69,579 |
$4.02M |
| 72 |
SAN JOAQUIN COUNTY BEHAVIORAL HEALTH SERVICES |
95202 |
14 |
17,708 |
$3.97M |
| 73 |
SAN JOAQUIN COUNTY BEHAVIORAL HEALTH SERVICES |
95202 |
10 |
19,349 |
$3.87M |
| 74 |
COMMUNITY MEDICAL CENTERS, INC |
95203 |
33 |
111,348 |
$3.87M |
| 75 |
KUMAR, RAJENDRA |
95202 |
4 |
154,738 |
$3.77M |
| 76 |
OPTIMAL HOSPICE, INC. |
95219 |
5 |
13,854 |
$3.70M |
| 77 |
VALLEY MRI AND RADIOLOGY INC |
95204 |
42 |
41,030 |
$3.58M |
| 78 |
PACIFIC SLEEP DISORDERS CENTER A CALIFORNIA GENERAL PARTNERSHIP |
95210 |
5 |
28,425 |
$3.55M |
| 79 |
ACTIVE LIFE ADULT DAY CARE, INC. |
95210 |
2 |
42,498 |
$3.46M |
| 80 |
MOTION PHYSICAL THERAPY AND REHAB INC |
95212 |
11 |
144,984 |
$3.44M |
| 81 |
RASSIWALA DENTAL CORPORATION |
95205 |
35 |
96,501 |
$3.39M |
| 82 |
SAN JOAQUIN COUNTY BEHAVIORAL HEALTH SERVICES |
95202 |
5 |
15,933 |
$3.35M |
| 83 |
NICASIO ABRIOL DMD INC |
95206 |
22 |
118,894 |
$3.29M |
| 84 |
VALLEY PERINATAL & GENETICS DIAGNOSTIC CENTER MEDICAL GROUP, INC. |
95204 |
22 |
37,566 |
$3.10M |
| 85 |
DIGNITY HEALTH MEDICAL FOUNDATION |
95219 |
58 |
94,532 |
$2.76M |
| 86 |
MOMANI DDS INC |
95207 |
34 |
47,822 |
$2.76M |
| 87 |
TIYYAGURA, LAKSHMA |
95203 |
12 |
22,133 |
$2.71M |
| 88 |
MARCH LANE PEDIATRIC GROUP |
95207 |
50 |
241,643 |
$2.59M |
| 89 |
ZEITER EYE MEDICAL GROUP, INC |
95202 |
20 |
18,936 |
$2.45M |
| 90 |
FAIDI, ANAN |
95202 |
26 |
53,749 |
$2.31M |
| 91 |
SUTTER HEARING AID CENTER |
95207 |
2 |
1,811 |
$2.25M |
| 92 |
RAI CARE CENTERS OF NORTHERN CALIFORNIA I, LLC |
95204 |
23 |
22,912 |
$2.12M |
| 93 |
PACIFIC HEART AND VASCULAR MEDICAL GROUP |
95210 |
23 |
26,331 |
$2.11M |
| 94 |
SAN JOAQUIN CRITICAL CARE MEDICAL GROUP, INC. |
95210 |
6 |
22,197 |
$2.10M |
| 95 |
ZEITER EYE SURGICAL CENTER, INC. |
95210 |
6 |
5,544 |
$2.07M |
| 96 |
DONALD C. HUANG DDS INC. |
95204 |
18 |
90,554 |
$2.06M |
| 97 |
ALSHIFA MEDICAL GROUP INC |
95219 |
19 |
44,200 |
$2.05M |
| 98 |
COMMUNITY MEDICAL CENTERS, INC. |
95210 |
62 |
54,762 |
$2.01M |
| 99 |
CALIFORNIA EM-I MEDICAL SERVICES A MEDICAL CORPORATION |
95203 |
4 |
27,478 |
$1.93M |
| 100 |
KUNIMOTO DENTAL CORP |
95207 |
22 |
75,174 |
$1.83M |
| 101 |
DANIEL J. OFFIELD, MARRIAGE AND FAMILY THERAPIST, A PROFESSIONAL CORP |
95207 |
2 |
15,468 |
$1.81M |
| 102 |
CHENG, SHYH-FANG |
95204 |
14 |
11,163 |
$1.81M |
| 103 |
MARIATHERESA G. ORONCE |
95204 |
25 |
50,929 |
$1.76M |
| 104 |
WESTLANE MEDICAL CLINIC,INC |
95210 |
42 |
126,646 |
$1.76M |
| 105 |
CV PHYSICAL THERAPY, INC. |
95209 |
9 |
101,578 |
$1.74M |
| 106 |
ZEITER EYE MEDICAL GROUP INC OCULAFACIAL PLASTIC AND RECONSTRUCTIVE SU |
95210 |
6 |
3,012 |
$1.72M |
| 107 |
PACIFIC URGENT CARE INC |
95209 |
31 |
65,813 |
$1.67M |
| 108 |
BHAGYA NAKKA, M.D., INC. |
95203 |
18 |
27,885 |
$1.66M |
| 109 |
OYEWOLE, AYOADE |
95202 |
2 |
67,761 |
$1.64M |
| 110 |
SALAS PROPERTIES LLC |
95207 |
1 |
879 |
$1.56M |
| 111 |
WESTERN DENTAL SERVICES, INC. |
95207 |
30 |
34,413 |
$1.55M |
| 112 |
MARDINI, MAY |
95204 |
6 |
64,656 |
$1.54M |
| 113 |
SAN JOAQUIN COUNTY BEHAVIORAL HEALTH SERVICES |
95202 |
7 |
3,926 |
$1.51M |
| 114 |
PACIFIC KIDNEY & HYPERTENSION INC |
95204 |
13 |
17,441 |
$1.47M |
| 115 |
TUAN H. NGUYEN, D.D.S., INC. |
95207 |
13 |
68,303 |
$1.46M |
| 116 |
BHANGU DENTAL CORPORATION |
95207 |
26 |
47,653 |
$1.46M |
| 117 |
SOUTH CALIFORNIA DENTAL PRACTICE |
95202 |
23 |
51,770 |
$1.44M |
| 118 |
SAN JOAQUIN LASER AND SURGERY CENTER |
95204 |
3 |
2,021 |
$1.43M |
| 119 |
PEDIATRIC CARE OF STOCKTON |
95204 |
43 |
61,718 |
$1.31M |
| 120 |
CENTRAL CHILDREN'S HEALTH |
95204 |
5 |
7,781 |
$1.28M |
| 121 |
JEFFREY L MANSOOR MD INC |
95203 |
9 |
9,865 |
$1.25M |
| 122 |
PACIFIC WOUND CENTER MEDICAL GROUP, INC. |
95207 |
7 |
31,834 |
$1.22M |
| 123 |
PACIFIC COAST SERVICES INC. |
95219 |
2 |
8,254 |
$1.19M |
| 124 |
GENY B. BURGOS M. D. INC. |
95210 |
44 |
94,722 |
$1.18M |
| 125 |
ROBERTO V ESPEJO JR DDS A PROFESSIONAL DENTAL CORPORATION |
95202 |
20 |
59,971 |
$1.17M |
| 126 |
CENTRAL VALLEY EYE MEDICAL GROUP INC. |
95207 |
18 |
22,955 |
$1.15M |
| 127 |
SAN JOAQUIN COUNTY OFFICE OF EDUCATION |
95206 |
20 |
34,066 |
$1.15M |
| 128 |
G SEKHON, A PC |
95219 |
30 |
16,211 |
$1.12M |
| 129 |
D PARK MPH DDS DENTAL CORPORATION |
95210 |
28 |
34,501 |
$1.10M |
| 130 |
CENTRAL ONE MOBILITY |
95207 |
3 |
35,193 |
$1.09M |
| 131 |
ADVENTIST HEALTH PHYSICIANS NETWORK |
95210 |
25 |
15,374 |
$1.06M |
| 132 |
KEVIN THANG PHAM, DDS, INC. |
95210 |
23 |
26,728 |
$1.06M |
| 133 |
WESTERN DENTAL SERVICES, INC. |
95206 |
22 |
20,966 |
$1.05M |
| 134 |
DE JESUS, ROLANDO |
95207 |
20 |
38,951 |
$1.02M |
| 135 |
COSTELLO, FRAN |
95209 |
3 |
9,316 |
$943K |
| 136 |
SAN JOAQUIN COUNTY BEHAVIORAL HEALTH SERVICES |
95202 |
4 |
3,615 |
$936K |
| 137 |
SAN JOAQUIN COUNTY BEHAVIORAL HEALTH SERVICES |
95202 |
6 |
4,734 |
$911K |
| 138 |
WESTERN DENTAL SERVICES, INC. |
95210 |
22 |
18,275 |
$909K |
| 139 |
LINCOLN UNIFIED SCHOOL DISTRICT |
95207 |
9 |
38,557 |
$903K |
| 140 |
IMPERIAL TRANSPORT SERVICES LLC |
95207 |
4 |
38,032 |
$900K |
| 141 |
AAA MEDICAL CORP |
95204 |
5 |
5,315 |
$873K |
| 142 |
NORTHERN CALIFORNIA PEDIATRIC HOSPITALISTS, INC |
95204 |
8 |
21,142 |
$852K |
| 143 |
INFINITY CARE SERVICES, INC. |
95202 |
4 |
8,286 |
$834K |
| 144 |
MARVIN, MELISSA |
95207 |
2 |
7,058 |
$826K |
| 145 |
MODERN NEUROCARE MEDICAL CENTER |
95210 |
6 |
7,444 |
$818K |
| 146 |
RAD PHYSICIANS MEDICAL CORPORATION, INC |
95204 |
32 |
58,261 |
$811K |
| 147 |
MEHERJI OSHTORY MD & ABHA OSHTORY MD A PROFESSIONAL CORP |
95204 |
9 |
5,131 |
$793K |
| 148 |
DAVINDER S. MANAK DDS. INCORPORATION |
95206 |
20 |
31,169 |
$764K |
| 149 |
WOLFF, LINDA |
95212 |
4 |
1,116 |
$761K |
| 150 |
NEPHROLOGY ASSOC INC ME OF THE BAY AREA |
95231 |
3 |
3,749 |
$729K |
| 151 |
ORELLANA, MANUEL |
95204 |
4 |
9,882 |
$706K |
| 152 |
GERIATRICS LONG TERM CARE MEDICAL CORPORATION |
95207 |
37 |
39,909 |
$698K |
| 153 |
PEDIATRIC ASSOCIATES OF STOCKTON |
95207 |
49 |
112,412 |
$681K |
| 154 |
STOCKTON PEDIATRIC MED. GROUP, INC. |
95204 |
38 |
63,417 |
$664K |
| 155 |
BACCAM, ROUNGTHIP |
95207 |
1 |
5,558 |
$654K |
| 156 |
DIABLO HOME CARE INC |
95207 |
2 |
10,020 |
$640K |
| 157 |
YOUNG, EDWARD |
95207 |
15 |
16,585 |
$635K |
| 158 |
VU, TRINH |
95207 |
32 |
56,523 |
$617K |
| 159 |
CHEN, JAMES |
95210 |
28 |
39,113 |
$595K |
| 160 |
KUMAR, NISCHAL |
95206 |
2 |
28,439 |
$589K |
| 161 |
OURFIRST INC |
95207 |
3 |
3,444 |
$563K |
| 162 |
ALPINE ORTHOPAEDIC MEDICAL GROUP INC |
95204 |
25 |
12,088 |
$560K |
| 163 |
SANJEEV K. GOSWAMI, MD, INC. |
95210 |
16 |
13,038 |
$557K |
| 164 |
TRINH VU, MD., INC. |
95207 |
34 |
64,542 |
$548K |
| 165 |
ACCESS PHYSICIAN INC. |
95219 |
11 |
24,663 |
$542K |
| 166 |
FREMONT HEALTH CENTER DENTAL GROUP |
95205 |
16 |
19,189 |
$532K |
| 167 |
SERNA, SONYA |
95203 |
3 |
5,217 |
$514K |
| 168 |
LARSEN DUNNICLIFF PHYSICAL THERAPY INC |
95207 |
5 |
14,369 |
$513K |
| 169 |
ZEITER EYE MEDICAL GROUP, INC. |
95210 |
13 |
7,192 |
$484K |
| 170 |
SMILE HEALTH SOLUTIONS |
95207 |
6 |
4,268 |
$482K |
| 171 |
TORRES-MALLANTA, MINERVA |
95207 |
2 |
20,332 |
$482K |
| 172 |
SOUNG, JERRY |
95204 |
3 |
4,953 |
$468K |
| 173 |
DRS MAHER MAHDI & SAMI DENTAL CORP |
95207 |
15 |
4,550 |
$463K |
| 174 |
SAMUEL B BOCKARI |
95209 |
2 |
21,564 |
$460K |
| 175 |
COIRIN, MIYUKI |
95204 |
2 |
3,802 |
$431K |
| 176 |
COUNTY OF SAN JOAQUIN |
95205 |
22 |
8,427 |
$424K |
| 177 |
STEVENS KIM MD AND STEPHEN LIN MD MEDICAL GROUP INC |
95207 |
2 |
606 |
$423K |
| 178 |
JOURNEY VIA GURNEY, LLC |
95207 |
5 |
24,872 |
$415K |
| 179 |
SUESS, LAWRENCE |
95204 |
5 |
6,589 |
$414K |
| 180 |
RICAFRENTE, GARY |
95207 |
3 |
17,549 |
$404K |
| 181 |
ACOLATSE, JULIET |
95202 |
1 |
3,483 |
$400K |
| 182 |
JAGJIT SINGH, M.D., INC |
95204 |
6 |
4,470 |
$398K |
| 183 |
NATIONAL SEATING & MOBILITY INC |
95206 |
9 |
3,062 |
$396K |
| 184 |
PUBLIC HEALTH LAB, SAN JOAQUIN CO PUB HLTH SVS |
95205 |
19 |
15,457 |
$396K |
| 185 |
NAMASTE COUNSELING SERVICES |
95207 |
1 |
3,418 |
$381K |
| 186 |
SMITH, MICHAEL |
95207 |
2 |
3,536 |
$380K |
| 187 |
APRIA HEALTHCARE LLC |
95210 |
12 |
9,685 |
$365K |
| 188 |
LIN, SHOU I |
95207 |
29 |
39,194 |
$364K |
| 189 |
MALAK, TAYMOUR |
95204 |
32 |
45,430 |
$364K |
| 190 |
HOWARD, SCOTT |
95207 |
4 |
3,275 |
$359K |
| 191 |
TOURO UNIVERSITY MEDICAL GROUP |
95204 |
22 |
9,672 |
$350K |
| 192 |
PATRICIA A. HATTON, M.D., INC |
95204 |
13 |
6,864 |
$349K |
| 193 |
JBJC INC. |
95204 |
8 |
20,484 |
$336K |
| 194 |
HAAVISTO, DAWN |
95207 |
1 |
2,987 |
$331K |
| 195 |
THE STOCKTON THERAPY NETWORK |
95202 |
3 |
2,844 |
$327K |
| 196 |
VO, SON |
95207 |
11 |
16,229 |
$320K |
| 197 |
JOSEBELO D. CHONG, M.D. INC. |
95210 |
10 |
5,979 |
$318K |
| 198 |
CENTURION VALLEY HEALTHCARE INC. |
95219 |
4 |
9,731 |
$315K |
| 199 |
FRANCO, MARISELA |
95204 |
3 |
3,158 |
$307K |
| 200 |
CMT MEDICAL TRANSPORT SOLUTIONS, LLC |
95210 |
3 |
13,259 |
$300K |