Table: dental_utilization_by_provider_cy2021 , provider_legal_name like all*

A  B  C  D  E  F  G  H  I  J  K  L  M  N  O  P  Q  R  S  T  U  V  W  X  Y  Z  *

rendering_npi provider_legal_name calendar_year delivery_system provider_type age_group adv_user_cnt adv_user_annotation_code adv_svc_cnt adv__svc_annotation_code prev_user_cnt prev_user_annotation_code prev_svc_cnt prev_svc_annotation_code txmt_user_cnt txmt_user_annotation_code txmt_svc_cnt txmt_svc_annotation_code exam_user_cnt exam_user_annotation_code exam_svc_cnt exam_svc_annotation_code
1003000175 REYES-VASQUEZ BELINDA 2021 FFS RENDERING AGE 21+ 1,064 2,741 1 2 1,062 2,246 482 482
1003004698 GODFREY III, MERLE FRANKLIN, 2021 FFS RENDERING AGE 21+ 275 1,284 147 463 275 560 245 245
1003009440 VONTELA REKHA 2021 FFS RENDERING AGE 0-20 603 7,145 576 2,429 335 712 568 728
1003009440 VONTELA REKHA 2021 FFS RENDERING AGE 21+ 683 5,229 571 1,135 305 742 585 585
1003010372 LIM KYUNG A 2021 FFS RENDERING AGE 0-20 88 361 62 132 28 49 36 36
1003010372 LIM KYUNG A 2021 FFS RENDERING AGE 21+ 81 331 39 76 41 90 33 33
1003011172 KHULLAR, SONIA, DDS 2021 FFS RENDERING AGE 0-20 76 550 64 235 37 75 68 81
1003011172 KHULLAR, SONIA, DDS 2021 FFS RENDERING AGE 21+ 290 1,856 162 302 208 951 218 220
1003012170 SHAH, KISHORE K, DDS INC 2021 PHP RENDERING AGE 0-20 35 378 31 210 1 2 32 64
1003012170 SHAH, KISHORE K, DDS INC 2021 PHP RENDERING AGE 21+ 28 232 14 52 11 40 14 28
1003012857 HUSSAINY MIRWAIS 2021 FFS RENDERING AGE 0-20 55 289 0 0 54 288 1 1
1003012857 HUSSAINY MIRWAIS 2021 FFS RENDERING AGE 21+ 85 416 0 0 83 407 1 1
1003022880 WANG JAMES H 2021 FFS RENDERING AGE 0-20 226 2,118 151 470 161 660 209 269
1003022880 WANG JAMES H 2021 FFS RENDERING AGE 21+ 191 1,535 104 206 159 744 133 133
1003028077 PHAM CATHY H 2021 FFS RENDERING AGE 0-20 24 149 22 52 1 2 21 23
1003028077 PHAM CATHY H 2021 FFS RENDERING AGE 21+ 23 147 20 38 1 2 19 19
1003031972 NGUYEN DAVE H 2021 FFS RENDERING AGE 0-20 79 785 73 99 30 126 68 76
1003031972 NGUYEN DAVE H 2021 FFS RENDERING AGE 21+ 161 955 62 62 91 342 112 114
1003032061 LEE CHARLES C 2021 FFS RENDERING AGE 0-20 60 356 49 138 31 127 41 41
1003032061 LEE CHARLES C 2021 FFS RENDERING AGE 21+ 196 918 125 241 108 360 133 133
1003035114 KIM, KWANG SEOB, DDS 2021 FFS RENDERING AGE 0-20 336 2,061 273 781 149 523 281 321
1003035114 KIM, KWANG SEOB, DDS 2021 FFS RENDERING AGE 21+ 1,009 6,190 564 1,097 657 2,907 706 721
1003035239 CHEN JING 2021 FFS RENDERING AGE 0-20 218 1,732 197 559 106 348 210 271
1003035239 CHEN JING 2021 FFS RENDERING AGE 21+ 593 5,310 426 859 465 2,748 479 485
1003038142 EYRE CLARICE L 2021 FFS RENDERING AGE 0-20 422 864 0 0 194 559 1 1
1003038142 EYRE CLARICE L 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1003047531 VEDAMANI, SHAWN R MD 2021 FFS RENDERING AGE 0-20 11 34 0 0 11 34 0 0
1003056409 RASHIDI MARK M 2021 FFS RENDERING AGE 0-20 238 458 0 0 70 189 0 0
1003056409 RASHIDI MARK M 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1003056409 RASHIDI MARK M 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1003056409 RASHIDI MARK M 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1003063652 VAHIDNIA ARJANG 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1003063652 VAHIDNIA ARJANG 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1003063652 VAHIDNIA ARJANG 2021 GMC RENDERING AGE 0-20 282 1,590 145 163 278 550 41 41
1003063652 VAHIDNIA ARJANG 2021 GMC RENDERING AGE 21+ 968 5,111 539 601 693 904 898 924
1003072828 NAIK APARNA R 2021 FFS RENDERING AGE 0-20 114 631 84 157 48 101 82 82
1003072828 NAIK APARNA R 2021 FFS RENDERING AGE 21+ 427 2,526 178 181 270 700 212 212
1003072828 NAIK APARNA R 2021 GMC RENDERING AGE 21+ 1 2 0 0 1 1 0 0
1003074923 PILLAI BINDU V 2021 FFS RENDERING AGE 0-20 769 7,501 87 179 390 1,045 625 633
1003074923 PILLAI BINDU V 2021 FFS RENDERING AGE 21+ 338 3,432 52 88 150 552 273 273
1003082074 SHIRAZI ARDESTANI, BEHZAD, I 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 1 1
1003082074 SHIRAZI ARDESTANI, BEHZAD, I 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1003083965 BAUTISTA REYMOND CARBONELL 2021 GMC RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1003091232 SHELAT BHAVINI H 2021 FFS RENDERING AGE 0-20 2,485 38,641 2,337 7,792 1,300 1,491 2,355 2,580
1003091489 FALABELLA, JULIAN, DDS 2021 FFS RENDERING AGE 0-20 145 676 48 114 92 230 72 75
1003091489 FALABELLA, JULIAN, DDS 2021 FFS RENDERING AGE 21+ 185 552 1 2 159 333 33 33
1003097783 SIMANIAN MITRA E 2021 FFS RENDERING AGE 0-20 73 587 58 148 32 117 59 81
1003097783 SIMANIAN MITRA E 2021 FFS RENDERING AGE 21+ 90 333 14 21 35 109 66 66
1003097783 SIMANIAN MITRA E 2021 PHP RENDERING AGE 0-20 1 2 1 2 1 2 1 1
1003097783 SIMANIAN MITRA E 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1003100959 MATCHETT JOHN 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1003126343 RAMIREZ, JOSE RUBEN DDS 2021 FFS RENDERING AGE 0-20 162 1,197 142 380 74 263 156 201
1003126343 RAMIREZ, JOSE RUBEN DDS 2021 FFS RENDERING AGE 21+ 135 675 50 100 89 287 103 103
1003127234 NATARAJAN, SIVA V MD 2021 FFS RENDERING AGE 0-20 1,029 3,173 0 0 1,029 3,173 0 0
1003154808 GUEVARRA, VERONICA CABAL, RD 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 0 0
1003159864 OHRI PRIYAL S 2021 FFS RENDERING AGE 0-20 858 5,610 664 1,699 530 1,257 614 619
1003161969 JOHNSON, MALIEKA T, DDS 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1003161969 JOHNSON, MALIEKA T, DDS 2021 FFS RENDERING AGE 21+ 146 964 69 123 119 540 112 112
1003164799 YALUNG JELSON J 2021 FFS RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1003212333 KHOSHSAR RAMIN 2021 FFS RENDERING AGE 0-20 54 399 44 113 25 91 47 61
1003212333 KHOSHSAR RAMIN 2021 FFS RENDERING AGE 21+ 276 2,031 124 232 152 746 218 218
1003222753 YHIP JANETTE P 2021 FFS RENDERING AGE 0-20 53 198 0 0 46 134 0 0
1003224023 MORETT MARTHA E 2021 FFS RENDERING AGE 0-20 34 279 29 110 13 52 27 32
1003224023 MORETT MARTHA E 2021 FFS RENDERING AGE 21+ 96 488 32 39 57 221 72 72
1003235631 LE NICK L 2021 FFS RENDERING AGE 0-20 826 10,180 666 1,910 357 1,437 663 798
1003235631 LE NICK L 2021 FFS RENDERING AGE 21+ 184 1,752 113 239 115 572 154 165
1003236886 COMBS JORDAN D 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1003240680 NAJI PEGAH 2021 FFS RENDERING AGE 0-20 327 2,546 255 820 125 334 265 283
1003240680 NAJI PEGAH 2021 FFS RENDERING AGE 21+ 293 1,291 92 154 160 404 161 161
1003240680 NAJI PEGAH 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1003253576 METRIKINA MARGARITA 2021 FFS RENDERING AGE 0-20 17 90 14 43 1 1 15 16
1003253576 METRIKINA MARGARITA 2021 FFS RENDERING AGE 21+ 270 2,316 177 352 218 1,082 219 219
1003254137 YANG, JOSEPH MD 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 2 0 0
1003257536 PLEITEZ ERIK I 2021 FFS RENDERING AGE 0-20 11 54 1 2 1 1 1 1
1003257536 PLEITEZ ERIK I 2021 FFS RENDERING AGE 21+ 58 279 15 16 42 127 38 38
1003269671 RAFI AMANDA 2021 FFS RENDERING AGE 0-20 465 6,551 432 1,928 333 1,310 449 613
1003269671 RAFI AMANDA 2021 FFS RENDERING AGE 21+ 369 3,222 239 464 275 1,566 307 307
1003303140 HUANG LI HONG 2021 FFS RENDERING AGE 0-20 2,234 17,752 1,711 4,708 1,292 2,757 1,570 1,746
1003343708 MOORE YOUNAN ARLENE TEANA ZAKIA 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1003369075 SHAHHAL SAMI I 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1003369075 SHAHHAL SAMI I 2021 FFS RENDERING AGE 21+ 32 129 1 1 30 122 1 1
1003378365 RAZANI NADIA 2021 FFS RENDERING AGE 0-20 1,655 9,439 1,304 3,402 881 1,850 1,219 1,289
1003378365 RAZANI NADIA 2021 FFS RENDERING AGE 21+ 122 281 37 41 83 128 0 0
1003392499 SHERGILL NAVNEET 2021 FFS RENDERING AGE 0-20 2,688 22,327 2,016 5,560 1,314 3,490 1,942 2,068
1003392499 SHERGILL NAVNEET 2021 FFS RENDERING AGE 21+ 17 85 1 1 1 2 1 1
1003394313 PARK JONGGOO 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 2 1 1
1003394313 PARK JONGGOO 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1003394511 GOLANI RAHUL D 2021 FFS RENDERING AGE 0-20 185 1,072 112 275 138 380 73 73
1003415183 BRUMELL ASHLEY A 2021 FFS RENDERING AGE 0-20 231 1,466 170 456 96 146 176 176
1003415183 BRUMELL ASHLEY A 2021 FFS RENDERING AGE 21+ 1,079 3,525 366 614 1,017 1,435 604 604
1003415183 BRUMELL ASHLEY A 2021 PHP RENDERING AGE 0-20 1 2 1 1 0 0 1 1
1003415183 BRUMELL ASHLEY A 2021 PHP RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1003415951 PHAM TAMMY L 2021 FFS RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1003415951 PHAM TAMMY L 2021 GMC RENDERING AGE 0-20 267 1,480 186 439 93 180 231 258
1003415951 PHAM TAMMY L 2021 GMC RENDERING AGE 21+ 468 2,926 293 581 353 1,118 400 400
1003415951 PHAM TAMMY L 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1003424946 NGUYEN TRANG H 2021 FFS RENDERING AGE 0-20 265 997 73 156 206 497 105 106
1003424946 NGUYEN TRANG H 2021 FFS RENDERING AGE 21+ 305 1,334 62 115 277 752 77 79
1003462169 FARAG NADA M 2021 FFS RENDERING AGE 0-20 511 3,151 337 763 199 547 401 423
1003462169 FARAG NADA M 2021 FFS RENDERING AGE 21+ 444 1,325 66 95 226 436 222 224
1003462169 FARAG NADA M 2021 PHP RENDERING AGE 0-20 12 38 1 2 1 2 1 1
1003462169 FARAG NADA M 2021 PHP RENDERING AGE 21+ 1 2 0 0 1 2 1 1
1003466137 ZHANG XUYU 2021 FFS RENDERING AGE 0-20 12 50 1 2 1 1 1 1
1003466137 ZHANG XUYU 2021 FFS RENDERING AGE 21+ 127 630 32 60 102 260 41 41
1003478223 HANKINS DELANO B 2021 FFS RENDERING AGE 0-20 135 551 72 194 21 40 103 103
1003478223 HANKINS DELANO B 2021 FFS RENDERING AGE 21+ 270 695 26 44 84 153 140 140
1003478223 HANKINS DELANO B 2021 PHP RENDERING AGE 0-20 41 151 34 78 1 1 34 35
1003478223 HANKINS DELANO B 2021 PHP RENDERING AGE 21+ 44 109 15 23 11 17 32 33
1003803651 DO VINCENT 2021 FFS RENDERING AGE 0-20 80 950 74 303 51 121 61 80
1003803651 DO VINCENT 2021 FFS RENDERING AGE 21+ 162 1,359 91 179 123 450 111 111
1003806001 LIU, BARRY RANDALL, DDS 2021 FFS RENDERING AGE 21+ 1 1 1 1 1 1 0 0
1003807199 BRAZEAL, GEORGE W, DDS 2021 FFS RENDERING AGE 0-20 1 2 1 1 0 0 1 1
1003807199 BRAZEAL, GEORGE W, DDS 2021 FFS RENDERING AGE 21+ 21 101 18 18 12 32 14 14
1003820895 LEW EDWARD W 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1003820895 LEW EDWARD W 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1003820895 LEW EDWARD W 2021 PHP RENDERING AGE 0-20 49 143 22 34 20 33 25 27
1003820895 LEW EDWARD W 2021 PHP RENDERING AGE 21+ 149 420 32 33 115 264 41 42
1003827494 NGUYEN, DINH HIEP, DMD 2021 FFS RENDERING AGE 0-20 18 91 18 18 1 1 18 18
1003827494 NGUYEN, DINH HIEP, DMD 2021 FFS RENDERING AGE 21+ 29 170 24 24 1 2 1 1
1003827551 MEDINA DIANA M 2021 FFS RENDERING AGE 0-20 36 104 0 0 36 104 0 0
1003827551 MEDINA DIANA M 2021 FFS RENDERING AGE 21+ 89 295 0 0 89 295 0 0
1003834003 KWON VIVIAN 2021 FFS RENDERING AGE 0-20 44 267 38 63 16 65 44 44
1003834003 KWON VIVIAN 2021 FFS RENDERING AGE 21+ 117 548 50 53 57 183 107 107
1003841438 SKUBEN, JANE E, DDS 2021 FFS RENDERING AGE 0-20 51 396 47 122 29 91 46 57
1003841438 SKUBEN, JANE E, DDS 2021 FFS RENDERING AGE 21+ 86 612 74 146 54 227 73 73
1003842899 KAISER, KEVIN G MD 2021 FFS RENDERING AGE 0-20 21 42 0 0 21 42 0 0
1003847955 LE JR KHA D 2021 FFS RENDERING AGE 0-20 626 4,993 571 1,729 258 865 530 695
1003847955 LE JR KHA D 2021 FFS RENDERING AGE 21+ 686 4,246 436 693 426 1,699 420 421
1003863556 VU, KEVIN DMD 2021 FFS RENDERING AGE 0-20 39 183 33 65 12 26 38 38
1003863556 VU, KEVIN DMD 2021 FFS RENDERING AGE 21+ 173 732 83 164 73 190 149 149
1003868068 JOSHI, PRAFULLA A, DDS 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1003868068 JOSHI, PRAFULLA A, DDS 2021 FFS RENDERING AGE 21+ 57 582 33 66 41 234 38 76
1003868068 JOSHI, PRAFULLA DDS 2021 FFS RENDERING AGE 0-20 1 1 1 1 1 1 1 1
1003868068 JOSHI, PRAFULLA DDS 2021 FFS RENDERING AGE 21+ 57 291 33 33 41 117 38 38
1003900705 PHAM KEVIN T 2021 FFS RENDERING AGE 0-20 165 2,004 150 567 108 587 150 194
1003900705 PHAM KEVIN T 2021 FFS RENDERING AGE 21+ 343 3,259 220 417 280 1,782 241 241
1003905068 NGUYEN, DUY DUC, DDS INC 2021 FFS RENDERING AGE 0-20 314 816 0 0 310 796 1 1
1003905068 NGUYEN, DUY DUC, DDS INC 2021 FFS RENDERING AGE 21+ 1,041 3,044 1 1 1,032 2,969 13 13
1003905068 NGUYEN, DUY DUC, DDS INC 2021 PHP RENDERING AGE 0-20 11 35 0 0 11 35 0 0
1003905068 NGUYEN, DUY DUC, DDS INC 2021 PHP RENDERING AGE 21+ 46 161 0 0 46 161 0 0
1003910142 GABBAYPOUR GABRIEL 2021 FFS RENDERING AGE 0-20 148 730 0 0 111 552 89 89
1003910142 GABBAYPOUR GABRIEL 2021 FFS RENDERING AGE 21+ 188 688 0 0 95 393 148 148
1003910142 GABBAYPOUR GABRIEL 2021 PHP RENDERING AGE 0-20 1 2 0 0 1 2 1 1
1003910142 GABBAYPOUR GABRIEL 2021 PHP RENDERING AGE 21+ 39 168 1 1 20 103 29 29
1003915810 ANGELICI LISA M 2021 FFS RENDERING AGE 0-20 67 118 1 1 16 51 1 1
1003915810 ANGELICI LISA M 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1003918756 BENBRAHIM, AICHA, DDS 2021 FFS RENDERING AGE 0-20 89 566 73 143 52 173 74 74
1003918756 BENBRAHIM, AICHA, DDS 2021 FFS RENDERING AGE 21+ 345 2,267 250 251 257 1,032 272 272
1003932948 LUONG DONALD 2021 FFS RENDERING AGE 0-20 48 351 33 78 33 98 41 44
1003932948 LUONG DONALD 2021 FFS RENDERING AGE 21+ 165 1,022 47 91 120 528 81 81
1003933136 PURI SHALABH 2021 FFS RENDERING AGE 0-20 86 714 70 297 33 66 67 86
1003933136 PURI SHALABH 2021 FFS RENDERING AGE 21+ 248 1,643 152 155 170 666 189 191
1003934761 CADALSO JR ROBERT T 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1003942384 VU, ANH 2021 FFS RENDERING AGE 0-20 19 304 19 69 1 2 18 26
1003942384 VU, ANH 2021 FFS RENDERING AGE 21+ 28 221 17 17 12 48 26 26
1003944638 NGO THANH C 2021 FFS RENDERING AGE 0-20 578 5,269 544 2,436 176 386 539 606
1003944638 NGO THANH C 2021 FFS RENDERING AGE 21+ 1,373 7,582 907 1,810 934 2,965 940 940
1003946443 IZRAYLEVICH NINA 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1003946443 IZRAYLEVICH NINA 2021 FFS RENDERING AGE 21+ 165 271 1 1 161 249 1 1
1003946443 IZRAYLEVICH, NINA, DDS 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1003946443 IZRAYLEVICH, NINA, DDS 2021 FFS RENDERING AGE 21+ 165 271 1 1 161 249 1 1
1003952391 LEE RICHARD 2021 FFS RENDERING AGE 0-20 103 726 94 386 26 66 101 137
1003952391 LEE RICHARD 2021 FFS RENDERING AGE 21+ 103 614 40 40 60 177 73 73
1003953126 KHOSHROZEH DENTAL CORPORATIO 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1003953282 BINAFARD, BEHZAD DANIEL DDS 2021 FFS RENDERING AGE 0-20 325 3,089 295 1,095 111 398 298 395
1003953282 BINAFARD, BEHZAD DANIEL DDS 2021 FFS RENDERING AGE 21+ 579 3,665 371 387 332 1,314 454 454
1003953282 BINAFARD, BEHZAD DANIEL DDS 2021 PHP RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1003953282 BINAFARD, BEHZAD DANIEL DDS 2021 PHP RENDERING AGE 21+ 18 80 1 1 1 2 14 14
1003953332 NISHIZAKA, SCOTT MICHIO, DDS 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1003953332 NISHIZAKA, SCOTT MICHIO, DDS 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1003953860 PANOFF, DANIEL O 2021 FFS RENDERING AGE 0-20 565 5,846 536 1,929 392 1,503 523 545
1003953860 PANOFF, DANIEL O 2021 FFS RENDERING AGE 21+ 293 2,125 196 362 211 853 254 254
1003953936 GOPALAN SHANTI 2021 FFS RENDERING AGE 0-20 406 2,658 354 1,031 161 501 326 405
1003953936 GOPALAN SHANTI 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1003958489 DUONG VU Q 2021 FFS RENDERING AGE 0-20 172 2,159 164 442 51 117 169 228
1003958489 DUONG VU Q 2021 FFS RENDERING AGE 21+ 483 5,046 280 557 309 939 377 377
1003958745 BUENAVENTURA MIRIAM B 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1003959727 HASHEMIAN SHERVIN T 2021 FFS RENDERING AGE 0-20 130 947 82 166 23 62 112 118
1003959727 HASHEMIAN SHERVIN T 2021 FFS RENDERING AGE 21+ 140 626 14 17 43 122 86 86
1003960543 WOOD ALFRED J 2021 FFS RENDERING AGE 0-20 807 6,719 752 3,086 336 1,140 787 1,182
1003960543 WOOD ALFRED J 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1003964107 PATEL, ALPHESH K DDS 2021 FFS RENDERING AGE 0-20 257 4,815 221 966 133 548 238 315
1003964107 PATEL, ALPHESH K DDS 2021 FFS RENDERING AGE 21+ 454 4,964 110 188 321 1,849 354 354
1003965112 SUMENKO IRINA 2021 FFS RENDERING AGE 0-20 13 74 13 34 1 2 1 1
1003965112 SUMENKO IRINA 2021 FFS RENDERING AGE 21+ 86 539 53 108 56 239 53 54
1003965112 SUMENKO IRINA 2021 PHP RENDERING AGE 0-20 16 73 16 45 1 1 16 18
1003965112 SUMENKO IRINA 2021 PHP RENDERING AGE 21+ 37 249 31 75 18 92 35 35
1003967548 TRAN CINDY M 2021 FFS RENDERING AGE 0-20 2,730 33,022 2,576 8,862 644 1,896 2,591 3,428
1003967548 TRAN CINDY M 2021 FFS RENDERING AGE 21+ 569 2,931 318 328 186 449 485 487
1003973934 KO, STEVEN SUKKYU, DDS 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1003975566 TURNER KARLA M 2021 PHP RENDERING AGE 0-20 14 52 1 1 1 2 1 1
1003975566 TURNER KARLA M 2021 PHP RENDERING AGE 21+ 49 261 1 1 31 103 35 35
1003976994 BLUM MICHAEL P 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 1 1
1003976994 BLUM MICHAEL P 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 2 0 0
1003982075 CHOY MARIA JESUSA T 2021 FFS RENDERING AGE 0-20 227 1,484 162 612 91 236 198 227
1003982075 CHOY MARIA JESUSA T 2021 FFS RENDERING AGE 21+ 438 1,996 122 224 210 825 365 365
1003982075 CHOY MARIA JESUSA T 2021 GMC RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1003982075 CHOY MARIA JESUSA T 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1003982638 JUAREZ, ELVIA, A DENTAL CORP 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1003989294 TON DANIEL 2021 FFS RENDERING AGE 0-20 93 609 80 169 38 112 70 75
1003989294 TON DANIEL 2021 FFS RENDERING AGE 21+ 389 2,816 240 376 294 1,196 311 312
1003989427 GUARIN-FORTIN, MARICEL B, DD 2021 FFS RENDERING AGE 0-20 1 2 1 1 0 0 1 1
1003989427 GUARIN-FORTIN, MARICEL B, DD 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1003991910 AHN, TERRY DDS 2021 FFS RENDERING AGE 0-20 208 2,753 180 592 110 279 188 231
1003991910 AHN, TERRY DDS 2021 FFS RENDERING AGE 21+ 476 4,795 164 176 376 1,608 333 333
1003992454 DO DAT-MINH 2021 FFS RENDERING AGE 0-20 42 187 30 64 25 39 30 33
1003992454 DO DAT-MINH 2021 FFS RENDERING AGE 21+ 229 1,349 116 213 182 626 125 125
1003996067 GAD MAGDY W 2021 PHP RENDERING AGE 0-20 14 55 12 20 1 1 1 1
1003996067 GAD MAGDY W 2021 PHP RENDERING AGE 21+ 211 667 139 230 43 95 140 142
1013011642 MYAING, HLA, DDS 2021 FFS RENDERING AGE 0-20 44 403 37 130 20 88 42 44
1013011642 MYAING, HLA, DDS 2021 FFS RENDERING AGE 21+ 151 1,284 101 211 106 488 116 118
1013035849 SHIRVANI MICHAEL 2021 FFS RENDERING AGE 0-20 1 1 1 1 1 1 0 0
1013035849 SHIRVANI MICHAEL 2021 FFS RENDERING AGE 21+ 13 33 1 1 1 2 1 1
1013037688 NGUYEN JAUBIN D 2021 FFS RENDERING AGE 0-20 448 4,180 361 1,323 202 400 355 384
1013037688 NGUYEN JAUBIN D 2021 FFS RENDERING AGE 21+ 275 2,104 143 275 203 580 173 173
1013042688 LOW EVERETT L 2021 FFS RENDERING AGE 0-20 27 143 20 49 14 41 19 26
1013042688 LOW EVERETT L 2021 FFS RENDERING AGE 21+ 68 281 26 26 48 119 33 33
1013042894 HACKMAN FRANK H 2021 FFS RENDERING AGE 0-20 227 1,672 192 691 89 166 186 197
1013042894 HACKMAN FRANK H 2021 FFS RENDERING AGE 21+ 529 2,709 192 306 318 889 325 325
1013042894 HACKMAN FRANK H 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1013047539 NGUYEN ROBERT D 2021 FFS RENDERING AGE 0-20 101 1,540 93 530 39 106 99 129
1013047539 NGUYEN ROBERT D 2021 FFS RENDERING AGE 21+ 288 3,681 242 484 155 464 259 259
1013057371 ST JOHNS WELL CHILD 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 0 0
1013058346 RIVERA JOSE W 2021 FFS RENDERING AGE 0-20 496 2,727 325 859 205 575 360 368
1013058346 RIVERA JOSE W 2021 FFS RENDERING AGE 21+ 569 2,061 98 180 344 893 249 249
1013058346 RIVERA JOSE W 2021 GMC RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1013058346 RIVERA JOSE W 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1013058346 RIVERA JOSE W 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1013064625 ASSATOURIANS GUSTAVO A 2021 FFS RENDERING AGE 0-20 1,347 10,145 645 1,497 919 2,667 770 836
1013064625 ASSATOURIANS GUSTAVO A 2021 FFS RENDERING AGE 21+ 3,306 21,208 1,074 2,010 2,658 7,783 1,390 1,403
1013064625 ASSATOURIANS GUSTAVO A 2021 PHP RENDERING AGE 21+ 1 2 0 0 1 2 1 1
1013069871 OH, MICHAEL M DMD 2021 FFS RENDERING AGE 0-20 51 376 48 122 24 65 51 65
1013069871 OH, MICHAEL M DMD 2021 FFS RENDERING AGE 21+ 200 1,185 168 288 111 336 184 186
1013072578 SANDHU KIRAN 2021 FFS RENDERING AGE 0-20 1,103 11,546 1,073 4,143 548 1,334 1,062 1,483
1013072578 SANDHU KIRAN 2021 FFS RENDERING AGE 21+ 792 5,086 547 1,098 454 1,295 613 613
1013075159 FORESTER JAMES A 2021 FFS RENDERING AGE 0-20 345 1,172 36 65 329 870 1 1
1013075324 NGUYEN DUNG THI P 2021 FFS RENDERING AGE 0-20 92 787 86 406 38 113 89 122
1013075324 NGUYEN DUNG THI P 2021 FFS RENDERING AGE 21+ 361 2,175 207 404 267 991 255 255
1013077049 VANIYANTS, LYUDVIG DDS 2021 FFS RENDERING AGE 0-20 37 401 33 55 20 92 32 37
1013077049 VANIYANTS, LYUDVIG DDS 2021 FFS RENDERING AGE 21+ 423 3,624 262 264 316 1,470 315 316
1013077239 BOHANNAN WILLIAM B 2021 FFS RENDERING AGE 0-20 34 173 0 0 22 123 27 27
1013077239 BOHANNAN WILLIAM B 2021 FFS RENDERING AGE 21+ 42 171 0 0 19 110 31 31
1013077536 SEN SOUMAVA 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 2 0 0
1013077536 SEN SOUMAVA 2021 GMC RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1013077536 SEN SOUMAVA 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1013077536 SEN SOUMAVA 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1013079227 WESTERN DENTAL SERVICES INC 2021 PHP RENDERING AGE 0-20 1 1 0 0 0 0 1 1
1013079227 WESTERN DENTAL SERVICES INC 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1013079227 WESTERN DENTAL SERVICES, INC. 2021 PHP RENDERING AGE 0-20 1 1 0 0 0 0 1 1
1013079227 WESTERN DENTAL SERVICES, INC. 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1013083047 DUONG VICKY A 2021 FFS RENDERING AGE 0-20 124 1,354 101 262 52 164 106 117
1013083047 DUONG VICKY A 2021 FFS RENDERING AGE 21+ 394 2,843 179 355 267 832 237 237
1013085208 MANCHANDIA DIMPLE J 2021 FFS RENDERING AGE 0-20 14 206 12 38 1 2 11 11
1013085208 MANCHANDIA DIMPLE J 2021 FFS RENDERING AGE 21+ 85 985 52 101 70 541 63 63
1013086784 LOPEZ GRACIELA L 2021 FFS RENDERING AGE 0-20 238 2,436 170 510 140 498 189 210
1013086784 LOPEZ GRACIELA L 2021 FFS RENDERING AGE 21+ 516 3,257 166 324 340 1,173 350 352
1013088723 JO PAUL S 2021 FFS RENDERING AGE 0-20 17 136 15 47 11 37 11 13
1013088723 JO PAUL S 2021 FFS RENDERING AGE 21+ 116 662 52 102 94 323 40 40
1013092998 LATT TIN 2021 FFS RENDERING AGE 0-20 216 1,706 126 413 135 457 129 136
1013092998 LATT TIN 2021 FFS RENDERING AGE 21+ 297 2,024 87 143 241 1,110 144 144
1013092998 LATT TIN 2021 PHP RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1013094135 GORDON, LEONEED 2021 FFS RENDERING AGE 0-20 126 1,067 89 258 58 137 83 92
1013094135 GORDON, LEONEED 2021 FFS RENDERING AGE 21+ 232 1,193 22 29 167 510 115 115
1013094135 GORDON, LEONEED 2021 PHP RENDERING AGE 0-20 42 232 25 101 15 34 30 30
1013094135 GORDON, LEONEED 2021 PHP RENDERING AGE 21+ 37 134 1 1 26 79 11 11
1013094135 GORDON, LEONEED, DDS 2021 FFS RENDERING AGE 0-20 126 1,067 89 258 58 137 83 92
1013094135 GORDON, LEONEED, DDS 2021 FFS RENDERING AGE 21+ 232 1,193 22 29 167 510 115 115
1013094135 GORDON, LEONEED, DDS 2021 PHP RENDERING AGE 0-20 42 232 25 101 15 34 30 30
1013094135 GORDON, LEONEED, DDS 2021 PHP RENDERING AGE 21+ 37 134 1 1 26 79 11 11
1013100411 GRANT-PEART VIVIENNE E 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1013100411 GRANT-PEART VIVIENNE E 2021 PHP RENDERING AGE 0-20 104 848 80 344 41 73 97 116
1013100411 GRANT-PEART VIVIENNE E 2021 PHP RENDERING AGE 21+ 16 51 1 1 1 2 12 12
1013101591 SALAMA WASFI F 2021 FFS RENDERING AGE 0-20 325 1,186 40 108 130 280 242 244
1013101591 SALAMA WASFI F 2021 FFS RENDERING AGE 21+ 1,022 2,866 31 48 306 536 810 810
1013102029 GUSHANSKY, LARISSA DDS 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1013102029 GUSHANSKY, LARISSA, DDS INC 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1013102706 VOLOSHIN MICHAEL J 2021 FFS RENDERING AGE 0-20 305 2,960 251 1,233 148 379 289 314
1013102706 VOLOSHIN MICHAEL J 2021 FFS RENDERING AGE 21+ 480 3,828 345 683 326 1,336 395 396
1013102706 VOLOSHIN MICHAEL J 2021 PHP RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1013102706 VOLOSHIN MICHAEL J 2021 PHP RENDERING AGE 21+ 23 111 18 36 11 29 20 21
1013109867 EFFIOM, UTIBE RUTH DDS 2021 FFS RENDERING AGE 0-20 25 208 24 87 12 29 23 28
1013109867 EFFIOM, UTIBE RUTH DDS 2021 FFS RENDERING AGE 21+ 221 1,757 124 192 195 929 126 126
1013109867 EFFIOM, UTIBE RUTH DDS 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1013109867 EFFIOM, UTIBE RUTH DDS 2021 PHP RENDERING AGE 21+ 28 253 24 41 21 134 20 20
1013114156 ALFONSO ROSSANA T 2021 FFS RENDERING AGE 0-20 119 1,163 110 343 56 215 110 156
1013114156 ALFONSO ROSSANA T 2021 FFS RENDERING AGE 21+ 394 2,862 280 388 261 1,017 296 296
1013116102 KANG KEVIN C 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1013116102 KANG KEVIN C 2021 FFS RENDERING AGE 21+ 14 111 1 1 1 2 1 1
1013118371 FORTIER KEVIN J 2021 FFS RENDERING AGE 0-20 45 345 41 110 16 39 43 58
1013118371 FORTIER KEVIN J 2021 FFS RENDERING AGE 21+ 83 616 54 92 57 195 69 69
1013119718 TO MICHELLE P 2021 FFS RENDERING AGE 0-20 431 4,236 360 1,239 359 903 384 440
1013119718 TO MICHELLE P 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 1 1 1
1013120468 IM EUNICE YUN S 2021 FFS RENDERING AGE 0-20 423 4,398 413 1,696 261 686 407 589
1013120518 NAKANO JONATHAN KIYOMI 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1013126333 KIM REUBEN H 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 1 1
1013126333 KIM REUBEN H 2021 FFS RENDERING AGE 21+ 24 46 1 2 13 18 1 1
1013126622 JHAWAR VIBHA 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1013126622 JHAWAR VIBHA 2021 GMC RENDERING AGE 0-20 2,641 13,649 1,401 4,612 645 791 1,267 1,297
1013129618 GHANNAM SALAM A 2021 FFS RENDERING AGE 0-20 338 2,262 328 1,367 45 123 326 357
1013129618 GHANNAM SALAM A 2021 FFS RENDERING AGE 21+ 492 2,364 319 322 307 1,149 373 373
1013130970 KANG MIKE M 2021 FFS RENDERING AGE 0-20 183 1,378 150 536 57 199 166 179
1013130970 KANG MIKE M 2021 FFS RENDERING AGE 21+ 369 2,325 155 299 250 1,160 290 290
1013131440 LE MICHAEL M 2021 FFS RENDERING AGE 21+ 23 52 0 0 23 51 0 0
1013133750 LAM GILBERT B 2021 FFS RENDERING AGE 0-20 339 3,892 292 1,166 147 493 308 384
1013133750 LAM GILBERT B 2021 FFS RENDERING AGE 21+ 555 3,858 342 669 301 1,001 464 466
1013134261 BINA SHAHIN I 2021 FFS RENDERING AGE 0-20 76 222 0 0 74 212 0 0
1013134261 BINA SHAHIN I 2021 FFS RENDERING AGE 21+ 41 121 0 0 40 117 0 0
1013134261 BINA SHAHIN I 2021 PHP RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1013134329 COHEN SEDGH, SOL, DDS INC 2021 PHP RENDERING AGE 0-20 20 120 11 39 1 1 11 11
1013134329 COHEN SEDGH, SOL, DDS INC 2021 PHP RENDERING AGE 21+ 25 100 0 0 1 1 13 13
1013134329 SOL COEHN-SEDGH, D.D.S., INC. 2021 PHP RENDERING AGE 0-20 20 120 11 39 1 1 11 11
1013134329 SOL COEHN-SEDGH, D.D.S., INC. 2021 PHP RENDERING AGE 21+ 25 100 0 0 1 1 13 13
1013134477 YAZDI KAMRAN 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1013134477 YAZDI KAMRAN 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 2 0 0
1013134477 YAZDI KAMRAN 2021 PHP RENDERING AGE 0-20 1 2 1 1 0 0 1 1
1013134477 YAZDI KAMRAN 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1013134808 SOUTHWEST DENTAL CENTER INC. 2021 PHP RENDERING AGE 0-20 52 343 35 189 15 38 40 40
1013134808 SOUTHWEST DENTAL CENTER INC. 2021 PHP RENDERING AGE 21+ 50 141 1 1 35 81 21 21
1013136936 ARANGO, DORA ELIDA DDS 2021 FFS RENDERING AGE 0-20 19 179 18 97 1 1 18 20
1013136936 ARANGO, DORA ELIDA DDS 2021 FFS RENDERING AGE 21+ 57 367 30 60 28 83 46 48
1013137116 STEPANIAN MARDIROS 2021 FFS RENDERING AGE 0-20 39 312 27 54 1 2 27 27
1013137116 STEPANIAN MARDIROS 2021 FFS RENDERING AGE 21+ 85 608 15 27 24 54 60 60
1013143429 NGUYEN KIM ANH T 2021 FFS RENDERING AGE 0-20 94 706 94 303 31 61 93 133
1013143429 NGUYEN KIM ANH T 2021 FFS RENDERING AGE 21+ 156 1,029 100 176 109 368 109 109
1013151927 VU NGOCLE 2021 FFS RENDERING AGE 0-20 298 4,340 259 678 162 651 247 319
1013151927 VU NGOCLE 2021 FFS RENDERING AGE 21+ 448 5,966 326 378 298 1,414 395 395
1013156793 REINA OSBALDA D 2021 FFS RENDERING AGE 0-20 1,007 4,448 593 1,420 502 1,084 535 541
1013156793 REINA OSBALDA D 2021 FFS RENDERING AGE 21+ 863 2,717 193 363 490 1,236 336 336
1013161660 VOROS MAGDOLNA 2021 GMC RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1013167378 OBEROI, SNEHLATA 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1013167683 MARTIN AUDREY M 2021 FFS RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1013168426 MARZAN MARIA ANITA ALMARIA 2021 PHP RENDERING AGE 0-20 1 1 1 1 1 1 1 1
1013168426 MARZAN MARIA ANITA ALMARIA 2021 PHP RENDERING AGE 21+ 1 1 1 1 1 1 0 0
1013169341 SANDHU PARAMJIT S 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1013169341 SANDHU PARAMJIT S 2021 FFS RENDERING AGE 21+ 35 185 17 28 20 44 25 25
1013180520 CHOI, CHUN KEUN, DDS 2021 FFS RENDERING AGE 0-20 16 51 1 1 1 1 1 1
1013180520 CHOI, CHUN KEUN, DDS 2021 FFS RENDERING AGE 21+ 141 483 93 93 45 111 99 99
1013183383 RETODO, JOHN RICHARD A 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 2 1 1
1013183383 RETODO, JOHN RICHARD A 2021 FFS RENDERING AGE 21+ 48 481 32 34 35 246 30 30
1013190016 SU MICHAEL H 2021 FFS RENDERING AGE 0-20 71 541 60 207 29 93 67 79
1013190016 SU MICHAEL H 2021 FFS RENDERING AGE 21+ 240 1,758 181 359 161 588 201 201
1013190172 PARVATHI POKALA DDS INC 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1013190172 POKALA, PARVATHI, DDS INC 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1013196039 OSHAGH, MOJDEH DDS 2021 FFS RENDERING AGE 0-20 26 227 23 60 15 47 22 29
1013196039 OSHAGH, MOJDEH DDS 2021 FFS RENDERING AGE 21+ 301 2,045 228 442 195 763 250 251
1013209063 CORTEZ PACHECO NORMA E 2021 FFS RENDERING AGE 0-20 395 2,421 270 595 153 440 277 285
1013209063 CORTEZ PACHECO NORMA E 2021 GMC RENDERING AGE 0-20 754 7,005 662 2,000 452 1,176 605 780
1013209063 CORTEZ PACHECO NORMA E 2021 GMC RENDERING AGE 21+ 40 190 19 35 20 32 20 21
1013212919 HERSEL EVLYNE 2021 FFS RENDERING AGE 0-20 217 1,934 162 608 114 388 186 216
1013212919 HERSEL EVLYNE 2021 FFS RENDERING AGE 21+ 327 1,553 23 27 191 922 212 214
1013212919 HERSEL EVLYNE 2021 PHP RENDERING AGE 0-20 117 647 73 144 22 77 102 119
1013212919 HERSEL EVLYNE 2021 PHP RENDERING AGE 21+ 116 420 1 1 51 182 92 94
1013214642 ZAU PAUL D 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1013214642 ZAU PAUL D 2021 FFS RENDERING AGE 21+ 37 238 15 15 22 131 31 31
1013218106 WHITLEY, J, DENTAL CORPORATI 2021 FFS RENDERING AGE 21+ 1 2 0 0 0 0 0 0
1013223429 NGO TAM T 2021 FFS RENDERING AGE 0-20 569 1,387 1 1 1 2 1 1
1013223429 NGO TAM T 2021 FFS RENDERING AGE 21+ 2,137 4,799 1 1 31 48 1 1
1013226240 CANTU DANIEL 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1013226240 CANTU DANIEL 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 2 0 0
1013240381 MAXWELL FRANDSEN D 2021 PHP RENDERING AGE 0-20 162 1,313 139 538 123 199 103 117
1013240381 MAXWELL FRANDSEN D 2021 PHP RENDERING AGE 21+ 274 1,380 152 338 217 401 110 113
1013246024 FISHMAN SCOTT A 2021 FFS RENDERING AGE 0-20 563 5,788 404 1,204 281 1,766 325 371
1013246024 FISHMAN SCOTT A 2021 PHP RENDERING AGE 0-20 27 375 23 69 22 170 21 22
1013246370 IHLENDORF, KATHLEEN DMD 2021 FFS RENDERING AGE 0-20 770 6,424 527 1,401 562 2,189 410 422
1013258441 MARRE ADAM C 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1013266766 YAMPOLSKY YAN 2021 FFS RENDERING AGE 0-20 1,016 12,980 980 4,355 355 606 910 1,048
1013266766 YAMPOLSKY YAN 2021 FFS RENDERING AGE 21+ 1,077 10,274 623 1,217 745 2,559 749 749
1013266766 YAMPOLSKY YAN 2021 PHP RENDERING AGE 21+ 1 2 1 1 0 0 1 1
1013269000 ALAMIRAD, FARZAN DDS 2021 FFS RENDERING AGE 0-20 12 77 1 2 1 2 11 12
1013269000 ALAMIRAD, FARZAN DDS 2021 FFS RENDERING AGE 21+ 285 2,167 77 143 182 876 227 227
1013269000 ALAMIRAD, FARZAN DDS 2021 PHP RENDERING AGE 0-20 1 1 1 1 1 1 1 1
1013269000 ALAMIRAD, FARZAN DDS 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1013280189 REPAKA MRUDULA C 2021 FFS RENDERING AGE 0-20 345 1,329 109 293 123 309 254 261
1013280189 REPAKA MRUDULA C 2021 FFS RENDERING AGE 21+ 850 2,773 101 191 420 1,185 576 577
1013293000 HE KENNY 2021 FFS RENDERING AGE 0-20 246 2,739 204 777 64 227 225 264
1013293000 HE KENNY 2021 FFS RENDERING AGE 21+ 465 2,498 110 111 297 967 308 309
1013293000 HE KENNY 2021 PHP RENDERING AGE 0-20 100 1,027 78 217 27 72 89 111
1013293000 HE KENNY 2021 PHP RENDERING AGE 21+ 135 708 42 44 60 284 103 104
1013299403 DR JEFFREY A SALADIN DENTAL 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1013299403 DR. JEFFREY A. SALADIN, DENTAL CORPORATION 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1013299411 DR JEFFREY A SALADIN DENTAL 2021 FFS RENDERING AGE 0-20 1 2 1 1 0 0 0 0
1013299411 DR. JEFFREY A SALADIN, DENTAL CORPORATION 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1013309368 KARIMI KOOHYAR 2021 FFS RENDERING AGE 0-20 30 202 23 47 1 2 28 28
1013309368 KARIMI KOOHYAR 2021 FFS RENDERING AGE 21+ 80 536 27 50 53 313 53 54
1013329598 CHAN ALICE 2021 FFS RENDERING AGE 0-20 169 670 122 250 57 124 111 114
1013343102 PARK CHRIS J 2021 FFS RENDERING AGE 0-20 110 759 83 285 56 185 92 94
1013343102 PARK CHRIS J 2021 FFS RENDERING AGE 21+ 626 3,553 338 651 418 1,518 404 404
1013349182 CHIU SEEWAN 2021 FFS RENDERING AGE 0-20 102 713 87 184 33 56 85 100
1013349182 CHIU SEEWAN 2021 FFS RENDERING AGE 21+ 1,285 11,048 753 1,074 909 2,530 934 934
1013356351 CARE ENDODONTICS INC 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1013391705 DICKTER ROBERT B 2021 FFS RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1013391705 DICKTER ROBERT B 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 1 0 0
1013391705 DICKTER ROBERT B 2021 GMC RENDERING AGE 0-20 185 922 129 284 61 118 144 146
1013391705 DICKTER ROBERT B 2021 GMC RENDERING AGE 21+ 440 1,575 132 149 189 401 285 285
1013392083 PHIPPS DON 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1013402262 DADASHZADEH ARYA T 2021 FFS RENDERING AGE 21+ 56 193 18 26 37 75 19 19
1013432632 KIM HAN Y 2021 FFS RENDERING AGE 0-20 938 6,892 817 2,499 514 947 839 937
1013432632 KIM HAN Y 2021 FFS RENDERING AGE 21+ 1,395 6,903 700 1,370 794 2,575 981 983
1013482868 TAVAKOLI MARK M 2021 FFS RENDERING AGE 0-20 84 199 1 1 28 35 0 0
1013482868 TAVAKOLI MARK M 2021 FFS RENDERING AGE 21+ 1 2 0 0 0 0 0 0
1013482868 TAVAKOLI MARK M 2021 GMC RENDERING AGE 0-20 1,116 4,783 503 629 1,096 2,712 0 0
1013492438 KIM SOJEONG 2021 FFS RENDERING AGE 0-20 2,293 17,610 1,778 3,988 691 1,602 1,631 1,655
1013492438 KIM SOJEONG 2021 FFS RENDERING AGE 21+ 21 100 11 12 14 33 13 13
1013498211 WON JIHEE 2021 FFS RENDERING AGE 0-20 1,716 18,058 1,011 3,739 1,629 10,695 710 719
1013498211 WON JIHEE 2021 FFS RENDERING AGE 21+ 159 1,021 1 1 132 705 78 78
1013507748 ERDENEBILEG DULGUUN R 2021 FFS RENDERING AGE 0-20 41 193 18 37 25 60 18 18
1013507748 ERDENEBILEG DULGUUN R 2021 FFS RENDERING AGE 21+ 102 351 1 2 76 199 22 22
1013507748 ERDENEBILEG DULGUUN R 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1013510932 ADAMI MEENA 2021 FFS RENDERING AGE 0-20 1,282 15,168 1,048 3,743 940 4,291 972 1,232
1013510932 ADAMI MEENA 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 1 0 0
1013524800 RAMIN SHANTEL NOGHREY 2021 PHP RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1013527365 BARKHO MARYIAM E 2021 FFS RENDERING AGE 0-20 91 515 66 183 32 77 83 85
1013527365 BARKHO MARYIAM E 2021 FFS RENDERING AGE 21+ 192 802 58 99 89 274 144 144
1013527365 BARKHO MARYIAM E 2021 PHP RENDERING AGE 0-20 15 83 11 33 1 2 11 11
1013527365 BARKHO MARYIAM E 2021 PHP RENDERING AGE 21+ 51 213 17 34 28 97 33 34
1013539824 RARA REISA C 2021 FFS RENDERING AGE 0-20 19 130 14 35 1 1 12 12
1013542976 ST JOHN, SARAH LISABETH, RDH 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1013543263 TRAN THU T 2021 FFS RENDERING AGE 0-20 79 690 49 160 50 151 41 41
1013543263 TRAN THU T 2021 FFS RENDERING AGE 21+ 19 116 1 1 18 88 1 1
1013572452 VENTURA LUIS 2021 FFS RENDERING AGE 0-20 13 30 0 0 13 30 0 0
1013572452 VENTURA LUIS 2021 FFS RENDERING AGE 21+ 42 132 0 0 42 131 0 0
1013575240 MAHLMANN JESSICA A 2021 FFS RENDERING AGE 0-20 790 1,640 0 0 282 766 0 0
1013575240 MAHLMANN JESSICA A 2021 FFS RENDERING AGE 21+ 21 21 0 0 0 0 0 0
1013575240 MAHLMANN JESSICA A 2021 GMC RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1013680511 CHIU COLLEEN 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1013680511 CHIU COLLEEN 2021 FFS RENDERING AGE 21+ 37 124 1 1 35 102 1 1
1013905447 REAL, LUIS E DDS 2021 FFS RENDERING AGE 0-20 104 1,380 87 272 58 236 92 119
1013905447 REAL, LUIS E DDS 2021 FFS RENDERING AGE 21+ 247 2,166 123 245 190 875 171 171
1013919786 YUEN ALEXANDER K 2021 FFS RENDERING AGE 0-20 63 212 0 0 38 58 0 0
1013919786 YUEN ALEXANDER K 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 1 1 1
1013929298 DO LOC Q 2021 FFS RENDERING AGE 0-20 14 104 13 30 1 2 1 1
1013929298 DO LOC Q 2021 FFS RENDERING AGE 21+ 40 239 19 38 23 69 30 30
1013930239 BARRERA ROGELIO A 2021 FFS RENDERING AGE 0-20 1,865 17,735 1,408 3,313 591 1,304 1,541 1,774
1013930239 BARRERA ROGELIO A 2021 FFS RENDERING AGE 21+ 1,653 9,820 516 1,031 888 2,680 1,042 1,042
1013939248 KIM HARRY C 2021 FFS RENDERING AGE 0-20 137 1,055 128 325 38 80 128 141
1013939248 KIM HARRY C 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1013951177 NGUYEN HIEN S 2021 FFS RENDERING AGE 0-20 13 113 1 2 1 2 1 1
1013951177 NGUYEN HIEN S 2021 FFS RENDERING AGE 21+ 179 1,296 62 128 159 669 75 75
1013958636 NGUYEN, DANI Q, DDS 2021 FFS RENDERING AGE 0-20 49 327 47 104 18 50 47 50
1013958636 NGUYEN, DANI Q, DDS 2021 FFS RENDERING AGE 21+ 92 556 40 42 73 223 63 65
1013962398 CUDAHY FAMILY DENTAL GROUP 2021 FFS RENDERING AGE 0-20 204 2,075 173 430 105 339 177 202
1013962398 CUDAHY FAMILY DENTAL GROUP 2021 FFS RENDERING AGE 21+ 296 2,393 150 303 201 861 200 202
1013962398 KOLAHI JAVAD 2021 FFS RENDERING AGE 0-20 204 2,075 173 430 105 339 177 202
1013962398 KOLAHI JAVAD 2021 FFS RENDERING AGE 21+ 296 2,393 150 303 201 861 200 202
1023010840 KENT, J M, DDS 2021 FFS RENDERING AGE 0-20 1 1 1 1 1 1 1 1
1023010840 KENT, J M, DDS 2021 FFS RENDERING AGE 21+ 20 89 1 1 19 52 1 1
1023022464 SHAARI, SAID, DDS 2021 FFS RENDERING AGE 0-20 26 350 20 114 1 2 1 2
1023022464 SHAARI, SAID, DDS 2021 FFS RENDERING AGE 21+ 42 344 12 38 16 56 16 32
1023022464 SHAARI, SAID, DDS 2021 GMC RENDERING AGE 0-20 1,501 25,668 1,374 8,580 526 2,090 1,419 3,522
1023022464 SHAARI, SAID, DDS 2021 GMC RENDERING AGE 21+ 948 9,960 216 660 564 3,034 582 1,174
1023022464 SHAARI, SAID, DDS 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1023022811 HAN INJOO 2021 FFS RENDERING AGE 0-20 286 3,775 227 1,175 119 432 268 347
1023022811 HAN INJOO 2021 FFS RENDERING AGE 21+ 977 9,347 513 1,026 667 4,202 763 763
1023032430 DANIAL MICHAEL 2021 FFS RENDERING AGE 0-20 226 2,791 169 516 123 396 180 226
1023032430 DANIAL MICHAEL 2021 FFS RENDERING AGE 21+ 231 1,727 55 86 136 534 166 166
1023032430 DANIAL MICHAEL 2021 PHP RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1023032430 DANIAL MICHAEL 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1023037587 TON NU PHUONG NGUYE 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1023037587 TON NU PHUONG NGUYE 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1023051646 SHAGRAMANOVA NATALYA 2021 FFS RENDERING AGE 0-20 1,820 19,811 1,558 5,222 1,310 3,947 1,534 1,664
1023051646 SHAGRAMANOVA NATALYA 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1023077229 KELLEY-RONDERO, GEORGENE T, 2021 FFS RENDERING AGE 0-20 235 1,724 191 503 101 314 165 195
1023077229 KELLEY-RONDERO, GEORGENE T, 2021 FFS RENDERING AGE 21+ 149 845 43 43 105 390 82 82
1023082492 DUTT, PRANAB K DDS 2021 FFS RENDERING AGE 0-20 193 1,889 150 429 124 398 179 211
1023082492 DUTT, PRANAB K DDS 2021 FFS RENDERING AGE 21+ 408 2,956 254 254 285 1,362 333 333
1023106549 RANA, SAADIA, DDS 2021 FFS RENDERING AGE 0-20 1,104 14,576 1,070 4,096 811 3,552 1,068 1,433
1023106549 RANA, SAADIA, DDS 2021 FFS RENDERING AGE 21+ 41 259 22 44 27 77 27 27
1023108735 ZAGHI, FARSHAD, DMD 2021 FFS RENDERING AGE 0-20 81 123 0 0 36 63 0 0
1023108735 ZAGHI, FARSHAD, DMD 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1023115094 MICHEL, CARLOS R, DDS 2021 FFS RENDERING AGE 0-20 107 1,338 95 251 29 77 102 131
1023115094 MICHEL, CARLOS R, DDS 2021 FFS RENDERING AGE 21+ 121 941 60 60 81 239 87 87
1023116845 EHSANI NADER 2021 FFS RENDERING AGE 0-20 171 551 0 0 33 100 0 0
1023116845 EHSANI NADER 2021 FFS RENDERING AGE 21+ 20 39 0 0 0 0 0 0
1023118072 NIEDERKOHR, RANDALL E, DDS 2021 FFS RENDERING AGE 0-20 288 2,398 274 965 112 411 274 362
1023118072 NIEDERKOHR, RANDALL E, DDS 2021 FFS RENDERING AGE 21+ 24 138 18 20 14 46 20 20
1023122330 JAHANGIRI DDS INC 2021 FFS RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1023131497 LALABEKYAN ALEXANDER 2021 FFS RENDERING AGE 0-20 49 291 23 49 32 97 35 37
1023131497 LALABEKYAN ALEXANDER 2021 FFS RENDERING AGE 21+ 597 4,053 212 341 491 2,372 419 422
1023133949 FONG, DIANA C, DDS 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 0 0
1023134772 REYES, ASUNCION GARCIA, DDS 2021 FFS RENDERING AGE 0-20 26 170 23 69 14 40 20 29
1023134772 REYES, ASUNCION GARCIA, DDS 2021 FFS RENDERING AGE 21+ 63 342 49 98 27 91 57 57
1023137387 SONG YUN U 2021 FFS RENDERING AGE 0-20 429 5,919 335 1,117 239 1,860 416 521
1023137387 SONG YUN U 2021 PHP RENDERING AGE 0-20 1 1 1 1 1 1 1 1
1023140019 SAFARIAN SHAHIN 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1023140019 SAFARIAN SHAHIN 2021 FFS RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1023140688 HAROLD IGNACIO PORTILLA DDS 2021 FFS RENDERING AGE 0-20 157 1,169 146 354 79 304 153 168
1023140688 HAROLD IGNACIO PORTILLA DDS 2021 FFS RENDERING AGE 21+ 330 2,174 307 758 212 745 310 310
1023141991 CHOW NORMAN 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 1 1 2
1023141991 CHOW NORMAN 2021 FFS RENDERING AGE 21+ 21 105 13 13 13 30 16 16
1023147865 RUIZ, HUMBERTO, DDS 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1023147865 RUIZ, HUMBERTO, DDS 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1023150703 REGALA ZINNIA C 2021 FFS RENDERING AGE 0-20 95 761 85 275 55 164 79 96
1023151669 TRAN KHIET M 2021 FFS RENDERING AGE 0-20 151 1,411 141 294 30 83 139 145
1023151669 TRAN KHIET M 2021 FFS RENDERING AGE 21+ 156 1,199 95 97 85 194 110 111
1023153665 MUNIYAPPA, MANJULA, DDS 2021 FFS RENDERING AGE 0-20 11 88 1 2 1 2 1 1
1023153665 MUNIYAPPA, MANJULA, DDS 2021 FFS RENDERING AGE 21+ 87 751 38 47 85 482 52 52
1023158169 LAZARO PABLO 2021 FFS RENDERING AGE 0-20 188 1,278 165 357 54 144 174 186
1023158169 LAZARO PABLO 2021 FFS RENDERING AGE 21+ 214 1,257 101 190 130 492 160 160
1023160108 THEIN NILAR 2021 FFS RENDERING AGE 0-20 68 663 62 216 24 37 53 57
1023160108 THEIN NILAR 2021 FFS RENDERING AGE 21+ 61 254 19 35 37 100 31 33
1023161312 LE, TIN MINH, DDS 2021 FFS RENDERING AGE 0-20 28 334 28 145 1 1 28 53
1023161312 LE, TIN MINH, DDS 2021 FFS RENDERING AGE 21+ 1 2 1 1 0 0 1 1
1023162674 DWARNAL, VENKATESH, DDS 2021 FFS RENDERING AGE 0-20 112 1,791 110 477 60 221 110 151
1023162674 DWARNAL, VENKATESH, DDS 2021 FFS RENDERING AGE 21+ 171 1,631 95 188 141 729 119 119
1023165255 UNKNOWN 2021 FFS RENDERING AGE 0-20 1,025 7,805 443 1,534 318 646 604 628
1023165255 UNKNOWN 2021 FFS RENDERING AGE 21+ 2,608 14,954 563 784 946 2,044 1,533 1,536
1023165255 UNKNOWN 2021 PHP RENDERING AGE 0-20 493 3,318 232 713 133 341 386 420
1023165255 UNKNOWN 2021 PHP RENDERING AGE 21+ 852 5,376 237 340 367 1,237 654 715
1023165255 ZAK ILYA 2021 FFS RENDERING AGE 0-20 1,025 7,805 443 1,534 318 646 604 628
1023165255 ZAK ILYA 2021 FFS RENDERING AGE 21+ 2,608 14,954 563 784 946 2,044 1,533 1,536
1023165255 ZAK ILYA 2021 PHP RENDERING AGE 0-20 493 3,318 232 713 133 341 386 420
1023165255 ZAK ILYA 2021 PHP RENDERING AGE 21+ 852 5,376 237 340 367 1,237 654 715
1023165255 ZAK, ILYA, DDS 2021 FFS RENDERING AGE 0-20 1,025 7,805 443 1,534 318 646 604 628
1023165255 ZAK, ILYA, DDS 2021 FFS RENDERING AGE 21+ 2,608 14,954 563 784 946 2,044 1,533 1,536
1023165255 ZAK, ILYA, DDS 2021 PHP RENDERING AGE 0-20 493 3,318 232 713 133 341 386 420
1023165255 ZAK, ILYA, DDS 2021 PHP RENDERING AGE 21+ 852 5,376 237 340 367 1,237 654 715
1023170297 NGUYEN CHRISTOPHER H 2021 FFS RENDERING AGE 0-20 53 134 0 0 21 74 0 0
1023170297 NGUYEN CHRISTOPHER H 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1023171832 NELSON BONNIE A 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 2 0 0
1023175890 TRAN, CHARLES C, DDS 2021 FFS RENDERING AGE 0-20 12 88 1 2 1 2 1 1
1023175890 TRAN, CHARLES C, DDS 2021 FFS RENDERING AGE 21+ 296 2,747 144 300 219 754 218 222
1023175890 TRAN, CHARLES C, DDS 2021 GMC RENDERING AGE 0-20 602 4,526 529 1,551 186 276 544 594
1023175890 TRAN, CHARLES C, DDS 2021 GMC RENDERING AGE 21+ 378 3,049 260 520 209 524 294 296
1023175890 TRAN, CHARLES DDS 2021 FFS RENDERING AGE 0-20 12 88 1 2 1 2 1 1
1023175890 TRAN, CHARLES DDS 2021 FFS RENDERING AGE 21+ 296 2,747 144 300 219 754 218 222
1023175890 TRAN, CHARLES DDS 2021 GMC RENDERING AGE 0-20 602 4,526 529 1,551 186 276 544 594
1023175890 TRAN, CHARLES DDS 2021 GMC RENDERING AGE 21+ 378 3,049 260 520 209 524 294 296
1023179884 ROSSOPOULOS EVANGELOS T 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1023198652 HUYNH MY T 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1023198652 HUYNH MY T 2021 GMC RENDERING AGE 0-20 672 5,584 550 1,910 224 392 645 788
1023200979 TA JASON H 2021 FFS RENDERING AGE 0-20 17 142 15 36 1 2 17 20
1023200979 TA JASON H 2021 FFS RENDERING AGE 21+ 54 399 38 73 42 191 37 37
1023201647 DUBIEL JOHN A 2021 FFS RENDERING AGE 0-20 83 443 40 122 26 64 64 64
1023201647 DUBIEL JOHN A 2021 FFS RENDERING AGE 21+ 171 649 30 43 92 233 99 99
1023202496 MORALES, MAIRA, DDS 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1023205143 DE LEON MANUEL A 2021 FFS RENDERING AGE 0-20 13 84 11 25 1 1 1 1
1023205143 DE LEON MANUEL A 2021 FFS RENDERING AGE 21+ 50 211 17 27 27 61 23 23
1023217114 LEE JENNIFER C 2021 FFS RENDERING AGE 0-20 95 972 79 211 49 125 79 94
1023217114 LEE JENNIFER C 2021 FFS RENDERING AGE 21+ 224 2,253 113 219 153 592 150 150
1023217114 LEE JENNIFER C 2021 PHP RENDERING AGE 0-20 1 2 1 2 1 2 1 1
1023217114 LEE JENNIFER C 2021 PHP RENDERING AGE 21+ 62 358 29 44 21 42 44 44
1023218658 CHEN LINDA B 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1023221850 DASTMALCHIAN, SHABNAM 2021 FFS RENDERING AGE 0-20 85 707 79 292 37 127 74 90
1023221850 DASTMALCHIAN, SHABNAM 2021 FFS RENDERING AGE 21+ 177 1,101 97 191 114 464 136 136
1023221850 DASTMALCHIAN, SHABNAM 2021 PHP RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1023221850 DASTMALCHIAN, SHABNAM 2021 PHP RENDERING AGE 21+ 1 2 1 2 1 2 1 1
1023222130 MOBILIA JOHN A 2021 FFS RENDERING AGE 0-20 40 208 30 71 16 51 33 35
1023222130 MOBILIA JOHN A 2021 FFS RENDERING AGE 21+ 34 174 25 43 13 54 30 30
1023222569 RUIZ SR, IGNACIO DDS 2021 FFS RENDERING AGE 0-20 46 592 38 43 21 89 41 46
1023222569 RUIZ SR, IGNACIO DDS 2021 FFS RENDERING AGE 21+ 197 2,031 40 40 129 625 144 144
1023225299 PATEL, VARSHA Y, DDS 2021 FFS RENDERING AGE 0-20 63 609 62 381 1 2 62 70
1023225299 PATEL, VARSHA Y, DDS 2021 FFS RENDERING AGE 21+ 336 2,298 272 544 193 673 305 307
1023226123 HARUTYUNYAN ARMINE 2021 FFS RENDERING AGE 0-20 78 515 61 146 44 116 74 90
1023226123 HARUTYUNYAN ARMINE 2021 FFS RENDERING AGE 21+ 245 1,705 140 219 174 784 201 201
1023229465 WONG HENRY C 2021 FFS RENDERING AGE 0-20 50 344 41 102 14 27 44 53
1023229465 WONG HENRY C 2021 FFS RENDERING AGE 21+ 152 673 67 134 97 178 75 75
1023229747 NGUYEN, PAULINE P, DDS INC 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1023237708 CHANG, KOOK-JIN, DDS 2021 FFS RENDERING AGE 0-20 1,288 11,128 976 3,504 388 827 1,031 1,045
1023237708 CHANG, KOOK-JIN, DDS 2021 FFS RENDERING AGE 21+ 221 641 1 2 149 457 95 95
1023241452 NISSON, ROBERT L, DDS 2021 FFS RENDERING AGE 0-20 407 820 1 1 162 278 1 1
1023241452 NISSON, ROBERT L, DDS 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1023241452 NISSON, ROBERT L, DDS 2021 GMC RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1023247186 GHAHREMANI SHIVA 2021 FFS RENDERING AGE 0-20 52 189 1 1 52 183 0 0
1023247186 GHAHREMANI SHIVA 2021 FFS RENDERING AGE 21+ 238 1,158 0 0 238 1,158 0 0
1023260577 CHOI YUN J 2021 FFS RENDERING AGE 0-20 12 175 11 31 1 2 11 14
1023260577 CHOI YUN J 2021 FFS RENDERING AGE 21+ 35 474 1 2 30 252 31 31
1023263167 ABAIAN MICHAEL M 2021 FFS RENDERING AGE 0-20 180 1,131 66 175 83 256 165 184
1023263167 ABAIAN MICHAEL M 2021 FFS RENDERING AGE 21+ 343 1,761 54 79 207 800 246 248
1023263167 ABAIAN MICHAEL M 2021 PHP RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1023263167 ABAIAN MICHAEL M 2021 PHP RENDERING AGE 21+ 13 56 1 1 1 2 1 1
1023268513 YAKUBOV, ROLAND 2021 FFS RENDERING AGE 0-20 1,008 9,586 768 2,157 545 1,561 654 710
1023268513 YAKUBOV, ROLAND 2021 FFS RENDERING AGE 21+ 1,132 10,045 512 990 689 2,576 658 661
1023284957 OGHANI-SARABI MARYAM 2021 FFS RENDERING AGE 0-20 500 2,779 289 1,057 88 247 466 524
1023284957 OGHANI-SARABI MARYAM 2021 FFS RENDERING AGE 21+ 758 2,442 183 336 247 737 559 560
1023286879 KULALY, MANEEZA A DMD 2021 FFS RENDERING AGE 0-20 388 4,389 352 1,222 221 779 369 441
1023286879 KULALY, MANEEZA A DMD 2021 FFS RENDERING AGE 21+ 720 4,447 558 1,095 396 1,406 627 627
1023286879 KULALY, MANEEZA A DMD 2021 PHP RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1023287539 SIDHU HARJIND S 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 2 0 0
1023287539 SIDHU HARJIND S 2021 FFS RENDERING AGE 21+ 13 22 1 1 11 18 0 0
1023287679 T H E CLINIC AT RUTH 2021 PHP RENDERING AGE 0-20 31 249 31 111 1 2 25 26
1023287679 T H E CLINIC AT RUTH 2021 PHP RENDERING AGE 21+ 43 353 43 114 22 80 23 27
1023291564 LIM TOM S 2021 FFS RENDERING AGE 0-20 25 148 22 44 1 2 23 24
1023291564 LIM TOM S 2021 FFS RENDERING AGE 21+ 39 181 29 58 1 2 35 35
1023314259 CHEONG JUN 2021 FFS RENDERING AGE 0-20 87 377 58 130 36 120 71 79
1023314259 CHEONG JUN 2021 FFS RENDERING AGE 21+ 196 967 124 235 118 427 157 157
1023326303 SHOJAEI NAHIDEH 2021 FFS RENDERING AGE 0-20 99 730 90 361 42 151 40 44
1023326303 SHOJAEI NAHIDEH 2021 FFS RENDERING AGE 21+ 100 446 35 43 50 187 80 80
1023334489 CHANG LISA K 2021 FFS RENDERING AGE 0-20 182 272 0 0 50 99 0 0
1023334489 CHANG LISA K 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1023334489 CHANG LISA K 2021 PHP RENDERING AGE 0-20 21 132 0 0 21 104 0 0
1023334489 CHANG LISA K 2021 PHP RENDERING AGE 21+ 1 2 0 0 1 2 0 0
1023347614 JACOBSON SHABNAM 2021 FFS RENDERING AGE 0-20 1 1 1 1 1 1 1 1
1023347614 JACOBSON SHABNAM 2021 PHP RENDERING AGE 0-20 92 428 73 202 54 72 44 47
1023347614 JACOBSON SHABNAM 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1023374410 TAYLOR ALAN B 2021 FFS RENDERING AGE 0-20 50 382 45 157 17 45 48 61
1023374410 TAYLOR ALAN B 2021 FFS RENDERING AGE 21+ 19 84 11 12 14 33 1 1
1023397809 KULTHAM PRERNA S 2021 FFS RENDERING AGE 0-20 80 837 71 304 35 117 75 90
1023397809 KULTHAM PRERNA S 2021 FFS RENDERING AGE 21+ 225 1,643 171 340 133 448 189 189
1023398344 KIM JESSE G 2021 FFS RENDERING AGE 0-20 543 3,010 397 1,054 160 301 506 551
1023398344 KIM JESSE G 2021 FFS RENDERING AGE 21+ 844 2,743 188 321 286 751 612 612
1023398344 KIM JESSE G 2021 PHP RENDERING AGE 0-20 16 80 1 2 1 2 1 1
1023398344 KIM JESSE G 2021 PHP RENDERING AGE 21+ 55 212 1 2 31 88 28 29
1023408457 ROMANO MARIA A 2021 FFS RENDERING AGE 0-20 26 181 23 30 1 2 22 22
1023408457 ROMANO MARIA A 2021 FFS RENDERING AGE 21+ 156 1,040 83 83 97 394 69 69
1023409190 DANIEL MORGAN DDS INC 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1023412848 AHN, RAY EUYEEN, DDS 2021 FFS RENDERING AGE 0-20 17 85 15 23 1 2 13 14
1023412848 AHN, RAY EUYEEN, DDS 2021 FFS RENDERING AGE 21+ 92 606 65 65 60 274 69 69
1023413424 BEDILO ELENA 2021 FFS RENDERING AGE 0-20 637 7,818 169 478 625 5,698 158 161
1023414000 MASHKOOR FATIMA 2021 FFS RENDERING AGE 0-20 214 777 0 0 213 748 1 1
1023414000 MASHKOOR FATIMA 2021 FFS RENDERING AGE 21+ 1,323 3,691 0 0 1,320 3,646 0 0
1023416120 AHN JI HYUN 2021 FFS RENDERING AGE 0-20 67 114 0 0 36 69 0 0
1023416120 AHN JI HYUN 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1023416120 AHN JI HYUN 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1023418894 SHAW ANGELA 2021 FFS RENDERING AGE 0-20 49 320 46 139 11 33 44 50
1023418894 SHAW ANGELA 2021 FFS RENDERING AGE 21+ 65 411 41 80 35 169 58 58
1023432937 NIKTASH MOJGAN 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1023432937 NIKTASH MOJGAN 2021 FFS RENDERING AGE 21+ 28 271 1 1 21 108 22 22
1023443454 ELIASIAN ANDRE 2021 FFS RENDERING AGE 0-20 58 189 35 47 24 58 30 30
1023443454 ELIASIAN ANDRE 2021 FFS RENDERING AGE 21+ 886 2,923 260 262 570 1,570 437 437
1023458064 TAGUINOD NOEMI G 2021 FFS RENDERING AGE 0-20 46 388 42 110 24 64 38 47
1023458064 TAGUINOD NOEMI G 2021 FFS RENDERING AGE 21+ 174 1,085 96 138 129 533 112 112
1023458387 BROWN KENNETH R 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 0 0
1023459856 HAGHI ARSHAN 2021 FFS RENDERING AGE 0-20 205 348 0 0 54 145 0 0
1023468667 RIAD KIROLLOS R 2021 FFS RENDERING AGE 0-20 376 3,566 356 1,209 178 597 366 510
1023468667 RIAD KIROLLOS R 2021 FFS RENDERING AGE 21+ 387 3,059 218 435 311 1,361 270 270
1023503232 LEE, NATALIA, DDS INC 2021 FFS RENDERING AGE 21+ 1 1 1 1 1 1 0 0
1023503620 HAROUNI NIMA D 2021 FFS RENDERING AGE 0-20 186 2,408 173 947 106 281 180 230
1023503620 HAROUNI NIMA D 2021 FFS RENDERING AGE 21+ 328 2,236 199 391 195 594 259 259
1023524923 YASSA SHEREIF 2021 FFS RENDERING AGE 0-20 75 339 46 178 33 63 32 33
1023524923 YASSA SHEREIF 2021 FFS RENDERING AGE 21+ 99 232 33 65 49 96 26 26
1023524923 YASSA SHEREIF 2021 GMC RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1023524923 YASSA SHEREIF 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1023539707 PHAM-TRAN SABRINA 2021 FFS RENDERING AGE 0-20 104 512 85 175 36 94 86 97
1023539707 PHAM-TRAN SABRINA 2021 FFS RENDERING AGE 21+ 156 716 93 93 85 247 111 111
1023553245 CASTANEDA FASSI CAROLYN E 2021 FFS RENDERING AGE 0-20 117 994 95 319 69 195 81 92
1023553245 CASTANEDA FASSI CAROLYN E 2021 FFS RENDERING AGE 21+ 325 1,815 153 296 175 577 210 210
1023554565 ESPINOZA RUBEN 2021 FFS RENDERING AGE 0-20 3,206 40,089 3,115 15,218 1,883 6,583 3,047 4,893
1023554565 ESPINOZA RUBEN 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1023571510 LEE NATHAN KYUNG H 2021 FFS RENDERING AGE 0-20 250 2,579 233 634 218 993 226 231
1023571510 LEE NATHAN KYUNG H 2021 FFS RENDERING AGE 21+ 222 1,654 102 204 162 956 141 141
1023571510 LEE NATHAN KYUNG H 2021 GMC RENDERING AGE 0-20 620 2,480 620 620 620 620 0 0
1023571510 LEE NATHAN KYUNG H 2021 GMC RENDERING AGE 21+ 1 1 1 1 1 1 0 0
1023571510 LEE NATHAN KYUNG H 2021 PHP RENDERING AGE 0-20 75 334 75 88 75 82 1 1
1023571510 LEE NATHAN KYUNG H 2021 PHP RENDERING AGE 21+ 1 2 1 2 1 2 1 1
1023571924 MADISETTY VIGNESH K 2021 FFS RENDERING AGE 0-20 64 437 51 122 32 91 52 55
1023571924 MADISETTY VIGNESH K 2021 FFS RENDERING AGE 21+ 145 852 66 83 101 368 83 83
1023579208 SHOKER, D, DENTAL INC 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 0 0
1023605920 CHUNG DO YOUNG 2021 FFS RENDERING AGE 0-20 27 237 21 103 11 48 26 26
1023605920 CHUNG DO YOUNG 2021 FFS RENDERING AGE 21+ 93 481 48 91 40 146 88 88
1023609948 UKAILY FAHAD L 2021 FFS RENDERING AGE 0-20 196 807 82 220 151 459 48 48
1023609948 UKAILY FAHAD L 2021 FFS RENDERING AGE 21+ 547 1,713 83 156 417 1,221 114 115
1023620986 VU PHUONG H 2021 FFS RENDERING AGE 0-20 84 411 54 106 30 93 66 66
1023620986 VU PHUONG H 2021 FFS RENDERING AGE 21+ 214 1,065 94 183 140 446 149 149
1023662178 MANANDHAR MANABU 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1023662178 MANANDHAR MANABU 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1023662608 CARRARA ROBERT P 2021 FFS RENDERING AGE 0-20 110 590 61 128 39 68 90 90
1023662608 CARRARA ROBERT P 2021 FFS RENDERING AGE 21+ 182 741 48 65 95 223 121 123
1023680600 BARADARAN NAKHJ FARID 2021 FFS RENDERING AGE 0-20 50 219 31 64 19 34 33 33
1023680600 BARADARAN NAKHJ FARID 2021 FFS RENDERING AGE 21+ 78 212 16 28 50 101 26 26
1033105481 BABIAN, MEHER, DDS 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 1 1
1033105481 BABIAN, MEHER, DDS 2021 FFS RENDERING AGE 21+ 581 3,100 168 168 501 2,204 150 150
1033115894 CHEN KIM CHIN P 2021 FFS RENDERING AGE 0-20 140 1,025 100 264 102 195 98 100
1033120860 JOE JEFFREY W 2021 FFS RENDERING AGE 0-20 46 297 38 85 23 74 37 40
1033120860 JOE JEFFREY W 2021 FFS RENDERING AGE 21+ 183 1,035 71 116 118 442 111 113
1033120860 JOE JEFFREY W 2021 PHP RENDERING AGE 21+ 14 50 1 2 1 1 12 12
1033122510 NAKABAYASHI, RICHARD LEIGH 2021 FFS RENDERING AGE 0-20 199 875 28 53 171 486 25 25
1033122510 NAKABAYASHI, RICHARD LEIGH 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 2 0 0
1033127923 EPSTEIN DAVID WILLIAM 2021 GMC RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1033128111 VALDEZ, MARIO G DDS 2021 FFS RENDERING AGE 0-20 179 1,779 172 558 38 113 138 148
1033128111 VALDEZ, MARIO G DDS 2021 FFS RENDERING AGE 21+ 208 1,610 115 225 102 342 159 159
1033161336 FERNANDEZ FERNANDO B 2021 FFS RENDERING AGE 0-20 50 355 31 66 23 46 35 37
1033161336 FERNANDEZ FERNANDO B 2021 FFS RENDERING AGE 21+ 178 1,364 13 13 134 457 87 87
1033177407 MALLARI HERMES B 2021 FFS RENDERING AGE 0-20 74 352 55 134 16 68 64 64
1033177407 MALLARI HERMES B 2021 FFS RENDERING AGE 21+ 466 1,831 169 317 237 771 336 336
1033177860 PATEL TRUSHYAP R 2021 FFS RENDERING AGE 0-20 434 2,154 169 532 350 1,130 53 53
1033177860 PATEL TRUSHYAP R 2021 FFS RENDERING AGE 21+ 543 2,333 164 281 492 1,680 49 49
1033199112 MUSTAFA ABRAHIM A 2021 FFS RENDERING AGE 0-20 561 3,464 410 1,193 249 490 454 521
1033199112 MUSTAFA ABRAHIM A 2021 FFS RENDERING AGE 21+ 732 3,348 187 190 393 893 467 467
1033199112 MUSTAFA ABRAHIM A 2021 PHP RENDERING AGE 0-20 191 1,051 140 377 88 169 144 157
1033199112 MUSTAFA ABRAHIM A 2021 PHP RENDERING AGE 21+ 157 668 39 41 110 282 78 79
1033202726 NGUYEN ELIZABETH K 2021 FFS RENDERING AGE 0-20 42 545 39 166 26 139 40 56
1033202726 NGUYEN ELIZABETH K 2021 FFS RENDERING AGE 21+ 135 831 82 163 70 302 120 120
1033202817 SOUTO WILLIAM T 2021 FFS RENDERING AGE 0-20 134 647 80 172 61 125 92 99
1033202817 SOUTO WILLIAM T 2021 FFS RENDERING AGE 21+ 418 1,602 84 168 304 746 184 184
1033203690 KACH, MICHAEL DDS 2021 FFS RENDERING AGE 0-20 64 350 50 86 12 32 41 41
1033203690 KACH, MICHAEL DDS 2021 FFS RENDERING AGE 21+ 225 1,161 76 76 118 360 131 131
1033203690 KACH, MICHAEL DDS 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1033205026 DIANATYAZDI KOUROSH 2021 FFS RENDERING AGE 0-20 30 275 25 89 1 1 24 26
1033205026 DIANATYAZDI KOUROSH 2021 FFS RENDERING AGE 21+ 74 476 36 65 48 143 51 51
1033205026 DIANATYAZDI KOUROSH 2021 PHP RENDERING AGE 0-20 1 2 1 2 1 1 1 2
1033205026 DIANATYAZDI KOUROSH 2021 PHP RENDERING AGE 21+ 19 192 1 2 14 78 17 17
1033205901 BENNETT TIMOTHY P 2021 GMC RENDERING AGE 21+ 1 1 1 1 1 1 0 0
1033210489 BOUDAIE DANIEL DMD 2021 FFS RENDERING AGE 0-20 314 4,008 178 689 166 728 293 364
1033210489 BOUDAIE DANIEL DMD 2021 FFS RENDERING AGE 21+ 497 4,715 1 1 358 2,256 413 413
1033210489 BOUDAIE DANIEL DMD 2021 PHP RENDERING AGE 0-20 69 669 57 186 17 58 68 82
1033210489 BOUDAIE DANIEL DMD 2021 PHP RENDERING AGE 21+ 96 489 11 11 42 198 93 99
1033212592 GUPTA JUGAL K 2021 FFS RENDERING AGE 0-20 84 438 66 81 42 118 70 72
1033212592 GUPTA JUGAL K 2021 FFS RENDERING AGE 21+ 182 807 69 69 106 234 129 129
1033215470 CATAQUIZ REBECCA P 2021 FFS RENDERING AGE 0-20 189 1,471 123 497 89 369 162 163
1033215470 CATAQUIZ REBECCA P 2021 FFS RENDERING AGE 21+ 581 2,805 194 386 236 989 420 420
1033215470 CATAQUIZ REBECCA P 2021 GMC RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1033216056 PATEL HARSHITA 2021 FFS RENDERING AGE 0-20 791 8,576 696 4,472 350 859 754 826
1033216056 PATEL HARSHITA 2021 FFS RENDERING AGE 21+ 957 5,242 607 699 615 1,723 741 741
1033229828 AMINI, MOHAMMAD 2021 FFS RENDERING AGE 0-20 48 376 34 118 22 65 41 43
1033229828 AMINI, MOHAMMAD 2021 FFS RENDERING AGE 21+ 514 4,141 191 382 423 1,726 349 349
1033232822 WANG, TIEN CHUN D, DMD 2021 FFS RENDERING AGE 0-20 38 164 34 80 1 1 20 20
1033232822 WANG, TIEN CHUN D, DMD 2021 FFS RENDERING AGE 21+ 26 79 16 16 1 2 16 16
1033232822 WANG, TIEN CHUN D, DMD 2021 PHP RENDERING AGE 0-20 186 1,105 171 498 42 81 181 198
1033232822 WANG, TIEN CHUN D, DMD 2021 PHP RENDERING AGE 21+ 259 966 173 254 111 197 193 196
1033234331 HAN, MI YOUNG, DDS 2021 FFS RENDERING AGE 0-20 101 860 96 223 41 125 88 104
1033234331 HAN, MI YOUNG, DDS 2021 FFS RENDERING AGE 21+ 184 1,502 134 260 100 249 152 152
1033241013 NGO, THU THI-BICH, DDS 2021 FFS RENDERING AGE 0-20 1 2 1 1 0 0 1 1
1033241013 NGO, THU THI-BICH, DDS 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1033241161 LIU KENNY 2021 FFS RENDERING AGE 0-20 292 685 1 1 124 345 1 1
1033241161 LIU KENNY 2021 FFS RENDERING AGE 21+ 23 26 0 0 1 1 0 0
1033242524 TRAN NOREEN N 2021 FFS RENDERING AGE 0-20 112 1,186 98 426 59 316 96 113
1033242524 TRAN NOREEN N 2021 FFS RENDERING AGE 21+ 122 797 69 85 82 391 87 90
1033243498 ATLAS DENTAL CARE 2021 FFS RENDERING AGE 0-20 1 2 1 1 0 0 0 0
1033244819 SARKISSIAN, GRIGOR G DDS 2021 FFS RENDERING AGE 0-20 23 79 1 1 13 18 19 19
1033244819 SARKISSIAN, GRIGOR G DDS 2021 FFS RENDERING AGE 21+ 573 2,707 267 267 465 1,434 430 430
1033254792 NICA ANCA R 2021 PHP RENDERING AGE 0-20 79 449 62 180 48 56 38 40
1033254792 NICA ANCA R 2021 PHP RENDERING AGE 21+ 150 555 63 97 130 195 44 44
1033260153 SHAIN NAT R DDS 2021 FFS RENDERING AGE 0-20 63 564 58 140 21 50 57 69
1033260153 SHAIN NAT R DDS 2021 FFS RENDERING AGE 21+ 73 491 58 113 29 56 60 60
1033261730 VAUGHN LORENIA L 2021 FFS RENDERING AGE 0-20 101 1,195 82 267 37 136 99 129
1033261730 VAUGHN LORENIA L 2021 FFS RENDERING AGE 21+ 363 2,355 131 256 134 670 341 341
1033267422 BEHESHTIAN MORTEZA 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1033270319 TRAN TAM D 2021 FFS RENDERING AGE 0-20 1,153 4,353 255 671 56 87 1,093 1,216
1033270319 TRAN TAM D 2021 FFS RENDERING AGE 21+ 1,529 3,715 75 131 65 101 1,455 1,455
1033270335 TIRUPATHI HARITHA 2021 FFS RENDERING AGE 0-20 44 532 42 119 23 94 42 48
1033270335 TIRUPATHI HARITHA 2021 FFS RENDERING AGE 21+ 226 1,435 171 337 111 396 204 204
1033271713 BEZAD PATRICIA 2021 FFS RENDERING AGE 0-20 87 199 0 0 87 197 0 0
1033271713 BEZAD PATRICIA 2021 FFS RENDERING AGE 21+ 908 2,939 0 0 759 2,569 161 161
1033274519 HANASAB DENTAL CORP 2021 PHP RENDERING AGE 0-20 48 357 45 115 11 30 44 44
1033274519 HANASAB DENTAL CORP 2021 PHP RENDERING AGE 21+ 28 149 18 24 12 33 22 22
1033274782 DEHESTANI FATEMEH 2021 FFS RENDERING AGE 0-20 205 1,017 107 245 67 246 110 114
1033274782 DEHESTANI FATEMEH 2021 FFS RENDERING AGE 21+ 478 1,775 97 191 176 639 187 187
1033274782 DEHESTANI FATEMEH 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1033275029 REZAI, NESHAT, DDS 2021 FFS RENDERING AGE 0-20 84 307 77 129 1 2 79 79
1033275029 REZAI, NESHAT, DDS 2021 FFS RENDERING AGE 21+ 311 1,810 269 760 118 408 283 285
1033277264 VO COLLEEN P 2021 FFS RENDERING AGE 0-20 304 1,533 164 357 152 440 220 234
1033277264 VO COLLEEN P 2021 FFS RENDERING AGE 21+ 489 1,856 106 192 258 766 315 317
1033277264 VO COLLEEN P 2021 PHP RENDERING AGE 0-20 93 630 52 150 55 200 73 86
1033277264 VO COLLEEN P 2021 PHP RENDERING AGE 21+ 136 583 32 43 92 321 73 75
1033285275 MULLER SHEILA A 2021 FFS RENDERING AGE 0-20 205 2,244 196 667 106 485 188 275
1033287495 CRESPO PAUL 2021 FFS RENDERING AGE 0-20 23 167 19 58 11 58 17 24
1033287495 CRESPO PAUL 2021 FFS RENDERING AGE 21+ 56 262 36 36 32 123 35 35
1033293402 DE LUNA JOSE E 2021 FFS RENDERING AGE 0-20 1 2 1 1 0 0 1 1
1033293402 DE LUNA JOSE E 2021 FFS RENDERING AGE 21+ 13 55 1 2 1 1 1 1
1033304720 ZOUBTSOV VIACHESLAV S 2021 FFS RENDERING AGE 0-20 436 3,208 431 1,585 0 0 432 432
1033304720 ZOUBTSOV VIACHESLAV S 2021 PHP RENDERING AGE 0-20 44 352 43 162 1 1 43 43
1033308580 KAGAN, INNA DDS 2021 FFS RENDERING AGE 0-20 103 891 97 416 52 165 102 150
1033308580 KAGAN, INNA DDS 2021 FFS RENDERING AGE 21+ 391 2,057 174 353 263 948 323 323
1033308580 KAGAN, INNA DDS 2021 PHP RENDERING AGE 0-20 36 224 32 74 18 68 34 36
1033314232 AL BOUZ MAHER 2021 FFS RENDERING AGE 0-20 34 195 25 51 13 40 25 26
1033314232 AL BOUZ MAHER 2021 FFS RENDERING AGE 21+ 152 644 56 63 79 245 116 116
1033320460 CHOE STEEVE C 2021 FFS RENDERING AGE 0-20 84 444 59 190 38 88 65 70
1033320460 CHOE STEEVE C 2021 FFS RENDERING AGE 21+ 497 2,308 206 379 309 1,165 295 295
1033320759 RIVERA NOEL C 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1033327812 MAGALLANES, ALEXANDER 2021 FFS RENDERING AGE 0-20 181 779 129 421 14 24 155 176
1033327812 MAGALLANES, ALEXANDER 2021 FFS RENDERING AGE 21+ 25 75 12 22 1 1 19 19
1033327812 MAGALLANES, ALEXANDER J, DDS 2021 FFS RENDERING AGE 0-20 181 779 129 421 14 24 155 176
1033327812 MAGALLANES, ALEXANDER J, DDS 2021 FFS RENDERING AGE 21+ 25 75 12 22 1 1 19 19
1033329115 SARGISSIAN SOPHIA 2021 FFS RENDERING AGE 0-20 11 99 1 2 1 2 11 13
1033329115 SARGISSIAN SOPHIA 2021 FFS RENDERING AGE 21+ 59 331 31 31 33 90 50 50
1033346077 GANJI DAVID S 2021 FFS RENDERING AGE 0-20 358 2,159 204 589 162 613 309 330
1033346077 GANJI DAVID S 2021 FFS RENDERING AGE 21+ 1,384 6,229 307 555 660 2,379 1,151 1,155
1033358593 JACOB EVELINDA D 2021 FFS RENDERING AGE 0-20 297 1,365 153 399 130 258 243 255
1033358593 JACOB EVELINDA D 2021 FFS RENDERING AGE 21+ 568 1,757 81 142 263 678 367 367
1033358593 JACOB EVELINDA D 2021 PHP RENDERING AGE 0-20 1 1 1 1 1 1 1 1
1033374293 RHAYEM, ZIAD GEORGES, DDS 2021 FFS RENDERING AGE 0-20 11 106 1 2 11 44 1 2
1033374293 RHAYEM, ZIAD GEORGES, DDS 2021 FFS RENDERING AGE 21+ 56 475 27 52 55 229 45 45
1033374293 RHAYEM, ZIAD GEORGES, DDS 2021 PHP RENDERING AGE 0-20 91 790 81 227 89 210 88 95
1033374293 RHAYEM, ZIAD GEORGES, DDS 2021 PHP RENDERING AGE 21+ 163 1,630 138 353 163 641 137 163
1033381264 TO ERIC CHUN HIN 2021 PHP RENDERING AGE 0-20 35 320 35 118 1 1 35 48
1033384037 FINEGOLD DEBORAH H 2021 FFS RENDERING AGE 0-20 691 3,292 0 0 434 2,367 427 429
1033384037 FINEGOLD DEBORAH H 2021 FFS RENDERING AGE 21+ 894 4,353 0 0 646 3,080 550 552
1033395447 NEJATFARD HAMEED R 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1033395447 NEJATFARD HAMEED R 2021 FFS RENDERING AGE 21+ 65 172 11 11 51 128 1 1
1033397310 LE, NATHAN HIEN DMD 2021 FFS RENDERING AGE 0-20 79 554 73 116 26 53 71 82
1033397310 LE, NATHAN HIEN DMD 2021 FFS RENDERING AGE 21+ 346 2,186 233 257 204 536 261 261
1033399183 NESSIM MAGED Z 2021 FFS RENDERING AGE 0-20 93 390 58 168 31 92 58 58
1033399183 NESSIM MAGED Z 2021 FFS RENDERING AGE 21+ 303 821 65 104 137 348 153 153
1033399183 NESSIM MAGED Z 2021 PHP RENDERING AGE 0-20 16 73 1 2 1 2 1 1
1033399183 NESSIM MAGED Z 2021 PHP RENDERING AGE 21+ 39 216 1 2 30 161 15 15
1033409834 SHAW I-TIEN E 2021 GMC RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1033422720 VALTCHEVA SILVIA V 2021 FFS RENDERING AGE 0-20 190 812 137 305 36 69 167 176
1033422720 VALTCHEVA SILVIA V 2021 FFS RENDERING AGE 21+ 327 898 73 95 93 196 220 221
1033422720 VALTCHEVA SILVIA V 2021 PHP RENDERING AGE 0-20 84 301 69 162 17 26 77 81
1033422720 VALTCHEVA SILVIA V 2021 PHP RENDERING AGE 21+ 160 498 106 167 54 151 126 132
1033431630 MARTIN, ELMEZEN, RDHAP 2021 FFS RENDERING AGE 21+ 50 116 50 116 0 0 0 0
1033433727 DA FONSECA RENATA C 2021 FFS RENDERING AGE 0-20 486 8,039 468 2,377 379 1,619 453 719
1033433727 DA FONSECA RENATA C 2021 PHP RENDERING AGE 0-20 1 2 1 2 1 2 1 1
1033434675 HILL KERRI 2021 PHP RENDERING AGE 21+ 1 2 0 0 1 2 0 0
1033450721 GABI TZUR S 2021 FFS RENDERING AGE 21+ 16 36 0 0 16 36 0 0
1033453667 PRIYAWAT RUPPORN 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1033453667 PRIYAWAT RUPPORN 2021 FFS RENDERING AGE 21+ 14 48 1 1 1 2 1 1
1033468368 VERA EDWARD L 2021 FFS RENDERING AGE 0-20 3,440 39,928 2,954 8,728 1,969 6,812 2,965 3,464
1033468368 VERA EDWARD L 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1033476148 CHAE JACOB J 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 2 1 1
1033476148 CHAE JACOB J 2021 FFS RENDERING AGE 21+ 20 46 0 0 18 37 1 1
1033490073 TRAN JAMIE H 2021 FFS RENDERING AGE 0-20 62 227 0 0 53 91 61 61
1033490073 TRAN JAMIE H 2021 FFS RENDERING AGE 21+ 518 1,927 0 0 376 710 484 485
1033498282 LIU JEFFREY C 2021 FFS RENDERING AGE 0-20 170 1,678 136 387 71 227 156 164
1033498282 LIU JEFFREY C 2021 FFS RENDERING AGE 21+ 393 2,332 88 172 259 936 271 271
1033509799 TWILLING KIM 2021 GMC RENDERING AGE 21+ 1 1 1 1 0 0 0 0
1033510771 PHAM JEFFEREY 2021 FFS RENDERING AGE 0-20 315 4,366 287 1,119 207 789 289 410
1033510771 PHAM JEFFEREY 2021 FFS RENDERING AGE 21+ 515 4,445 328 644 366 1,684 404 404
1033524871 MCMAINE TRAVIS B 2021 FFS RENDERING AGE 0-20 66 181 0 0 28 86 40 40
1033524871 MCMAINE TRAVIS B 2021 FFS RENDERING AGE 21+ 100 320 0 0 51 208 53 53
1033526561 HUANG ERIC H 2021 FFS RENDERING AGE 0-20 59 461 40 89 28 68 37 40
1033526561 HUANG ERIC H 2021 FFS RENDERING AGE 21+ 94 517 58 113 54 137 43 43
1033527825 VENTRESCA DOMINICK E 2021 FFS RENDERING AGE 0-20 122 597 86 181 50 91 81 84
1033527825 VENTRESCA DOMINICK E 2021 FFS RENDERING AGE 21+ 302 1,334 85 170 212 643 136 138
1033559331 GOLCHOOBIAN TABASSOM P 2021 FFS RENDERING AGE 21+ 81 322 13 13 50 186 42 42
1033562939 KIM SCARLET N 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 2 0 0
1033583349 JOO KYUNG W 2021 FFS RENDERING AGE 0-20 1 1 1 1 1 1 0 0
1033583349 JOO KYUNG W 2021 GMC RENDERING AGE 0-20 1,854 11,619 1,053 3,999 573 784 913 967
1033583992 LEE, JIN KYU 2021 FFS RENDERING AGE 0-20 50 501 45 144 24 120 46 55
1033583992 LEE, JIN KYU 2021 FFS RENDERING AGE 21+ 176 1,526 135 175 125 714 149 149
1033584669 KIM, HEIVI, DDS INC 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1033590948 OGTONG KATHERINE G 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 1 1
1033590948 OGTONG KATHERINE G 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1033590948 OGTONG KATHERINE G 2021 PHP RENDERING AGE 0-20 22 204 19 110 1 2 18 20
1033590948 OGTONG KATHERINE G 2021 PHP RENDERING AGE 21+ 70 401 41 91 54 165 41 41
1033592233 AMEZCUA OSVALDO 2021 GMC RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1033595632 BENJAMIN LU DDS 2021 PHP RENDERING AGE 0-20 16 135 1 2 1 2 1 2
1033595632 BENJAMIN LU DDS 2021 PHP RENDERING AGE 21+ 51 650 45 89 41 329 47 47
1033595632 LU, BENJAMIN, DDS A DENTAL C 2021 PHP RENDERING AGE 0-20 16 135 1 2 1 2 1 2
1033595632 LU, BENJAMIN, DDS A DENTAL C 2021 PHP RENDERING AGE 21+ 51 650 45 89 41 329 47 47
1033625074 ROFAEIL MENA R 2021 FFS RENDERING AGE 0-20 957 7,402 638 1,864 711 1,598 617 619
1033625074 ROFAEIL MENA R 2021 FFS RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1033625181 MOUSAVI, SEYYEDHOSSEIN, DDS 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 2 1 1
1033625181 MOUSAVI, SEYYEDHOSSEIN, DDS 2021 FFS RENDERING AGE 21+ 64 269 1 2 32 130 57 57
1033625181 MOUSAVI, SEYYEDHOSSEIN, DDS 2021 PHP RENDERING AGE 0-20 1 1 0 0 0 0 1 1
1033625181 MOUSAVI, SEYYEDHOSSEIN, DDS 2021 PHP RENDERING AGE 21+ 21 113 1 1 12 64 21 21
1033626247 LOPEZ-BENDEZU JOSE L 2021 FFS RENDERING AGE 0-20 1 2 1 1 0 0 1 1
1033626247 LOPEZ-BENDEZU JOSE L 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1033636485 SAED CHRISTINE I 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 1 1
1033636485 SAED CHRISTINE I 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1033641576 GOODMAN DANIELLE A 2021 FFS RENDERING AGE 0-20 754 5,019 641 1,643 438 828 623 629
1033668355 KWAK JAE H 2021 FFS RENDERING AGE 0-20 2,037 30,381 1,886 7,382 1,336 4,588 1,869 2,793
1033668355 KWAK JAE H 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1033668355 KWAK JAE H 2021 PHP RENDERING AGE 0-20 1 1 1 1 1 1 1 1
1033672720 KERI ESC DENTAL GROUP A PROF 2021 FFS RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1033677703 ANAND SONAL 2021 FFS RENDERING AGE 0-20 248 2,070 170 569 85 183 163 165
1033677703 ANAND SONAL 2021 FFS RENDERING AGE 21+ 599 4,400 131 264 399 1,021 287 287
1033684360 LUONG TUAN T 2021 FFS RENDERING AGE 0-20 1,503 11,850 1,113 3,072 1,049 2,147 1,057 1,154
1033684360 LUONG TUAN T 2021 FFS RENDERING AGE 21+ 1 2 1 1 0 0 1 1
1033697685 MONTY JANELL A 2021 FFS RENDERING AGE 0-20 1 2 0 0 1 2 0 0
1033697685 MONTY JANELL A 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 2 0 0
1033721600 KEERATINIJAKAL TRIGAIN 2021 FFS RENDERING AGE 0-20 273 1,180 127 293 81 234 227 227
1033721600 KEERATINIJAKAL TRIGAIN 2021 FFS RENDERING AGE 21+ 564 2,351 153 311 266 974 415 417
1033721857 KIM MINJAE 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1033721857 KIM MINJAE 2021 FFS RENDERING AGE 21+ 246 1,640 51 88 223 1,238 115 118
1033724315 NOVEIR ARIAN 2021 FFS RENDERING AGE 0-20 640 7,970 565 2,151 473 1,812 590 623
1033724315 NOVEIR ARIAN 2021 FFS RENDERING AGE 21+ 342 2,644 196 437 242 1,117 191 191
1033757570 HIDALGO-VILLACO JUAN J 2021 FFS RENDERING AGE 0-20 211 1,636 182 475 81 199 189 208
1033757570 HIDALGO-VILLACO JUAN J 2021 FFS RENDERING AGE 21+ 195 1,130 63 114 126 434 113 115
1033761580 SAFAEI SALINA 2021 FFS RENDERING AGE 0-20 80 533 73 283 55 70 63 63
1033766803 WU KE-CHUNG 2021 FFS RENDERING AGE 0-20 68 1,121 50 139 68 719 60 60
1033766803 WU KE-CHUNG 2021 FFS RENDERING AGE 21+ 1 2 1 2 1 2 1 1
1033773700 LEE ROBERT J 2021 FFS RENDERING AGE 0-20 180 186 0 0 1 1 0 0
1033782180 KHACHATRYAN KAREN 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1033782180 KHACHATRYAN KAREN 2021 FFS RENDERING AGE 21+ 93 425 22 22 59 263 71 71
1033782230 LIU JERRY C 2021 FFS RENDERING AGE 0-20 110 389 70 188 47 65 35 35
1033782230 LIU JERRY C 2021 FFS RENDERING AGE 21+ 270 688 88 168 146 283 69 69
1033871496 MANKARIOUS KAMIL N 2021 FFS RENDERING AGE 0-20 59 209 28 60 28 54 31 31
1033871496 MANKARIOUS KAMIL N 2021 FFS RENDERING AGE 21+ 117 323 16 26 78 170 43 43
1033880182 JABARI MONA L 2021 FFS RENDERING AGE 0-20 58 290 44 104 27 74 30 30
1033880182 JABARI MONA L 2021 FFS RENDERING AGE 21+ 113 419 33 59 72 198 35 35
1043201726 TSO, VINCENT J, DMD 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1043201726 TSO, VINCENT J, DMD 2021 FFS RENDERING AGE 21+ 16 26 1 1 1 2 1 1
1043214448 KEYHANI JALEH 2021 FFS RENDERING AGE 0-20 534 3,586 0 0 439 2,852 367 367
1043214448 KEYHANI JALEH 2021 FFS RENDERING AGE 21+ 965 7,294 0 0 701 6,035 628 628
1043220700 TRAN QUAN N 2021 FFS RENDERING AGE 0-20 265 2,258 222 508 97 194 244 278
1043220700 TRAN QUAN N 2021 FFS RENDERING AGE 21+ 457 3,797 257 512 309 756 310 310
1043221757 MIRANDA DENTAL GROUP 2021 FFS RENDERING AGE 0-20 51 362 48 137 16 39 47 55
1043221757 MIRANDA DENTAL GROUP 2021 FFS RENDERING AGE 21+ 133 549 59 103 70 168 94 94
1043225808 MONZON, MARY FE G DDS 2021 FFS RENDERING AGE 0-20 151 1,982 142 367 74 400 132 157
1043225808 MONZON, MARY FE G DDS 2021 FFS RENDERING AGE 21+ 235 2,103 135 135 138 638 179 179
1043229297 PENA CARLA D 2021 FFS RENDERING AGE 0-20 608 6,204 581 2,337 257 549 582 692
1043229297 PENA CARLA D 2021 FFS RENDERING AGE 21+ 379 1,982 262 520 202 510 319 321
1043233067 REID LAURA K 2021 FFS RENDERING AGE 0-20 208 741 122 237 140 264 91 94
1043233117 LAN CHIA-HSIN 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1043237530 PATEL, BINDI P MD 2021 FFS RENDERING AGE 0-20 91 271 0 0 91 271 0 0
1043249436 MIN MICHAEL 2021 FFS RENDERING AGE 0-20 398 4,780 337 1,158 153 399 356 458
1043249436 MIN MICHAEL 2021 FFS RENDERING AGE 21+ 527 3,618 298 446 298 673 367 382
1043277551 PEREIRA DA SILV DANIELA R 2021 FFS RENDERING AGE 0-20 2,769 22,527 2,382 8,466 1,340 6,148 2,554 3,206
1043277551 PEREIRA DA SILV DANIELA R 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1043277551 PEREIRA DA SILV DANIELA R 2021 GMC RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1043277551 PEREIRA DA SILV DANIELA R 2021 PHP RENDERING AGE 0-20 122 770 93 272 45 187 114 121
1043278153 CHUNG, JAE WOO, DMD 2021 FFS RENDERING AGE 21+ 181 465 0 0 178 460 1 1
1043278153 CHUNG, JAE WOO, DMD 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1043278153 CHUNG, JAE WOO, DMD 2021 PHP RENDERING AGE 21+ 1 2 0 0 1 2 0 0
1043281587 PRASAD KRISHNASWAMY S 2021 FFS RENDERING AGE 0-20 173 2,555 167 559 102 359 168 215
1043281587 PRASAD KRISHNASWAMY S 2021 FFS RENDERING AGE 21+ 258 2,285 179 182 186 759 200 203
1043305519 LUQUE ANGELA M 2021 FFS RENDERING AGE 0-20 72 608 50 184 44 188 50 56
1043305519 LUQUE ANGELA M 2021 FFS RENDERING AGE 21+ 172 888 21 37 134 597 69 69
1043306475 SADEGHPOUR, SEPEHR DDS 2021 FFS RENDERING AGE 0-20 185 1,494 180 639 79 160 180 237
1043306475 SADEGHPOUR, SEPEHR DDS 2021 FFS RENDERING AGE 21+ 150 736 111 222 80 154 135 135
1043308240 ZOKAEI, AFSANEH DDS 2021 FFS RENDERING AGE 0-20 200 2,600 193 789 97 383 193 249
1043308240 ZOKAEI, AFSANEH DDS 2021 FFS RENDERING AGE 21+ 548 5,918 383 747 430 2,232 425 425
1043310741 TRIGOSO OSCAR R 2021 FFS RENDERING AGE 0-20 185 1,948 154 305 100 512 147 163
1043310741 TRIGOSO OSCAR R 2021 FFS RENDERING AGE 21+ 176 1,244 106 108 83 276 133 133
1043310741 TRIGOSO OSCAR R 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1043314289 LEE KAM-WAN 2021 FFS RENDERING AGE 0-20 144 1,087 114 263 43 63 122 148
1043314289 LEE KAM-WAN 2021 FFS RENDERING AGE 21+ 1,461 10,968 735 1,175 1,012 2,513 847 847
1043314289 LEE KAM-WAN 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1043330228 SI, KHIN DDS 2021 FFS RENDERING AGE 0-20 39 260 37 67 20 62 28 30
1043330228 SI, KHIN DDS 2021 FFS RENDERING AGE 21+ 57 368 35 35 27 75 36 36
1043332596 REGALADO MARIA C 2021 FFS RENDERING AGE 0-20 33 589 29 95 25 131 27 36
1043332596 REGALADO MARIA C 2021 FFS RENDERING AGE 21+ 71 787 50 78 53 285 55 55
1043335862 CHU, JIN WEI, DDS 2021 FFS RENDERING AGE 0-20 35 281 34 142 23 57 34 44
1043335862 CHU, JIN WEI, DDS 2021 FFS RENDERING AGE 21+ 66 354 46 93 51 110 54 56
1043338346 PATEL AMIEL R 2021 FFS RENDERING AGE 0-20 13 78 13 13 1 1 1 1
1043338346 PATEL AMIEL R 2021 FFS RENDERING AGE 21+ 28 204 20 20 19 54 19 19
1043344591 VARDANIAN, TIGRAN, DDS 2021 GMC RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1043346174 SCHARF ERIC MICHAEL 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1043348188 LY QUY V 2021 FFS RENDERING AGE 0-20 109 774 73 211 54 188 92 92
1043348188 LY QUY V 2021 FFS RENDERING AGE 21+ 242 1,216 82 134 190 629 130 130
1043350606 TONTHAT DAI 2021 FFS RENDERING AGE 0-20 58 668 57 198 23 73 58 73
1043350606 TONTHAT DAI 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1043350671 KHOLAKI MOHAMAD S 2021 FFS RENDERING AGE 0-20 15 40 11 12 1 2 1 1
1043350671 KHOLAKI MOHAMAD S 2021 FFS RENDERING AGE 21+ 52 138 27 27 20 35 33 33
1043354459 IMAI-MARSHALL YO 2021 FFS RENDERING AGE 0-20 115 188 0 0 29 47 0 0
1043354459 IMAI-MARSHALL YO 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1043365059 CHAO, DOROTHY W, DDS 2021 FFS RENDERING AGE 0-20 64 544 62 203 26 68 51 66
1043365059 CHAO, DOROTHY W, DDS 2021 FFS RENDERING AGE 21+ 152 917 97 97 109 413 106 106
1043365174 KHOSH, SAJAD, DDS 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 2 1 2
1043365174 KHOSH, SAJAD, DDS 2021 FFS RENDERING AGE 21+ 413 2,565 199 372 373 1,541 114 114
1043366487 SHEIKH, CYROUS, DDS MS 2021 FFS RENDERING AGE 0-20 420 3,304 390 1,245 145 552 324 490
1043366487 SHEIKH, CYROUS, DDS MS 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1043369069 MADDEN JOHN FRANCIS 2021 PHP RENDERING AGE 21+ 1 1 1 1 0 0 0 0
1043370844 KIM, JAMES H, DDS 2021 FFS RENDERING AGE 0-20 154 714 147 244 48 101 148 207
1043370844 KIM, JAMES H, DDS 2021 FFS RENDERING AGE 21+ 153 652 111 111 90 222 118 118
1043370844 KIM, JAMES H, DDS 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1043371644 SKYBERG, KENNETH R, DDS 2021 FFS RENDERING AGE 0-20 1 2 1 1 0 0 1 1
1043371644 SKYBERG, KENNETH R, DDS 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1043373863 OKUMURA WESLEY K 2021 FFS RENDERING AGE 0-20 174 3,010 130 387 171 1,965 155 155
1043373863 OKUMURA WESLEY K 2021 FFS RENDERING AGE 21+ 26 225 16 26 26 128 19 19
1043373863 OKUMURA WESLEY K 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1043387228 LY TUANKIET Q 2021 FFS RENDERING AGE 0-20 113 1,724 101 412 68 198 100 125
1043387228 LY TUANKIET Q 2021 FFS RENDERING AGE 21+ 140 2,035 89 171 113 698 111 111
1043402019 GERONIMO JORGE L 2021 FFS RENDERING AGE 0-20 237 2,139 155 343 149 450 163 174
1043402019 GERONIMO JORGE L 2021 FFS RENDERING AGE 21+ 250 1,599 65 132 200 608 108 108
1043402019 GERONIMO JORGE L 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1043403686 TRAN JIMMY B 2021 FFS RENDERING AGE 0-20 94 964 82 245 36 135 85 106
1043403686 TRAN JIMMY B 2021 FFS RENDERING AGE 21+ 393 4,251 232 441 306 1,569 280 281
1043409279 RAFIEE RAFI 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1043411457 REDDY, HARI DDS 2021 FFS RENDERING AGE 0-20 30 303 22 58 30 80 21 24
1043411457 REDDY, HARI DDS 2021 FFS RENDERING AGE 21+ 105 957 68 134 93 313 86 86
1043411457 REDDY, HARI K, DDS 2021 FFS RENDERING AGE 0-20 30 303 22 58 30 80 21 24
1043411457 REDDY, HARI K, DDS 2021 FFS RENDERING AGE 21+ 105 957 68 134 93 313 86 86
1043412315 MOROZOVA YULIYA V 2021 FFS RENDERING AGE 0-20 140 976 79 250 115 438 78 89
1043412315 MOROZOVA YULIYA V 2021 FFS RENDERING AGE 21+ 583 2,671 100 194 553 2,094 128 128
1043418635 MURTHY, NAGARAJ P DDS 2021 FFS RENDERING AGE 21+ 1 1 1 1 1 1 0 0
1043418635 MURTHY, NAGARAJ P DDS 2021 PHP RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1043427016 GANZHA, IRINA V, DDS 2021 FFS RENDERING AGE 0-20 285 1,871 187 510 102 318 257 305
1043427016 GANZHA, IRINA V, DDS 2021 FFS RENDERING AGE 21+ 461 2,408 312 612 228 622 394 394
1043434541 ADRIVONA OPTICAL, INC. 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1043435415 COHEN-SEDGH, SOLEYMAN, DDS I 2021 PHP RENDERING AGE 0-20 37 140 1 2 1 1 1 1
1043435415 COHEN-SEDGH, SOLEYMAN, DDS I 2021 PHP RENDERING AGE 21+ 48 183 1 2 13 20 15 15
1043435712 CORTEZ-PACHECO CARLOS R 2021 FFS RENDERING AGE 0-20 58 412 32 56 25 91 33 34
1043435712 CORTEZ-PACHECO CARLOS R 2021 FFS RENDERING AGE 21+ 307 1,794 62 86 170 461 165 165
1043435712 CORTEZ-PACHECO CARLOS R 2021 GMC RENDERING AGE 0-20 50 202 21 53 33 68 12 12
1043435712 CORTEZ-PACHECO CARLOS R 2021 GMC RENDERING AGE 21+ 1,047 6,988 965 1,757 676 1,733 444 457
1043437791 HA KYMINH T 2021 FFS RENDERING AGE 0-20 86 712 78 179 38 107 73 89
1043437791 HA KYMINH T 2021 FFS RENDERING AGE 21+ 148 1,037 122 122 74 287 119 119
1043437866 KAISER, ARTHUR G DDS 2021 FFS RENDERING AGE 0-20 80 517 53 122 38 65 47 47
1043437866 KAISER, ARTHUR G DDS 2021 FFS RENDERING AGE 21+ 37 106 1 1 24 44 1 1
1043437866 KAISER, ARTHUR G DDS 2021 PHP RENDERING AGE 0-20 94 624 80 205 31 81 92 106
1043437866 KAISER, ARTHUR G DDS 2021 PHP RENDERING AGE 21+ 189 1,157 81 125 139 568 154 155
1043437866 KAISER, ARTHUR G, DDS 2021 FFS RENDERING AGE 0-20 80 3,619 53 854 38 455 47 329
1043437866 KAISER, ARTHUR G, DDS 2021 FFS RENDERING AGE 21+ 37 742 1 2 24 308 1 2
1043437866 KAISER, ARTHUR G, DDS 2021 PHP RENDERING AGE 0-20 94 4,368 80 1,435 31 567 92 742
1043437866 KAISER, ARTHUR G, DDS 2021 PHP RENDERING AGE 21+ 189 8,099 81 875 139 3,976 154 1,085
1043437866 UNKNOWN 2021 FFS RENDERING AGE 0-20 80 517 53 122 38 65 47 47
1043437866 UNKNOWN 2021 FFS RENDERING AGE 21+ 37 106 1 1 24 44 1 1
1043437866 UNKNOWN 2021 PHP RENDERING AGE 0-20 94 624 80 205 31 81 92 106
1043437866 UNKNOWN 2021 PHP RENDERING AGE 21+ 189 1,157 81 125 139 568 154 155
1043438773 TRAN TAM-HUONG N 2021 FFS RENDERING AGE 0-20 21 153 18 49 1 2 19 22
1043438773 TRAN TAM-HUONG N 2021 FFS RENDERING AGE 21+ 52 365 41 78 34 154 44 44
1043445919 STAHL MICHAELA 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1043453988 BRAVO CUSHING GHISELA E 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1043453988 BRAVO CUSHING GHISELA E 2021 FFS RENDERING AGE 21+ 22 73 1 1 11 20 13 13
1043453988 BRAVO CUSHING GHISELA E 2021 PHP RENDERING AGE 0-20 104 604 78 251 80 108 43 43
1043453988 BRAVO CUSHING GHISELA E 2021 PHP RENDERING AGE 21+ 169 672 90 195 151 200 47 47
1043470248 HAQUE SHARMIN 2021 FFS RENDERING AGE 0-20 147 459 0 0 147 459 0 0
1043470248 HAQUE SHARMIN 2021 FFS RENDERING AGE 21+ 11 33 0 0 11 33 0 0
1043474471 JOHNSON NEAL A 2021 FFS RENDERING AGE 0-20 231 866 0 0 231 865 0 0
1043474471 JOHNSON NEAL A 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1043479777 HADAYA MONA T 2021 GMC RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1043479777 HADAYA MONA T 2021 PHP RENDERING AGE 0-20 161 1,107 149 526 64 88 110 134
1043479777 HADAYA MONA T 2021 PHP RENDERING AGE 21+ 1 1 1 1 1 1 0 0
1043515653 HAWATMEH AYED J 2021 FFS RENDERING AGE 0-20 991 9,887 836 2,400 524 1,787 858 1,010
1043515653 HAWATMEH AYED J 2021 FFS RENDERING AGE 21+ 1,701 13,744 813 1,476 1,297 5,718 1,118 1,124
1043528656 SINHA MILU 2021 FFS RENDERING AGE 0-20 254 3,455 241 911 61 220 240 300
1043528656 SINHA MILU 2021 FFS RENDERING AGE 21+ 295 3,391 232 390 136 486 259 259
1043531171 RHO JAMES HYUNJUNE 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1043532351 KADERA PETR 2021 FFS RENDERING AGE 0-20 1,276 10,294 870 1,963 579 1,318 775 777
1043532351 KADERA PETR 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1043532351 KADERA PETR 2021 GMC RENDERING AGE 0-20 60 321 20 30 58 122 0 0
1043536550 FAKHERI PEDRAM 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1043542640 WALKER, SHARON L, RDHAP 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 0 0
1043543051 LEE LAWRENCE 2021 PHP RENDERING AGE 0-20 45 318 36 139 38 60 27 27
1043543051 LEE LAWRENCE 2021 PHP RENDERING AGE 21+ 78 291 56 88 28 50 47 47
1043555162 HANNA AMAL 2021 FFS RENDERING AGE 0-20 39 319 29 98 24 76 34 45
1043555162 HANNA AMAL 2021 FFS RENDERING AGE 21+ 124 1,501 64 127 104 820 84 84
1043570658 KETCHERSIDE HOMER G 2021 FFS RENDERING AGE 0-20 669 1,136 0 0 92 254 0 0
1043570658 KETCHERSIDE HOMER G 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1043570658 KETCHERSIDE HOMER G 2021 PHP RENDERING AGE 0-20 1 2 0 0 1 2 0 0
1043571839 GOYAL NITASHA A 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1043571839 GOYAL NITASHA A 2021 GMC RENDERING AGE 0-20 1,128 7,253 933 2,215 477 1,010 1,002 1,136
1043571839 GOYAL NITASHA A 2021 GMC RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1043576416 ILYA ZAK DDS INC. 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1043576416 ZAK, ILYA, DDS INC 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1043578180 KUO BRIAN Y 2021 FFS RENDERING AGE 0-20 19 102 15 46 11 25 13 14
1043578180 KUO BRIAN Y 2021 FFS RENDERING AGE 21+ 91 519 66 117 51 205 65 65
1043581200 TOCA ALAIN 2021 PHP RENDERING AGE 0-20 33 354 31 165 29 49 21 21
1043581200 TOCA ALAIN 2021 PHP RENDERING AGE 21+ 106 784 91 297 92 279 33 34
1043582687 QAISAR SUMUL 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 2 1 1
1043582687 QAISAR SUMUL 2021 FFS RENDERING AGE 21+ 43 124 1 2 29 55 14 14
1043590482 LEE, SHAUN MICHAEL, DDS 2021 FFS RENDERING AGE 0-20 179 2,303 119 581 95 591 169 198
1043590482 LEE, SHAUN MICHAEL, DDS 2021 FFS RENDERING AGE 21+ 409 4,071 188 355 235 1,373 399 399
1043592116 JAISHANKAR MANJULA 2021 FFS RENDERING AGE 0-20 12 75 1 2 1 1 1 1
1043592116 JAISHANKAR MANJULA 2021 FFS RENDERING AGE 21+ 71 334 22 23 51 113 23 23
1043592116 JAISHANKAR MANJULA 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1043598642 TERRAZA JOSE M 2021 FFS RENDERING AGE 0-20 143 2,179 135 384 58 168 130 187
1043598642 TERRAZA JOSE M 2021 FFS RENDERING AGE 21+ 37 328 21 23 1 2 31 31
1043599657 BINA KOROURI SAGE DENTAL COR 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1043599657 SAGE, BINA KOROURI DNTL 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1043622517 REIFF TERRENCE P 2021 FFS RENDERING AGE 0-20 1,192 17,312 1,018 3,671 809 2,524 1,027 1,294
1043622517 REIFF TERRENCE P 2021 GMC RENDERING AGE 0-20 154 1,254 94 159 153 451 0 0
1043631104 MURESAN ANAMARIA 2021 FFS RENDERING AGE 0-20 1 1 1 1 1 1 1 1
1043631104 MURESAN ANAMARIA 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1043637010 HALL JOSHWIN R 2021 FFS RENDERING AGE 0-20 1 2 0 0 1 1 0 0
1043637010 HALL JOSHWIN R 2021 FFS RENDERING AGE 21+ 212 498 14 14 184 213 30 30
1043640667 TURNER DEANDRA N 2021 PHP RENDERING AGE 0-20 20 141 1 1 18 40 13 14
1043646110 AKHAVAN, TARLAN P, DDS A PRO 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1043646698 HOSSIENI ROZBEH 2021 FFS RENDERING AGE 0-20 67 374 0 0 66 366 0 0
1043646698 HOSSIENI ROZBEH 2021 FFS RENDERING AGE 21+ 172 762 0 0 171 745 1 1
1043646698 HOSSIENI ROZBEH 2021 GMC RENDERING AGE 0-20 12 26 1 1 1 2 1 1
1043646698 HOSSIENI ROZBEH 2021 GMC RENDERING AGE 21+ 32 127 0 0 29 86 21 21
1043646698 HOSSIENI ROZBEH 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 2 1 1
1043646698 HOSSIENI ROZBEH 2021 PHP RENDERING AGE 21+ 71 267 1 1 51 160 52 53
1043663479 MARATHE MAITHILI B 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1043664824 BEZUAYEHU, FEKERTE, RDHAP 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1043664824 BEZUAYEHU, FEKERTE, RDHAP 2021 FFS RENDERING AGE 21+ 1 2 1 1 0 0 0 0
1043669815 REYES GARCIA EDGAR 2021 FFS RENDERING AGE 0-20 39 458 29 131 26 96 30 35
1043669815 REYES GARCIA EDGAR 2021 FFS RENDERING AGE 21+ 207 2,342 119 234 171 859 131 133
1043682370 SANDHU SUMEET K 2021 FFS RENDERING AGE 0-20 59 223 33 88 17 28 45 45
1043682370 SANDHU SUMEET K 2021 FFS RENDERING AGE 21+ 106 251 1 2 44 90 63 63
1043682370 SANDHU SUMEET K 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1043682370 SANDHU SUMEET K 2021 PHP RENDERING AGE 21+ 24 74 11 12 1 2 13 13
1043684236 TRAN HA N 2021 FFS RENDERING AGE 0-20 11 39 1 2 1 1 1 1
1043684236 TRAN HA N 2021 FFS RENDERING AGE 21+ 38 107 1 2 27 55 1 1
1043690696 LIEN KELLY 2021 PHP RENDERING AGE 0-20 30 140 16 29 15 38 17 17
1043690696 LIEN KELLY 2021 PHP RENDERING AGE 21+ 71 233 27 27 50 112 30 30
1043696677 LAU JIMMY 2021 FFS RENDERING AGE 0-20 88 624 74 216 48 108 78 96
1043696677 LAU JIMMY 2021 FFS RENDERING AGE 21+ 321 2,137 174 346 288 949 201 201
1043699754 STOUT ARACELI 2021 FFS RENDERING AGE 0-20 66 301 36 41 40 128 36 36
1043699754 STOUT ARACELI 2021 FFS RENDERING AGE 21+ 99 394 33 33 61 219 47 47
1043732753 ONODERA-PAULSON ALEXANDRA N 2021 FFS RENDERING AGE 0-20 390 3,321 332 985 245 535 299 322
1043732753 ONODERA-PAULSON ALEXANDRA N 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1043733736 BHATT JIMMY K 2021 FFS RENDERING AGE 0-20 185 1,650 125 353 81 195 160 201
1043733736 BHATT JIMMY K 2021 FFS RENDERING AGE 21+ 323 1,598 61 91 210 545 195 197
1043733736 BHATT JIMMY K 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 1 1
1043737430 FALLIS MATHIAS S 2021 FFS RENDERING AGE 0-20 628 3,439 499 1,273 316 613 479 479
1043740970 EUSEBIO TEDDY B 2021 FFS RENDERING AGE 21+ 1,006 5,151 413 706 956 1,830 660 660
1043744139 SHON JAMES S 2021 FFS RENDERING AGE 0-20 246 1,159 66 189 163 477 146 151
1043744139 SHON JAMES S 2021 FFS RENDERING AGE 21+ 300 1,253 13 13 205 714 201 202
1043749062 STUART JONATHAN A 2021 FFS RENDERING AGE 0-20 306 2,811 244 826 129 419 216 252
1043749062 STUART JONATHAN A 2021 FFS RENDERING AGE 21+ 280 1,255 41 63 138 354 168 169
1043760598 LIM SUNG M 2021 FFS RENDERING AGE 0-20 870 8,280 640 1,827 506 1,146 684 768
1043760598 LIM SUNG M 2021 FFS RENDERING AGE 21+ 798 4,073 221 436 607 1,821 447 451
1043760598 LIM SUNG M 2021 PHP RENDERING AGE 0-20 17 96 1 2 1 2 1 1
1043760598 LIM SUNG M 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1043768773 HASSAN NATHANIEL R 2021 FFS RENDERING AGE 0-20 64 399 42 104 20 38 44 45
1043768773 HASSAN NATHANIEL R 2021 FFS RENDERING AGE 21+ 77 303 1 2 51 129 33 33
1043768773 HASSAN NATHANIEL R 2021 PHP RENDERING AGE 0-20 77 501 59 173 36 66 66 73
1043768773 HASSAN NATHANIEL R 2021 PHP RENDERING AGE 21+ 128 441 18 21 61 152 79 79
1043789514 DAO TRAM ANH N 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1043791403 BARBA, MARICRUZ, RDHAP 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1043794142 GUTIERREZ-VALDE CAROLINA 2021 FFS RENDERING AGE 0-20 17 127 12 46 11 41 16 16
1043794142 GUTIERREZ-VALDE CAROLINA 2021 FFS RENDERING AGE 21+ 60 197 14 23 30 57 42 42
1043794142 GUTIERREZ-VALDE CAROLINA 2021 PHP RENDERING AGE 21+ 1 2 0 0 1 1 0 0
1043802366 KHAN YASAR H 2021 FFS RENDERING AGE 0-20 474 1,867 238 696 255 569 155 155
1043802366 KHAN YASAR H 2021 FFS RENDERING AGE 21+ 618 1,746 159 285 437 927 126 126
1043806722 KASS ILIYYA CHRISTINA 2021 FFS RENDERING AGE 0-20 164 615 73 154 74 182 96 97
1043806722 KASS ILIYYA CHRISTINA 2021 FFS RENDERING AGE 21+ 263 696 35 64 143 275 143 143
1043818503 CAPESTANY AIDAILIS 2021 FFS RENDERING AGE 0-20 75 628 67 194 37 166 63 74
1043818503 CAPESTANY AIDAILIS 2021 FFS RENDERING AGE 21+ 225 1,669 99 192 197 899 121 121
1043818909 YAP DILLON P 2021 FFS RENDERING AGE 0-20 108 591 63 204 66 156 70 70
1043818909 YAP DILLON P 2021 FFS RENDERING AGE 21+ 64 233 15 25 53 136 28 28
1043824378 SADEK MAHA Y 2021 FFS RENDERING AGE 0-20 427 1,679 251 667 156 305 249 249
1043824378 SADEK MAHA Y 2021 FFS RENDERING AGE 21+ 601 1,499 98 177 296 608 282 282
1043824378 SADEK MAHA Y 2021 PHP RENDERING AGE 0-20 26 146 19 68 1 2 19 19
1043824378 SADEK MAHA Y 2021 PHP RENDERING AGE 21+ 38 102 1 1 33 62 1 1
1043825771 KIM YOUNG J 2021 FFS RENDERING AGE 0-20 2,162 22,157 1,720 6,156 1,888 10,261 1,460 1,534
1043825771 KIM YOUNG J 2021 FFS RENDERING AGE 21+ 239 1,110 1 1 189 772 113 113
1043862600 LEE IVANA F 2021 FFS RENDERING AGE 0-20 59 331 55 113 1 1 56 56
1043862600 LEE IVANA F 2021 FFS RENDERING AGE 21+ 27 85 19 19 1 1 17 17
1043863061 AMIDI MARIO 2021 FFS RENDERING AGE 0-20 244 2,179 197 626 101 237 201 201
1043863061 AMIDI MARIO 2021 FFS RENDERING AGE 21+ 462 2,428 152 277 304 834 200 200
1043866353 ALEXANDER ANI 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1043880487 SHIN JESSICA G 2021 FFS RENDERING AGE 0-20 185 1,246 44 160 178 764 35 35
1043880487 SHIN JESSICA G 2021 FFS RENDERING AGE 21+ 73 401 1 2 71 227 1 1
1043883184 JOSHI GUNJAN H 2021 FFS RENDERING AGE 0-20 90 457 58 189 42 95 43 43
1043883184 JOSHI GUNJAN H 2021 FFS RENDERING AGE 21+ 229 731 42 62 178 449 62 62
1043976582 MAHDAVI NICOLE N 2021 FFS RENDERING AGE 0-20 15 94 1 2 1 2 1 1
1043986292 MOUSA ASRAI 2021 FFS RENDERING AGE 0-20 364 1,676 323 668 53 116 297 297
1043986292 MOUSA ASRAI 2021 FFS RENDERING AGE 21+ 38 91 1 2 24 47 1 1
1053300574 MOHAMMADIZADEH SHEIDA 2021 FFS RENDERING AGE 0-20 96 984 71 244 65 218 81 103
1053300574 MOHAMMADIZADEH SHEIDA 2021 FFS RENDERING AGE 21+ 127 754 1 2 85 300 87 87
1053300780 CUESTAS LUZ M 2021 FFS RENDERING AGE 0-20 145 1,324 136 430 63 205 121 131
1053300780 CUESTAS LUZ M 2021 FFS RENDERING AGE 21+ 571 4,656 417 788 416 2,429 457 457
1053301291 ALDAIRI, HUSAM, DDS 2021 FFS RENDERING AGE 0-20 83 570 57 115 35 153 55 57
1053301291 ALDAIRI, HUSAM, DDS 2021 FFS RENDERING AGE 21+ 1,003 7,917 402 801 836 4,282 449 450
1053301853 RHIND, JEFFREY S, DDS 2021 PHP RENDERING AGE 0-20 116 697 99 250 29 50 103 123
1053301853 RHIND, JEFFREY S, DDS 2021 PHP RENDERING AGE 21+ 269 1,128 84 183 101 277 196 201
1053305037 CHINH CYNTHIA 2021 FFS RENDERING AGE 21+ 15 37 0 0 11 18 1 1
1053314872 MALLOUK, PAUL, DDS 2021 FFS RENDERING AGE 0-20 19 108 18 56 1 1 18 24
1053314872 MALLOUK, PAUL, DDS 2021 FFS RENDERING AGE 21+ 16 68 12 24 1 2 13 13
1053319707 NGUYEN, PAULINE DDS 2021 FFS RENDERING AGE 0-20 569 9,376 534 1,732 561 3,137 540 725
1053319707 NGUYEN, PAULINE DDS 2021 FFS RENDERING AGE 21+ 144 1,846 110 217 134 901 117 117
1053322339 TRAM, MELISSA THUY, DDS 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1053322339 TRAM, MELISSA THUY, DDS 2021 FFS RENDERING AGE 21+ 70 295 51 51 42 142 17 17
1053329516 LIU GEORGE C 2021 FFS RENDERING AGE 0-20 18 59 1 2 13 20 1 1
1053335455 QUIMSON-CRUZ, ROSEMARIE DMD 2021 FFS RENDERING AGE 0-20 25 178 25 68 1 2 24 30
1053335455 QUIMSON-CRUZ, ROSEMARIE DMD 2021 FFS RENDERING AGE 21+ 92 597 66 119 63 219 65 65
1053366195 DABIRI, MEHRTAJ DDS 2021 FFS RENDERING AGE 0-20 21 221 16 65 11 29 18 25
1053366195 DABIRI, MEHRTAJ DDS 2021 FFS RENDERING AGE 21+ 84 468 17 34 63 194 48 48
1053381996 CHO, SUNG Y DDS 2021 FFS RENDERING AGE 0-20 1,296 25,345 696 1,683 1,296 17,433 1,288 1,288
1053405126 FAHMY DIAA S 2021 FFS RENDERING AGE 0-20 204 1,748 129 390 146 534 99 102
1053405126 FAHMY DIAA S 2021 FFS RENDERING AGE 21+ 168 691 53 80 77 170 96 96
1053408898 AREA DENTAL OFFICE 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1053419515 FERNANDEZ NOEL A 2021 FFS RENDERING AGE 0-20 97 691 94 233 28 99 91 123
1053420216 GLOSMAN LEONID M 2021 FFS RENDERING AGE 0-20 603 5,570 69 84 163 483 576 587
1053420216 GLOSMAN LEONID M 2021 FFS RENDERING AGE 21+ 255 2,108 1 1 60 193 152 154
1053420216 GLOSMAN LEONID M 2021 PHP RENDERING AGE 0-20 1 1 0 0 0 0 1 1
1053426684 NGUYEN, CHRISTINE P, DDS 2021 FFS RENDERING AGE 0-20 267 2,544 261 1,012 121 490 262 311
1053426684 NGUYEN, CHRISTINE P, DDS 2021 FFS RENDERING AGE 21+ 207 1,672 180 363 138 631 187 189
1053432054 ELIAS, HUSAM G MD 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1053432054 ELIAS, HUSAM G MD 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 2 0 0
1053432054 ELIAS, HUSAM G MD 2021 GMC RENDERING AGE 0-20 1 2 0 0 1 2 0 0
1053432617 LE HAO A 2021 FFS RENDERING AGE 0-20 58 475 56 142 14 35 55 69
1053432617 LE HAO A 2021 FFS RENDERING AGE 21+ 285 2,007 202 402 192 747 237 237
1053434787 ILAGAN MARIA ELOISA D 2021 FFS RENDERING AGE 0-20 79 593 77 275 18 54 65 98
1053434787 ILAGAN MARIA ELOISA D 2021 FFS RENDERING AGE 21+ 38 209 24 48 19 67 27 27
1053434787 ILAGAN MARIA ELOISA D 2021 PHP RENDERING AGE 0-20 63 644 58 256 19 87 59 84
1053434787 ILAGAN MARIA ELOISA D 2021 PHP RENDERING AGE 21+ 23 141 14 40 1 1 16 17
1053449363 AGANON-FU MARIA L 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1053449439 ASGARI ALI 2021 FFS RENDERING AGE 0-20 3,612 34,197 3,266 11,134 2,135 8,601 3,283 4,556
1053450155 ATTO, SAMAR, DDS 2021 FFS RENDERING AGE 0-20 341 3,732 332 1,563 93 189 334 526
1053450577 AYOUB WISSAM S 2021 FFS RENDERING AGE 0-20 77 684 71 219 49 189 70 86
1053450577 AYOUB WISSAM S 2021 FFS RENDERING AGE 21+ 262 2,314 163 315 210 1,273 187 189
1053450924 NGUYEN SON V 2021 FFS RENDERING AGE 0-20 1,945 12,250 1,299 3,735 893 2,504 1,320 1,514
1053450924 NGUYEN SON V 2021 FFS RENDERING AGE 21+ 2,314 9,663 1,032 2,059 1,341 2,534 1,339 1,339
1053450924 NGUYEN, SON V, DDS 2021 FFS RENDERING AGE 0-20 1,945 12,250 1,299 3,735 893 2,504 1,320 1,514
1053450924 NGUYEN, SON V, DDS 2021 FFS RENDERING AGE 21+ 2,314 9,663 1,032 2,059 1,341 2,534 1,339 1,339
1053452367 OH, CHRISTINE P, DDS 2021 FFS RENDERING AGE 0-20 113 1,373 105 350 65 376 107 167
1053452367 OH, CHRISTINE P, DDS 2021 FFS RENDERING AGE 21+ 129 1,213 67 128 109 694 79 79
1053456814 MURTHY NANDINI R 2021 FFS RENDERING AGE 0-20 14 93 12 33 1 2 1 2
1053456814 MURTHY NANDINI R 2021 FFS RENDERING AGE 21+ 44 240 27 31 27 97 35 35
1053456822 WONG, BRIAN R, DDS 2021 FFS RENDERING AGE 0-20 21 244 20 94 1 2 20 56
1053456822 WONG, BRIAN R, DDS 2021 FFS RENDERING AGE 21+ 89 822 79 158 47 212 81 162
1053458059 ARAKELYAN TIGRAN 2021 FFS RENDERING AGE 0-20 29 216 26 64 14 81 25 29
1053458059 ARAKELYAN TIGRAN 2021 FFS RENDERING AGE 21+ 336 2,210 206 206 283 1,111 254 254
1053460121 FOSDAHL, DAVID T, DDS 2021 FFS RENDERING AGE 0-20 23 76 19 27 1 2 1 1
1053460121 FOSDAHL, DAVID T, DDS 2021 FFS RENDERING AGE 21+ 31 101 19 19 20 37 0 0
1053462515 BILAL MUSTAFA 2021 FFS RENDERING AGE 0-20 1,471 5,515 150 689 1,314 3,944 245 262
1053462515 BILAL MUSTAFA 2021 FFS RENDERING AGE 21+ 2,456 10,078 441 891 2,152 6,962 733 735
1053462515 BILAL MUSTAFA 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1053464347 KOR TZE KING J 2021 FFS RENDERING AGE 0-20 34 237 32 92 19 33 32 43
1053464347 KOR TZE KING J 2021 FFS RENDERING AGE 21+ 112 812 79 81 96 359 86 90
1053464347 KOR TZE KING J 2021 PHP RENDERING AGE 0-20 53 225 45 75 1 1 48 52
1053464347 KOR TZE KING J 2021 PHP RENDERING AGE 21+ 32 131 19 30 1 2 19 21
1053465955 TRAN NGUYEN N 2021 FFS RENDERING AGE 0-20 737 8,528 720 2,742 325 1,217 709 807
1053465955 TRAN NGUYEN N 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1053465955 TRAN NGUYEN N 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 2 0 0
1053471441 MEHTA AMI R 2021 FFS RENDERING AGE 0-20 29 178 20 71 14 33 19 19
1053471441 MEHTA AMI R 2021 FFS RENDERING AGE 21+ 34 162 1 2 21 63 21 21
1053473108 RYOO VICTOR 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 2 1 2
1053473108 RYOO VICTOR 2021 FFS RENDERING AGE 21+ 39 229 23 43 22 101 36 36
1053473389 WESTERN DENTAL SERVICES INC 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1053473389 WESTERN DENTAL SERVICES, INC. 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1053477539 MISTRY, UMESHKUMAR J, DDS 2021 FFS RENDERING AGE 0-20 26 213 24 51 21 79 24 26
1053477539 MISTRY, UMESHKUMAR J, DDS 2021 FFS RENDERING AGE 21+ 52 427 41 42 52 225 47 47
1053477539 UMESHKUMARJ MISTRY DDS 2021 FFS RENDERING AGE 0-20 26 213 24 51 21 79 24 26
1053477539 UMESHKUMARJ MISTRY DDS 2021 FFS RENDERING AGE 21+ 52 427 41 42 52 225 47 47
1053479345 LE THANG Q 2021 FFS RENDERING AGE 0-20 165 877 135 415 82 193 70 70
1053479345 LE THANG Q 2021 FFS RENDERING AGE 21+ 190 579 36 68 133 332 53 53
1053479345 LE THANG Q 2021 GMC RENDERING AGE 0-20 1 1 1 1 1 1 1 1
1053479345 LE THANG Q 2021 PHP RENDERING AGE 0-20 1 2 0 0 1 2 0 0
1053479345 LE THANG Q 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1053481465 TRAN KIET M 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1053481465 TRAN KIET M 2021 FFS RENDERING AGE 21+ 18 40 0 0 1 1 11 11
1053481663 THAI BRANDON T 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1053481663 THAI BRANDON T 2021 FFS RENDERING AGE 21+ 22 79 1 1 1 2 18 18
1053481663 THAI BRANDON T 2021 PHP RENDERING AGE 0-20 35 293 34 134 1 1 32 38
1053481663 THAI BRANDON T 2021 PHP RENDERING AGE 21+ 71 433 65 118 19 57 68 86
1053482463 WU, YING, DDS 2021 FFS RENDERING AGE 0-20 77 474 64 149 38 100 64 71
1053482463 WU, YING, DDS 2021 FFS RENDERING AGE 21+ 113 729 64 68 85 392 72 72
1053482463 WU, YING, DDS 2021 PHP RENDERING AGE 0-20 76 472 68 152 27 62 67 73
1053482463 WU, YING, DDS 2021 PHP RENDERING AGE 21+ 65 391 42 44 42 142 43 44
1053483339 MITCHELL CECILIA R 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1053483339 MITCHELL CECILIA R 2021 PHP RENDERING AGE 21+ 35 164 12 12 26 69 21 22
1053491993 SINGH, MANINDER, DDS 2021 FFS RENDERING AGE 0-20 123 1,558 116 540 40 109 118 147
1053491993 SINGH, MANINDER, DDS 2021 FFS RENDERING AGE 21+ 188 1,605 127 258 141 562 151 153
1053491993 SINGH, MANINDER, DDS 2021 PHP RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1053491993 SINGH, MANINDER, DDS 2021 PHP RENDERING AGE 21+ 1 2 1 1 0 0 1 1
1053493536 NGUYEN, JAMES A, DDS 2021 PHP RENDERING AGE 0-20 1 1 1 1 1 1 1 1
1053493536 NGUYEN, JAMES A, DDS 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1053498410 PHAM NGHIA D 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1053498410 PHAM NGHIA D 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1053507996 VILLADA ALEJANDRA 2021 FFS RENDERING AGE 0-20 81 987 74 206 45 185 78 99
1053507996 VILLADA ALEJANDRA 2021 FFS RENDERING AGE 21+ 101 1,089 46 67 82 377 79 79
1053511519 LEUNG CHI C 2021 FFS RENDERING AGE 0-20 19 52 1 1 12 32 1 1
1053511519 LEUNG CHI C 2021 FFS RENDERING AGE 21+ 75 244 25 39 44 81 43 43
1053512913 MALDONADO, ELVA D, DDS 2021 FFS RENDERING AGE 0-20 15 59 13 27 1 1 13 13
1053512913 MALDONADO, ELVA D, DDS 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1053525022 NGUYEN, CHAU N, DDS INC 2021 FFS RENDERING AGE 0-20 513 4,955 364 988 321 908 350 371
1053525022 NGUYEN, CHAU N, DDS INC 2021 FFS RENDERING AGE 21+ 275 1,728 74 146 235 798 81 81
1053525022 NGUYEN, CHAU N, DDS INC 2021 PHP RENDERING AGE 0-20 1 1 1 1 1 1 1 1
1053525667 CLIFT, SUZANNE R, DDS 2021 FFS RENDERING AGE 0-20 205 2,677 167 649 140 1,215 188 258
1053526129 LIM GEORGE D 2021 FFS RENDERING AGE 0-20 515 6,774 448 1,411 264 848 462 621
1053526129 LIM GEORGE D 2021 FFS RENDERING AGE 21+ 1,027 8,216 543 1,044 720 2,707 722 724
1053532408 NGO TIEN T 2021 FFS RENDERING AGE 0-20 92 1,078 82 282 56 191 81 107
1053532408 NGO TIEN T 2021 FFS RENDERING AGE 21+ 125 901 84 166 80 246 83 83
1053533869 DAWANA THELMA C 2021 FFS RENDERING AGE 0-20 14 127 14 49 1 2 1 2
1053533869 DAWANA THELMA C 2021 FFS RENDERING AGE 21+ 21 149 18 18 1 2 20 20
1053541763 ESTIVA CHERYL B 2021 FFS RENDERING AGE 0-20 254 1,699 205 493 84 253 183 213
1053548263 WASSILIAN, VATCHE S DDS 2021 FFS RENDERING AGE 0-20 349 4,654 329 890 165 663 328 421
1053548263 WASSILIAN, VATCHE S DDS 2021 FFS RENDERING AGE 21+ 592 4,905 482 957 308 1,211 475 476
1053570036 TRAN HUONGLAN 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1053575183 GARG RAJIV 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1053584243 HOSSEINI AZADEH 2021 FFS RENDERING AGE 0-20 57 571 46 154 40 132 44 50
1053590067 SARVAIYA AVANI P 2021 FFS RENDERING AGE 0-20 128 1,339 115 367 54 297 117 160
1053590067 SARVAIYA AVANI P 2021 FFS RENDERING AGE 21+ 307 3,733 187 373 261 1,816 219 219
1053590562 CHUA SILVERINA 2021 FFS RENDERING AGE 0-20 109 1,851 105 347 48 201 109 154
1053590562 CHUA SILVERINA 2021 FFS RENDERING AGE 21+ 130 1,268 101 198 68 336 118 118
1053594580 ASGARIFAR KATI O 2021 FFS RENDERING AGE 0-20 190 309 0 0 38 93 0 0
1053594580 ASGARIFAR KATI O 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1053594580 ASGARIFAR KATI O 2021 PHP RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1053624999 SOLEIMANI PEDRAM N 2021 FFS RENDERING AGE 0-20 154 632 111 214 48 105 105 109
1053624999 SOLEIMANI PEDRAM N 2021 FFS RENDERING AGE 21+ 330 1,064 85 109 167 297 166 166
1053625129 MEJIA DINA R 2021 FFS RENDERING AGE 0-20 89 861 78 269 53 173 78 93
1053625129 MEJIA DINA R 2021 FFS RENDERING AGE 21+ 82 560 55 102 61 169 54 54
1053625129 MEJIA DINA R 2021 PHP RENDERING AGE 0-20 18 161 15 45 14 44 16 17
1053625129 MEJIA DINA R 2021 PHP RENDERING AGE 21+ 1 2 1 2 1 2 1 1
1053642249 SHAMS LAILA Z 2021 FFS RENDERING AGE 0-20 24 157 24 76 0 0 24 24
1053642249 SHAMS LAILA Z 2021 PHP RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1053647198 MOKRIY IRENE 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1053647198 MOKRIY IRENE 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1053651539 OH, SAEKYU, DMD DENTAL CORP 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 0 0
1053651539 SAEKYU OH D.M.D DENTAL CORP 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 0 0
1053651778 DO SUSAN M 2021 FFS RENDERING AGE 0-20 1,284 11,975 993 3,164 938 1,816 899 1,113
1053658476 KANAGAKI, DEBRA, RDHAP 2021 FFS RENDERING AGE 21+ 23 24 23 23 1 1 0 0
1053667832 NGUYEN AUDREY 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1053667832 NGUYEN AUDREY 2021 FFS RENDERING AGE 21+ 57 163 0 0 55 158 1 1
1053667832 NGUYEN AUDREY 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1053668285 YING WEN C 2021 FFS RENDERING AGE 0-20 118 969 95 225 86 250 60 60
1053668285 YING WEN C 2021 FFS RENDERING AGE 21+ 268 1,311 67 127 165 471 153 153
1053708024 PAHLAVANI ATOOSA 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1053708024 PAHLAVANI ATOOSA 2021 FFS RENDERING AGE 21+ 1,515 5,035 543 788 1,505 2,277 996 996
1053708487 FRENCH ANDREW J 2021 FFS RENDERING AGE 0-20 62 364 48 93 27 93 52 52
1053708487 FRENCH ANDREW J 2021 FFS RENDERING AGE 21+ 182 818 65 122 138 378 92 92
1053713156 PARK JOSEPH 2021 FFS RENDERING AGE 0-20 1,410 19,911 1,243 4,980 1,114 4,827 1,306 1,798
1053713156 PARK JOSEPH 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1053742742 GAUTAM PAWAN 2021 FFS RENDERING AGE 0-20 996 1,514 0 0 229 597 0 0
1053742742 GAUTAM PAWAN 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1053742742 GAUTAM PAWAN 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1053744177 CHIANG KEVIN 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1053744177 CHIANG KEVIN 2021 FFS RENDERING AGE 21+ 21 56 1 1 17 24 1 1
1053753350 TADANG BRIAN K 2021 FFS RENDERING AGE 0-20 75 1,159 62 228 61 165 64 84
1053753350 TADANG BRIAN K 2021 FFS RENDERING AGE 21+ 272 4,607 188 373 254 1,803 214 214
1053771402 CHU SHU-YU 2021 PHP RENDERING AGE 0-20 41 93 21 31 18 33 19 19
1053771402 CHU SHU-YU 2021 PHP RENDERING AGE 21+ 114 214 22 22 71 125 40 40
1053778241 KIM MARIA 2021 FFS RENDERING AGE 0-20 1 2 1 1 0 0 1 1
1053778241 KIM MARIA 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1053780874 AUNG WAI H 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1053780874 AUNG WAI H 2021 PHP RENDERING AGE 0-20 144 696 94 282 72 101 72 72
1053780874 AUNG WAI H 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1053794990 TURLA JUSTINE A 2021 FFS RENDERING AGE 0-20 229 1,296 182 437 120 266 174 176
1053794990 TURLA JUSTINE A 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1053794990 TURLA JUSTINE A 2021 PHP RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1053817932 JUNGMAN NICOLAUS R 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1053821413 BHATT DHELNI T 2021 FFS RENDERING AGE 0-20 297 2,203 252 1,084 90 177 282 315
1053821413 BHATT DHELNI T 2021 FFS RENDERING AGE 21+ 933 3,225 178 330 297 810 745 745
1053821413 BHATT DHELNI T 2021 PHP RENDERING AGE 0-20 1 2 1 2 0 0 1 1
1053821413 BHATT DHELNI T 2021 PHP RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1053843847 SILVERSTEIN SARAH T 2021 FFS RENDERING AGE 0-20 1 2 1 2 0 0 1 1
1053845180 LEE SERENA A 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1053845180 LEE SERENA A 2021 FFS RENDERING AGE 21+ 242 307 0 0 242 307 0 0
1053851345 MORRIS RENETTRA A 2021 FFS RENDERING AGE 21+ 61 151 22 35 61 79 24 24
1053851345 MORRIS RENETTRA A 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1053851345 MORRIS RENETTRA A 2021 PHP RENDERING AGE 21+ 19 49 1 1 15 19 1 1
1053866194 KUO RONALD 2021 FFS RENDERING AGE 0-20 142 1,885 136 700 69 155 136 141
1053866194 KUO RONALD 2021 FFS RENDERING AGE 21+ 271 1,946 85 168 197 614 120 120
1053866194 KUO RONALD 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1053866194 KUO RONALD 2021 PHP RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1053876094 JUAREZ HERNANDE ANGELICA 2021 FFS RENDERING AGE 0-20 451 3,535 314 912 275 879 375 381
1053876094 JUAREZ HERNANDE ANGELICA 2021 FFS RENDERING AGE 21+ 501 3,234 111 214 306 1,444 377 377
1053876094 JUAREZ HERNANDE ANGELICA 2021 GMC RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1053885020 AVETISYAN EDUARD 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1053887687 APPELBLATT DEREK N 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 0 0
1053907618 KIM HEEKEUN 2021 FFS RENDERING AGE 0-20 4,900 39,474 4,277 10,632 2,567 4,993 4,262 4,362
1053915504 SULIEMAN SAAD A 2021 FFS RENDERING AGE 0-20 36 107 1 1 14 28 19 19
1053915504 SULIEMAN SAAD A 2021 FFS RENDERING AGE 21+ 400 1,164 12 24 279 537 125 127
1053915504 SULIEMAN SAAD A 2021 GMC RENDERING AGE 0-20 57 241 1 2 26 45 30 31
1053915504 SULIEMAN SAAD A 2021 GMC RENDERING AGE 21+ 204 677 1 2 128 270 69 70
1053922534 GLISSMAN CHELSEA 2021 GMC RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1053922534 GLISSMAN CHELSEA 2021 GMC RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1053924241 JAIN RASHMI 2021 FFS RENDERING AGE 0-20 411 1,628 122 297 245 721 146 146
1053924241 JAIN RASHMI 2021 FFS RENDERING AGE 21+ 303 896 58 99 143 319 148 148
1053939991 AZARPAJOUH TALAYEH 2021 FFS RENDERING AGE 0-20 1 2 0 0 1 2 0 0
1053939991 AZARPAJOUH TALAYEH 2021 FFS RENDERING AGE 21+ 90 139 0 0 89 117 1 1
1053966705 WONG HARRISON N 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 1 0 0
1053966705 WONG HARRISON N 2021 FFS RENDERING AGE 21+ 21 53 0 0 21 52 0 0
1053966705 WONG HARRISON N 2021 PHP RENDERING AGE 0-20 1 1 1 1 1 1 0 0
1053966705 WONG HARRISON N 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1063005973 MOHAMMED NAVEED I 2021 FFS RENDERING AGE 0-20 211 923 68 177 126 353 118 118
1063005973 MOHAMMED NAVEED I 2021 FFS RENDERING AGE 21+ 498 1,420 45 74 267 646 245 250
1063005973 MOHAMMED NAVEED I 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1063005973 MOHAMMED NAVEED I 2021 PHP RENDERING AGE 21+ 1 2 0 0 1 1 1 1
1063022903 TOURGOLI RAENA 2021 FFS RENDERING AGE 0-20 137 544 92 186 39 71 115 116
1063022903 TOURGOLI RAENA 2021 FFS RENDERING AGE 21+ 686 2,685 282 517 329 925 524 524
1063059459 CORTEZ MICHAEL A 2021 FFS RENDERING AGE 0-20 259 2,129 157 372 137 448 239 288
1063059459 CORTEZ MICHAEL A 2021 FFS RENDERING AGE 21+ 280 1,595 26 35 198 796 227 229
1063062636 NGO VIAN 2021 FFS RENDERING AGE 0-20 32 197 31 72 1 1 31 31
1063062636 NGO VIAN 2021 FFS RENDERING AGE 21+ 23 126 22 43 1 2 20 20
1063068849 RAUFY MUZMML 2021 FFS RENDERING AGE 0-20 168 1,667 139 584 63 173 141 146
1063068849 RAUFY MUZMML 2021 FFS RENDERING AGE 21+ 678 4,943 377 757 439 1,742 482 488
1063085637 NAGRA RAJBIR K 2021 FFS RENDERING AGE 0-20 289 1,555 269 629 108 121 269 269
1063085637 NAGRA RAJBIR K 2021 FFS RENDERING AGE 21+ 45 117 1 2 34 71 1 1
1063093284 RAVEENDRAN MENO SHILPA 2021 FFS RENDERING AGE 0-20 35 177 32 82 1 2 31 31
1063093284 RAVEENDRAN MENO SHILPA 2021 FFS RENDERING AGE 21+ 61 216 46 46 17 32 49 49
1063094977 DHAMI JASPREET S 2021 FFS RENDERING AGE 0-20 249 943 179 613 146 316 1 1
1063094977 DHAMI JASPREET S 2021 FFS RENDERING AGE 21+ 515 1,549 113 165 474 1,369 1 1
1063180578 DEOL TAPINDER K 2021 FFS RENDERING AGE 0-20 52 241 34 59 23 45 33 33
1063180578 DEOL TAPINDER K 2021 FFS RENDERING AGE 21+ 76 266 15 16 40 92 39 39
1063180578 DEOL TAPINDER K 2021 PHP RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1063180578 DEOL TAPINDER K 2021 PHP RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1063412054 SHAH JOLLY 2021 FFS RENDERING AGE 0-20 164 1,807 147 428 61 208 151 193
1063412054 SHAH JOLLY 2021 FFS RENDERING AGE 21+ 210 1,591 154 300 92 294 183 183
1063414274 ROLDAN MARY JANET C 2021 FFS RENDERING AGE 0-20 406 4,785 386 1,139 183 309 389 510
1063414274 ROLDAN MARY JANET C 2021 FFS RENDERING AGE 21+ 347 2,591 220 440 159 393 303 303
1063420255 PHAM, STACY 2021 FFS RENDERING AGE 0-20 321 3,648 304 1,179 183 517 309 385
1063420255 PHAM, STACY 2021 FFS RENDERING AGE 21+ 396 3,016 279 557 288 1,101 306 306
1063432367 AVILA ANGELA A 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1063432367 AVILA ANGELA A 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 0 0
1063432961 VU DOAN D 2021 FFS RENDERING AGE 0-20 338 3,519 311 1,007 182 443 328 460
1063432961 VU DOAN D 2021 FFS RENDERING AGE 21+ 247 1,691 134 266 154 583 216 216
1063438265 AVAKIAN, ARTASHES DDS 2021 FFS RENDERING AGE 0-20 157 1,832 132 358 92 291 142 196
1063438265 AVAKIAN, ARTASHES DDS 2021 FFS RENDERING AGE 21+ 483 3,764 188 294 356 1,550 362 362
1063486298 AZER, SOHEIR S, DDS 2021 FFS RENDERING AGE 0-20 14 105 12 21 1 2 13 13
1063486298 AZER, SOHEIR S, DDS 2021 FFS RENDERING AGE 21+ 101 885 73 111 66 348 86 86
1063501195 NAFTALIN, GERALD L, DDS 2021 FFS RENDERING AGE 0-20 60 363 51 78 22 46 40 42
1063501195 NAFTALIN, GERALD L, DDS 2021 FFS RENDERING AGE 21+ 131 785 89 90 80 230 62 62
1063502128 AKHAVE, SHAILA J, DDS 2021 FFS RENDERING AGE 0-20 24 182 23 53 1 2 22 25
1063502128 AKHAVE, SHAILA J, DDS 2021 FFS RENDERING AGE 21+ 49 258 34 34 26 114 32 32
1063503993 OCAMPO SERGIO G 2021 FFS RENDERING AGE 0-20 20 163 18 32 1 2 18 19
1063503993 OCAMPO SERGIO G 2021 FFS RENDERING AGE 21+ 104 719 30 30 76 439 70 70
1063508166 KSADJIKIAN, LOUSIN, DDS 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1063508166 KSADJIKIAN, LOUSIN, DDS 2021 FFS RENDERING AGE 21+ 99 524 52 54 77 306 68 72
1063508737 BAILEY JR JAMES M 2021 FFS RENDERING AGE 0-20 45 67 0 0 1 2 0 0
1063510246 NGUYEN, LEGIANG THI DDS 2021 FFS RENDERING AGE 0-20 107 995 103 338 60 127 104 146
1063510246 NGUYEN, LEGIANG THI DDS 2021 FFS RENDERING AGE 21+ 331 2,930 241 242 261 1,103 265 266
1063511509 TRAN, KIM H DDS 2021 FFS RENDERING AGE 0-20 476 7,489 461 2,166 337 937 461 676
1063511509 TRAN, KIM H DDS 2021 FFS RENDERING AGE 21+ 258 2,848 175 321 240 1,282 212 212
1063514370 HUYNH, PHUONG DDS 2021 FFS RENDERING AGE 0-20 149 2,231 144 613 55 146 145 170
1063514370 HUYNH, PHUONG DDS 2021 FFS RENDERING AGE 21+ 15 167 13 25 1 2 13 13
1063532299 RICHARDSON PAUL L 2021 FFS RENDERING AGE 0-20 1,358 8,652 1,110 3,058 533 1,497 861 966
1063532299 RICHARDSON PAUL L 2021 FFS RENDERING AGE 21+ 2,321 9,399 386 398 1,128 4,145 918 918
1063532315 GANDHI, ASHOKKUMAR R DDS 2021 FFS RENDERING AGE 0-20 123 1,089 112 409 55 226 111 151
1063532315 GANDHI, ASHOKKUMAR R DDS 2021 FFS RENDERING AGE 21+ 384 2,185 211 211 262 1,060 270 270
1063532315 GANDHI, ASHOKKUMAR R DDS 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1063532802 ABUL-FIELAT, MOHAMMAD, DDS I 2021 FFS RENDERING AGE 0-20 1 2 1 1 0 0 0 0
1063532802 MOHAMMAD ABUL FIELAT DDS INC 2021 FFS RENDERING AGE 0-20 1 2 1 1 0 0 0 0
1063535912 NGUYEN HONG-HANH T 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1063535912 NGUYEN HONG-HANH T 2021 FFS RENDERING AGE 21+ 76 297 43 44 30 60 54 54
1063535912 NGUYEN HONG-HANH T 2021 GMC RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1063535912 NGUYEN HONG-HANH T 2021 GMC RENDERING AGE 21+ 13 51 12 16 1 2 1 1
1063538882 DAO, TIANNA-THUY, DDS 2021 FFS RENDERING AGE 0-20 71 406 61 89 13 24 67 80
1063538882 DAO, TIANNA-THUY, DDS 2021 FFS RENDERING AGE 21+ 179 922 113 113 92 190 153 153
1063541985 KHATCHATURIAN, CHRIS 2021 FFS RENDERING AGE 0-20 1,059 8,609 765 2,272 540 1,059 625 647
1063541985 KHATCHATURIAN, CHRIS 2021 FFS RENDERING AGE 21+ 1,001 5,054 191 374 580 1,504 453 457
1063541985 KHATCHATURIAN, CHRIS 2021 PHP RENDERING AGE 0-20 168 1,316 138 454 102 326 124 135
1063541985 KHATCHATURIAN, CHRIS 2021 PHP RENDERING AGE 21+ 156 715 44 85 104 324 96 96
1063542215 NGUYEN-DERY ANH P 2021 FFS RENDERING AGE 0-20 270 3,965 224 804 217 1,201 234 261
1063543494 CHAVEZ, MARCO M, DDS 2021 FFS RENDERING AGE 0-20 38 167 33 44 1 1 32 38
1063543494 CHAVEZ, MARCO M, DDS 2021 FFS RENDERING AGE 21+ 18 87 13 13 1 1 13 13
1063543577 MAZI, FARHAD, DDS A PROF COR 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1063546893 KIM BUM 2021 FFS RENDERING AGE 0-20 731 4,936 664 1,785 161 278 705 705
1063546893 KIM BUM 2021 GMC RENDERING AGE 0-20 97 107 1 1 96 97 1 1
1063546893 KIM BUM 2021 GMC RENDERING AGE 21+ 27 27 0 0 27 27 0 0
1063546893 KIM BUM 2021 PHP RENDERING AGE 0-20 52 52 0 0 52 52 0 0
1063546893 KIM BUM 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1063547933 LIM KATHLEEN S 2021 FFS RENDERING AGE 0-20 1 1 0 0 0 0 1 1
1063548972 ENAYA AMR M 2021 FFS RENDERING AGE 0-20 33 438 26 88 22 96 32 38
1063548972 ENAYA AMR M 2021 FFS RENDERING AGE 21+ 50 386 21 37 40 167 36 36
1063549483 NADIR-MOHAMMADI SHAHLA 2021 FFS RENDERING AGE 0-20 109 1,225 100 329 55 211 100 125
1063549483 NADIR-MOHAMMADI SHAHLA 2021 FFS RENDERING AGE 21+ 297 2,612 136 250 216 1,166 208 208
1063549483 NADIR-MOHAMMADI SHAHLA 2021 PHP RENDERING AGE 0-20 20 108 16 35 1 1 20 20
1063549483 NADIR-MOHAMMADI SHAHLA 2021 PHP RENDERING AGE 21+ 26 122 1 2 1 2 14 14
1063549483 YAZDANI & NADIR DDS INC 2021 FFS RENDERING AGE 0-20 109 1,225 100 329 55 211 100 125
1063549483 YAZDANI & NADIR DDS INC 2021 FFS RENDERING AGE 21+ 297 2,612 136 250 216 1,166 208 208
1063549483 YAZDANI & NADIR DDS INC 2021 PHP RENDERING AGE 0-20 20 108 16 35 1 1 20 20
1063549483 YAZDANI & NADIR DDS INC 2021 PHP RENDERING AGE 21+ 26 122 1 2 1 2 14 14
1063558930 RAZA, MEHRAN A, DDS 2021 FFS RENDERING AGE 0-20 144 801 121 300 66 239 101 123
1063558930 RAZA, MEHRAN A, DDS 2021 FFS RENDERING AGE 21+ 437 1,737 164 219 313 853 180 182
1063562205 STEVENSON DON A 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1063562205 STEVENSON DON A 2021 FFS RENDERING AGE 21+ 24 69 14 14 13 29 1 1
1063562213 BONIADI FARAMARZ R 2021 FFS RENDERING AGE 0-20 51 462 35 66 15 54 44 44
1063562213 BONIADI FARAMARZ R 2021 FFS RENDERING AGE 21+ 57 394 1 2 30 131 34 34
1063567980 SHINMOTO THOMAS H 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1063567980 SHINMOTO THOMAS H 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1063569499 ZAREH NEGAR 2021 FFS RENDERING AGE 0-20 53 476 45 142 20 89 31 40
1063569499 ZAREH NEGAR 2021 FFS RENDERING AGE 21+ 94 522 32 52 46 210 49 49
1063571198 TEBYANI FARID 2021 FFS RENDERING AGE 0-20 166 1,851 142 550 71 260 151 187
1063571198 TEBYANI FARID 2021 FFS RENDERING AGE 21+ 371 2,718 210 379 264 1,071 262 268
1063571198 TEBYANI FARID 2021 PHP RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1063571313 OZDER, NECDET DDS 2021 FFS RENDERING AGE 0-20 2,154 11,368 548 1,560 1,441 3,459 1,140 1,225
1063571313 OZDER, NECDET DDS 2021 FFS RENDERING AGE 21+ 4,242 18,023 288 557 3,018 8,135 2,108 2,116
1063571313 OZDER, NECDET DDS 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1063571313 OZDER, NECDET DDS 2021 PHP RENDERING AGE 0-20 64 418 50 140 27 55 59 71
1063571313 OZDER, NECDET DDS 2021 PHP RENDERING AGE 21+ 136 621 35 63 70 222 111 114
1063574390 HOSS KAMI 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1063575736 BUTRICA JR WILLIAM P 2021 FFS RENDERING AGE 0-20 255 1,800 251 802 86 271 252 350
1063575736 BUTRICA JR WILLIAM P 2021 FFS RENDERING AGE 21+ 17 73 14 24 1 2 14 14
1063576254 WHISENHUNT CHERYL A 2021 FFS RENDERING AGE 0-20 4,813 36,687 4,379 14,400 2,548 3,830 4,394 4,912
1063576254 WHISENHUNT CHERYL A 2021 FFS RENDERING AGE 21+ 1 2 1 2 1 1 1 1
1063576254 WHISENHUNT CHERYL A 2021 GMC RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1063583292 RODRIGUEZ, LESTER, DDS 2021 FFS RENDERING AGE 0-20 1 2 1 1 0 0 1 1
1063583292 RODRIGUEZ, LESTER, DDS 2021 FFS RENDERING AGE 21+ 1 2 1 1 0 0 1 1
1063583292 UNKNOWN 2021 FFS RENDERING AGE 0-20 1 2 1 1 0 0 1 1
1063583292 UNKNOWN 2021 FFS RENDERING AGE 21+ 1 2 1 1 0 0 1 1
1063584399 LANDIS CHARLES R 2021 FFS RENDERING AGE 0-20 313 1,947 0 0 215 1,432 255 255
1063584399 LANDIS CHARLES R 2021 FFS RENDERING AGE 21+ 342 2,900 1 1 228 2,365 270 271
1063592061 CHUNG, HENRY C, DDS 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1063592061 CHUNG, HENRY C, DDS 2021 FFS RENDERING AGE 21+ 121 729 27 27 111 610 48 50
1063596435 JABBAR WIAM A 2021 FFS RENDERING AGE 0-20 44 400 40 125 28 129 41 50
1063596435 JABBAR WIAM A 2021 FFS RENDERING AGE 21+ 144 1,427 110 213 106 795 123 123
1063596815 MORRIS JENNIFER D 2021 FFS RENDERING AGE 0-20 1,145 6,756 1,065 3,307 568 738 1,032 1,073
1063596815 MORRIS JENNIFER D 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1063600393 O'BRIEN AMERICA F 2021 FFS RENDERING AGE 0-20 15 129 13 18 1 2 1 1
1063600393 O'BRIEN AMERICA F 2021 FFS RENDERING AGE 21+ 24 118 13 13 11 35 1 1
1063600898 ASSATOURIANS, GUSTAVO A, DDS 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1063600898 ASSATOURIANS, GUSTAVO A, DDS 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1063600898 GUSTAVO A ASSATOURIANS DDS 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1063600898 GUSTAVO A ASSATOURIANS DDS 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1063605483 HUANG RYAN Z 2021 PHP RENDERING AGE 0-20 1 1 1 1 1 1 1 1
1063605483 HUANG RYAN Z 2021 PHP RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1063608149 MONTIAGUE LOWELLA R 2021 FFS RENDERING AGE 0-20 150 804 101 309 75 158 92 94
1063608149 MONTIAGUE LOWELLA R 2021 FFS RENDERING AGE 21+ 62 234 22 39 39 90 22 22
1063613875 SILVERA, ANDREIA MINASIAN, D 2021 FFS RENDERING AGE 0-20 71 215 0 0 71 215 0 0
1063613875 SILVERA, ANDREIA MINASIAN, D 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1063619062 AMIRI BERTRAM B 2021 FFS RENDERING AGE 0-20 107 1,398 89 290 56 227 81 98
1063619062 AMIRI BERTRAM B 2021 FFS RENDERING AGE 21+ 160 1,751 98 181 88 380 105 105
1063620383 GEGAMIAN SAMUEL 2021 FFS RENDERING AGE 0-20 47 55 0 0 47 55 0 0
1063620383 GEGAMIAN SAMUEL 2021 FFS RENDERING AGE 21+ 117 239 0 0 117 239 0 0
1063620383 GEGAMIAN SAMUEL 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1063622371 LO JONATHAN H 2021 FFS RENDERING AGE 0-20 35 186 31 86 14 27 30 42
1063622371 LO JONATHAN H 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1063624203 ZAENI YASMINE 2021 FFS RENDERING AGE 0-20 1,716 21,130 1,624 7,287 1,432 5,777 1,205 1,413
1063624203 ZAENI YASMINE 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1063624203 ZAENI YASMINE 2021 PHP RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1063625580 FEIR, PILAR, DDS 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1063625580 FEIR, PILAR, DDS 2021 FFS RENDERING AGE 21+ 32 75 25 25 1 2 22 22
1063628774 HONG, TSAI-CHUN, DDS 2021 FFS RENDERING AGE 0-20 184 1,715 163 624 97 430 171 181
1063628774 HONG, TSAI-CHUN, DDS 2021 FFS RENDERING AGE 21+ 193 1,645 87 175 145 752 158 158
1063629921 HU LIN-YUN 2021 FFS RENDERING AGE 0-20 20 89 18 39 1 2 17 23
1063629921 HU LIN-YUN 2021 FFS RENDERING AGE 21+ 45 128 17 17 21 40 29 29
1063631885 VIRK AMANDEEP B 2021 FFS RENDERING AGE 0-20 268 3,004 258 1,013 157 581 258 344
1063631885 VIRK AMANDEEP B 2021 FFS RENDERING AGE 21+ 220 1,584 157 312 147 569 172 172
1063633113 ITOH KOUICHI 2021 FFS RENDERING AGE 0-20 1 1 1 1 1 1 1 1
1063633113 ITOH KOUICHI 2021 FFS RENDERING AGE 21+ 34 155 30 30 15 54 30 30
1063633907 RAVAEI RAMIN 2021 FFS RENDERING AGE 0-20 463 6,849 452 2,167 219 623 453 613
1063633907 RAVAEI RAMIN 2021 FFS RENDERING AGE 21+ 787 7,796 565 1,121 603 2,470 634 637
1063633907 RAVAEI RAMIN 2021 PHP RENDERING AGE 0-20 73 630 68 198 13 15 66 71
1063633907 RAVAEI RAMIN 2021 PHP RENDERING AGE 21+ 86 636 59 94 38 89 68 74
1063635241 FLORES ENRIQUE 2021 FFS RENDERING AGE 0-20 587 7,505 516 1,413 341 942 521 580
1063635241 FLORES ENRIQUE 2021 FFS RENDERING AGE 21+ 455 3,827 152 293 297 848 287 287
1063637700 AYOUB MARLIZE A 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 2 1 1
1063637700 AYOUB MARLIZE A 2021 FFS RENDERING AGE 21+ 25 125 15 30 13 36 22 22
1063638393 MERRELL, JERRY D DDS 2021 FFS RENDERING AGE 0-20 436 2,267 0 0 278 1,523 371 372
1063638393 MERRELL, JERRY D DDS 2021 FFS RENDERING AGE 21+ 688 3,214 0 0 499 2,048 583 583
1063641561 OWHADIAN SAMERA 2021 FFS RENDERING AGE 21+ 249 1,962 162 173 199 855 180 182
1063659738 PARKER-TROUTMAN MELINDA D 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1063659738 PARKER-TROUTMAN MELINDA D 2021 FFS RENDERING AGE 21+ 99 476 23 46 77 168 18 18
1063663813 TONG KAR YAN J 2021 FFS RENDERING AGE 0-20 155 852 122 229 84 231 89 96
1063663813 TONG KAR YAN J 2021 FFS RENDERING AGE 21+ 132 591 53 80 101 301 30 30
1063668671 KHAN SHEHZAD A 2021 FFS RENDERING AGE 0-20 239 615 0 0 22 46 0 0
1063668671 KHAN SHEHZAD A 2021 FFS RENDERING AGE 21+ 33 54 0 0 0 0 0 0
1063677870 MORADZADEH ALEXANDER S 2021 FFS RENDERING AGE 0-20 190 2,165 161 644 131 366 169 235
1063677870 MORADZADEH ALEXANDER S 2021 FFS RENDERING AGE 21+ 310 1,674 115 225 219 573 183 185
1063677870 MORADZADEH ALEXANDER S 2021 GMC RENDERING AGE 0-20 1 2 1 1 1 1 0 0
1063677870 MORADZADEH ALEXANDER S 2021 PHP RENDERING AGE 0-20 344 3,732 298 1,411 223 526 306 419
1063677870 MORADZADEH ALEXANDER S 2021 PHP RENDERING AGE 21+ 236 1,406 112 239 167 503 150 153
1063691970 LINSZKY, JOZSEF, DMD 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 1 1
1063691970 LINSZKY, JOZSEF, DMD 2021 FFS RENDERING AGE 21+ 1 1 1 1 1 1 0 0
1063695070 DABBAGH GHASSAN ABDU M 2021 FFS RENDERING AGE 0-20 120 499 85 140 46 83 81 92
1063695070 DABBAGH GHASSAN ABDU M 2021 FFS RENDERING AGE 21+ 357 1,270 172 172 200 486 210 210
1063697183 MILERA SHELLY A 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1063697183 MILERA SHELLY A 2021 GMC RENDERING AGE 0-20 1,857 13,438 1,177 4,571 512 814 1,136 1,221
1063698629 KIM SOOYONG 2021 FFS RENDERING AGE 0-20 22 70 1 2 1 2 1 1
1063698629 KIM SOOYONG 2021 FFS RENDERING AGE 21+ 124 268 12 22 52 83 48 48
1063698629 KIM SOOYONG 2021 GMC RENDERING AGE 0-20 68 296 26 97 32 61 28 28
1063698629 KIM SOOYONG 2021 GMC RENDERING AGE 21+ 98 267 1 2 65 163 18 19
1063702322 GONZALEZ PABLO L 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1063702322 GONZALEZ PABLO L 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 1 0 0
1063723021 BHOGAL RAJVIR S 2021 FFS RENDERING AGE 0-20 265 1,002 58 120 125 408 234 237
1063723021 BHOGAL RAJVIR S 2021 FFS RENDERING AGE 21+ 480 1,739 105 199 238 718 393 393
1063723021 BHOGAL RAJVIR S 2021 GMC RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1063723021 BHOGAL RAJVIR S 2021 GMC RENDERING AGE 21+ 38 126 0 0 38 126 0 0
1063738920 GRAU AMANDA B 2021 FFS RENDERING AGE 0-20 1 2 0 0 1 2 0 0
1063738920 GRAU AMANDA B 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1063749844 LEW ROBERT W 2021 FFS RENDERING AGE 0-20 273 2,015 150 328 98 216 217 224
1063749844 LEW ROBERT W 2021 FFS RENDERING AGE 21+ 277 1,376 91 182 152 426 173 177
1063757185 MANESH SAMAN K 2021 GMC RENDERING AGE 0-20 1 2 1 2 1 2 1 1
1063757185 MANESH SAMAN K 2021 GMC RENDERING AGE 21+ 11 44 1 1 1 2 1 1
1063770691 CAESAR DARRYL A 2021 FFS RENDERING AGE 0-20 79 100 0 0 1 1 0 0
1063770691 CAESAR DARRYL A 2021 FFS RENDERING AGE 21+ 16 16 0 0 0 0 0 0
1063770691 CAESAR DARRYL A 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1063782746 BERAL KOUROSH M 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1063782746 BERAL KOUROSH M 2021 PHP RENDERING AGE 0-20 510 3,823 425 1,648 403 719 273 289
1063782746 BERAL KOUROSH M 2021 PHP RENDERING AGE 21+ 810 4,577 547 1,293 697 1,284 386 393
1063784239 YASHARI SIMON 2021 FFS RENDERING AGE 0-20 952 3,796 302 1,132 668 1,664 168 168
1063784239 YASHARI SIMON 2021 FFS RENDERING AGE 21+ 1,496 6,535 484 926 1,052 3,450 575 577
1063794477 CHEN JANICE Y 2021 FFS RENDERING AGE 0-20 505 1,705 1 1 504 1,696 1 1
1063794477 CHEN JANICE Y 2021 FFS RENDERING AGE 21+ 18 59 0 0 18 59 0 0
1063809804 HAYASHIBARA SHANNON M 2021 FFS RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1063819928 POMEROY WILLIAM I 2021 PHP RENDERING AGE 0-20 19 50 12 26 1 2 1 1
1063819928 POMEROY WILLIAM I 2021 PHP RENDERING AGE 21+ 81 175 14 14 68 131 19 19
1063820660 KUWAYE JR DENNIS K 2021 FFS RENDERING AGE 0-20 67 531 59 153 36 103 64 78
1063820660 KUWAYE JR DENNIS K 2021 FFS RENDERING AGE 21+ 194 1,342 80 155 132 468 144 144
1063821429 WILSON MANDI L 2021 FFS RENDERING AGE 0-20 115 2,005 73 212 105 1,152 30 31
1063822849 WESTERN DENTAL SERVICES INC 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1063822849 WESTERN DENTAL SERVICES, INC. 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1063839751 YOUSSEF HANY S 2021 FFS RENDERING AGE 0-20 76 95 0 0 35 46 0 0
1063839751 YOUSSEF HANY S 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1063843910 CHO, BENJAMIN DDS 2021 FFS RENDERING AGE 0-20 107 520 101 283 17 42 106 148
1063843910 CHO, BENJAMIN DDS 2021 FFS RENDERING AGE 21+ 277 1,073 204 360 57 127 257 258
1063849180 CRUZ OLIVER S 2021 FFS RENDERING AGE 0-20 35 356 26 78 23 149 33 45
1063849180 CRUZ OLIVER S 2021 FFS RENDERING AGE 21+ 147 1,260 95 180 115 615 124 124
1063850519 MOHAVERI PEGAH 2021 FFS RENDERING AGE 0-20 66 497 48 163 23 61 56 56
1063850519 MOHAVERI PEGAH 2021 FFS RENDERING AGE 21+ 147 609 18 21 97 255 75 75
1063864114 AU AARON Y 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1063870319 BLATCHELY, RYAN DDS 2021 FFS RENDERING AGE 0-20 179 1,298 162 554 96 276 145 179
1063870319 BLATCHELY, RYAN DDS 2021 FFS RENDERING AGE 21+ 266 1,340 136 238 154 457 161 161
1063874709 SIDHU HARSHEEN 2021 FFS RENDERING AGE 0-20 57 267 35 83 24 79 40 40
1063876449 WEINSTEIN MARTIN A 2021 FFS RENDERING AGE 0-20 549 7,074 516 2,149 216 504 503 636
1063876449 WEINSTEIN MARTIN A 2021 FFS RENDERING AGE 21+ 785 7,078 520 1,037 408 1,397 634 635
1063882504 KAZIM AMIR E 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1063882504 KAZIM AMIR E 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1063891513 NAJIBI ROD 2021 PHP RENDERING AGE 0-20 22 117 18 43 1 1 16 16
1063891513 NAJIBI ROD 2021 PHP RENDERING AGE 21+ 13 51 1 1 1 2 1 1
1063918548 LOUIE HOLVIN 2021 PHP RENDERING AGE 0-20 1 2 1 1 0 0 1 1
1063918548 LOUIE HOLVIN 2021 PHP RENDERING AGE 21+ 1 2 1 1 0 0 1 1
1063936516 GANGULY MADHURIMA 2021 FFS RENDERING AGE 0-20 75 362 41 130 15 50 59 59
1063936516 GANGULY MADHURIMA 2021 FFS RENDERING AGE 21+ 349 1,264 77 148 170 535 250 250
1063938751 GARFINKEL DAVID 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 1 1
1063938751 GARFINKEL DAVID 2021 PHP RENDERING AGE 21+ 16 43 1 1 12 32 1 1
1063950830 WANG HANYING 2021 FFS RENDERING AGE 0-20 304 1,922 234 719 70 170 266 312
1063950830 WANG HANYING 2021 FFS RENDERING AGE 21+ 557 2,498 150 278 283 968 430 430
1063950830 WANG HANYING 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1063952554 KIRZNER SAMANTHA M 2021 FFS RENDERING AGE 0-20 40 370 26 55 21 52 28 30
1063952554 KIRZNER SAMANTHA M 2021 FFS RENDERING AGE 21+ 134 806 55 102 94 285 58 58
1063974244 ARDALAN DENTAL GROUP CORP 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 0 0
1063980597 WONG CHRISTOPHER B 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1063985158 NUNEZ FLOR S 2021 FFS RENDERING AGE 0-20 2,184 33,248 2,082 9,515 1,120 3,225 1,962 2,601
1063985158 NUNEZ FLOR S 2021 FFS RENDERING AGE 21+ 15 74 1 1 1 2 1 1
1063988202 YUAN YI 2021 FFS RENDERING AGE 0-20 1,362 10,740 1,024 2,940 1,021 3,539 968 970
1063998359 B. DEIRMENJIAN, DDS, INC 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1063998359 DEIRMENJIAN, B, DDS INC 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1073002663 ZARINKHOU GOLMAH 2021 FFS RENDERING AGE 0-20 234 1,160 119 384 72 194 196 200
1073002663 ZARINKHOU GOLMAH 2021 FFS RENDERING AGE 21+ 414 1,236 61 66 176 411 252 252
1073002663 ZARINKHOU GOLMAH 2021 PHP RENDERING AGE 0-20 118 353 49 133 18 47 105 106
1073002663 ZARINKHOU GOLMAH 2021 PHP RENDERING AGE 21+ 106 237 12 13 31 77 74 74
1073023172 SUH JUNGSUK 2021 FFS RENDERING AGE 0-20 239 2,249 186 522 137 719 181 206
1073023172 SUH JUNGSUK 2021 FFS RENDERING AGE 21+ 539 5,288 274 488 409 2,460 403 403
1073053146 ZAVALA MIRANDA ANA K 2021 FFS RENDERING AGE 0-20 428 4,939 373 1,416 264 1,072 369 513
1073053146 ZAVALA MIRANDA ANA K 2021 FFS RENDERING AGE 21+ 723 4,728 399 802 526 2,115 509 510
1073091617 SANGHERA HARSIMRAN S 2021 FFS RENDERING AGE 0-20 1,294 11,283 1,059 2,734 822 1,314 1,048 1,060
1073121588 FAROKHNIA NADIA 2021 FFS RENDERING AGE 0-20 384 1,961 235 738 198 544 201 202
1073121588 FAROKHNIA NADIA 2021 FFS RENDERING AGE 21+ 749 2,666 210 402 472 1,442 294 296
1073121588 FAROKHNIA NADIA 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1073121588 FAROKHNIA NADIA 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1073151726 LOZA ALARCON CIRO M 2021 FFS RENDERING AGE 0-20 82 266 0 0 64 103 43 43
1073151726 LOZA ALARCON CIRO M 2021 FFS RENDERING AGE 21+ 173 276 0 0 109 143 66 66
1073159596 BALOUCH ALI 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1073513149 KIM, DEAN DAEHYUN DDS 2021 FFS RENDERING AGE 0-20 44 589 39 194 26 75 38 50
1073513149 KIM, DEAN DAEHYUN DDS 2021 FFS RENDERING AGE 21+ 18 123 1 2 17 48 0 0
1073522280 GEORGIADES, TONI B, DDS A PR 2021 FFS RENDERING AGE 21+ 497 4,582 267 357 497 3,618 211 269
1073525044 VO DAT M 2021 FFS RENDERING AGE 0-20 139 1,056 130 290 76 271 138 173
1073525044 VO DAT M 2021 FFS RENDERING AGE 21+ 268 1,466 191 191 178 657 240 240
1073526794 PARK RENEE Y 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1073534806 LEE KYOUNG H S 2021 FFS RENDERING AGE 0-20 256 2,304 229 761 89 171 234 245
1073534806 LEE KYOUNG H S 2021 FFS RENDERING AGE 21+ 178 936 75 149 97 285 102 102
1073539714 HUANG JEFF C 2021 FFS RENDERING AGE 0-20 106 556 89 175 20 39 97 97
1073539714 HUANG JEFF C 2021 FFS RENDERING AGE 21+ 14 87 11 11 1 1 14 14
1073551776 HANNOUN, NOUMAN, DDS 2021 FFS RENDERING AGE 0-20 54 553 52 132 1 2 42 50
1073551776 HANNOUN, NOUMAN, DDS 2021 FFS RENDERING AGE 21+ 13 67 1 1 1 1 1 1
1073559464 YOUNAN, SELMA YOUSIF DDS 2021 FFS RENDERING AGE 0-20 37 262 27 75 29 100 29 34
1073559464 YOUNAN, SELMA YOUSIF DDS 2021 FFS RENDERING AGE 21+ 273 1,422 106 206 230 845 114 114
1073581856 RAO, CHERUKUPALLI SRINIVAS, 2021 FFS RENDERING AGE 0-20 56 327 46 118 32 79 52 57
1073581856 RAO, CHERUKUPALLI SRINIVAS, 2021 FFS RENDERING AGE 21+ 248 1,374 155 309 153 455 206 206
1073596185 DE LEON MELANIE R 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1073599957 YI GIA K 2021 FFS RENDERING AGE 0-20 1 1 1 1 1 1 1 1
1073599957 YI GIA K 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1073602157 MATINFAR FARIBA 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1073602157 MATINFAR FARIBA 2021 FFS RENDERING AGE 21+ 42 51 0 0 42 51 0 0
1073602157 MATINFAR FARIBA 2021 PHP RENDERING AGE 21+ 11 21 1 1 1 1 1 1
1073602827 RAMOS MICHAEL OCAMPO 2021 GMC RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1073608089 NOVICIO MARGARET M 2021 FFS RENDERING AGE 0-20 1 1 0 0 0 0 1 1
1073608089 NOVICIO MARGARET M 2021 FFS RENDERING AGE 21+ 26 61 1 1 14 25 12 12
1073611133 TSIBEL ARKADY S 2021 FFS RENDERING AGE 0-20 1 1 0 0 0 0 1 1
1073611133 TSIBEL, ARKADY S, DDS INC 2021 FFS RENDERING AGE 0-20 1 1 0 0 0 0 1 1
1073613758 CRUZ, ANNA BELLE C DMD 2021 FFS RENDERING AGE 0-20 28 402 27 82 24 127 24 31
1073613758 CRUZ, ANNA BELLE C DMD 2021 FFS RENDERING AGE 21+ 105 1,263 67 133 80 404 75 75
1073613758 CUYONG, ANNA BELLE A, DDS 2021 FFS RENDERING AGE 0-20 28 402 27 82 24 127 24 31
1073613758 CUYONG, ANNA BELLE A, DDS 2021 FFS RENDERING AGE 21+ 105 1,263 67 133 80 404 75 75
1073615084 PARK TRACY S 2021 FFS RENDERING AGE 0-20 171 1,942 148 191 87 329 153 187
1073615084 PARK TRACY S 2021 FFS RENDERING AGE 21+ 312 2,582 108 110 284 903 49 49
1073615258 SAY, LORETTA Y DDS 2021 FFS RENDERING AGE 0-20 816 1,681 0 0 329 963 0 0
1073615506 HOLM MICHAEL BURTON 2021 GMC RENDERING AGE 0-20 11 54 1 1 1 2 1 1
1073615506 HOLM MICHAEL BURTON 2021 GMC RENDERING AGE 21+ 1 2 0 0 1 2 1 1
1073621686 LUU MICHAEL H 2021 FFS RENDERING AGE 0-20 240 1,250 224 464 41 85 178 237
1073621686 LUU MICHAEL H 2021 FFS RENDERING AGE 21+ 11 46 1 1 1 1 1 1
1073622965 BARNES RICHARD W 2021 FFS RENDERING AGE 0-20 260 1,055 47 109 216 458 48 49
1073622965 BARNES RICHARD W 2021 FFS RENDERING AGE 21+ 349 1,209 28 37 291 630 57 59
1073623450 LOTUACO RAYMOND J 2021 FFS RENDERING AGE 0-20 69 626 63 283 34 128 67 94
1073623450 LOTUACO RAYMOND J 2021 FFS RENDERING AGE 21+ 107 727 80 159 71 307 93 93
1073623450 LOTUACO RAYMOND J 2021 PHP RENDERING AGE 0-20 32 321 31 141 12 85 31 43
1073623450 LOTUACO RAYMOND J 2021 PHP RENDERING AGE 21+ 133 906 119 237 73 396 125 125
1073631222 LE, MAI KIM, DDS 2021 FFS RENDERING AGE 0-20 99 2,490 97 468 29 206 97 234
1073631222 LE, MAI KIM, DDS 2021 FFS RENDERING AGE 21+ 209 3,210 177 702 91 602 190 380
1073631776 WARD, DR DAVID HUGH DDS 2021 FFS RENDERING AGE 0-20 395 3,383 341 817 212 542 380 466
1073631776 WARD, DR DAVID HUGH DDS 2021 FFS RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1073641577 THAM SERENA 2021 FFS RENDERING AGE 0-20 226 1,124 1 1 223 868 1 1
1073641577 THAM SERENA 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1073643128 SUH, RAYMOND H, DDS 2021 FFS RENDERING AGE 0-20 17 81 14 31 1 2 14 16
1073643128 SUH, RAYMOND H, DDS 2021 FFS RENDERING AGE 21+ 84 438 42 64 69 209 55 55
1073643128 SUH, RAYMOND H, DDS 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1073648887 WOODSON, ALAN B, DDS 2021 FFS RENDERING AGE 0-20 537 1,678 530 548 533 541 45 46
1073648887 WOODSON, ALAN B, DDS 2021 FFS RENDERING AGE 21+ 60 386 23 23 42 193 45 45
1073649240 TRUONG, PHAN V, DDS 2021 FFS RENDERING AGE 0-20 82 472 77 131 17 43 73 81
1073649240 TRUONG, PHAN V, DDS 2021 FFS RENDERING AGE 21+ 82 407 58 58 21 64 49 49
1073650552 INNES SNEHA 2021 FFS RENDERING AGE 0-20 369 726 0 0 1 1 364 364
1073650552 INNES SNEHA 2021 FFS RENDERING AGE 21+ 374 738 0 0 0 0 369 369
1073651113 VINCENT, KAREN A, RDHAP 2021 FFS RENDERING AGE 0-20 1 1 1 1 1 1 0 0
1073651113 VINCENT, KAREN A, RDHAP 2021 FFS RENDERING AGE 21+ 558 4,023 510 1,997 558 2,026 0 0
1073651584 VILLAGO GLORIANA CO T 2021 FFS RENDERING AGE 0-20 59 336 50 127 19 55 49 54
1073651584 VILLAGO GLORIANA CO T 2021 FFS RENDERING AGE 21+ 170 835 76 146 109 298 96 98
1073653630 ST JOHN'S WELL CHILD & FAMIL 2021 PHP RENDERING AGE 21+ 1 1 1 1 1 1 0 0
1073653630 ST JOHN'S WELL CHILD CTR 2021 PHP RENDERING AGE 21+ 1 1 1 1 1 1 0 0
1073654315 WHITCHER JOHN A 2021 FFS RENDERING AGE 0-20 366 4,665 350 980 147 372 353 426
1073654315 WHITCHER JOHN A 2021 FFS RENDERING AGE 21+ 339 2,670 183 365 202 673 281 281
1073655478 PAPADOPOULOS, MICHAEL, DDS 2021 PHP RENDERING AGE 0-20 1 1 1 1 1 1 0 0
1073655478 PAPADOPOULOS, MICHAEL, DDS 2021 PHP RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1073657524 RUBTSOV VALERIY 2021 FFS RENDERING AGE 0-20 232 820 86 231 73 152 162 162
1073657524 RUBTSOV VALERIY 2021 FFS RENDERING AGE 21+ 505 1,273 39 70 241 491 287 288
1073657524 RUBTSOV VALERIY 2021 GMC RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1073657524 RUBTSOV VALERIY 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1073657524 RUBTSOV VALERIY 2021 PHP RENDERING AGE 21+ 17 73 1 1 14 60 1 1
1073659777 SHAFA FARID 2021 FFS RENDERING AGE 0-20 262 1,659 195 678 90 185 208 227
1073659777 SHAFA FARID 2021 FFS RENDERING AGE 21+ 427 1,704 73 113 231 636 248 250
1073659777 SHAFA FARID 2021 PHP RENDERING AGE 0-20 93 488 74 207 19 29 88 99
1073659777 SHAFA FARID 2021 PHP RENDERING AGE 21+ 197 712 47 70 78 230 151 159
1073662235 SILVOLA, ROBERT T, DDS 2021 FFS RENDERING AGE 0-20 124 938 114 274 36 67 116 151
1073662235 SILVOLA, ROBERT T, DDS 2021 FFS RENDERING AGE 21+ 179 771 62 72 117 274 114 114
1073662458 GOUDA, MOHAMED A DDS 2021 FFS RENDERING AGE 0-20 534 7,424 526 2,495 286 845 522 737
1073662458 GOUDA, MOHAMED A DDS 2021 FFS RENDERING AGE 21+ 393 3,225 274 550 294 1,320 307 308
1073662466 DARYAEI, HOMA, DDS 2021 FFS RENDERING AGE 0-20 53 240 41 95 16 24 43 44
1073662466 DARYAEI, HOMA, DDS 2021 FFS RENDERING AGE 21+ 365 1,483 156 287 229 699 171 171
1073662466 DARYAEI, HOMA, DDS 2021 PHP RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1073662870 HORIGUCHI, CARLOS A, DDS 2021 FFS RENDERING AGE 0-20 133 1,347 129 502 78 290 129 173
1073662870 HORIGUCHI, CARLOS A, DDS 2021 FFS RENDERING AGE 21+ 147 1,179 127 254 89 446 131 131
1073668620 CHENG JOSEPH 2021 FFS RENDERING AGE 0-20 719 8,211 666 2,218 513 1,872 674 791
1073672879 SOROUR, THARWAT DMD 2021 FFS RENDERING AGE 0-20 347 2,428 285 976 191 399 287 287
1073672879 SOROUR, THARWAT DMD 2021 FFS RENDERING AGE 21+ 161 595 51 87 83 215 88 88
1073675229 VASQUEZ DANIEL 2021 FFS RENDERING AGE 0-20 231 2,097 184 512 146 562 186 245
1073675229 VASQUEZ DANIEL 2021 FFS RENDERING AGE 21+ 235 1,298 107 191 140 465 163 163
1073683900 LAGATTA JOSH J 2021 FFS RENDERING AGE 0-20 3,201 28,609 2,001 6,637 1,480 4,691 1,815 2,062
1073683900 LAGATTA JOSH J 2021 FFS RENDERING AGE 21+ 737 3,313 287 583 373 1,219 309 309
1073683900 LAGATTA JOSH J 2021 PHP RENDERING AGE 0-20 1 1 1 1 1 1 0 0
1073685269 PHAM THANH H 2021 FFS RENDERING AGE 0-20 46 346 35 106 24 115 33 34
1073685269 PHAM THANH H 2021 FFS RENDERING AGE 21+ 117 757 59 64 76 385 91 91
1073690897 TRUONG RICK 2021 FFS RENDERING AGE 0-20 521 3,872 381 1,444 301 1,153 249 257
1073690897 TRUONG RICK 2021 FFS RENDERING AGE 21+ 433 1,617 88 172 187 712 232 232
1073697348 JAVID KAYVON H 2021 FFS RENDERING AGE 0-20 118 1,213 95 248 72 316 106 122
1073697348 JAVID KAYVON H 2021 FFS RENDERING AGE 21+ 290 2,369 61 116 232 1,337 195 195
1073697348 JAVID KAYVON H 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1073703468 AL KHALAYLEH MOSHEER 2021 FFS RENDERING AGE 0-20 410 2,799 125 466 175 490 352 360
1073703468 AL KHALAYLEH MOSHEER 2021 FFS RENDERING AGE 21+ 824 3,292 42 68 263 498 657 657
1073703500 WU MARGARET C 2021 FFS RENDERING AGE 0-20 433 5,433 403 1,423 205 506 351 417
1073703500 WU MARGARET C 2021 FFS RENDERING AGE 21+ 361 2,866 260 504 220 574 263 263
1073705026 LOPEZ CRISTINA D 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1073705026 LOPEZ CRISTINA D 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1073705364 LUMANLAN ALDWIN P 2021 FFS RENDERING AGE 0-20 197 1,428 139 273 73 201 144 144
1073705364 LUMANLAN ALDWIN P 2021 FFS RENDERING AGE 21+ 305 1,481 66 73 200 577 177 179
1073705364 LUMANLAN ALDWIN P 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1073705455 RODRIGUEZ FERNANDO 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1073705455 RODRIGUEZ FERNANDO 2021 PHP RENDERING AGE 21+ 14 69 1 2 1 2 1 1
1073711420 ANGELES NARDITO G 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1073712113 BARBA ANTOANETA D 2021 FFS RENDERING AGE 0-20 67 619 45 200 41 155 50 62
1073712113 BARBA ANTOANETA D 2021 FFS RENDERING AGE 21+ 123 997 51 79 96 645 71 71
1073715785 BENYAMINI, DAN DDS 2021 FFS RENDERING AGE 0-20 418 4,800 374 1,554 256 991 401 510
1073715785 BENYAMINI, DAN DDS 2021 FFS RENDERING AGE 21+ 519 4,567 261 512 403 2,449 365 369
1073715785 BENYAMINI, DAN DDS 2021 PHP RENDERING AGE 0-20 25 210 21 89 12 44 23 25
1073715785 BENYAMINI, DAN DDS 2021 PHP RENDERING AGE 21+ 15 103 1 2 1 2 13 13
1073726220 ROSE JESSIE R 2021 FFS RENDERING AGE 0-20 27 158 24 49 1 2 22 23
1073726220 ROSE JESSIE R 2021 FFS RENDERING AGE 21+ 42 140 19 19 19 38 24 24
1073728598 FUNDEANU JULIA DDS 2021 FFS RENDERING AGE 0-20 70 438 1 2 70 225 44 48
1073728598 FUNDEANU JULIA DDS 2021 FFS RENDERING AGE 21+ 120 600 1 1 120 350 87 87
1073729232 MASHREGHI, MITRA DMD 2021 FFS RENDERING AGE 21+ 5,646 65,568 1,044 1,422 4,274 11,739 3,200 3,200
1073729232 MASHREGHI, MITRA DMD 2021 PHP RENDERING AGE 21+ 67 184 1 1 54 76 48 49
1073729414 PADLAN ROMEO E 2021 FFS RENDERING AGE 21+ 12 112 0 0 0 0 0 0
1073731063 VELASQUEZ JEFF D 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1073737524 PAKRAVAN DENTAL CORPORATION 2021 PHP RENDERING AGE 0-20 1 2 0 0 1 2 0 0
1073744389 ROJO SANTIAGO A 2021 FFS RENDERING AGE 0-20 110 2,195 94 436 88 377 95 123
1073744389 ROJO SANTIAGO A 2021 FFS RENDERING AGE 21+ 231 3,732 125 248 204 985 168 168
1073746228 KIM MICHAEL D 2021 FFS RENDERING AGE 0-20 42 146 16 31 14 43 32 35
1073746228 KIM MICHAEL D 2021 FFS RENDERING AGE 21+ 140 416 23 34 69 174 85 85
1073748174 ABUL-FIELAT, MOHAMMAD, DDS I 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1073748174 MOHAMMAD ABUL FIELAT DDS INC 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1073750907 SHINN JR GEORGE B 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1073750907 SHINN JR GEORGE B 2021 FFS RENDERING AGE 21+ 14 17 0 0 14 17 0 0
1073764452 SONG, HELEN DDS 2021 FFS RENDERING AGE 0-20 1,700 27,686 1,674 5,962 910 3,223 1,677 2,480
1073764452 SONG, HELEN DDS 2021 FFS RENDERING AGE 21+ 164 1,369 136 271 66 165 141 141
1073772182 SAVANGPHOL JEFFREY S 2021 FFS RENDERING AGE 0-20 420 2,777 317 1,099 108 280 403 495
1073772182 SAVANGPHOL JEFFREY S 2021 FFS RENDERING AGE 21+ 555 2,054 203 377 158 349 443 443
1073772182 SAVANGPHOL JEFFREY S 2021 PHP RENDERING AGE 0-20 107 630 88 279 18 34 102 131
1073772182 SAVANGPHOL JEFFREY S 2021 PHP RENDERING AGE 21+ 155 524 68 149 33 68 126 137
1073783049 NEGOM YULIA Y 2021 FFS RENDERING AGE 0-20 283 4,357 259 939 101 467 273 372
1073783049 NEGOM YULIA Y 2021 FFS RENDERING AGE 21+ 619 6,445 456 457 376 1,895 545 545
1073792156 AKBARIAN BOROOJ MANDANA 2021 FFS RENDERING AGE 0-20 2,415 16,656 2,260 7,634 1,298 1,620 2,028 2,180
1073796298 LIN STEPHANIE S 2021 PHP RENDERING AGE 0-20 21 155 16 57 13 24 14 14
1073796298 LIN STEPHANIE S 2021 PHP RENDERING AGE 21+ 36 201 18 41 23 51 20 20
1073806725 HSIEH AMBER A 2021 FFS RENDERING AGE 0-20 3,759 52,409 3,564 13,063 2,157 6,578 3,573 4,250
1073806725 HSIEH AMBER A 2021 FFS RENDERING AGE 21+ 217 1,434 100 200 71 177 189 189
1073808812 WEE HILDA D 2021 FFS RENDERING AGE 0-20 636 3,892 442 1,560 137 343 556 617
1073808812 WEE HILDA D 2021 FFS RENDERING AGE 21+ 667 2,155 183 360 156 387 517 518
1073808812 WEE HILDA D 2021 GMC RENDERING AGE 0-20 1 1 0 0 0 0 1 1
1073813218 PARTAMIAN, RAFFI DDS 2021 FFS RENDERING AGE 0-20 35 45 0 0 20 26 0 0
1073820932 NAM IRIS H 2021 FFS RENDERING AGE 0-20 582 11,174 408 1,101 580 7,831 524 524
1073820932 NAM IRIS H 2021 FFS RENDERING AGE 21+ 53 556 43 62 53 362 38 38
1073833844 NELSON DAVID L 2021 FFS RENDERING AGE 0-20 837 4,894 734 1,929 448 778 720 779
1073843660 KIM ANDREW C 2021 FFS RENDERING AGE 0-20 1,235 11,977 1,164 3,672 664 2,314 1,062 1,308
1073843660 KIM ANDREW C 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1073843660 KIM ANDREW C 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 2 1 1
1073856290 TSOI KELVIN C 2021 FFS RENDERING AGE 0-20 28 81 0 0 11 29 18 24
1073856290 TSOI KELVIN C 2021 FFS RENDERING AGE 21+ 21 90 1 1 18 60 1 1
1073856290 TSOI KELVIN C 2021 PHP RENDERING AGE 0-20 15 123 1 2 14 48 13 15
1073856290 TSOI KELVIN C 2021 PHP RENDERING AGE 21+ 34 215 14 20 32 118 22 23
1073865192 KALAI KAMBIZ 2021 FFS RENDERING AGE 0-20 75 813 64 198 42 172 66 71
1073865192 KALAI KAMBIZ 2021 FFS RENDERING AGE 21+ 179 1,475 78 148 122 634 146 146
1073871448 ODERA, SAMPETER L MD 2021 FFS RENDERING AGE 0-20 190 788 0 0 152 572 102 103
1073871448 ODERA, SAMPETER L MD 2021 FFS RENDERING AGE 21+ 372 1,614 1 1 300 1,158 179 181
1073873410 TRAN LANA X 2021 FFS RENDERING AGE 0-20 708 5,367 493 1,024 355 2,015 409 409
1073873410 TRAN LANA X 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 1 1
1073878435 KHOSHROU ASHKAN 2021 FFS RENDERING AGE 0-20 1 2 1 1 0 0 1 1
1073878435 KHOSHROU ASHKAN 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1073885505 CHEN JUNE HONG J 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1073887790 MAHTESYAN SERGEY 2021 FFS RENDERING AGE 0-20 11 54 1 1 1 2 1 1
1073887790 MAHTESYAN SERGEY 2021 FFS RENDERING AGE 21+ 374 2,016 91 177 205 1,098 351 351
1073888152 BASHA MARIANA A 2021 FFS RENDERING AGE 0-20 116 931 77 255 34 126 98 105
1073888152 BASHA MARIANA A 2021 FFS RENDERING AGE 21+ 213 850 41 46 98 243 144 149
1073888152 BASHA MARIANA A 2021 PHP RENDERING AGE 0-20 59 430 42 127 18 49 50 54
1073888152 BASHA MARIANA A 2021 PHP RENDERING AGE 21+ 88 375 19 29 49 180 51 53
1073904744 NGUYEN KHANH M 2021 FFS RENDERING AGE 0-20 183 2,707 164 580 151 672 172 219
1073904744 NGUYEN KHANH M 2021 FFS RENDERING AGE 21+ 282 3,145 130 241 217 1,575 226 229
1073912044 LE PHU T 2021 FFS RENDERING AGE 0-20 2,455 28,897 2,260 7,446 892 3,809 2,388 3,154
1073912044 LE PHU T 2021 FFS RENDERING AGE 21+ 437 2,674 310 618 213 438 314 314
1073920377 CHANG TZU-FEI 2021 FFS RENDERING AGE 0-20 279 3,851 260 1,016 124 316 260 343
1073920377 CHANG TZU-FEI 2021 FFS RENDERING AGE 21+ 151 979 33 66 108 439 97 97
1073922951 PANG SEOKJOON 2021 FFS RENDERING AGE 0-20 53 116 0 0 53 116 0 0
1073922951 PANG SEOKJOON 2021 FFS RENDERING AGE 21+ 395 1,238 1 1 395 1,232 0 0
1073929725 JAVDAN DAVID 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1073931192 CHIEN PETER S 2021 FFS RENDERING AGE 0-20 109 291 0 0 107 269 0 0
1073931192 CHIEN PETER S 2021 FFS RENDERING AGE 21+ 348 1,036 1 1 346 888 1 1
1073941183 RINCON JR ALBERT 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1073941183 RINCON JR ALBERT 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1073945226 KHEHRA PREETINDER 2021 FFS RENDERING AGE 0-20 252 799 146 294 123 270 50 50
1073945226 KHEHRA PREETINDER 2021 FFS RENDERING AGE 21+ 296 823 79 158 203 443 42 42
1073949541 HTUT MYAT M 2021 FFS RENDERING AGE 0-20 19 57 0 0 1 1 0 0
1073949541 HTUT MYAT M 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1073950747 LI MICHAEL C 2021 FFS RENDERING AGE 0-20 253 361 0 0 77 128 0 0
1073950747 LI MICHAEL C 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1073950747 LI MICHAEL C 2021 GMC RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1073950747 LI MICHAEL C 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1073953774 LIRIO DINO 2021 FFS RENDERING AGE 21+ 1 2 1 2 1 2 1 1
1073953774 LIRIO DINO 2021 GMC RENDERING AGE 0-20 326 2,734 281 1,057 145 519 270 333
1073953774 LIRIO DINO 2021 GMC RENDERING AGE 21+ 770 6,540 604 1,754 513 2,395 614 618
1073953774 LIRIO DINO 2021 PHP RENDERING AGE 0-20 1 1 1 1 1 1 1 1
1073958930 MILLER BRENDA E 2021 FFS RENDERING AGE 0-20 526 7,854 437 1,512 317 1,923 478 568
1073958930 MILLER BRENDA E 2021 FFS RENDERING AGE 21+ 573 5,597 250 495 462 2,562 375 379
1073966743 GILL NAVJOT K 2021 FFS RENDERING AGE 0-20 363 1,833 220 610 158 346 315 341
1073966743 GILL NAVJOT K 2021 FFS RENDERING AGE 21+ 852 3,070 238 436 458 988 639 639
1073966743 GILL NAVJOT K 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1073988754 MARIOLLE MERCEDES C 2021 FFS RENDERING AGE 0-20 2,142 24,230 1,751 4,749 1,383 8,227 1,751 1,847
1083003321 WHITE MEMORIAL COMMUNITY 2021 PHP RENDERING AGE 0-20 69 618 66 198 1 2 66 201
1083003321 WHITE MEMORIAL COMMUNITY 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1083005508 LEE DANNY K 2021 PHP RENDERING AGE 0-20 1 1 0 0 0 0 1 1
1083005508 LEE DANNY K 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1083010573 NGUYEN HUY C 2021 FFS RENDERING AGE 0-20 428 4,344 407 1,408 246 698 412 544
1083010573 NGUYEN HUY C 2021 FFS RENDERING AGE 21+ 195 1,070 118 219 110 358 160 160
1083012520 DHALIWAL SATVIR K 2021 FFS RENDERING AGE 0-20 61 225 1 2 57 114 1 1
1083014450 HAKHAMIAN ARDESHIR 2021 FFS RENDERING AGE 0-20 218 1,992 145 451 103 314 183 205
1083014450 HAKHAMIAN ARDESHIR 2021 FFS RENDERING AGE 21+ 373 1,845 96 181 197 444 263 267
1083015648 KARAPETYAN ARMEN 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1083015648 KARAPETYAN ARMEN 2021 FFS RENDERING AGE 21+ 224 699 60 60 115 372 171 171
1083021323 DHILLON MANINDER K 2021 FFS RENDERING AGE 0-20 209 2,669 165 460 141 631 165 172
1083021323 DHILLON MANINDER K 2021 FFS RENDERING AGE 21+ 267 2,437 90 175 196 821 170 171
1083028773 HAMMER CHRISTINE L 2021 FFS RENDERING AGE 0-20 89 878 70 193 72 452 52 54
1083028773 HAMMER CHRISTINE L 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1083038533 SANTA FE DENTAL GROUP 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1083038533 SANTA FE DENTAL GROUP 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 0 0
1083045173 KIM DOUGLAS 2021 FFS RENDERING AGE 0-20 968 12,773 892 2,976 498 1,236 900 1,108
1083045173 KIM DOUGLAS 2021 FFS RENDERING AGE 21+ 752 5,806 436 829 452 1,709 574 576
1083045173 KIM DOUGLAS 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1083048490 HENDIFAR ELNAZ 2021 FFS RENDERING AGE 0-20 29 144 23 51 1 2 27 27
1083048490 HENDIFAR ELNAZ 2021 FFS RENDERING AGE 21+ 51 197 21 37 36 71 30 30
1083052641 TONGOC MELANIE T 2021 FFS RENDERING AGE 0-20 174 1,415 146 416 62 133 139 140
1083052641 TONGOC MELANIE T 2021 FFS RENDERING AGE 21+ 148 880 82 163 88 200 80 80
1083053805 SIJLAMASSI OTHMAN 2021 FFS RENDERING AGE 0-20 4,921 50,834 4,030 12,951 2,823 7,543 3,939 4,398
1083053805 SIJLAMASSI OTHMAN 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1083058986 SALEHPOUR MAYSAM M 2021 FFS RENDERING AGE 0-20 15 16 0 0 1 1 14 14
1083058986 SALEHPOUR MAYSAM M 2021 FFS RENDERING AGE 21+ 38 48 0 0 11 19 28 28
1083058986 SALEHPOUR MAYSAM M 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1083060909 CHOI THOMAS 2021 FFS RENDERING AGE 0-20 810 1,508 0 0 320 758 0 0
1083060909 CHOI THOMAS 2021 FFS RENDERING AGE 21+ 12 12 0 0 0 0 0 0
1083080097 ESMAILIAN LARI SOMA 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1083080097 ESMAILIAN LARI SOMA 2021 FFS RENDERING AGE 21+ 82 227 0 0 80 209 1 1
1083085401 ROLLE MAXIME J 2021 FFS RENDERING AGE 0-20 765 3,864 399 890 256 570 674 747
1083085401 ROLLE MAXIME J 2021 FFS RENDERING AGE 21+ 781 2,902 136 258 343 1,023 578 578
1083085401 ROLLE MAXIME J 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1083100051 KASSEM NOOR A 2021 FFS RENDERING AGE 0-20 250 1,847 181 416 69 191 228 230
1083100051 KASSEM NOOR A 2021 FFS RENDERING AGE 21+ 234 928 33 63 89 265 190 193
1083107817 CASTELLANOS JENNIFER 2021 PHP RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1083107817 CASTELLANOS JENNIFER 2021 PHP RENDERING AGE 21+ 18 43 1 1 14 22 1 1
1083109813 ZEINALI KEMIA L 2021 FFS RENDERING AGE 0-20 2,903 25,116 2,621 8,044 2,016 6,687 2,668 2,951
1083109813 ZEINALI KEMIA L 2021 PHP RENDERING AGE 0-20 1 1 1 1 1 1 1 1
1083116214 LAI VICTORIA 2021 FFS RENDERING AGE 0-20 2,145 13,825 1,764 4,852 1,243 3,079 1,594 1,755
1083124093 BAYANI SHAHIN 2021 FFS RENDERING AGE 0-20 678 1,088 0 0 106 257 0 0
1083128870 WESTERN DENTAL SERVICES INC 2021 PHP RENDERING AGE 0-20 1 1 0 0 0 0 1 1
1083128870 WESTERN DENTAL SERVICES INC 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1083128870 WESTERN DENTAL SERVICES, INC. 2021 PHP RENDERING AGE 0-20 1 1 0 0 0 0 1 1
1083128870 WESTERN DENTAL SERVICES, INC. 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1083132849 ALTAMED HEALTH SERVICES 2021 PHP RENDERING AGE 0-20 93 1,043 81 425 88 205 65 73
1083132849 ALTAMED HEALTH SERVICES CORP 2021 PHP RENDERING AGE 0-20 93 1,043 81 425 88 205 65 73
1083135933 GUIRGUIS NICOLE P 2021 FFS RENDERING AGE 0-20 61 510 33 103 21 33 49 52
1083135933 GUIRGUIS NICOLE P 2021 FFS RENDERING AGE 21+ 148 587 1 1 63 117 107 107
1083135933 GUIRGUIS NICOLE P 2021 PHP RENDERING AGE 0-20 1 1 1 1 1 1 0 0
1083135933 GUIRGUIS NICOLE P 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1083162184 RUDRAPRAKASHA TEJASWINI 2021 FFS RENDERING AGE 0-20 357 1,970 255 775 155 364 282 290
1083162184 RUDRAPRAKASHA TEJASWINI 2021 FFS RENDERING AGE 21+ 387 1,317 104 194 223 523 221 223
1083162184 RUDRAPRAKASHA TEJASWINI 2021 GMC RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1083162184 RUDRAPRAKASHA TEJASWINI 2021 GMC RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1083162184 RUDRAPRAKASHA TEJASWINI 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1083162184 RUDRAPRAKASHA TEJASWINI 2021 PHP RENDERING AGE 21+ 1 2 0 0 1 2 0 0
1083191100 OHANESIAN VAHE 2021 FFS RENDERING AGE 0-20 1,084 2,540 1 1 240 642 1 1
1083191100 OHANESIAN VAHE 2021 FFS RENDERING AGE 21+ 43 75 1 1 1 1 1 1
1083206189 SINAEI AVA 2021 FFS RENDERING AGE 0-20 893 6,016 439 1,219 752 2,149 327 329
1083206189 SINAEI AVA 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1083215982 YAN, SOKBUNNTHA, RDHAP 2021 FFS RENDERING AGE 0-20 14 39 14 32 1 1 0 0
1083215982 YAN, SOKBUNNTHA, RDHAP 2021 FFS RENDERING AGE 21+ 18 72 18 29 1 1 0 0
1083228126 SHIRINIAN DAVID KARO 2021 FFS RENDERING AGE 0-20 24 94 14 28 11 39 13 13
1083228126 SHIRINIAN DAVID KARO 2021 FFS RENDERING AGE 21+ 206 896 41 73 170 603 78 78
1083234363 YANG MIRA 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1083234363 YANG MIRA 2021 GMC RENDERING AGE 0-20 2,885 5,164 2,885 5,164 0 0 0 0
1083254601 SOLANO GONZALEZ DALIA 2021 FFS RENDERING AGE 0-20 22 210 20 47 1 2 17 18
1083254601 SOLANO GONZALEZ DALIA 2021 FFS RENDERING AGE 21+ 19 100 1 2 12 28 1 1
1083255111 GONZALES WAYNE D 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1083255111 GONZALES WAYNE D 2021 FFS RENDERING AGE 21+ 49 120 14 21 39 94 1 1
1083255111 GONZALES WAYNE D 2021 PHP RENDERING AGE 21+ 11 49 1 1 11 41 0 0
1083260210 MICHALEK KIMBERLEE ANNE 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1083285159 SANDHU JASHAN PREET S 2021 FFS RENDERING AGE 0-20 156 683 46 91 63 190 123 124
1083285159 SANDHU JASHAN PREET S 2021 FFS RENDERING AGE 21+ 355 1,457 55 108 187 616 245 246
1083610067 PHAM LANCHI 2021 FFS RENDERING AGE 0-20 415 4,373 406 1,430 122 395 411 602
1083610067 PHAM LANCHI 2021 FFS RENDERING AGE 21+ 429 2,666 374 748 168 413 397 397
1083610067 PHAM, LANCHI, DDS 2021 FFS RENDERING AGE 0-20 415 4,373 406 1,430 122 395 411 602
1083610067 PHAM, LANCHI, DDS 2021 FFS RENDERING AGE 21+ 429 2,666 374 748 168 413 397 397
1083615819 FENN, RONALD SAM, DDS 2021 FFS RENDERING AGE 0-20 44 64 0 0 33 50 1 1
1083623557 MOLINA, ARNULFO DDS 2021 FFS RENDERING AGE 0-20 233 2,436 214 603 80 282 218 276
1083623557 MOLINA, ARNULFO DDS 2021 FFS RENDERING AGE 21+ 293 1,908 96 187 179 599 199 199
1083631709 ZUIDERVELD, ELLIE J, DDS 2021 FFS RENDERING AGE 0-20 545 6,478 339 772 478 3,831 251 263
1083631709 ZUIDERVELD, ELLIE J, DDS 2021 FFS RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1083632376 HAQUE, NAZ DDS 2021 FFS RENDERING AGE 0-20 155 1,499 146 466 85 320 148 197
1083632376 HAQUE, NAZ DDS 2021 FFS RENDERING AGE 21+ 243 1,750 127 200 199 993 169 169
1083689665 HODSON, DONALD R, DDS 2021 FFS RENDERING AGE 0-20 16 79 13 30 1 2 1 1
1083689665 HODSON, DONALD R, DDS 2021 FFS RENDERING AGE 21+ 49 208 24 24 15 50 16 16
1083693667 PARIKH SHOBHA V 2021 FFS RENDERING AGE 0-20 53 439 40 141 29 101 45 51
1083693667 PARIKH SHOBHA V 2021 FFS RENDERING AGE 21+ 213 1,540 136 264 140 735 164 164
1083695431 MEALING HALA H 2021 FFS RENDERING AGE 0-20 6,579 79,852 5,916 19,880 4,104 8,749 5,923 7,764
1083706444 CHUNG CHRISTINE H 2021 FFS RENDERING AGE 0-20 173 1,678 128 423 75 196 119 133
1083706444 CHUNG CHRISTINE H 2021 FFS RENDERING AGE 21+ 422 2,377 148 268 313 903 202 202
1083706444 CHUNG CHRISTINE H 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1083718340 CHOE JOHN C 2021 FFS RENDERING AGE 0-20 284 2,244 232 610 101 240 237 286
1083718340 CHOE JOHN C 2021 FFS RENDERING AGE 21+ 411 2,565 134 205 285 1,022 219 219
1083725857 RABE ALAN R 2021 FFS RENDERING AGE 0-20 418 2,721 365 792 140 370 364 364
1083725857 RABE ALAN R 2021 GMC RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1083726772 CHO, ARNOLD T, DDS 2021 FFS RENDERING AGE 0-20 64 419 55 134 15 67 61 77
1083726772 CHO, ARNOLD T, DDS 2021 FFS RENDERING AGE 21+ 125 695 80 96 66 198 103 105
1083732010 SUDQI OMAR H 2021 FFS RENDERING AGE 0-20 28 188 18 53 16 25 20 20
1083732010 SUDQI OMAR H 2021 FFS RENDERING AGE 21+ 60 215 1 2 46 97 21 21
1083735831 BALANCIO CLARA E 2021 FFS RENDERING AGE 0-20 116 232 0 0 0 0 116 116
1083735831 BALANCIO CLARA E 2021 FFS RENDERING AGE 21+ 196 387 0 0 0 0 194 194
1083743926 KHODADADI, KHASHAYAR 2021 FFS RENDERING AGE 0-20 32 196 22 45 15 54 20 20
1083743926 KHODADADI, KHASHAYAR 2021 FFS RENDERING AGE 21+ 124 587 38 38 74 238 72 72
1083752547 AUNG, MICHAEL MAUNG, DDS 2021 FFS RENDERING AGE 0-20 17 127 16 68 1 2 16 19
1083752547 AUNG, MICHAEL MAUNG, DDS 2021 FFS RENDERING AGE 21+ 73 462 64 125 44 167 71 71
1083752547 AUNG, MICHAEL MAUNG, DDS 2021 PHP RENDERING AGE 0-20 16 124 16 56 1 2 16 18
1083752547 AUNG, MICHAEL MAUNG, DDS 2021 PHP RENDERING AGE 21+ 58 394 57 115 21 112 57 61
1083753149 CORREA MARIA I 2021 FFS RENDERING AGE 0-20 286 4,355 268 944 169 580 267 371
1083753149 CORREA MARIA I 2021 FFS RENDERING AGE 21+ 328 3,183 256 497 213 900 284 284
1083754725 LE-NGUYEN, CATHERINE V, DDS 2021 FFS RENDERING AGE 0-20 217 2,179 185 482 94 399 186 224
1083754725 LE-NGUYEN, CATHERINE V, DDS 2021 FFS RENDERING AGE 21+ 459 4,292 272 547 328 1,448 319 321
1083758296 PAREDES, KATYUSKA, DDS 2021 FFS RENDERING AGE 0-20 121 1,025 108 339 54 214 104 120
1083758296 PAREDES, KATYUSKA, DDS 2021 FFS RENDERING AGE 21+ 162 1,059 72 129 100 492 124 124
1083762199 SHIVELY, HARRY MARTIN, DDS 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 0 0
1083762199 SHIVELY, HARRY MARTIN, DDS 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1083764674 SHAHOVEISI HESAM 2021 FFS RENDERING AGE 0-20 107 491 56 151 40 88 73 77
1083764674 SHAHOVEISI HESAM 2021 FFS RENDERING AGE 21+ 238 893 31 57 173 584 91 91
1083764674 SHAHOVEISI HESAM 2021 PHP RENDERING AGE 0-20 1 2 1 1 0 0 1 1
1083764674 SHAHOVEISI HESAM 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1083767198 HWANG, WONIL DDS 2021 FFS RENDERING AGE 0-20 485 6,011 459 1,882 123 506 438 537
1083767198 HWANG, WONIL DDS 2021 FFS RENDERING AGE 21+ 354 3,938 278 545 153 735 303 303
1083768550 HUANG, WEI S 2021 FFS RENDERING AGE 0-20 16 95 11 28 1 2 13 16
1083768550 HUANG, WEI S 2021 FFS RENDERING AGE 21+ 119 688 71 140 72 174 84 84
1083775753 ESMAEILI MAJID 2021 FFS RENDERING AGE 0-20 53 589 44 116 24 61 49 50
1083775753 ESMAEILI MAJID 2021 FFS RENDERING AGE 21+ 103 1,051 53 98 60 175 81 81
1083778096 TAYLOR PARVEZ H 2021 FFS RENDERING AGE 0-20 224 3,115 204 905 72 271 215 288
1083778096 TAYLOR PARVEZ H 2021 FFS RENDERING AGE 21+ 597 4,406 455 909 302 1,170 529 531
1083778096 TAYLOR PARVEZ H 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1083780613 CUEVAS, EDNA 2021 FFS RENDERING AGE 0-20 46 489 43 222 16 48 43 54
1083780613 CUEVAS, EDNA 2021 FFS RENDERING AGE 21+ 129 1,230 94 174 91 450 106 106
1083782338 YANG BIYAN 2021 FFS RENDERING AGE 0-20 315 5,675 303 1,461 218 849 305 455
1083782338 YANG BIYAN 2021 FFS RENDERING AGE 21+ 500 5,733 326 651 417 1,821 384 384
1083782338 YANG BIYAN 2021 PHP RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1083782338 YANG BIYAN 2021 PHP RENDERING AGE 21+ 17 145 13 26 12 64 14 14
1083782353 PAIK, MI SUNG, DDS 2021 FFS RENDERING AGE 0-20 62 248 57 104 26 62 30 40
1083782353 PAIK, MI SUNG, DDS 2021 FFS RENDERING AGE 21+ 22 81 13 14 14 27 12 12
1083782353 PAIK, MI SUNG, DDS 2021 PHP RENDERING AGE 0-20 94 492 90 201 44 98 88 99
1083782353 PAIK, MI SUNG, DDS 2021 PHP RENDERING AGE 21+ 84 330 39 40 32 58 61 62
1083788566 TANG LU 2021 FFS RENDERING AGE 0-20 432 3,998 428 2,023 145 513 428 649
1083788566 TANG LU 2021 FFS RENDERING AGE 21+ 23 109 17 33 1 1 19 19
1083793251 YOUN DONALD H 2021 FFS RENDERING AGE 0-20 125 512 93 110 34 106 98 99
1083793251 YOUN DONALD H 2021 FFS RENDERING AGE 21+ 354 1,173 173 173 116 241 206 206
1083793251 YOUN DONALD H 2021 PHP RENDERING AGE 0-20 57 291 50 108 11 34 48 48
1083793251 YOUN DONALD H 2021 PHP RENDERING AGE 21+ 87 363 55 56 44 103 68 68
1083795462 GORDON NEWTON C 2021 FFS RENDERING AGE 0-20 159 430 0 0 45 160 136 136
1083795462 GORDON NEWTON C 2021 FFS RENDERING AGE 21+ 948 2,592 0 0 455 1,274 659 659
1083796692 KOPECKY GEOFFREY R 2021 FFS RENDERING AGE 0-20 71 140 0 0 69 84 0 0
1083798243 TRAN KHAI H 2021 FFS RENDERING AGE 0-20 45 465 39 149 20 37 37 48
1083798243 TRAN KHAI H 2021 FFS RENDERING AGE 21+ 38 318 28 28 23 75 28 28
1083800296 AMINOV DMITRY G 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1083800296 AMINOV DMITRY G 2021 FFS RENDERING AGE 21+ 44 257 22 43 34 123 26 26
1083801336 BIRJANDI, REZA MOHAMMAD DDS 2021 FFS RENDERING AGE 0-20 42 615 37 145 32 259 37 43
1083801336 BIRJANDI, REZA MOHAMMAD DDS 2021 FFS RENDERING AGE 21+ 129 1,263 80 159 99 683 94 94
1083803183 ROGHANI SHIVA 2021 FFS RENDERING AGE 0-20 772 7,982 717 2,783 542 1,956 704 978
1083803183 ROGHANI SHIVA 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 0 0
1083804843 HOANG BRANDON T 2021 FFS RENDERING AGE 0-20 1,075 3,586 0 0 581 1,546 528 528
1083804843 HOANG BRANDON T 2021 FFS RENDERING AGE 21+ 77 230 0 0 35 66 53 53
1083805550 FAN, ANDREW, RDHAP 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 0 0
1083805568 CHENG MELISSA Y 2021 FFS RENDERING AGE 0-20 198 1,800 174 460 95 297 182 237
1083805568 CHENG MELISSA Y 2021 FFS RENDERING AGE 21+ 521 4,083 374 744 349 1,325 421 425
1083808919 LASAM CHARISMA 2021 FFS RENDERING AGE 0-20 223 1,644 200 629 62 149 207 274
1083808919 LASAM CHARISMA 2021 FFS RENDERING AGE 21+ 521 2,592 204 227 350 1,192 359 359
1083817423 KOERNIANINGSIH, LYDIA, DDS 2021 FFS RENDERING AGE 0-20 52 662 43 127 39 169 44 49
1083817423 KOERNIANINGSIH, LYDIA, DDS 2021 FFS RENDERING AGE 21+ 95 871 66 131 67 275 70 70
1083820096 TIEMPETPAISAL PANADDA 2021 FFS RENDERING AGE 0-20 32 217 32 68 1 1 31 34
1083820096 TIEMPETPAISAL PANADDA 2021 FFS RENDERING AGE 21+ 14 77 13 13 1 1 13 13
1083820526 MAI HUY 2021 FFS RENDERING AGE 0-20 32 129 32 71 1 2 20 23
1083820526 MAI HUY 2021 FFS RENDERING AGE 21+ 24 84 16 32 1 2 17 17
1083821938 IQBAL SHAZIA 2021 FFS RENDERING AGE 0-20 2,895 28,324 2,541 9,442 2,182 8,837 2,452 2,979
1083821938 IQBAL SHAZIA 2021 FFS RENDERING AGE 21+ 37 53 0 0 0 0 1 1
1083822548 TRAN VAL H 2021 FFS RENDERING AGE 0-20 13 80 12 29 1 1 12 12
1083822548 TRAN VAL H 2021 FFS RENDERING AGE 21+ 72 403 43 86 45 143 43 43
1083827976 IRAWAN, IBRAHIM DDS 2021 FFS RENDERING AGE 0-20 21 219 18 68 11 47 18 22
1083827976 IRAWAN, IBRAHIM DDS 2021 FFS RENDERING AGE 21+ 82 705 52 102 55 272 56 56
1083837769 YEPIZ MARIA TERESA M 2021 FFS RENDERING AGE 0-20 39 247 26 51 20 49 27 28
1083837769 YEPIZ MARIA TERESA M 2021 FFS RENDERING AGE 21+ 79 332 26 26 59 136 26 26
1083839294 TANG NANCY 2021 FFS RENDERING AGE 0-20 984 8,510 724 2,236 762 1,769 698 789
1083839997 SIMANIAN, RUBIC, DDS 2021 FFS RENDERING AGE 0-20 95 844 81 242 28 40 79 82
1083839997 SIMANIAN, RUBIC, DDS 2021 FFS RENDERING AGE 21+ 168 929 53 106 127 325 69 69
1083865646 YOON AUDREY J 2021 FFS RENDERING AGE 0-20 854 15,086 827 3,287 611 2,550 820 1,211
1083865646 YOON AUDREY J 2021 FFS RENDERING AGE 21+ 1 2 1 1 0 0 1 1
1083865646 YOON AUDREY J 2021 PHP RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1083867386 ZAGHI PEDRAM J 2021 FFS RENDERING AGE 0-20 451 1,539 74 105 392 722 80 86
1083867386 ZAGHI PEDRAM J 2021 FFS RENDERING AGE 21+ 870 2,944 47 48 788 1,370 169 169
1083867386 ZAGHI PEDRAM J 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1083867386 ZAGHI PEDRAM J 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1083868616 HERNANDEZ-NAGAL MARIA T 2021 FFS RENDERING AGE 0-20 24 152 15 21 13 38 16 16
1083868616 HERNANDEZ-NAGAL MARIA T 2021 FFS RENDERING AGE 21+ 50 229 14 15 38 123 15 15
1083869945 TRAN, KRISTINE N, DDS 2021 FFS RENDERING AGE 0-20 30 374 29 88 20 115 26 39
1083869945 TRAN, KRISTINE N, DDS 2021 FFS RENDERING AGE 21+ 312 3,080 255 497 249 1,345 274 274
1083882369 LLAGUNO-JINGCO KATHERINE P 2021 FFS RENDERING AGE 0-20 105 501 51 169 26 86 76 77
1083882369 LLAGUNO-JINGCO KATHERINE P 2021 FFS RENDERING AGE 21+ 436 1,752 199 381 128 504 318 318
1083882369 LLAGUNO-JINGCO KATHERINE P 2021 PHP RENDERING AGE 0-20 11 40 1 2 1 1 1 1
1083882369 LLAGUNO-JINGCO KATHERINE P 2021 PHP RENDERING AGE 21+ 22 83 1 2 1 2 1 1
1083885685 ALEXANDER KEITH A 2021 FFS RENDERING AGE 0-20 863 1,140 0 0 119 273 0 0
1083885685 ALEXANDER KEITH A 2021 FFS RENDERING AGE 21+ 32 32 0 0 0 0 0 0
1083885685 ALEXANDER KEITH A 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1083885685 ALEXANDER KEITH A 2021 PHP RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1083892558 TELLO, JORGE ALBERTO DDS 2021 FFS RENDERING AGE 0-20 1,599 19,066 1,482 5,360 850 2,729 1,429 1,611
1083892558 TELLO, JORGE ALBERTO DDS 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1083896393 RIVAS LILIA H 2021 FFS RENDERING AGE 0-20 119 827 105 245 61 184 109 120
1083896393 RIVAS LILIA H 2021 FFS RENDERING AGE 21+ 220 1,610 104 205 169 899 154 156
1083899306 RANA, ARVIND DDS 2021 FFS RENDERING AGE 0-20 48 570 44 105 12 28 46 55
1083899306 RANA, ARVIND DDS 2021 FFS RENDERING AGE 21+ 86 650 49 77 30 94 81 81
1083912430 COHEN SEDGH MANAVI & PAKRAVA 2021 GMC RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1083912430 COHEN SEDGH MANAVI & PAKRAVA 2021 PHP RENDERING AGE 0-20 46 276 31 109 1 2 32 34
1083912430 COHEN SEDGH MANAVI & PAKRAVA 2021 PHP RENDERING AGE 21+ 25 85 1 1 11 32 1 1
1083912430 COHEN SEDGH, MANAVI& PAKRAVAN DENTAL CORPORATION 2021 GMC RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1083912430 COHEN SEDGH, MANAVI& PAKRAVAN DENTAL CORPORATION 2021 PHP RENDERING AGE 0-20 46 276 31 109 1 2 32 34
1083912430 COHEN SEDGH, MANAVI& PAKRAVAN DENTAL CORPORATION 2021 PHP RENDERING AGE 21+ 25 85 1 1 11 32 1 1
1083922827 MOADEL MATTHEW N 2021 FFS RENDERING AGE 0-20 1,681 4,975 0 0 180 528 1 1
1083922827 MOADEL MATTHEW N 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1083922827 MOADEL MATTHEW N 2021 PHP RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1083926323 MANSKE JESSICA L 2021 FFS RENDERING AGE 0-20 823 6,531 662 2,167 473 1,091 646 739
1083926323 MANSKE JESSICA L 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1083928287 YANG MAGNUS K 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1083928287 YANG MAGNUS K 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1083930408 SABBAGH FARD ARASH 2021 FFS RENDERING AGE 0-20 111 1,316 90 266 45 166 81 92
1083930408 SABBAGH FARD ARASH 2021 FFS RENDERING AGE 21+ 378 2,708 142 211 258 956 261 263
1083933956 AFSHAR-EBRAHIMI MANIJEH 2021 FFS RENDERING AGE 0-20 368 1,753 191 695 108 308 195 197
1083933956 AFSHAR-EBRAHIMI MANIJEH 2021 FFS RENDERING AGE 21+ 1,095 3,574 259 490 544 1,537 421 421
1083933956 AFSHAR-EBRAHIMI MANIJEH 2021 PHP RENDERING AGE 21+ 1 1 1 1 0 0 0 0
1083936702 RODRIGUEZ, YANA Y, RDHAP 2021 FFS RENDERING AGE 21+ 256 986 245 281 256 705 0 0
1083950190 PARRENO PHILLINE C 2021 FFS RENDERING AGE 0-20 29 296 27 67 27 59 26 34
1083950190 PARRENO PHILLINE C 2021 FFS RENDERING AGE 21+ 148 1,504 95 179 144 780 106 106
1083959084 HAGHOLLAHI TARAVAT 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1083959084 HAGHOLLAHI TARAVAT 2021 FFS RENDERING AGE 21+ 11 45 1 1 1 2 1 1
1083966279 KALYANI ASHINI 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 1 0 0
1083966527 ABDELMESSIH JOHN N 2021 FFS RENDERING AGE 0-20 1 2 1 1 0 0 1 1
1083966527 ABDELMESSIH JOHN N 2021 FFS RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1083966972 MAROSE ALEXANDER V 2021 FFS RENDERING AGE 0-20 67 1,119 54 171 48 274 65 73
1083966972 MAROSE ALEXANDER V 2021 FFS RENDERING AGE 21+ 118 1,566 14 27 94 654 92 92
1083970008 GOH SHINYOUNG 2021 FFS RENDERING AGE 0-20 24 224 20 111 12 35 20 20
1083970008 GOH SHINYOUNG 2021 FFS RENDERING AGE 21+ 43 183 18 36 32 76 25 25
1083978241 LEMIRE KIM N 2021 FFS RENDERING AGE 0-20 871 10,870 789 2,577 624 2,568 790 813
1083978241 LEMIRE KIM N 2021 FFS RENDERING AGE 21+ 337 3,456 156 281 290 1,690 230 233
1083978241 LEMIRE KIM N 2021 PHP RENDERING AGE 0-20 1 2 1 2 1 2 1 1
1083978241 LEMIRE KIM N 2021 PHP RENDERING AGE 21+ 12 105 1 2 11 61 1 1
1083978365 CHONG MICHAEL L 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 2 0 0
1083978365 CHONG MICHAEL L 2021 FFS RENDERING AGE 21+ 34 61 0 0 34 60 0 0
1083999387 NADAFI LAURA 2021 FFS RENDERING AGE 0-20 288 4,749 286 1,474 188 287 286 440
1083999387 NADAFI LAURA 2021 FFS RENDERING AGE 21+ 89 893 49 55 63 157 64 64
1093002321 PHAM TAM V 2021 FFS RENDERING AGE 0-20 152 1,029 132 197 60 145 137 159
1093002321 PHAM TAM V 2021 FFS RENDERING AGE 21+ 543 3,486 335 335 332 936 162 162
1093027286 CHIA LUCIA M 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1093047052 LAKHANI, MOHAMMED S, DDS 2021 FFS RENDERING AGE 0-20 51 329 47 133 1 2 42 44
1093047052 LAKHANI, MOHAMMED S, DDS 2021 FFS RENDERING AGE 21+ 205 1,017 143 143 127 413 156 156
1093048977 KAHBODY TARANEH 2021 PHP RENDERING AGE 21+ 1 1 1 1 1 1 0 0
1093059651 SANTOS, ARTHUR DAVID DDS 2021 FFS RENDERING AGE 0-20 176 1,297 121 335 97 315 128 138
1093059651 SANTOS, ARTHUR DAVID DDS 2021 FFS RENDERING AGE 21+ 728 4,979 290 583 572 2,878 400 401
1093069106 WADHWA PUNEET 2021 FFS RENDERING AGE 0-20 611 5,259 532 1,506 219 1,127 589 786
1093069106 WADHWA PUNEET 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1093098881 WANG EDDY Y 2021 FFS RENDERING AGE 0-20 14 53 1 2 1 2 1 1
1093098881 WANG EDDY Y 2021 FFS RENDERING AGE 21+ 40 136 15 30 27 41 13 13
1093100661 JAN, YEOU-DER, DDS 2021 FFS RENDERING AGE 0-20 11 56 1 2 1 1 1 1
1093100661 JAN, YEOU-DER, DDS 2021 FFS RENDERING AGE 21+ 63 369 52 52 44 129 18 18
1093108599 CHELIMELA RAMYA 2021 FFS RENDERING AGE 0-20 334 1,916 181 615 92 161 300 320
1093108599 CHELIMELA RAMYA 2021 FFS RENDERING AGE 21+ 594 2,370 181 348 201 523 454 454
1093108599 CHELIMELA RAMYA 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1093108599 CHELIMELA RAMYA 2021 PHP RENDERING AGE 0-20 1 2 1 2 1 2 1 1
1093108599 CHELIMELA RAMYA 2021 PHP RENDERING AGE 21+ 16 66 1 1 1 2 1 1
1093110082 CERCENIA ROAN N 2021 FFS RENDERING AGE 0-20 901 5,464 737 1,769 345 591 842 969
1093110082 CERCENIA ROAN N 2021 FFS RENDERING AGE 21+ 747 2,533 180 327 228 577 553 553
1093116279 CHUN SIMON C 2021 FFS RENDERING AGE 0-20 218 1,433 213 471 57 158 217 248
1093116279 CHUN SIMON C 2021 FFS RENDERING AGE 21+ 188 919 156 156 94 200 169 169
1093117939 AHMED AMBREEN F 2021 FFS RENDERING AGE 0-20 110 846 87 231 68 167 95 110
1093117939 AHMED AMBREEN F 2021 FFS RENDERING AGE 21+ 298 1,537 104 205 233 709 172 172
1093130965 SILVESTRIN TORY L 2021 FFS RENDERING AGE 0-20 50 94 0 0 50 88 1 1
1093130965 SILVESTRIN TORY L 2021 FFS RENDERING AGE 21+ 192 297 1 1 190 294 1 1
1093147852 KANG ALBERT B 2021 FFS RENDERING AGE 0-20 231 1,277 1 1 231 1,267 0 0
1093147852 KANG ALBERT B 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1093167801 SEO GI W 2021 FFS RENDERING AGE 0-20 879 7,146 672 2,050 678 2,937 612 636
1093167801 SEO GI W 2021 FFS RENDERING AGE 21+ 247 919 1 2 199 669 96 96
1093182768 O'CONNOR PAULETTE L 2021 FFS RENDERING AGE 0-20 44 577 38 171 25 120 38 47
1093182768 O'CONNOR PAULETTE L 2021 FFS RENDERING AGE 21+ 209 2,524 145 285 155 828 162 162
1093186652 ANYANWU LINDA C 2021 FFS RENDERING AGE 0-20 228 1,232 212 417 203 327 63 63
1093186652 ANYANWU LINDA C 2021 FFS RENDERING AGE 21+ 59 227 17 33 48 118 21 21
1093186652 ANYANWU LINDA C 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1093186652 ANYANWU LINDA C 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1093193989 TRAN GIANG T 2021 FFS RENDERING AGE 0-20 114 1,535 109 446 56 220 106 139
1093193989 TRAN GIANG T 2021 FFS RENDERING AGE 21+ 295 3,440 200 394 229 1,389 220 220
1093199598 PHAM ELISE M 2021 FFS RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1093199598 PHAM ELISE M 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1093207169 CHEN YIYUAN 2021 FFS RENDERING AGE 0-20 489 2,259 203 422 160 534 405 423
1093207169 CHEN YIYUAN 2021 FFS RENDERING AGE 21+ 1,414 4,957 252 492 492 1,456 1,142 1,143
1093225328 HWANG KYUCHUL D 2021 FFS RENDERING AGE 0-20 2,554 45,650 2,500 11,836 1,648 6,601 2,516 3,847
1093225328 HWANG KYUCHUL D 2021 FFS RENDERING AGE 21+ 410 1,744 242 494 88 115 240 240
1093228454 DEIRMENJIAN DENTAL GROUP INC 2021 FFS RENDERING AGE 0-20 1 1 1 1 1 1 0 0
1093238610 PARK EUIJOON 2021 FFS RENDERING AGE 0-20 493 1,189 471 1,036 22 46 29 29
1093238610 PARK EUIJOON 2021 FFS RENDERING AGE 21+ 809 2,374 549 1,052 395 1,132 60 62
1093246100 GALSTIAN SONA 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1093246795 SADRI SAID J 2021 FFS RENDERING AGE 0-20 649 6,973 559 1,612 419 1,158 573 584
1093246795 SADRI SAID J 2021 GMC RENDERING AGE 0-20 1 2 1 1 0 0 1 1
1093247074 PHAM DERICK U 2021 FFS RENDERING AGE 0-20 1 1 1 1 1 1 0 0
1093247074 PHAM DERICK U 2021 FFS RENDERING AGE 21+ 21 56 0 0 21 56 0 0
1093247074 PHAM DERICK U 2021 PHP RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1093274250 MAI TUONGVI C 2021 FFS RENDERING AGE 0-20 610 5,513 477 1,273 364 969 433 449
1093274250 MAI TUONGVI C 2021 FFS RENDERING AGE 21+ 144 790 61 121 102 336 67 67
1093281156 BALOY CZARINA A 2021 PHP RENDERING AGE 0-20 1 1 0 0 0 0 1 1
1093281156 BALOY CZARINA A 2021 PHP RENDERING AGE 21+ 24 42 0 0 1 1 1 1
1093283855 MORADISERESHT MEHDI 2021 FFS RENDERING AGE 0-20 17 43 1 1 14 21 1 1
1093283855 MORADISERESHT MEHDI 2021 FFS RENDERING AGE 21+ 93 120 1 1 87 96 1 1
1093289621 WESTERN DENTAL SERVICES INC 2021 FFS RENDERING AGE 0-20 1 1 1 1 1 1 0 0
1093289621 WESTERN DENTAL SERVICES INC 2021 FFS RENDERING AGE 21+ 1 1 1 1 1 1 0 0
1093289621 WESTERN DENTAL SERVICES INC 2021 GMC RENDERING AGE 0-20 2,019 11,602 683 1,989 384 560 1,631 1,670
1093289621 WESTERN DENTAL SERVICES INC 2021 GMC RENDERING AGE 21+ 495 4,102 87 94 89 118 372 374
1093289621 WESTERN DENTAL SERVICES, INC. 2021 FFS RENDERING AGE 0-20 1 1 1 1 1 1 0 0
1093289621 WESTERN DENTAL SERVICES, INC. 2021 FFS RENDERING AGE 21+ 1 1 1 1 1 1 0 0
1093289621 WESTERN DENTAL SERVICES, INC. 2021 GMC RENDERING AGE 0-20 2,019 11,602 683 1,989 384 560 1,631 1,670
1093289621 WESTERN DENTAL SERVICES, INC. 2021 GMC RENDERING AGE 21+ 495 4,102 87 94 89 118 372 374
1093293672 ENVERGA MARK FRANCIS S 2021 FFS RENDERING AGE 0-20 25 120 21 41 12 27 20 20
1093293672 ENVERGA MARK FRANCIS S 2021 FFS RENDERING AGE 21+ 50 139 14 23 30 68 22 22
1093293672 ENVERGA MARK FRANCIS S 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1093293672 ENVERGA MARK FRANCIS S 2021 PHP RENDERING AGE 21+ 15 68 1 2 1 2 1 1
1093296972 MEJIA JOSE Z 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1093296972 MEJIA JOSE Z 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1093298408 KANG HWANHEE 2021 FFS RENDERING AGE 0-20 847 8,816 679 1,907 510 1,490 675 757
1093298408 KANG HWANHEE 2021 FFS RENDERING AGE 21+ 408 2,129 107 203 288 773 178 180
1093323354 KOO JOANNA S 2021 FFS RENDERING AGE 0-20 2,665 19,112 1,975 5,410 1,883 4,828 1,933 2,130
1093345431 ZHANG JINGHUA 2021 FFS RENDERING AGE 0-20 281 1,544 193 581 133 362 104 106
1093345431 ZHANG JINGHUA 2021 FFS RENDERING AGE 21+ 790 3,224 375 678 477 1,335 238 238
1093359788 DEMIRDJI MARIANNE C 2021 FFS RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1093371056 PARK HOJUN 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1093371056 PARK HOJUN 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1093371056 PARK HOJUN 2021 GMC RENDERING AGE 0-20 516 2,255 262 608 145 218 298 301
1093371056 PARK HOJUN 2021 GMC RENDERING AGE 21+ 794 3,175 231 461 482 891 330 330
1093372591 POELMAN THOMAS S 2021 PHP RENDERING AGE 0-20 86 722 66 293 83 123 57 58
1093372591 POELMAN THOMAS S 2021 PHP RENDERING AGE 21+ 17 55 1 1 11 18 1 1
1093707614 STUART, CYNTHIA A, DDS 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1093707614 STUART, CYNTHIA A, DDS 2021 FFS RENDERING AGE 21+ 20 80 15 16 14 33 13 13
1093715393 PETERS, SKIFFINGTON, DDS 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1093715393 PETERS, SKIFFINGTON, DDS 2021 FFS RENDERING AGE 21+ 1 1 1 1 1 1 0 0
1093729881 NGUYEN MINH D 2021 FFS RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1093729881 NGUYEN MINH D 2021 FFS RENDERING AGE 21+ 17 72 1 2 1 2 1 1
1093733453 MORRISSETTE, MICHAEL P, DDS 2021 FFS RENDERING AGE 0-20 214 846 0 0 195 797 22 22
1093733453 MORRISSETTE, MICHAEL P, DDS 2021 FFS RENDERING AGE 21+ 454 1,275 0 0 431 1,190 25 25
1093733453 MORRISSETTE, MICHAEL P, DDS 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1093733453 MORRISSETTE, MICHAEL P, DDS 2021 PHP RENDERING AGE 0-20 39 152 0 0 37 144 1 1
1093733453 MORRISSETTE, MICHAEL P, DDS 2021 PHP RENDERING AGE 21+ 171 656 0 0 129 523 124 130
1093733925 SAVELLI, ILSE DDS 2021 FFS RENDERING AGE 0-20 2,066 26,633 1,820 6,820 1,301 5,161 1,695 2,193
1093733925 SAVELLI, ILSE DDS 2021 FFS RENDERING AGE 21+ 1 2 1 1 0 0 1 1
1093777617 NADDAFI, LADAN, DDS INC 2021 GMC RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1093818288 CASTRO JR JOSE S 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1093818288 CASTRO JR JOSE S 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 0 0
1093828691 GRIMALDI, LARRY, DDS 2021 FFS RENDERING AGE 0-20 42 166 37 83 1 2 26 26
1093828691 GRIMALDI, LARRY, DDS 2021 FFS RENDERING AGE 21+ 92 335 48 51 43 126 53 53
1093831737 LAM ROLLAND H 2021 GMC RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1093831737 LAM ROLLAND H 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1093831893 TRAN KEVIN T 2021 FFS RENDERING AGE 0-20 237 4,211 231 946 143 374 231 308
1093831893 TRAN KEVIN T 2021 FFS RENDERING AGE 21+ 196 2,710 170 340 131 413 185 185
1093833089 BANDALA ROSY E 2021 FFS RENDERING AGE 0-20 1,100 7,856 753 1,700 443 1,458 856 924
1093833089 BANDALA ROSY E 2021 GMC RENDERING AGE 0-20 1,156 6,614 750 1,546 987 2,232 456 468
1093836793 MALLI MANPREET R 2021 FFS RENDERING AGE 0-20 1,541 12,884 1,159 3,562 1,077 3,792 925 967
1093836793 MALLI MANPREET R 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1093836868 ENDONILA, ROSE JOY, DDS 2021 FFS RENDERING AGE 0-20 1,398 2,771 0 0 1 1 1,389 1,389
1093836868 ENDONILA, ROSE JOY, DDS 2021 FFS RENDERING AGE 21+ 1,772 3,518 0 0 1 2 1,754 1,756
1093837064 DE LEON, MARIA CRISTINA S, D 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1093837064 DE LEON, MARIA CRISTINA S, D 2021 PHP RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1093837080 TORRES, CARLOS L, DDS 2021 FFS RENDERING AGE 0-20 20 264 12 100 14 76 18 36
1093837080 TORRES, CARLOS L, DDS 2021 FFS RENDERING AGE 21+ 74 862 1 2 57 380 56 112
1093839250 TRAN ANH Q 2021 FFS RENDERING AGE 0-20 1,763 19,536 1,626 4,560 686 1,767 1,580 1,823
1093839250 TRAN ANH Q 2021 FFS RENDERING AGE 21+ 20 201 18 37 1 1 19 19
1093845398 FU FENGHUA 2021 FFS RENDERING AGE 0-20 40 491 37 153 18 75 38 50
1093845398 FU FENGHUA 2021 FFS RENDERING AGE 21+ 75 911 44 88 63 411 52 52
1093846404 PRESSMAN, JOSHUA S DDS 2021 FFS RENDERING AGE 0-20 155 1,480 135 410 28 90 130 173
1093846404 PRESSMAN, JOSHUA S DDS 2021 FFS RENDERING AGE 21+ 333 2,360 151 195 213 765 199 199
1093847295 NAKAMURA HOWARD M 2021 FFS RENDERING AGE 0-20 97 116 0 0 20 31 0 0
1093847295 NAKAMURA HOWARD M 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1093847386 CHENG YI T 2021 FFS RENDERING AGE 0-20 95 1,173 77 281 58 183 77 79
1093847386 CHENG YI T 2021 FFS RENDERING AGE 21+ 207 2,290 127 255 154 600 139 139
1093847386 CHENG YI T 2021 PHP RENDERING AGE 0-20 1 2 1 2 0 0 1 2
1093847386 CHENG YI T 2021 PHP RENDERING AGE 21+ 158 618 42 46 100 311 105 105
1093850695 MEHRAN FAKHERI DDS 2021 FFS RENDERING AGE 0-20 238 1,755 213 616 92 223 222 251
1093850695 MEHRAN FAKHERI DDS 2021 FFS RENDERING AGE 21+ 634 3,316 381 758 376 1,045 506 508
1093850695 MEHRAN FAKHERI DDS 2021 PHP RENDERING AGE 0-20 106 758 104 332 24 37 106 118
1093850695 MEHRAN FAKHERI DDS 2021 PHP RENDERING AGE 21+ 186 1,057 175 370 27 41 180 181
1093850851 SHAW JEREMIAH J 2021 FFS RENDERING AGE 0-20 1 2 1 1 0 0 1 1
1093850851 SHAW JEREMIAH J 2021 FFS RENDERING AGE 21+ 72 410 50 61 1 2 68 68
1093853020 ABDOLHOSSEINI HOSSEIN 2021 FFS RENDERING AGE 0-20 945 7,398 303 1,155 468 1,631 817 915
1093853020 ABDOLHOSSEINI HOSSEIN 2021 FFS RENDERING AGE 21+ 1,728 8,678 162 272 889 2,375 1,318 1,329
1093853020 ABDOLHOSSEINI HOSSEIN 2021 PHP RENDERING AGE 0-20 1 1 0 0 0 0 1 1
1093853020 ABDOLHOSSEINI HOSSEIN 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1093853574 RONG, WEN QIANG, DDS 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1093853970 DESAI SATYEN H 2021 FFS RENDERING AGE 0-20 1,997 17,122 1,627 4,333 1,274 2,165 1,580 1,627
1093854101 NGUYEN, CHAN KIM DDS 2021 FFS RENDERING AGE 0-20 71 423 56 114 33 93 60 61
1093854101 NGUYEN, CHAN KIM DDS 2021 FFS RENDERING AGE 21+ 250 1,275 153 155 185 532 169 169
1093855264 SUSTENTO RAFAEL P 2021 FFS RENDERING AGE 0-20 1 1 1 1 1 1 0 0
1093855652 SAEED AHMED 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 2 1 1
1093855652 SAEED AHMED 2021 FFS RENDERING AGE 21+ 71 416 42 84 49 193 59 59
1093855652 SAEED AHMED 2021 PHP RENDERING AGE 0-20 26 206 25 64 14 32 24 25
1093855652 SAEED AHMED 2021 PHP RENDERING AGE 21+ 94 504 74 171 53 162 65 65
1093857286 ASSATOURIAN KARINEH 2021 FFS RENDERING AGE 0-20 30 217 28 73 1 2 29 36
1093857286 ASSATOURIAN KARINEH 2021 FFS RENDERING AGE 21+ 144 1,454 66 129 132 933 91 91
1093857997 LE, VINCENT DDS 2021 FFS RENDERING AGE 0-20 353 2,786 298 648 187 493 238 246
1093857997 LE, VINCENT DDS 2021 FFS RENDERING AGE 21+ 654 3,720 382 384 505 1,351 282 284
1093861742 ARMENIAN CHRISTINE S 2021 FFS RENDERING AGE 0-20 1,719 18,089 1,461 5,118 947 2,576 1,410 1,740
1093861742 ARMENIAN CHRISTINE S 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1093871345 FEIZBAKHSH FARZAD 2021 FFS RENDERING AGE 0-20 78 637 66 250 25 79 68 77
1093871345 FEIZBAKHSH FARZAD 2021 FFS RENDERING AGE 21+ 152 723 40 62 74 219 108 108
1093871345 FEIZBAKHSH FARZAD 2021 PHP RENDERING AGE 0-20 142 1,212 103 473 28 41 132 153
1093871345 FEIZBAKHSH FARZAD 2021 PHP RENDERING AGE 21+ 189 1,002 44 61 75 281 145 153
1093878720 LARPTHAVEESARP SOMBOON 2021 FFS RENDERING AGE 0-20 349 2,709 251 808 155 296 219 243
1093878720 LARPTHAVEESARP SOMBOON 2021 FFS RENDERING AGE 21+ 441 2,430 140 262 280 811 181 181
1093878720 LARPTHAVEESARP SOMBOON 2021 PHP RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1093878720 LARPTHAVEESARP SOMBOON 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1093883308 SMITH PATRICIA H 2021 GMC RENDERING AGE 0-20 1 1 1 1 1 1 1 1
1093883464 ISSUED IN ERROR 2021 FFS RENDERING AGE 0-20 1,972 15,609 1,438 3,524 709 1,812 1,278 1,278
1093883464 ISSUED IN ERROR 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 0 0
1093883464 ISSUED IN ERROR 2021 GMC RENDERING AGE 0-20 75 428 58 154 29 57 51 52
1093883464 ISSUED IN ERROR 2021 GMC RENDERING AGE 21+ 183 645 128 181 91 201 116 118
1093884454 SAHAWNEH DENTAL CORPORATION 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1093884454 SAHAWNEH DENTAL CORPORATION 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1093884454 SAHAWNEH DENTAL CORPORATION 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1093891764 ROZENOVICH, GRIGORY, DDS 2021 FFS RENDERING AGE 0-20 51 322 43 114 28 60 45 47
1093891764 ROZENOVICH, GRIGORY, DDS 2021 FFS RENDERING AGE 21+ 116 536 44 83 81 181 60 60
1093896292 NGUYEN THUYHUONG 2021 FFS RENDERING AGE 0-20 132 1,489 122 400 30 78 121 156
1093896292 NGUYEN THUYHUONG 2021 FFS RENDERING AGE 21+ 58 522 46 90 29 82 48 48
1093897563 TAVERAS ALEJANDRA A 2021 FFS RENDERING AGE 0-20 614 8,106 508 1,507 317 1,126 525 611
1093897563 TAVERAS ALEJANDRA A 2021 FFS RENDERING AGE 21+ 439 4,081 186 369 279 999 257 257
1093900458 DO WILLIAM Q 2021 FFS RENDERING AGE 0-20 74 713 63 304 60 222 58 58
1093900458 DO WILLIAM Q 2021 FFS RENDERING AGE 21+ 47 295 19 24 44 155 17 17
1093901944 BARKHORDAR AFSOON 2021 FFS RENDERING AGE 0-20 20 261 20 80 17 50 19 26
1093901944 BARKHORDAR AFSOON 2021 FFS RENDERING AGE 21+ 163 2,385 127 303 145 1,185 127 129
1093901944 BARKHORDAR AFSOON 2021 PHP RENDERING AGE 0-20 1 2 1 2 1 2 1 1
1093901944 BARKHORDAR AFSOON 2021 PHP RENDERING AGE 21+ 25 401 25 129 20 133 21 21
1093907354 KRUTIKOV OLEG G 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1093907354 KRUTIKOV OLEG G 2021 FFS RENDERING AGE 21+ 25 104 1 2 18 53 14 14
1093908378 RABADI, IBRAHIM A, DDS 2021 PHP RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1093913170 ESPINOSA LEONARD R 2021 FFS RENDERING AGE 0-20 25 198 19 46 1 2 19 19
1093913170 ESPINOSA LEONARD R 2021 FFS RENDERING AGE 21+ 282 2,818 138 237 241 1,093 157 159
1093919466 FUNG EDMOND KAR S 2021 FFS RENDERING AGE 0-20 1 2 1 1 0 0 1 1
1093919466 FUNG EDMOND KAR S 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1093919466 FUNG EDMOND KAR S 2021 GMC RENDERING AGE 0-20 259 1,795 177 658 117 206 188 212
1093919466 FUNG EDMOND KAR S 2021 GMC RENDERING AGE 21+ 788 4,357 246 577 617 1,640 359 360
1093921140 PENMAN II RICHARD A 2021 FFS RENDERING AGE 0-20 1,700 20,430 1,625 4,886 707 2,801 1,647 2,407
1093921140 PENMAN II RICHARD A 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1093921421 LEE, SUSAN H, DDS 2021 FFS RENDERING AGE 0-20 61 1,086 58 338 18 92 54 164
1093921421 LEE, SUSAN H, DDS 2021 FFS RENDERING AGE 21+ 133 1,646 102 204 73 654 113 226
1093922759 GOLIAN HORMOZ 2021 FFS RENDERING AGE 0-20 1,326 8,780 1,190 3,397 638 1,438 1,167 1,282
1093922759 GOLIAN HORMOZ 2021 PHP RENDERING AGE 0-20 112 1,370 87 289 111 640 1 1
1093925521 DINH, HUNG XUAN DMD 2021 FFS RENDERING AGE 0-20 174 1,810 172 643 70 223 158 213
1093925521 DINH, HUNG XUAN DMD 2021 FFS RENDERING AGE 21+ 132 865 108 204 55 207 114 115
1093927766 PHAM KRISTINA H 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1093927766 PHAM KRISTINA H 2021 FFS RENDERING AGE 21+ 21 100 0 0 1 2 21 21
1093928632 EKHTIAR, MARYAM DDS 2021 FFS RENDERING AGE 0-20 31 234 30 78 0 0 31 40
1093928632 EKHTIAR, MARYAM DDS 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1093929945 DERBOGHOSIAN, ROBERTO DDS 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1093930893 CARDOSO LOURDES 2021 FFS RENDERING AGE 0-20 533 6,795 469 1,359 246 1,255 479 575
1093930893 CARDOSO LOURDES 2021 FFS RENDERING AGE 21+ 372 2,278 84 141 173 621 216 216
1093933400 KIM STANLEY S 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 2 0 0
1093933400 KIM STANLEY S 2021 FFS RENDERING AGE 21+ 6,321 54,288 3,797 9,239 6,306 34,749 656 656
1093947632 YANG SARAH A 2021 FFS RENDERING AGE 0-20 17 141 17 58 1 2 17 24
1093947632 YANG SARAH A 2021 FFS RENDERING AGE 21+ 55 558 37 71 49 327 48 48
1093957532 TERMECHI GISOO 2021 FFS RENDERING AGE 0-20 475 2,407 404 1,114 230 819 418 454
1093957532 TERMECHI GISOO 2021 FFS RENDERING AGE 21+ 196 826 45 92 153 630 104 104
1093970303 TOM ROBERT N 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1093970303 TOM ROBERT N 2021 FFS RENDERING AGE 21+ 22 74 1 1 19 56 1 1
1093971475 NGUYEN JEANNE T 2021 FFS RENDERING AGE 0-20 50 644 41 120 44 287 25 27
1093974065 ELICA HEALTH CENTERS 2021 GMC RENDERING AGE 21+ 1 2 0 0 0 0 0 0
1093991713 SOTO IMELDA D 2021 FFS RENDERING AGE 0-20 63 458 56 141 31 140 46 52
1093991713 SOTO IMELDA D 2021 FFS RENDERING AGE 21+ 137 627 31 41 71 263 107 107
1093998544 AGHAMYAN ELINA L 2021 FFS RENDERING AGE 0-20 166 632 118 318 81 190 119 121
1093998544 AGHAMYAN ELINA L 2021 FFS RENDERING AGE 21+ 328 1,226 119 237 261 868 121 121
1093998700 GHAEMI MOHAMMAD A 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1093998700 GHAEMI MOHAMMAD A 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1093999252 SHEIKHAVANDI MOJGAN 2021 FFS RENDERING AGE 0-20 52 543 46 154 20 77 51 69
1093999252 SHEIKHAVANDI MOJGAN 2021 FFS RENDERING AGE 21+ 87 531 23 24 61 252 56 56
1104003516 BIAN, JIA-YI DO 2021 FFS RENDERING AGE 0-20 42 102 0 0 42 102 0 0
1104006196 WOOLRIDGE KENDALL S 2021 FFS RENDERING AGE 0-20 50 160 0 0 20 55 0 0
1104006196 WOOLRIDGE KENDALL S 2021 FFS RENDERING AGE 21+ 1 2 0 0 0 0 0 0
1104014497 DAVID, IMELDA H, DMD 2021 FFS RENDERING AGE 0-20 15 106 13 51 1 2 13 15
1104014497 DAVID, IMELDA H, DMD 2021 FFS RENDERING AGE 21+ 309 885 30 30 295 426 270 270
1104016419 LUU PETER 2021 FFS RENDERING AGE 0-20 26 151 18 41 1 2 21 24
1104016419 LUU PETER 2021 FFS RENDERING AGE 21+ 71 370 25 46 50 142 43 43
1104016419 LUU PETER 2021 PHP RENDERING AGE 0-20 179 1,174 143 347 83 215 169 195
1104016419 LUU PETER 2021 PHP RENDERING AGE 21+ 98 573 31 60 65 260 82 87
1104016765 EZEANI HYACINTH E 2021 FFS RENDERING AGE 0-20 134 657 76 187 51 138 90 92
1104016765 EZEANI HYACINTH E 2021 FFS RENDERING AGE 21+ 260 911 31 50 153 431 123 123
1104016765 EZEANI HYACINTH E 2021 PHP RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1104016765 EZEANI HYACINTH E 2021 PHP RENDERING AGE 21+ 13 79 0 0 12 73 1 1
1104018894 VINH D PHAN DDS 2021 GMC RENDERING AGE 0-20 25 158 21 55 14 23 19 19
1104018894 VINH D PHAN DDS 2021 GMC RENDERING AGE 21+ 88 557 35 70 64 191 58 58
1104022995 YEE H WESLEY 2021 GMC RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1104028505 GERGER MARK A 2021 FFS RENDERING AGE 0-20 22 196 21 93 1 2 21 23
1104028505 GERGER MARK A 2021 FFS RENDERING AGE 21+ 145 952 106 211 87 330 124 124
1104029073 BRANSON NORMA L 2021 FFS RENDERING AGE 0-20 14 98 12 30 1 2 1 1
1104029073 BRANSON NORMA L 2021 FFS RENDERING AGE 21+ 83 602 53 53 49 288 73 73
1104030253 HA LAWRENCE T 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1104031525 LANDIG HECTOR Z 2021 FFS RENDERING AGE 0-20 26 160 18 40 1 2 24 26
1104031525 LANDIG HECTOR Z 2021 FFS RENDERING AGE 21+ 47 346 35 64 31 134 39 39
1104043447 HERNANDEZ, CELIA DDS 2021 FFS RENDERING AGE 0-20 123 1,068 108 344 33 89 112 144
1104043447 HERNANDEZ, CELIA DDS 2021 FFS RENDERING AGE 21+ 162 728 61 63 88 246 101 105
1104044064 PARIKH, ANKUR B, DDS 2021 FFS RENDERING AGE 0-20 317 3,485 309 1,485 39 115 316 439
1104044064 PARIKH, ANKUR B, DDS 2021 FFS RENDERING AGE 21+ 210 1,988 169 338 49 152 198 198
1104044635 HOFFMAN ANGELA 2021 FFS RENDERING AGE 0-20 19 234 14 38 12 165 14 17
1104044635 HOFFMAN ANGELA 2021 FFS RENDERING AGE 21+ 58 875 26 47 45 742 42 42
1104044635 HOFFMAN ANGELA 2021 PHP RENDERING AGE 0-20 17 91 14 28 1 1 16 16
1104044635 HOFFMAN ANGELA 2021 PHP RENDERING AGE 21+ 42 231 36 70 0 0 41 41
1104051010 XU, HONGBO, DDS 2021 FFS RENDERING AGE 0-20 100 715 93 312 43 132 96 129
1104051010 XU, HONGBO, DDS 2021 FFS RENDERING AGE 21+ 125 677 80 80 75 307 73 73
1104055235 SU PEITI 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1104063841 LIANG IRENE 2021 FFS RENDERING AGE 0-20 436 3,636 346 890 78 198 346 376
1104063841 LIANG IRENE 2021 FFS RENDERING AGE 21+ 135 831 46 92 90 249 46 46
1104074400 KINGSBURG FAMILY DENTAL 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1104075175 FUNG HENRY H 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 0 0
1104075282 QUEENSCARE HEALTH CENTERS 2021 PHP RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1104075282 QUEENSCARE HEALTH CENTERS 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1104075464 CHOI NARA 2021 FFS RENDERING AGE 0-20 5,009 41,549 4,393 14,221 3,016 8,241 4,159 4,591
1104075464 CHOI NARA 2021 FFS RENDERING AGE 21+ 1 1 1 1 1 1 0 0
1104088178 AHUJA ARSHJOT S 2021 FFS RENDERING AGE 0-20 16 106 15 33 1 2 12 12
1104088178 AHUJA ARSHJOT S 2021 FFS RENDERING AGE 21+ 48 250 14 27 33 78 20 20
1104094580 KIM INSOO 2021 PHP RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1104123728 ROBLES JOSUE M 2021 FFS RENDERING AGE 0-20 295 2,088 252 1,224 46 62 257 297
1104123728 ROBLES JOSUE M 2021 FFS RENDERING AGE 21+ 431 1,565 97 168 172 473 275 275
1104123728 ROBLES JOSUE M 2021 PHP RENDERING AGE 0-20 148 615 119 325 15 34 140 165
1104123728 ROBLES JOSUE M 2021 PHP RENDERING AGE 21+ 116 369 29 54 53 158 86 92
1104132802 DHOLAKIYA PAYAL 2021 FFS RENDERING AGE 0-20 14 48 0 0 11 22 14 14
1104132802 DHOLAKIYA PAYAL 2021 FFS RENDERING AGE 21+ 252 961 0 0 200 569 138 138
1104137314 HUANG PETER W 2021 FFS RENDERING AGE 0-20 137 836 80 230 47 97 101 111
1104137314 HUANG PETER W 2021 FFS RENDERING AGE 21+ 248 1,407 163 324 118 355 198 198
1104137314 HUANG PETER W 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1104137314 HUANG PETER W 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1104146745 TRAN KHA-MY T 2021 FFS RENDERING AGE 0-20 338 1,893 235 774 174 430 197 197
1104146745 TRAN KHA-MY T 2021 FFS RENDERING AGE 21+ 426 1,555 123 223 270 800 165 165
1104151653 LEUNG WILSON K 2021 PHP RENDERING AGE 0-20 29 300 29 116 28 64 22 24
1104151653 LEUNG WILSON K 2021 PHP RENDERING AGE 21+ 1 2 1 2 1 1 1 1
1104172774 BALANE RAMON C 2021 FFS RENDERING AGE 0-20 13 39 1 1 12 24 1 1
1104172774 BALANE RAMON C 2021 FFS RENDERING AGE 21+ 77 267 1 1 75 261 1 1
1104181916 NIKAHD MOHAMMAD 2021 FFS RENDERING AGE 0-20 24 174 18 42 12 39 21 26
1104181916 NIKAHD MOHAMMAD 2021 FFS RENDERING AGE 21+ 107 695 60 117 72 352 90 90
1104185784 CHAN WAI T 2021 FFS RENDERING AGE 0-20 1,731 16,157 1,494 4,282 1,194 2,572 1,490 1,495
1104213255 NGUYEN-WONG AN N 2021 FFS RENDERING AGE 0-20 1,748 17,067 1,516 4,674 1,050 3,273 1,512 1,685
1104213255 NGUYEN-WONG AN N 2021 PHP RENDERING AGE 0-20 11 96 1 2 1 2 1 1
1104216761 GIOVANNONI, LESLIE A, RDHAP 2021 FFS RENDERING AGE 21+ 258 2,051 195 408 256 1,417 0 0
1104245976 NIAVARANI OMID 2021 FFS RENDERING AGE 0-20 1 2 0 0 1 2 0 0
1104245976 NIAVARANI OMID 2021 FFS RENDERING AGE 21+ 19 39 0 0 19 34 0 0
1104267475 MAHMOOD TRUSKA 2021 FFS RENDERING AGE 0-20 2,070 18,192 1,509 4,337 1,371 5,577 1,402 1,430
1104267475 MAHMOOD TRUSKA 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1104272210 BISHBISH OMRAN 2021 FFS RENDERING AGE 0-20 150 438 122 366 31 71 1 1
1104272210 BISHBISH OMRAN 2021 FFS RENDERING AGE 21+ 493 1,631 199 340 365 1,286 1 1
1104272210 BISHBISH OMRAN 2021 GMC RENDERING AGE 0-20 1 1 1 1 1 1 1 1
1104272210 BISHBISH OMRAN 2021 GMC RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1104272210 BISHBISH OMRAN 2021 PHP RENDERING AGE 0-20 188 1,878 164 643 124 601 172 223
1104272210 BISHBISH OMRAN 2021 PHP RENDERING AGE 21+ 349 3,886 182 349 294 2,864 258 271
1104272301 CHOUDHRY VARUNA 2021 FFS RENDERING AGE 0-20 329 1,456 261 558 79 133 272 278
1104272301 CHOUDHRY VARUNA 2021 FFS RENDERING AGE 21+ 556 1,844 223 411 177 450 405 406
1104272301 CHOUDHRY VARUNA 2021 PHP RENDERING AGE 0-20 22 83 11 20 1 2 15 15
1104272301 CHOUDHRY VARUNA 2021 PHP RENDERING AGE 21+ 58 221 17 28 35 109 29 29
1104279686 PANAG SUKHMAN 2021 FFS RENDERING AGE 0-20 37 167 32 67 11 18 31 31
1104279686 PANAG SUKHMAN 2021 FFS RENDERING AGE 21+ 102 420 41 79 58 127 62 62
1104302652 EISAPOORAN PEDRAM 2021 FFS RENDERING AGE 0-20 25 96 15 29 20 44 1 1
1104302652 EISAPOORAN PEDRAM 2021 FFS RENDERING AGE 21+ 65 214 27 50 42 97 13 13
1104313030 RIZVI, DR SYED S, DDS A PROF 2021 FFS RENDERING AGE 0-20 1 2 1 1 0 0 1 1
1104322288 HONG YOONJUNG 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 2 1 1
1104322288 HONG YOONJUNG 2021 FFS RENDERING AGE 21+ 28 82 12 12 1 2 22 22
1104332741 PENA TEODORO D 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1104332741 PENA TEODORO D 2021 FFS RENDERING AGE 21+ 23 60 1 1 21 45 1 1
1104333426 BAHAMON CARLOS 2021 FFS RENDERING AGE 0-20 200 1,258 44 133 180 622 54 61
1104333426 BAHAMON CARLOS 2021 FFS RENDERING AGE 21+ 598 3,928 100 186 542 2,626 183 193
1104336478 KIM, LOUIS M, A PROFESSIONAL 2021 GMC RENDERING AGE 0-20 203 1,249 182 429 83 142 180 188
1104336478 KIM, LOUIS M, A PROFESSIONAL 2021 GMC RENDERING AGE 21+ 167 885 91 185 90 279 106 106
1104348366 SAAD ERENE 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1104350594 VOHRA SHIVANI 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1104350594 VOHRA SHIVANI 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1104350594 VOHRA SHIVANI 2021 GMC RENDERING AGE 0-20 727 5,310 494 1,348 247 454 577 666
1104350594 VOHRA SHIVANI 2021 GMC RENDERING AGE 21+ 967 6,089 400 800 668 1,725 577 579
1104350594 VOHRA SHIVANI 2021 PHP RENDERING AGE 21+ 1 1 1 1 0 0 0 0
1104370972 MAHANIAN NICOLE 2021 FFS RENDERING AGE 0-20 595 3,949 454 1,279 248 623 478 516
1104370972 MAHANIAN NICOLE 2021 FFS RENDERING AGE 21+ 240 1,142 65 128 179 486 113 114
1104370972 MAHANIAN NICOLE 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1104370972 MAHANIAN NICOLE 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1104373612 ADAMS TRENTON G 2021 FFS RENDERING AGE 0-20 244 1,045 148 379 117 236 113 116
1104373612 ADAMS TRENTON G 2021 FFS RENDERING AGE 21+ 432 1,276 78 147 301 621 159 159
1104374206 DINEA-BERCI EMILIA LAVINIA 2021 GMC RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1104379718 LI DAVID 2021 GMC RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1104406123 OSBORNE MAILE S 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1104406123 OSBORNE MAILE S 2021 PHP RENDERING AGE 21+ 12 24 1 1 12 16 1 1
1104433796 STARCHENKO IRENA 2021 FFS RENDERING AGE 0-20 191 1,776 141 373 84 201 141 141
1104433796 STARCHENKO IRENA 2021 FFS RENDERING AGE 21+ 220 1,576 60 119 164 498 78 78
1104433796 STARCHENKO IRENA 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1104464684 MOULA KAZI S 2021 FFS RENDERING AGE 0-20 141 548 28 63 62 143 92 99
1104464684 MOULA KAZI S 2021 FFS RENDERING AGE 21+ 207 594 16 30 124 257 98 98
1104468057 BABAIAN ARMEN Y 2021 PHP RENDERING AGE 0-20 1 2 1 1 0 0 1 1
1104468057 BABAIAN ARMEN Y 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1104472778 LISTIYO MATTHEW 2021 FFS RENDERING AGE 0-20 62 630 53 141 47 218 50 50
1104472778 LISTIYO MATTHEW 2021 FFS RENDERING AGE 21+ 272 2,692 152 303 242 1,554 167 167
1104472802 NGUYEN CATHERINE 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 2 1 1
1104472802 NGUYEN CATHERINE 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1104495936 MATHUR AJAY 2021 FFS RENDERING AGE 0-20 150 587 59 126 41 89 121 121
1104495936 MATHUR AJAY 2021 FFS RENDERING AGE 21+ 435 1,356 73 131 184 421 297 297
1104804780 ISSUED IN ERROR 2021 FFS RENDERING AGE 0-20 334 3,975 310 1,168 223 690 263 327
1104804780 ISSUED IN ERROR 2021 FFS RENDERING AGE 21+ 191 1,682 131 233 137 593 134 134
1104819440 GHORBANIAN HAMED 2021 FFS RENDERING AGE 0-20 22 135 17 38 1 2 18 23
1104819440 GHORBANIAN HAMED 2021 FFS RENDERING AGE 21+ 110 502 24 25 57 156 81 87
1104840909 PHAM THIEN C 2021 FFS RENDERING AGE 0-20 246 1,146 0 0 246 1,146 0 0
1104842897 NARET SVETLANA 2021 FFS RENDERING AGE 0-20 39 321 36 164 11 20 37 60
1104842897 NARET SVETLANA 2021 FFS RENDERING AGE 21+ 1 2 1 1 0 0 1 1
1104842897 NARET, SVETLANA, DDS INC 2021 FFS RENDERING AGE 0-20 39 321 36 164 11 20 37 60
1104842897 NARET, SVETLANA, DDS INC 2021 FFS RENDERING AGE 21+ 1 2 1 1 0 0 1 1
1104849041 RISOS DEANNA 2021 FFS RENDERING AGE 0-20 37 405 36 95 18 152 37 49
1104849041 RISOS DEANNA 2021 FFS RENDERING AGE 21+ 184 2,161 147 283 133 1,448 166 166
1104907658 ROBINSON-HARPER, CONNIE A, D 2021 FFS RENDERING AGE 0-20 1 2 1 1 0 0 1 1
1104907658 ROBINSON-HARPER, CONNIE A, D 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1104910827 SHIBOSKI CAROLINE H 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 1 1
1104910827 SHIBOSKI CAROLINE H 2021 FFS RENDERING AGE 21+ 27 38 1 1 13 17 20 20
1104911502 GUZMAN, JESUS H, DDS 2021 FFS RENDERING AGE 0-20 184 5,274 172 1,236 72 741 180 639
1104911502 GUZMAN, JESUS H, DDS 2021 FFS RENDERING AGE 21+ 385 9,114 275 1,641 224 2,196 337 1,011
1104912377 POLIDO JOSE CARLOS D 2021 FFS RENDERING AGE 0-20 365 1,717 259 635 176 740 255 263
1104912377 POLIDO JOSE CARLOS D 2021 PHP RENDERING AGE 0-20 1 1 1 1 1 1 1 1
1104915537 HARRISON KENNETH T 2021 FFS RENDERING AGE 0-20 221 271 0 0 19 55 0 0
1104916568 TAN MARILOU C 2021 FFS RENDERING AGE 0-20 12 65 1 2 1 2 1 1
1104916568 TAN MARILOU C 2021 FFS RENDERING AGE 21+ 136 465 48 48 102 201 29 29
1104916568 TAN MARILOU C 2021 GMC RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1104917293 LEE STEWART R 2021 PHP RENDERING AGE 0-20 18 114 1 2 1 2 11 11
1104917293 LEE STEWART R 2021 PHP RENDERING AGE 21+ 16 56 1 1 1 2 1 1
1104918333 DEIRMENJIAN SANDRA W 2021 FFS RENDERING AGE 0-20 207 1,777 135 451 97 282 159 177
1104918333 DEIRMENJIAN SANDRA W 2021 FFS RENDERING AGE 21+ 199 1,182 16 32 132 455 113 115
1104918333 DEIRMENJIAN SANDRA W 2021 PHP RENDERING AGE 0-20 19 109 12 27 1 1 15 16
1104918333 DEIRMENJIAN SANDRA W 2021 PHP RENDERING AGE 21+ 25 150 14 25 11 26 18 19
1104924935 RAMZI NADER 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1104934983 DANESHGAR, SHAHRIAR S, DMD 2021 FFS RENDERING AGE 0-20 92 460 0 0 74 354 53 53
1104934983 DANESHGAR, SHAHRIAR S, DMD 2021 FFS RENDERING AGE 21+ 287 1,145 1 1 187 702 189 189
1104939792 SOLIMAN MOHAMED W 2021 FFS RENDERING AGE 0-20 661 11,265 639 2,766 412 1,256 646 931
1104939792 SOLIMAN MOHAMED W 2021 FFS RENDERING AGE 21+ 536 4,767 416 834 396 1,596 438 438
1104940998 STOLYAR, GALINA DDS 2021 FFS RENDERING AGE 0-20 40 246 34 90 17 68 34 43
1104940998 STOLYAR, GALINA DDS 2021 FFS RENDERING AGE 21+ 125 1,072 73 145 93 711 79 79
1104948181 YOON, JAE M, DDS 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1104948181 YOON, JAE M, DDS 2021 FFS RENDERING AGE 21+ 30 158 1 2 23 71 1 1
1104949692 TONG CHRISTOPHER N 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1104949692 TONG CHRISTOPHER N 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1104951730 KENT, DONALD DDS 2021 FFS RENDERING AGE 21+ 420 1,005 1 1 420 578 415 421
1104954999 WATKINS RYAN P 2021 FFS RENDERING AGE 0-20 657 10,782 335 875 571 5,436 385 431
1104954999 WATKINS RYAN P 2021 FFS RENDERING AGE 21+ 79 397 12 18 69 283 16 16
1104955244 CAMBERO, LUIS R DDS 2021 FFS RENDERING AGE 0-20 215 1,836 177 475 96 372 194 225
1104955244 CAMBERO, LUIS R DDS 2021 FFS RENDERING AGE 21+ 333 1,844 90 91 222 769 233 236
1104955244 CAMBERO, LUIS R DDS 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1104955475 LUCERO MARTHA R 2021 FFS RENDERING AGE 0-20 556 2,982 426 1,052 251 716 445 488
1104955475 LUCERO MARTHA R 2021 FFS RENDERING AGE 21+ 561 2,831 168 329 365 1,289 354 355
1104955475 LUCERO-PEREZ, MARTHA R, DDS 2021 FFS RENDERING AGE 0-20 556 2,982 426 1,052 251 716 445 488
1104955475 LUCERO-PEREZ, MARTHA R, DDS 2021 FFS RENDERING AGE 21+ 561 2,831 168 329 365 1,289 354 355
1104955855 RODRIGUEZ GUILLERMO 2021 FFS RENDERING AGE 0-20 140 1,100 129 386 64 236 127 143
1104955855 RODRIGUEZ GUILLERMO 2021 FFS RENDERING AGE 21+ 202 1,160 114 168 142 513 145 147
1104956317 FERNANDEZ JAIME A 2021 FFS RENDERING AGE 0-20 44 249 19 52 41 157 17 22
1104956317 FERNANDEZ JAIME A 2021 FFS RENDERING AGE 21+ 100 280 1 2 93 241 12 12
1104960574 PATEL JETAN 2021 FFS RENDERING AGE 0-20 2,357 35,774 2,083 8,357 1,450 6,679 2,037 2,796
1104960574 PATEL JETAN 2021 FFS RENDERING AGE 21+ 210 1,795 54 103 151 466 122 122
1104961135 NOSRATI, DALIA, DDS 2021 FFS RENDERING AGE 0-20 844 10,182 529 1,900 723 4,390 481 596
1104961135 NOSRATI, DALIA, DDS 2021 FFS RENDERING AGE 21+ 136 823 81 155 99 420 97 97
1104961135 NOSRATI, DALIA, DDS 2021 PHP RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1104961135 NOSRATI, DALIA, DDS 2021 PHP RENDERING AGE 21+ 13 80 11 21 1 2 13 13
1104966241 GONG SANDRA J 2021 FFS RENDERING AGE 0-20 741 5,910 678 2,609 216 558 696 889
1104966241 GONG SANDRA J 2021 FFS RENDERING AGE 21+ 657 3,370 305 544 374 929 488 488
1104967553 BEKEREDJIAN, HOVANES, DDS 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1104967553 BEKEREDJIAN, HOVANES, DDS 2021 FFS RENDERING AGE 21+ 74 367 39 39 59 240 22 22
1104970383 LUGTU MICHAEL JERR D 2021 FFS RENDERING AGE 0-20 59 507 55 162 17 33 50 54
1104970383 LUGTU MICHAEL JERR D 2021 FFS RENDERING AGE 21+ 51 232 27 54 29 67 34 34
1104970870 BAKHSHIAN, BABAK, DDS 2021 FFS RENDERING AGE 0-20 278 3,962 263 457 133 476 270 369
1104970870 BAKHSHIAN, BABAK, DDS 2021 FFS RENDERING AGE 21+ 328 3,642 197 200 199 772 247 247
1104972397 AMIN, MANOJKUMAR M DDS 2021 FFS RENDERING AGE 0-20 27 187 22 23 1 2 21 23
1104972397 AMIN, MANOJKUMAR M DDS 2021 FFS RENDERING AGE 21+ 83 505 46 46 42 116 65 65
1104973478 CARRILLO, VICTOR H, DDS 2021 FFS RENDERING AGE 0-20 33 150 27 32 12 48 1 1
1104973478 CARRILLO, VICTOR H, DDS 2021 FFS RENDERING AGE 21+ 141 544 71 71 78 249 30 30
1104974856 REFAAT RANIA N 2021 FFS RENDERING AGE 0-20 28 159 24 62 1 2 26 33
1104974856 REFAAT RANIA N 2021 FFS RENDERING AGE 21+ 50 252 28 28 25 86 36 37
1104978147 KHASATI SHADI K 2021 FFS RENDERING AGE 0-20 691 4,149 612 1,612 204 389 640 725
1104978147 KHASATI SHADI K 2021 FFS RENDERING AGE 21+ 942 3,491 341 422 368 1,080 717 717
1104978295 RESTREPO, CARLOS DDS 2021 FFS RENDERING AGE 0-20 1,106 13,145 1,071 4,515 443 973 1,076 1,809
1104978295 RESTREPO, CARLOS DDS 2021 FFS RENDERING AGE 21+ 229 2,034 135 266 124 303 165 165
1104978972 GARCIA GERALD V 2021 FFS RENDERING AGE 0-20 33 294 30 98 16 54 31 47
1104978972 GARCIA GERALD V 2021 FFS RENDERING AGE 21+ 77 451 49 96 55 156 14 14
1104982073 FOSTER, DONALD LEE 2021 FFS RENDERING AGE 0-20 53 87 1 1 27 54 23 23
1104982073 FOSTER, DONALD LEE 2021 FFS RENDERING AGE 21+ 103 201 0 0 72 134 24 24
1104983485 JAMES KENDALL E 2021 FFS RENDERING AGE 0-20 585 853 0 0 123 291 0 0
1104983485 JAMES KENDALL E 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1104983485 JAMES KENDALL E 2021 GMC RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1104985993 FIROUZ, MAURICE, DDS 2021 FFS RENDERING AGE 0-20 14 92 0 0 14 70 0 0
1104986595 VAN, HUY NGOC, DDS 2021 FFS RENDERING AGE 0-20 30 288 29 57 1 1 30 30
1104986595 VAN, HUY NGOC, DDS 2021 FFS RENDERING AGE 21+ 14 134 13 19 1 1 12 12
1114006871 LUNA AILEEN C 2021 PHP RENDERING AGE 0-20 89 625 69 123 86 221 65 68
1114006871 LUNA AILEEN C 2021 PHP RENDERING AGE 21+ 52 257 0 0 51 167 1 1
1114006889 LUNA CELLINI N 2021 PHP RENDERING AGE 0-20 175 1,666 145 668 160 243 126 134
1114006889 LUNA CELLINI N 2021 PHP RENDERING AGE 21+ 133 581 32 88 95 174 45 45
1114016672 HAN JASON K 2021 FFS RENDERING AGE 0-20 240 1,591 211 652 97 198 216 246
1114016672 HAN JASON K 2021 FFS RENDERING AGE 21+ 160 576 36 59 97 250 107 107
1114016672 HAN JASON K 2021 PHP RENDERING AGE 0-20 75 365 61 143 28 69 62 65
1114016672 HAN JASON K 2021 PHP RENDERING AGE 21+ 38 120 16 30 17 34 26 26
1114017282 HASSAN HESHAM M 2021 FFS RENDERING AGE 0-20 809 11,809 769 3,099 442 1,833 765 856
1114017282 HASSAN HESHAM M 2021 FFS RENDERING AGE 21+ 296 2,537 145 242 222 1,214 197 197
1114017282 HASSAN HESHAM M 2021 PHP RENDERING AGE 0-20 25 403 24 110 14 102 25 30
1114017282 HASSAN HESHAM M 2021 PHP RENDERING AGE 21+ 23 259 14 23 17 161 19 19
1114017506 CRUZ EDWIN P 2021 FFS RENDERING AGE 0-20 105 1,197 86 316 57 173 89 98
1114017506 CRUZ EDWIN P 2021 FFS RENDERING AGE 21+ 110 1,067 43 46 65 288 82 82
1114017589 KODAMA, JAMES, DDS 2021 FFS RENDERING AGE 0-20 34 380 33 99 1 2 33 45
1114017589 KODAMA, JAMES, DDS 2021 FFS RENDERING AGE 21+ 138 1,244 123 125 85 374 126 128
1114017886 MUNTEAN BASILE 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1114017886 MUNTEAN BASILE 2021 FFS RENDERING AGE 21+ 18 106 14 25 11 33 11 11
1114026168 AZIZIAN, VAROUJ, DMD 2021 FFS RENDERING AGE 21+ 47 286 11 13 36 190 34 34
1114041456 HAIDAR LOUIE 2021 FFS RENDERING AGE 0-20 257 438 0 0 67 167 0 0
1114041456 HAIDAR LOUIE 2021 FFS RENDERING AGE 21+ 18 18 0 0 0 0 0 0
1114042488 SUAREZ-LOPEZ, GUADALUPE INES 2021 FFS RENDERING AGE 0-20 46 331 28 86 23 79 42 50
1114042488 SUAREZ-LOPEZ, GUADALUPE INES 2021 FFS RENDERING AGE 21+ 69 490 1 2 53 299 49 49
1114050200 PHAN THI B 2021 FFS RENDERING AGE 0-20 181 2,007 163 552 90 313 155 210
1114050200 PHAN THI B 2021 FFS RENDERING AGE 21+ 310 2,486 82 83 204 731 192 192
1114056868 PHAM LAN N 2021 FFS RENDERING AGE 0-20 124 1,746 106 390 88 356 106 125
1114056868 PHAM LAN N 2021 FFS RENDERING AGE 21+ 368 4,480 253 504 311 1,810 268 268
1114057551 JOSHI, PRAKASH A, DDS 2021 FFS RENDERING AGE 0-20 11 96 1 2 1 2 1 2
1114057551 JOSHI, PRAKASH A, DDS 2021 FFS RENDERING AGE 21+ 78 756 1 2 49 324 64 128
1114059037 HANSEN, MICHAEL RITIVOI, DDS 2021 FFS RENDERING AGE 0-20 31 120 31 38 12 17 31 38
1114059037 HANSEN, MICHAEL RITIVOI, DDS 2021 FFS RENDERING AGE 21+ 108 502 74 74 67 213 82 82
1114059193 BOOTHBY, JUDITH, RDHAP 2021 FFS RENDERING AGE 21+ 1 1 1 1 1 1 0 0
1114064649 COOPER GORDON S 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1114064649 COOPER GORDON S 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1114073350 OHANIAN, CARMEN DDS 2021 FFS RENDERING AGE 0-20 202 1,853 195 668 81 186 190 303
1114073350 OHANIAN, CARMEN DDS 2021 FFS RENDERING AGE 21+ 422 3,898 319 609 283 849 349 351
1114073350 OHANIAN, CARMEN M, DDS 2021 FFS RENDERING AGE 0-20 202 1,853 195 668 81 186 190 303
1114073350 OHANIAN, CARMEN M, DDS 2021 FFS RENDERING AGE 21+ 422 3,898 319 609 283 849 349 351
1114075629 SHARMA ARUN B 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1114077351 MORALES MA JUDINA B 2021 FFS RENDERING AGE 0-20 145 573 73 158 39 84 116 118
1114077351 MORALES MA JUDINA B 2021 FFS RENDERING AGE 21+ 551 1,786 146 255 293 762 282 282
1114077351 MORALES MA JUDINA B 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1114077351 MORALES MA JUDINA B 2021 PHP RENDERING AGE 21+ 36 154 12 24 26 107 1 1
1114078052 GRKIKIAN JOURIY M 2021 FFS RENDERING AGE 0-20 29 234 23 49 13 35 26 28
1114078052 GRKIKIAN JOURIY M 2021 FFS RENDERING AGE 21+ 252 2,791 54 68 227 1,536 138 139
1114078227 DUONG YEN H 2021 FFS RENDERING AGE 0-20 41 610 39 141 24 87 35 37
1114078227 DUONG YEN H 2021 FFS RENDERING AGE 21+ 137 1,523 90 174 120 586 91 91
1114080199 SAMPAGA SHARON C 2021 PHP RENDERING AGE 0-20 45 337 26 108 41 61 22 22
1114080199 SAMPAGA SHARON C 2021 PHP RENDERING AGE 21+ 68 198 12 32 44 64 15 15
1114080694 HOANG, ROBERT DDS 2021 FFS RENDERING AGE 0-20 791 15,262 771 4,112 526 2,252 774 1,262
1114080694 HOANG, ROBERT DDS 2021 FFS RENDERING AGE 21+ 35 150 11 20 19 24 17 17
1114080694 HOANG, ROBERT DDS 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1114082138 ZAHEDI MALAKEH 2021 FFS RENDERING AGE 0-20 151 2,263 150 590 70 321 150 190
1114082138 ZAHEDI MALAKEH 2021 FFS RENDERING AGE 21+ 219 2,332 150 304 164 860 186 186
1114083193 IM, TED T, DDS 2021 FFS RENDERING AGE 0-20 213 2,966 190 675 125 428 194 267
1114083193 IM, TED T, DDS 2021 FFS RENDERING AGE 21+ 348 2,654 242 455 261 944 243 243
1114084597 PHAM, PETER HAI, DDS 2021 FFS RENDERING AGE 0-20 67 399 66 177 16 52 67 90
1114084597 PHAM, PETER HAI, DDS 2021 FFS RENDERING AGE 21+ 236 1,257 181 348 109 302 205 205
1114088580 GRACHIAN, HIKANOUSH ANN, DDS 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1114088580 GRACHIAN, HIKANOUSH ANN, DDS 2021 FFS RENDERING AGE 21+ 27 250 19 37 23 129 24 25
1114091014 ARCE JORGE E 2021 FFS RENDERING AGE 0-20 156 526 1 1 145 450 0 0
1114091014 ARCE JORGE E 2021 FFS RENDERING AGE 21+ 377 1,267 1 1 364 1,028 0 0
1114091162 SEPULVEDA JAIRO G 2021 FFS RENDERING AGE 0-20 53 166 40 52 21 46 44 46
1114091162 SEPULVEDA JAIRO G 2021 FFS RENDERING AGE 21+ 130 458 47 47 69 217 95 95
1114097912 LOUIE BRADLEY C 2021 FFS RENDERING AGE 0-20 14 86 14 43 1 1 1 1
1114097912 LOUIE BRADLEY C 2021 FFS RENDERING AGE 21+ 20 114 13 26 13 43 1 1
1114104205 ALVARADO LOURDES 2021 FFS RENDERING AGE 0-20 159 1,576 114 344 71 233 134 152
1114104205 ALVARADO LOURDES 2021 FFS RENDERING AGE 21+ 298 1,518 59 92 194 609 167 167
1114112489 HUNG EMILY J 2021 FFS RENDERING AGE 0-20 1 2 0 0 1 1 0 0
1114115748 NOURIAN, HORMOZ DDS 2021 FFS RENDERING AGE 0-20 13 93 1 2 1 2 12 12
1114115748 NOURIAN, HORMOZ DDS 2021 FFS RENDERING AGE 21+ 145 1,116 92 183 75 221 120 120
1114119849 HASHIMI HARIS S 2021 FFS RENDERING AGE 0-20 67 343 47 101 27 62 49 54
1114119849 HASHIMI HARIS S 2021 FFS RENDERING AGE 21+ 154 760 50 55 103 312 102 102
1114120094 PANGILINAN JUANITO R 2021 FFS RENDERING AGE 0-20 953 9,986 629 1,818 551 1,621 799 893
1114120094 PANGILINAN JUANITO R 2021 FFS RENDERING AGE 21+ 643 3,417 53 105 376 1,045 408 410
1114120458 ARAKELIAN, MELINEH, DDS 2021 FFS RENDERING AGE 0-20 22 121 17 19 14 52 19 21
1114120458 ARAKELIAN, MELINEH, DDS 2021 FFS RENDERING AGE 21+ 230 1,573 92 92 203 945 109 109
1114120458 ARAKELIAN, MELINEH, DDS 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1114120516 DEBORA, DAISY FRANCISCA DDS 2021 FFS RENDERING AGE 0-20 82 613 64 178 35 113 64 83
1114120516 DEBORA, DAISY FRANCISCA DDS 2021 FFS RENDERING AGE 21+ 115 765 41 75 86 313 71 73
1114120516 DEBORA, DAISY FRANCISCA DDS 2021 PHP RENDERING AGE 0-20 42 350 39 113 20 53 39 49
1114120516 DEBORA, DAISY FRANCISCA DDS 2021 PHP RENDERING AGE 21+ 41 287 30 48 25 105 36 40
1114124989 FATHI BAHAREH 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 1 1
1114124989 FATHI BAHAREH 2021 PHP RENDERING AGE 21+ 54 76 0 0 35 43 32 33
1114125937 FLORES JORGE A 2021 FFS RENDERING AGE 0-20 70 599 61 260 32 85 65 71
1114125937 FLORES JORGE A 2021 FFS RENDERING AGE 21+ 152 918 41 82 117 420 98 98
1114127362 YASALAPU SREELATHA 2021 FFS RENDERING AGE 0-20 2,473 35,409 2,346 11,199 1,603 4,834 2,330 3,491
1114127362 YASALAPU SREELATHA 2021 FFS RENDERING AGE 21+ 1 2 1 1 0 0 1 1
1114130341 SAULOG ZENAIDA U 2021 FFS RENDERING AGE 0-20 1 2 1 1 0 0 1 1
1114130341 SAULOG ZENAIDA U 2021 FFS RENDERING AGE 21+ 28 228 17 17 23 100 1 1
1114137338 VASA, JITENDRA M, DDS 2021 PHP RENDERING AGE 0-20 1 1 1 1 1 1 1 1
1114145828 BEGIAN ARMAND DDS 2021 FFS RENDERING AGE 0-20 3,289 24,506 2,675 7,943 2,197 5,778 2,472 2,599
1114145828 BEGIAN ARMAND DDS 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1114147360 KANG, JASON 2021 FFS RENDERING AGE 0-20 55 825 52 165 27 52 52 74
1114147360 KANG, JASON 2021 FFS RENDERING AGE 21+ 134 1,061 56 57 78 242 101 101
1114153509 ZARRABI SHAHROUZ 2021 FFS RENDERING AGE 0-20 312 1,504 1 1 279 1,394 51 51
1114153509 ZARRABI SHAHROUZ 2021 FFS RENDERING AGE 21+ 400 1,555 0 0 344 1,370 80 80
1114158151 F RODEF DDS INC 2021 FFS RENDERING AGE 0-20 1 1 1 1 1 1 0 0
1114158896 LAU JERRY Y 2021 FFS RENDERING AGE 0-20 1,676 22,360 1,025 2,796 1,399 11,581 213 215
1114181872 SHAHNAZARIANS SEVETLANA 2021 FFS RENDERING AGE 0-20 13 138 13 31 1 2 11 14
1114181872 SHAHNAZARIANS SEVETLANA 2021 FFS RENDERING AGE 21+ 108 1,357 57 105 87 685 89 89
1114181872 SHAHNAZARIANS SEVETLANA 2021 PHP RENDERING AGE 0-20 1 2 1 2 1 2 1 1
1114181872 SHAHNAZARIANS SEVETLANA 2021 PHP RENDERING AGE 21+ 19 329 15 37 15 163 17 17
1114195773 GRIGORIAN FREDRICK 2021 FFS RENDERING AGE 0-20 30 256 21 47 1 1 23 23
1114195773 GRIGORIAN FREDRICK 2021 FFS RENDERING AGE 21+ 207 1,851 18 33 139 1,299 154 154
1114195773 GRIGORIAN FREDRICK 2021 PHP RENDERING AGE 0-20 22 247 22 69 11 25 22 27
1114195773 GRIGORIAN FREDRICK 2021 PHP RENDERING AGE 21+ 23 158 1 1 1 2 20 20
1114208196 HSU JONATHAN Y 2021 GMC RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1114211968 JOHNSON TAOHEED O 2021 FFS RENDERING AGE 0-20 38 124 0 0 36 43 24 24
1114211968 JOHNSON TAOHEED O 2021 FFS RENDERING AGE 21+ 89 123 0 0 89 123 0 0
1114211968 JOHNSON TAOHEED O 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1114211968 JOHNSON TAOHEED O 2021 PHP RENDERING AGE 21+ 18 51 0 0 1 2 15 15
1114231610 HASSAN NADIA 2021 FFS RENDERING AGE 0-20 262 777 0 0 189 646 0 0
1114231610 HASSAN NADIA 2021 FFS RENDERING AGE 21+ 285 785 0 0 218 605 0 0
1114231610 HASSAN NADIA 2021 PHP RENDERING AGE 0-20 1 1 1 1 1 1 0 0
1114232022 LANG REBECCA D 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 0 0
1114232022 LANG REBECCA D 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1114236569 BOPARAI-KHERA PREETI 2021 FFS RENDERING AGE 0-20 6,156 36,529 5,924 17,228 2,974 3,454 5,937 6,406
1114236569 BOPARAI-KHERA PREETI 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1114252384 ASATRYAN SONA 2021 PHP RENDERING AGE 0-20 18 119 15 56 1 1 16 17
1114252384 ASATRYAN SONA 2021 PHP RENDERING AGE 21+ 25 90 16 19 1 1 20 20
1114253465 DEVARAJ ALWYN S 2021 FFS RENDERING AGE 0-20 101 1,005 88 195 22 46 76 76
1114253465 DEVARAJ ALWYN S 2021 FFS RENDERING AGE 21+ 142 951 51 90 105 205 59 60
1114262987 BOTROUS, MATTA DDS 2021 FFS RENDERING AGE 0-20 281 3,704 245 873 153 569 266 352
1114262987 BOTROUS, MATTA DDS 2021 FFS RENDERING AGE 21+ 601 4,815 400 799 443 2,012 465 465
1114262987 BOTROUS, MATTA DDS 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 1 1
1114262987 BOTROUS, MATTA DDS 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1114308442 LOTFI, MAHYAR, DMD 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1114377041 SANDHU GUNNROOP 2021 FFS RENDERING AGE 0-20 3,193 33,964 2,640 7,945 1,946 5,613 2,496 2,794
1114392669 ISMAIL HABIBA 2021 FFS RENDERING AGE 0-20 1 1 1 1 1 1 0 0
1114392669 ISMAIL HABIBA 2021 FFS RENDERING AGE 21+ 1 1 1 1 1 1 0 0
1114392669 ISMAIL HABIBA 2021 PHP RENDERING AGE 0-20 75 522 67 192 67 115 23 23
1114392669 ISMAIL HABIBA 2021 PHP RENDERING AGE 21+ 117 567 79 185 99 156 31 32
1114403995 BOLDBAATAR ALIMAA 2021 FFS RENDERING AGE 0-20 1,859 14,194 1,753 4,147 757 881 1,765 1,765
1114403995 BOLDBAATAR ALIMAA 2021 FFS RENDERING AGE 21+ 173 1,033 70 136 110 347 115 115
1114405388 KONDAKINDI SRUTHI 2021 FFS RENDERING AGE 0-20 133 501 66 136 45 88 98 99
1114405388 KONDAKINDI SRUTHI 2021 FFS RENDERING AGE 21+ 348 1,079 73 139 145 353 210 210
1114419611 BEROUKHIM JONATHAN 2021 FFS RENDERING AGE 0-20 98 710 64 189 64 249 78 80
1114419611 BEROUKHIM JONATHAN 2021 FFS RENDERING AGE 21+ 136 790 35 37 88 405 113 113
1114430824 WESTERN DENTAL SERVICES INC 2021 PHP RENDERING AGE 0-20 19 153 13 45 1 1 16 16
1114430824 WESTERN DENTAL SERVICES INC 2021 PHP RENDERING AGE 21+ 56 224 19 45 14 29 41 41
1114430824 WESTERN DENTAL SERVICES, INC. 2021 PHP RENDERING AGE 0-20 19 153 13 45 1 1 16 16
1114430824 WESTERN DENTAL SERVICES, INC. 2021 PHP RENDERING AGE 21+ 56 224 19 45 14 29 41 41
1114433703 KIM JUN S 2021 FFS RENDERING AGE 0-20 686 1,386 0 0 296 755 0 0
1114433703 KIM JUN S 2021 FFS RENDERING AGE 21+ 40 40 0 0 0 0 0 0
1114433703 KIM JUN S 2021 GMC RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1114433703 KIM JUN S 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1114433703 KIM JUN S 2021 PHP RENDERING AGE 0-20 1 2 0 0 1 2 0 0
1114433703 KIM JUN S 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1114436441 FAVERO CHRISTIAN S 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1114436441 FAVERO CHRISTIAN S 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1114436441 FAVERO CHRISTIAN S 2021 GMC RENDERING AGE 0-20 466 3,064 280 842 290 1,022 368 414
1114436441 FAVERO CHRISTIAN S 2021 GMC RENDERING AGE 21+ 474 2,988 116 233 333 1,859 346 349
1114436441 FAVERO CHRISTIAN S 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 2 1 1
1114436441 FAVERO CHRISTIAN S 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1114436854 MEDINA-MARTINEZ IVAN A 2021 FFS RENDERING AGE 0-20 294 3,968 258 979 153 607 276 351
1114436854 MEDINA-MARTINEZ IVAN A 2021 FFS RENDERING AGE 21+ 634 5,784 307 492 509 2,685 519 519
1114447828 HONG KRISTINE M 2021 FFS RENDERING AGE 0-20 3,455 32,560 2,951 9,330 2,246 3,975 2,714 3,207
1114447828 HONG KRISTINE M 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 0 0
1114453784 YU KEVIN W 2021 FFS RENDERING AGE 0-20 98 836 81 361 29 134 78 89
1114453784 YU KEVIN W 2021 FFS RENDERING AGE 21+ 275 937 48 86 115 325 207 209
1114462413 SALEEM MUHAMMAD 2021 FFS RENDERING AGE 0-20 370 3,732 263 761 223 720 302 351
1114462413 SALEEM MUHAMMAD 2021 FFS RENDERING AGE 21+ 468 2,425 40 81 340 1,041 274 274
1114462413 SALEEM MUHAMMAD 2021 GMC RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1114462413 SALEEM MUHAMMAD 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1114462413 SALEEM MUHAMMAD 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1114473568 RABIZADEH SHAHAB 2021 FFS RENDERING AGE 0-20 20 84 1 1 15 41 1 1
1114477239 ROOINTAN MEHRAN 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1114493343 AL DAHAN MAIS A 2021 FFS RENDERING AGE 0-20 91 226 0 0 91 224 0 0
1114493343 AL DAHAN MAIS A 2021 FFS RENDERING AGE 21+ 673 2,111 0 0 667 2,082 0 0
1114493343 AL DAHAN MAIS A 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1114510781 PANDYA VISHAL C 2021 FFS RENDERING AGE 0-20 333 982 132 297 169 294 132 134
1114510781 PANDYA VISHAL C 2021 FFS RENDERING AGE 21+ 459 1,158 58 108 287 584 150 150
1114518602 TSUCHIYAMA KAITLIN C 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1114537602 KHORSHIDI AKBAR 2021 FFS RENDERING AGE 21+ 372 1,916 0 0 258 1,499 201 201
1114537602 KHORSHIDI AKBAR 2021 GMC RENDERING AGE 0-20 44 140 1 2 1 1 30 30
1114537602 KHORSHIDI AKBAR 2021 GMC RENDERING AGE 21+ 86 221 1 1 42 66 31 31
1114539442 MIYA DARRON I 2021 FFS RENDERING AGE 0-20 560 951 0 0 145 398 0 0
1114539442 MIYA DARRON I 2021 FFS RENDERING AGE 21+ 11 11 0 0 0 0 0 0
1114549953 DELACRUZ REGINA C 2021 FFS RENDERING AGE 0-20 15 69 1 2 1 1 1 1
1114549953 DELACRUZ REGINA C 2021 FFS RENDERING AGE 21+ 23 97 1 1 11 24 1 1
1114565264 ZHANG MING R 2021 FFS RENDERING AGE 0-20 110 922 83 220 46 115 81 82
1114565264 ZHANG MING R 2021 FFS RENDERING AGE 21+ 157 1,397 70 140 117 458 79 79
1114578580 WESTERN DENTAL SERVICES INC 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 0 0
1114578580 WESTERN DENTAL SERVICES, INC. 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 0 0
1114911179 TSAI JACK C 2021 FFS RENDERING AGE 0-20 36 254 35 134 17 45 32 34
1114911179 TSAI JACK C 2021 FFS RENDERING AGE 21+ 94 463 45 63 70 265 54 54
1114911179 TSAI JACK C 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1114925690 LEON DE MARTINE LAURA 2021 FFS RENDERING AGE 0-20 355 5,004 353 1,741 169 404 349 491
1114925690 LEON DE MARTINE LAURA 2021 FFS RENDERING AGE 21+ 290 2,573 220 411 222 943 231 231
1114927100 YACOUB KHALID M 2021 FFS RENDERING AGE 0-20 96 957 55 163 59 310 81 87
1114927100 YACOUB KHALID M 2021 FFS RENDERING AGE 21+ 429 2,663 124 124 340 1,542 282 282
1114930450 BACH LYNDI L 2021 FFS RENDERING AGE 0-20 150 550 1 2 18 41 1 1
1114930450 BACH LYNDI L 2021 FFS RENDERING AGE 21+ 16 31 0 0 1 1 0 0
1114936523 MALEKZADEH REZA 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1114946498 SETH, GEETA K, DDS 2021 FFS RENDERING AGE 0-20 32 222 26 75 17 43 27 30
1114946498 SETH, GEETA K, DDS 2021 FFS RENDERING AGE 21+ 39 210 13 22 18 68 30 30
1114946498 SETH, GEETA K, DDS 2021 GMC RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1114949542 FLORES, JESUS A DDS 2021 FFS RENDERING AGE 0-20 209 2,824 192 774 106 246 189 232
1114949542 FLORES, JESUS A DDS 2021 FFS RENDERING AGE 21+ 343 3,847 216 385 298 1,233 248 248
1114976347 DINH, LAN THAI, DDS 2021 FFS RENDERING AGE 0-20 56 1,220 43 286 42 532 51 114
1114976347 DINH, LAN THAI, DDS 2021 FFS RENDERING AGE 21+ 124 2,874 77 302 101 1,868 107 214
1124004742 CASTELO VIRGINIA C 2021 FFS RENDERING AGE 0-20 40 323 40 122 25 104 38 52
1124004742 CASTELO VIRGINIA C 2021 FFS RENDERING AGE 21+ 211 1,628 150 298 153 942 164 164
1124004742 CASTELO VIRGINIA C 2021 PHP RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1124031794 MICHEL FAMILY DENTISTRY 2021 FFS RENDERING AGE 0-20 96 439 44 137 21 62 74 74
1124031794 MICHEL FAMILY DENTISTRY 2021 FFS RENDERING AGE 21+ 121 309 14 18 50 101 61 63
1124031794 MICHEL FAMILY DENTISTRY 2021 PHP RENDERING AGE 0-20 18 51 1 2 1 1 14 14
1124031794 MICHEL FAMILY DENTISTRY 2021 PHP RENDERING AGE 21+ 15 23 0 0 1 2 1 1
1124035639 CABRERA RAMON 2021 FFS RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1124035639 CABRERA RAMON 2021 FFS RENDERING AGE 21+ 29 204 1 1 14 109 0 0
1124042460 BOONE, THOMAS DDS 2021 FFS RENDERING AGE 0-20 341 3,994 312 924 151 417 321 353
1124042460 BOONE, THOMAS DDS 2021 FFS RENDERING AGE 21+ 339 2,401 200 398 213 553 241 241
1124042460 BOONE, THOMAS M, DDS 2021 FFS RENDERING AGE 0-20 341 3,994 312 924 151 417 321 353
1124042460 BOONE, THOMAS M, DDS 2021 FFS RENDERING AGE 21+ 339 2,401 200 398 213 553 241 241
1124042460 BOONE, THOMAS MICHAEL, DDS 2021 FFS RENDERING AGE 0-20 341 3,994 312 924 151 417 321 353
1124042460 BOONE, THOMAS MICHAEL, DDS 2021 FFS RENDERING AGE 21+ 339 2,401 200 398 213 553 241 241
1124042460 UNKNOWN 2021 FFS RENDERING AGE 0-20 341 3,994 312 924 151 417 321 353
1124042460 UNKNOWN 2021 FFS RENDERING AGE 21+ 339 2,401 200 398 213 553 241 241
1124084728 PARK, SOO TAE DDS 2021 FFS RENDERING AGE 0-20 46 206 14 23 39 102 22 22
1124084728 PARK, SOO TAE DDS 2021 FFS RENDERING AGE 21+ 344 1,542 24 24 325 997 73 75
1124102975 VILLANUEVA ERWIN M 2021 FFS RENDERING AGE 0-20 1,530 10,169 1,317 4,317 1,121 1,768 1,267 1,423
1124102975 VILLANUEVA ERWIN M 2021 FFS RENDERING AGE 21+ 54 313 46 92 12 17 46 46
1124114095 CHANG, HONGQIU DDS 2021 FFS RENDERING AGE 0-20 281 4,081 256 993 135 263 270 389
1124114095 CHANG, HONGQIU DDS 2021 FFS RENDERING AGE 21+ 220 1,631 103 140 160 572 168 168
1124116660 HAGELE, DR MARK JAMES DDS 2021 FFS RENDERING AGE 0-20 558 11,438 499 1,253 558 7,807 521 521
1124121231 NASSIRI RAMTIN K 2021 FFS RENDERING AGE 0-20 367 2,168 210 529 137 386 252 281
1124121231 NASSIRI RAMTIN K 2021 FFS RENDERING AGE 21+ 1 2 1 1 0 0 1 1
1124126750 KLEBER CHRISTOPHER H 2021 FFS RENDERING AGE 21+ 203 862 11 20 143 421 102 102
1124127956 LIU JOHNNY S 2021 FFS RENDERING AGE 0-20 325 4,151 287 966 231 948 298 380
1124127956 LIU JOHNNY S 2021 FFS RENDERING AGE 21+ 517 6,276 259 514 413 2,621 382 382
1124134184 TRAN, OANH THI DDS 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1124134184 TRAN, OANH THI DDS 2021 FFS RENDERING AGE 21+ 47 190 1 1 43 168 1 1
1124135306 TARABISHI, MOHAMAD S, DDS 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 0 0
1124141536 WILSON GEORGE M 2021 FFS RENDERING AGE 0-20 1,684 21,172 1,599 6,134 1,133 3,005 1,583 1,848
1124143102 ROSEN DAN 2021 FFS RENDERING AGE 0-20 118 824 107 179 33 131 66 69
1124143102 ROSEN DAN 2021 FFS RENDERING AGE 21+ 170 840 72 73 102 365 106 108
1124143102 ROSEN DAN 2021 PHP RENDERING AGE 0-20 18 82 17 37 1 1 16 16
1124143102 ROSEN DAN 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1124143953 ROCABO, CONNIE DMD 2021 FFS RENDERING AGE 0-20 43 528 41 100 22 145 42 49
1124143953 ROCABO, CONNIE DMD 2021 FFS RENDERING AGE 21+ 255 1,993 193 385 138 462 227 227
1124146568 NANDA ASHWIN 2021 FFS RENDERING AGE 0-20 26 157 21 41 13 23 21 21
1124146568 NANDA ASHWIN 2021 FFS RENDERING AGE 21+ 53 269 34 65 24 50 38 38
1124147673 NGUYEN CUONG V 2021 FFS RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1124148929 WIDMAN DENNIS J 2021 FFS RENDERING AGE 0-20 28 93 0 0 22 49 0 0
1124154513 STEVENS, GLENN, DDS 2021 FFS RENDERING AGE 0-20 62 1,192 55 322 23 140 56 116
1124154513 STEVENS, GLENN, DDS 2021 FFS RENDERING AGE 21+ 170 1,878 44 88 94 614 144 288
1124156427 KIM RICK T 2021 FFS RENDERING AGE 0-20 78 535 71 175 23 56 66 73
1124156427 KIM RICK T 2021 FFS RENDERING AGE 21+ 150 725 72 73 71 167 101 101
1124156427 KIM RICK T 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1124156427 KIM RICK T 2021 PHP RENDERING AGE 0-20 121 1,171 111 471 44 104 115 148
1124156427 KIM RICK T 2021 PHP RENDERING AGE 21+ 160 899 80 175 84 282 123 124
1124160304 O'HARA STEPHEN D 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1124160452 JIHEE CHUN DDS INC 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 0 0
1124165261 FERNANDEZ VIVIAN 2021 FFS RENDERING AGE 0-20 30 258 26 77 18 56 27 32
1124165261 FERNANDEZ VIVIAN 2021 FFS RENDERING AGE 21+ 186 1,309 120 230 131 632 150 150
1124165261 FERNANDEZ VIVIAN 2021 GMC RENDERING AGE 0-20 236 3,121 236 1,162 154 488 230 305
1124165261 FERNANDEZ VIVIAN 2021 GMC RENDERING AGE 21+ 376 3,518 354 1,079 240 1,389 321 330
1124170717 KIM CHUNG 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 2 1 1
1124170717 KIM CHUNG 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1124171400 LEE, ALLEN H, DDS 2021 FFS RENDERING AGE 0-20 39 380 36 112 18 85 38 55
1124171400 LEE, ALLEN H, DDS 2021 FFS RENDERING AGE 21+ 117 819 100 198 81 192 106 106
1124177761 GOMEZ MIRTHA MYREYA 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 2 1 1
1124178322 BUGHAO, RODNEY J DDS 2021 GMC RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1124178322 BUGHAO, RODNEY J DDS 2021 GMC RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1124182837 SANTOS AUGUSTO A 2021 FFS RENDERING AGE 0-20 402 2,139 218 604 248 682 218 222
1124182837 SANTOS AUGUSTO A 2021 FFS RENDERING AGE 21+ 665 2,719 203 368 462 1,469 251 251
1124188941 SY, TESSIE 2021 FFS RENDERING AGE 0-20 73 983 59 218 35 137 59 76
1124188941 SY, TESSIE 2021 FFS RENDERING AGE 21+ 91 846 39 77 69 199 42 42
1124194394 BENADERET, THEODORE D 2021 FFS RENDERING AGE 0-20 119 277 0 0 68 176 0 0
1124194394 BENADERET, THEODORE D 2021 FFS RENDERING AGE 21+ 1 2 0 0 0 0 0 0
1124196126 JAMSHEED AMIR H 2021 FFS RENDERING AGE 0-20 32 286 22 81 20 79 24 33
1124196126 JAMSHEED AMIR H 2021 FFS RENDERING AGE 21+ 125 625 47 62 81 318 83 83
1124196126 JAMSHEED AMIR H 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1124196217 KREKORIANS VANIK 2021 FFS RENDERING AGE 0-20 99 932 91 291 24 55 94 145
1124196217 KREKORIANS VANIK 2021 FFS RENDERING AGE 21+ 738 7,284 622 1,243 368 680 635 635
1124196266 CORONADO, HUGO R 2021 FFS RENDERING AGE 0-20 344 3,509 318 1,046 164 527 327 439
1124196266 CORONADO, HUGO R 2021 FFS RENDERING AGE 21+ 313 2,228 193 194 206 726 217 217
1124196696 AGYEKUM, EDWARD, DDS 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1124196696 AGYEKUM, EDWARD, DDS 2021 FFS RENDERING AGE 21+ 42 210 15 15 16 31 20 20
1124198296 VICENCIO CHERYL G 2021 FFS RENDERING AGE 0-20 16 138 14 50 1 1 14 25
1124198296 VICENCIO CHERYL G 2021 FFS RENDERING AGE 21+ 76 507 62 63 31 73 58 58
1124200522 CHOPRA AMEET K 2021 FFS RENDERING AGE 0-20 68 279 0 0 66 276 1 1
1124200522 CHOPRA AMEET K 2021 FFS RENDERING AGE 21+ 99 383 0 0 98 381 1 1
1124200522 CHOPRA AMEET K 2021 PHP RENDERING AGE 0-20 18 94 1 1 18 91 0 0
1124200522 CHOPRA AMEET K 2021 PHP RENDERING AGE 21+ 41 189 1 1 34 154 27 27
1124208152 NEGOM RICUCCIO A 2021 FFS RENDERING AGE 0-20 1 2 1 1 0 0 1 1
1124208152 NEGOM RICUCCIO A 2021 FFS RENDERING AGE 21+ 13 62 12 12 1 1 12 12
1124216593 LEE KYU H 2021 FFS RENDERING AGE 0-20 289 1,778 230 649 148 368 99 103
1124216593 LEE KYU H 2021 FFS RENDERING AGE 21+ 290 998 54 95 195 435 120 120
1124231659 MING, JACOB T, DDS 2021 FFS RENDERING AGE 0-20 25 188 21 67 1 2 25 31
1124231659 MING, JACOB T, DDS 2021 FFS RENDERING AGE 21+ 213 1,191 120 240 106 354 188 188
1124233663 TIN, JUSTIN, DDS 2021 FFS RENDERING AGE 0-20 1,797 41,454 1,331 7,702 812 5,510 1,611 4,102
1124233663 TIN, JUSTIN, DDS 2021 FFS RENDERING AGE 21+ 4,131 97,934 1,590 4,648 3,116 33,168 3,196 6,418
1124236294 LI LILLIAN L 2021 FFS RENDERING AGE 0-20 97 837 69 322 57 131 68 86
1124236294 LI LILLIAN L 2021 FFS RENDERING AGE 21+ 254 1,709 85 167 203 632 111 111
1124237474 CHAN, DENNIS S, DDS 2021 FFS RENDERING AGE 0-20 128 836 126 369 33 76 126 183
1124237474 CHAN, DENNIS S, DDS 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1124239595 CHAUX JANETH L 2021 FFS RENDERING AGE 0-20 46 323 38 110 22 65 40 46
1124239595 CHAUX JANETH L 2021 FFS RENDERING AGE 21+ 131 849 91 153 82 336 100 100
1124240791 LEUNG JOANNE H 2021 FFS RENDERING AGE 0-20 1,429 18,630 1,364 5,285 1,077 3,882 1,377 1,828
1124240791 LEUNG JOANNE H 2021 PHP RENDERING AGE 0-20 20 83 1 2 19 29 1 1
1124241575 MANESH AL S 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 2 1 1
1124241575 MANESH AL S 2021 FFS RENDERING AGE 21+ 73 389 17 17 37 183 65 65
1124244595 HAMER, LARRY V DDS 2021 FFS RENDERING AGE 0-20 3,369 42,264 3,074 10,408 1,674 4,689 2,929 3,439
1124244595 HAMER, LARRY V DDS 2021 FFS RENDERING AGE 21+ 569 5,324 371 741 257 745 394 394
1124244595 HAMER, LARRY V DDS 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1124246632 NORWALK DENTAL ASSOCIATES 2021 FFS RENDERING AGE 0-20 41 294 38 125 16 37 37 49
1124246632 NORWALK DENTAL ASSOCIATES 2021 FFS RENDERING AGE 21+ 92 687 70 139 72 297 72 72
1124247085 WAKODE ARCHANA V 2021 FFS RENDERING AGE 0-20 49 332 32 107 26 91 36 37
1124247085 WAKODE ARCHANA V 2021 FFS RENDERING AGE 21+ 255 1,947 150 197 210 1,111 174 174
1124247879 URIBE, JUAN A, DDS 2021 FFS RENDERING AGE 0-20 109 779 96 258 55 149 101 114
1124247879 URIBE, JUAN A, DDS 2021 FFS RENDERING AGE 21+ 143 633 82 82 86 197 58 58
1124271572 RIZVI SYED SAJJAD H 2021 FFS RENDERING AGE 0-20 2,152 41,535 1,964 7,517 1,648 9,259 2,048 2,640
1124271572 RIZVI SYED SAJJAD H 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1124271572 RIZVI SYED SAJJAD H 2021 GMC RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1124272406 IMPERIAL LEONORA 2021 FFS RENDERING AGE 21+ 1,757 15,752 255 283 362 629 304 304
1124272406 IMPERIAL LEONORA 2021 GMC RENDERING AGE 21+ 1 2 0 0 1 1 0 0
1124275177 MEHTA PARUL U 2021 FFS RENDERING AGE 0-20 75 644 67 264 26 72 66 80
1124275177 MEHTA PARUL U 2021 FFS RENDERING AGE 21+ 193 1,075 68 124 134 579 135 135
1124292388 LEE GARRETT A 2021 FFS RENDERING AGE 0-20 16 151 14 57 12 34 11 17
1124292388 LEE GARRETT A 2021 GMC RENDERING AGE 0-20 614 5,755 323 752 611 3,538 1 1
1124293162 PATEL CHANDRAKANT B 2021 FFS RENDERING AGE 0-20 57 497 46 126 33 97 40 42
1124293162 PATEL CHANDRAKANT B 2021 FFS RENDERING AGE 21+ 140 1,063 56 103 96 379 107 107
1124295266 RICKS, KENDELL H, DDS 2021 FFS RENDERING AGE 0-20 20 129 19 52 1 2 20 28
1124295266 RICKS, KENDELL H, DDS 2021 FFS RENDERING AGE 21+ 82 544 63 112 56 256 72 73
1124298989 HUH KAMEE 2021 FFS RENDERING AGE 0-20 180 1,527 145 414 80 215 147 157
1124298989 HUH KAMEE 2021 FFS RENDERING AGE 21+ 147 970 70 136 104 312 80 80
1124302815 HAROIAN NAIRI 2021 PHP RENDERING AGE 0-20 32 266 29 135 22 41 23 28
1124302815 HAROIAN NAIRI 2021 PHP RENDERING AGE 21+ 102 825 57 175 83 387 61 61
1124325733 LEE, BRIAN DDS 2021 FFS RENDERING AGE 0-20 16 68 15 30 1 2 15 16
1124325733 LEE, BRIAN DDS 2021 FFS RENDERING AGE 21+ 232 976 159 318 105 266 186 187
1124335443 NGUYEN, HUNG VIET, DDS 2021 FFS RENDERING AGE 0-20 124 1,861 123 679 33 88 123 208
1124335443 NGUYEN, HUNG VIET, DDS 2021 FFS RENDERING AGE 21+ 590 6,970 492 981 461 2,139 518 518
1124339296 MATHUR MONICA 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1124340849 ADAME JAMES F 2021 FFS RENDERING AGE 0-20 521 2,979 333 1,091 251 571 363 364
1124340849 ADAME JAMES F 2021 FFS RENDERING AGE 21+ 472 1,444 93 172 193 388 269 269
1124340849 ADAME JAMES F 2021 GMC RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1124340849 ADAME JAMES F 2021 GMC RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1124340849 ADAME JAMES F 2021 PHP RENDERING AGE 0-20 1 1 1 1 1 1 1 1
1124340849 ADAME JAMES F 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1124344288 LOGAN MELISSA T 2021 FFS RENDERING AGE 0-20 471 10,214 248 639 470 6,471 464 465
1124370895 NEE ALEXANDER 2021 FFS RENDERING AGE 0-20 432 818 0 0 174 285 0 0
1124370895 NEE ALEXANDER 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1124370895 NEE ALEXANDER 2021 GMC RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1124370895 NEE ALEXANDER 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1124372784 COHEN SEDGH MANAVI & PAKRAVA 2021 PHP RENDERING AGE 0-20 20 75 1 2 1 1 1 1
1124372784 COHEN SEDGH MANAVI & PAKRAVA 2021 PHP RENDERING AGE 21+ 28 82 1 1 1 2 1 1
1124372784 COHEN SEDGH, MANAVI & PAKRAVAN DENTAL CORPORATION 2021 PHP RENDERING AGE 0-20 20 75 1 2 1 1 1 1
1124372784 COHEN SEDGH, MANAVI & PAKRAVAN DENTAL CORPORATION 2021 PHP RENDERING AGE 21+ 28 82 1 1 1 2 1 1
1124376983 GAD ALINA W 2021 FFS RENDERING AGE 0-20 40 256 31 70 16 66 34 36
1124376983 GAD ALINA W 2021 FFS RENDERING AGE 21+ 167 837 98 107 84 299 127 127
1124376983 GAD ALINA W 2021 PHP RENDERING AGE 0-20 166 1,048 142 529 60 149 147 162
1124376983 GAD ALINA W 2021 PHP RENDERING AGE 21+ 218 973 158 306 95 326 132 135
1124391271 YI YOON J 2021 FFS RENDERING AGE 0-20 223 1,844 153 420 119 261 158 166
1124391271 YI YOON J 2021 FFS RENDERING AGE 21+ 143 556 39 72 100 254 36 36
1124391271 YI YOON J 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1124391271 YI YOON J 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1124402177 MASHOUF KAYHAN L 2021 FFS RENDERING AGE 0-20 299 742 0 0 60 194 1 1
1124403423 LOUIE KURTIS J 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1124431085 SHAH SITAL A 2021 FFS RENDERING AGE 0-20 97 1,328 88 292 42 166 93 134
1124431085 SHAH SITAL A 2021 FFS RENDERING AGE 21+ 215 1,927 143 281 138 718 173 174
1124431200 JILANI KHALID R 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1124432695 LIU CHUNHUA C 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1124432695 LIU CHUNHUA C 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1124432695 LIU CHUNHUA C 2021 GMC RENDERING AGE 0-20 34 52 0 0 31 39 0 0
1124432695 LIU CHUNHUA C 2021 GMC RENDERING AGE 21+ 69 99 0 0 59 70 0 0
1124432695 LIU CHUNHUA C 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1124433750 SANGHO PARK DDS INC 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1124433750 SANGHO PARK DDS INC 2021 GMC RENDERING AGE 0-20 27 110 19 55 14 16 1 1
1124433750 SANGHO PARK DDS INC 2021 GMC RENDERING AGE 21+ 46 121 1 2 29 36 15 16
1124435904 KHALEGHI, MOHAMMAD DDS 2021 FFS RENDERING AGE 0-20 594 5,334 430 1,041 217 632 477 508
1124435904 KHALEGHI, MOHAMMAD DDS 2021 FFS RENDERING AGE 21+ 516 2,628 153 217 257 565 261 262
1124435904 KHALEGHI, MOHAMMAD DDS 2021 PHP RENDERING AGE 0-20 63 526 44 123 20 48 55 72
1124435904 KHALEGHI, MOHAMMAD DDS 2021 PHP RENDERING AGE 21+ 113 850 75 143 64 199 82 96
1124436878 CHILMERAN SARAH M 2021 FFS RENDERING AGE 0-20 34 163 16 32 17 33 25 25
1124436878 CHILMERAN SARAH M 2021 FFS RENDERING AGE 21+ 95 334 1 2 53 162 65 65
1124437900 SIONAT BENJAMIN P 2021 FFS RENDERING AGE 0-20 207 3,238 195 727 114 378 201 279
1124437900 SIONAT BENJAMIN P 2021 FFS RENDERING AGE 21+ 307 3,805 154 312 262 1,331 186 189
1124437900 SIONAT BENJAMIN P 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1124437900 SIONAT BENJAMIN P 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1124450523 TAQAVI POUYAN 2021 FFS RENDERING AGE 0-20 928 4,402 385 831 417 894 634 668
1124450523 TAQAVI POUYAN 2021 FFS RENDERING AGE 21+ 2,270 8,750 244 390 1,305 3,627 1,343 1,344
1124464508 YOUSEFI RODEF & YAGHOUBI 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1124472287 WU JEFF A 2021 FFS RENDERING AGE 0-20 5,501 46,676 4,069 11,152 3,661 10,713 4,053 4,397
1124472287 WU JEFF A 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1124474911 SHASHA HAITHAM 2021 FFS RENDERING AGE 0-20 306 3,151 274 920 143 445 285 388
1124474911 SHASHA HAITHAM 2021 FFS RENDERING AGE 21+ 770 4,450 283 535 513 1,851 594 595
1124476254 BHAKTA BHAVIK J 2021 FFS RENDERING AGE 0-20 93 1,063 89 389 49 145 91 117
1124476254 BHAKTA BHAVIK J 2021 FFS RENDERING AGE 21+ 178 1,293 135 269 120 603 154 155
1124510482 BLANCO DANIEL M 2021 FFS RENDERING AGE 0-20 16 85 1 2 1 1 13 13
1124510482 BLANCO DANIEL M 2021 FFS RENDERING AGE 21+ 137 595 1 1 58 268 96 96
1124514112 SUNYOTO SEAN B 2021 FFS RENDERING AGE 0-20 166 956 134 339 70 235 160 190
1124514112 SUNYOTO SEAN B 2021 FFS RENDERING AGE 21+ 346 2,379 177 349 259 1,259 302 304
1124540703 KIM ELIES H 2021 FFS RENDERING AGE 0-20 22 258 20 64 13 59 22 29
1124540703 KIM ELIES H 2021 FFS RENDERING AGE 21+ 89 1,007 40 75 67 487 71 71
1124543574 AKRY DANIELLE R 2021 FFS RENDERING AGE 0-20 31 205 24 53 12 29 24 27
1124543574 AKRY DANIELLE R 2021 FFS RENDERING AGE 21+ 94 607 40 74 67 232 53 53
1124543582 KIRIKIAN GARY G 2021 FFS RENDERING AGE 0-20 2,276 19,338 1,817 4,888 1,245 2,812 1,798 2,029
1124543582 KIRIKIAN GARY G 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1124556451 GAZARIAN HAIG L 2021 FFS RENDERING AGE 0-20 85 905 83 271 50 176 82 113
1124556451 GAZARIAN HAIG L 2021 FFS RENDERING AGE 21+ 198 1,797 139 372 120 502 169 179
1124571625 DANESH-PANAHI BEHZAD 2021 FFS RENDERING AGE 0-20 3,375 25,753 2,793 9,112 1,963 5,485 2,607 2,744
1124571625 DANESH-PANAHI BEHZAD 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1124616859 TOTAH ANTHONY J 2021 FFS RENDERING AGE 0-20 727 3,068 508 1,214 276 673 329 330
1124616859 TOTAH ANTHONY J 2021 FFS RENDERING AGE 21+ 1,004 3,375 341 657 562 1,432 390 390
1124616859 TOTAH ANTHONY J 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1124631031 FORGHANY MOHSEN 2021 FFS RENDERING AGE 0-20 96 374 35 72 60 182 61 62
1124631031 FORGHANY MOHSEN 2021 FFS RENDERING AGE 21+ 172 618 71 120 104 300 94 94
1124631650 GUPTA SUGANDHA 2021 FFS RENDERING AGE 0-20 859 3,374 107 129 844 2,974 0 0
1124647607 DOUSTI MONA 2021 FFS RENDERING AGE 0-20 75 1,026 71 291 59 333 70 77
1124671854 KIM KAHYUN 2021 FFS RENDERING AGE 0-20 190 1,251 141 390 112 364 141 142
1124671854 KIM KAHYUN 2021 FFS RENDERING AGE 21+ 81 373 36 37 50 180 53 53
1124691514 KUO ISABEL 2021 FFS RENDERING AGE 0-20 197 1,022 121 374 80 185 79 79
1124691514 KUO ISABEL 2021 FFS RENDERING AGE 21+ 152 602 44 86 109 295 28 28
1134101900 DO FELICIA PHUO N 2021 FFS RENDERING AGE 0-20 1,859 30,521 1,775 7,578 1,189 4,365 1,768 2,560
1134101900 DO FELICIA PHUO N 2021 FFS RENDERING AGE 21+ 26 159 12 14 1 1 16 16
1134134729 BAYAZ ABDUL W 2021 FFS RENDERING AGE 0-20 15 102 1 1 1 2 1 1
1134134729 BAYAZ ABDUL W 2021 FFS RENDERING AGE 21+ 32 264 1 1 25 83 22 22
1134134729 BAYAZ ABDUL W 2021 PHP RENDERING AGE 0-20 14 114 1 2 1 2 11 11
1134134729 BAYAZ ABDUL W 2021 PHP RENDERING AGE 21+ 51 408 12 12 40 179 29 29
1134139892 LEE PETER 2021 FFS RENDERING AGE 0-20 968 8,320 883 3,229 438 974 898 1,083
1134139892 LEE PETER 2021 FFS RENDERING AGE 21+ 487 3,049 205 404 356 1,312 285 287
1134139892 LEE PETER 2021 PHP RENDERING AGE 0-20 46 337 41 137 26 40 42 52
1134139892 LEE PETER 2021 PHP RENDERING AGE 21+ 19 82 1 1 1 2 14 14
1134145832 TENG DDS PETER R 2021 FFS RENDERING AGE 0-20 234 3,582 230 1,051 86 231 229 304
1134145832 TENG DDS PETER R 2021 FFS RENDERING AGE 21+ 36 301 30 34 11 20 32 34
1134149032 ARUTYUNYAN, PAVEL R, DDS 2021 FFS RENDERING AGE 0-20 103 746 87 105 56 269 96 103
1134149032 ARUTYUNYAN, PAVEL R, DDS 2021 FFS RENDERING AGE 21+ 1,216 9,631 474 474 1,042 4,273 1,023 1,023
1134149867 DO, BANG K, DDS 2021 FFS RENDERING AGE 0-20 133 1,238 127 425 40 123 131 156
1134149867 DO, BANG K, DDS 2021 FFS RENDERING AGE 21+ 306 1,737 211 421 162 447 263 263
1134155690 KAPUS KLIFFORD T 2021 FFS RENDERING AGE 0-20 186 269 0 0 23 54 0 0
1134155690 KAPUS KLIFFORD T 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1134159916 HAQ SHUJA U 2021 FFS RENDERING AGE 0-20 943 5,504 692 2,631 339 532 813 830
1134159916 HAQ SHUJA U 2021 FFS RENDERING AGE 21+ 1,090 3,160 166 321 463 869 736 737
1134159916 HAQ SHUJA U 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1134159916 HAQ SHUJA U 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1134181316 EVEREST, PARAMJIT S, DDS 2021 FFS RENDERING AGE 0-20 45 188 1 2 40 98 1 2
1134181316 EVEREST, PARAMJIT S, DDS 2021 FFS RENDERING AGE 21+ 160 474 16 23 152 325 12 12
1134191646 BEBING, FERMINA V, DDS 2021 FFS RENDERING AGE 0-20 71 628 61 127 48 254 60 66
1134191646 BEBING, FERMINA V, DDS 2021 FFS RENDERING AGE 21+ 282 2,950 155 173 232 2,071 216 216
1134193055 JOHNSON FREDERICK A 2021 FFS RENDERING AGE 0-20 49 578 46 180 27 106 46 58
1134193055 JOHNSON FREDERICK A 2021 FFS RENDERING AGE 21+ 47 361 31 50 34 164 39 39
1134196330 MORETT ALEJANDRA 2021 FFS RENDERING AGE 0-20 248 2,629 216 769 176 978 218 254
1134196330 MORETT ALEJANDRA 2021 FFS RENDERING AGE 21+ 784 7,897 512 1,014 679 4,767 486 486
1134215668 KIM RONALD CHONG W 2021 FFS RENDERING AGE 0-20 129 917 103 268 79 347 114 122
1134215668 KIM RONALD CHONG W 2021 FFS RENDERING AGE 21+ 617 5,402 350 683 479 3,350 448 453
1134217052 SIANGIO ROANNA M 2021 FFS RENDERING AGE 0-20 186 943 105 158 91 283 157 181
1134217052 SIANGIO ROANNA M 2021 FFS RENDERING AGE 21+ 272 1,253 31 33 198 625 165 169
1134217052 SIANGIO ROANNA M 2021 PHP RENDERING AGE 0-20 121 718 85 146 61 171 110 133
1134217052 SIANGIO ROANNA M 2021 PHP RENDERING AGE 21+ 89 418 11 13 58 198 54 58
1134217615 SHAH, NAVIN M, DDS 2021 FFS RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1134218316 MAR DANIEL LUM 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1134227796 MANSOUR MARIE C 2021 FFS RENDERING AGE 0-20 15 55 0 0 15 45 0 0
1134239544 JEFFERSON WALTER 2021 PHP RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1134248701 DANG THAI Q 2021 FFS RENDERING AGE 0-20 28 224 1 2 12 31 19 19
1134248701 DANG THAI Q 2021 FFS RENDERING AGE 21+ 60 280 1 1 37 80 26 26
1134253255 SANGA-FORBES EMALYN B 2021 FFS RENDERING AGE 0-20 29 158 27 61 11 35 25 26
1134253255 SANGA-FORBES EMALYN B 2021 FFS RENDERING AGE 21+ 92 581 57 71 59 245 63 63
1134254683 SIM, JUNG H, DDS 2021 FFS RENDERING AGE 0-20 292 2,679 170 510 143 425 186 186
1134254683 SIM, JUNG H, DDS 2021 FFS RENDERING AGE 21+ 248 1,630 59 90 178 546 81 81
1134255995 CASTELLANOS, VICTOR H, DDS 2021 FFS RENDERING AGE 0-20 68 1,018 44 210 28 200 55 112
1134255995 CASTELLANOS, VICTOR H, DDS 2021 FFS RENDERING AGE 21+ 297 4,058 139 288 193 1,896 188 376
1134257140 CASTANDEDA, MILAGROS DELA R, 2021 FFS RENDERING AGE 0-20 19 156 15 34 1 2 11 11
1134257140 CASTANDEDA, MILAGROS DELA R, 2021 FFS RENDERING AGE 21+ 34 219 23 23 18 70 26 26
1134257140 FIRMALINO MILAGROS C 2021 FFS RENDERING AGE 0-20 19 156 15 34 1 2 11 11
1134257140 FIRMALINO MILAGROS C 2021 FFS RENDERING AGE 21+ 34 219 23 23 18 70 26 26
1134257900 SARCHISIAN ADRIAN A 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1134259351 SINGH AMRIT P 2021 FFS RENDERING AGE 0-20 12 155 12 63 1 2 12 15
1134259351 SINGH AMRIT P 2021 FFS RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1134260656 DUMAS, STEVAN P, DDS 2021 FFS RENDERING AGE 0-20 15 88 13 33 1 1 13 16
1134260656 DUMAS, STEVAN P, DDS 2021 FFS RENDERING AGE 21+ 23 133 15 15 12 25 15 15
1134260656 DUMAS, STEVAN P, DDS 2021 PHP RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1134261738 RAFIEYAN, NAZAFARIN, DDS 2021 FFS RENDERING AGE 0-20 227 1,941 151 405 82 334 157 158
1134261738 RAFIEYAN, NAZAFARIN, DDS 2021 FFS RENDERING AGE 21+ 30 132 1 1 19 52 11 11
1134261738 RAFIEYAN, NAZAFARIN, DDS 2021 PHP RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1134262322 LII DER-SHSUAN 2021 PHP RENDERING AGE 0-20 84 649 67 256 64 116 43 49
1134262322 LII DER-SHSUAN 2021 PHP RENDERING AGE 21+ 179 1,125 127 372 144 293 81 87
1134263320 NAZARI MAXWELL M 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 2 1 1
1134263320 NAZARI MAXWELL M 2021 FFS RENDERING AGE 21+ 14 94 1 1 1 2 12 12
1134272362 KIM, CHARLES SUNG-JOO, DDS 2021 FFS RENDERING AGE 0-20 71 604 69 244 18 54 62 72
1134272362 KIM, CHARLES SUNG-JOO, DDS 2021 FFS RENDERING AGE 21+ 92 563 72 72 53 191 72 72
1134272503 TERMINI LAUREL N 2021 FFS RENDERING AGE 0-20 5,087 28,551 2,927 7,965 1,833 2,302 4,867 6,058
1134272503 TERMINI LAUREL N 2021 FFS RENDERING AGE 21+ 22 72 1 2 1 1 17 17
1134272503 TERMINI LAUREL N 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1134275415 DELGADO, RICARDO 2021 FFS RENDERING AGE 0-20 636 4,962 567 1,863 220 370 587 587
1134275415 DELGADO, RICARDO 2021 FFS RENDERING AGE 21+ 37 124 1 2 31 40 1 1
1134275415 DELGADO, RICARDO 2021 GMC RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1134275472 DAO HOANGSON H 2021 FFS RENDERING AGE 0-20 247 2,593 206 390 146 461 195 215
1134275472 DAO HOANGSON H 2021 FFS RENDERING AGE 21+ 405 3,673 260 260 277 957 284 284
1134276124 LE SUONG T 2021 FFS RENDERING AGE 0-20 2,316 36,889 2,061 8,180 1,075 11,589 2,250 3,047
1134277635 DUONG XUAN KE 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1134278948 PARK SUNGJIN J 2021 FFS RENDERING AGE 0-20 190 754 0 0 190 753 0 0
1134280373 WU SUNG-PIN 2021 FFS RENDERING AGE 0-20 361 1,932 232 870 147 316 220 223
1134280373 WU SUNG-PIN 2021 FFS RENDERING AGE 21+ 666 1,901 157 310 324 658 267 267
1134280654 GRUBER EDWARD H 2021 FFS RENDERING AGE 0-20 145 1,129 119 415 27 46 80 83
1134280654 GRUBER EDWARD H 2021 FFS RENDERING AGE 21+ 408 1,678 260 496 222 403 67 67
1134280654 GRUBER, EDWARD H, DDS 2021 FFS RENDERING AGE 0-20 145 1,129 119 415 27 46 80 83
1134280654 GRUBER, EDWARD H, DDS 2021 FFS RENDERING AGE 21+ 408 1,678 260 496 222 403 67 67
1134282106 RUIDERA, VIOLETTE DDS 2021 FFS RENDERING AGE 0-20 22 301 22 78 1 2 22 31
1134282106 RUIDERA, VIOLETTE DDS 2021 FFS RENDERING AGE 21+ 54 747 44 80 42 336 48 48
1134285877 KIDWELL MARIA S 2021 FFS RENDERING AGE 0-20 1,512 11,530 1,218 3,398 945 1,875 1,178 1,222
1134287667 PHAM, THANH DDS 2021 FFS RENDERING AGE 0-20 320 2,471 297 804 169 404 300 333
1134287667 PHAM, THANH DDS 2021 FFS RENDERING AGE 21+ 201 1,305 141 274 126 290 159 159
1134289655 BLEUEL OLGA L 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1134291313 YOO, JEFF BYUNG, DDS 2021 FFS RENDERING AGE 0-20 96 972 90 265 54 162 91 134
1134291313 YOO, JEFF BYUNG, DDS 2021 FFS RENDERING AGE 21+ 255 2,335 230 459 185 827 232 232
1134291313 YOO, JEFF BYUNG, DDS 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1134295199 SAWERES BASSEM R 2021 FFS RENDERING AGE 0-20 147 391 0 0 135 304 1 1
1134295199 SAWERES BASSEM R 2021 FFS RENDERING AGE 21+ 1,435 4,927 0 0 1,338 3,985 1 1
1134295462 GRIGOR, NICK 2021 FFS RENDERING AGE 0-20 1 1 1 1 1 1 1 1
1134295462 GRIGOR, NICK 2021 FFS RENDERING AGE 21+ 183 1,112 106 206 127 506 120 122
1134299324 ABUSLEME MONICA D 2021 FFS RENDERING AGE 0-20 21 83 20 46 1 1 21 25
1134299324 ABUSLEME MONICA D 2021 FFS RENDERING AGE 21+ 68 238 35 38 29 65 55 55
1134300866 BINA PEDRAM 2021 FFS RENDERING AGE 0-20 261 2,149 176 492 161 343 167 168
1134300866 BINA PEDRAM 2021 FFS RENDERING AGE 21+ 911 5,646 429 852 507 1,161 540 540
1134307143 MASOUMI, KIAN, RDHAP 2021 FFS RENDERING AGE 21+ 247 1,217 245 645 247 555 0 0
1134314099 ZAREH MOHAMMAD A 2021 FFS RENDERING AGE 0-20 203 1,165 115 378 72 238 155 170
1134314099 ZAREH MOHAMMAD A 2021 FFS RENDERING AGE 21+ 1,038 4,136 111 153 467 1,723 715 738
1134314909 HALLAK LOJYN M 2021 FFS RENDERING AGE 0-20 1,035 7,667 557 1,584 315 544 946 1,012
1134314909 HALLAK LOJYN M 2021 FFS RENDERING AGE 21+ 1,492 7,305 318 634 438 1,404 1,392 1,393
1134316052 AMMAR, AWNIE A, DDS PROF DEN 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1134317027 TCHABOUKIAN JOHN O 2021 FFS RENDERING AGE 0-20 31 230 23 26 14 68 27 29
1134317027 TCHABOUKIAN JOHN O 2021 FFS RENDERING AGE 21+ 66 456 15 17 26 147 53 53
1134319379 REYNOLDS TARAN KAUR 2021 FFS RENDERING AGE 0-20 697 10,671 630 2,175 415 1,540 651 811
1134319379 REYNOLDS TARAN KAUR 2021 FFS RENDERING AGE 21+ 967 9,658 472 943 720 3,073 793 800
1134322720 LEE JINA 2021 FFS RENDERING AGE 0-20 742 3,695 313 909 286 718 685 742
1134322720 LEE JINA 2021 FFS RENDERING AGE 21+ 571 1,908 73 139 189 539 446 447
1134322720 LEE JINA 2021 GMC RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1134322720 LEE JINA 2021 PHP RENDERING AGE 0-20 93 205 27 73 14 25 86 94
1134322720 LEE JINA 2021 PHP RENDERING AGE 21+ 109 172 1 2 35 64 88 88
1134329030 MODI, TEJAS, DDS INC 2021 FFS RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1134334626 BROAS, ALBERTO O DDS 2021 FFS RENDERING AGE 0-20 101 626 66 78 60 213 72 76
1134334626 BROAS, ALBERTO O DDS 2021 FFS RENDERING AGE 21+ 238 1,281 30 30 159 690 127 127
1134339963 VITERO STEVEN J 2021 PHP RENDERING AGE 21+ 55 226 1 1 39 129 21 21
1134340524 DUONG, HIEN THI-THU DDS 2021 FFS RENDERING AGE 0-20 197 1,836 195 828 77 181 196 340
1134340524 DUONG, HIEN THI-THU DDS 2021 FFS RENDERING AGE 21+ 378 2,570 281 561 272 1,022 289 289
1134346257 HOANG ANH 2021 FFS RENDERING AGE 0-20 145 1,980 138 638 68 245 132 161
1134346257 HOANG ANH 2021 FFS RENDERING AGE 21+ 477 5,402 301 528 408 2,224 349 349
1134346844 SORENSEN JASON R 2021 FFS RENDERING AGE 0-20 1,011 5,575 0 0 719 3,904 839 840
1134346844 SORENSEN JASON R 2021 FFS RENDERING AGE 21+ 1,501 7,359 0 0 1,112 4,761 1,295 1,298
1134355696 PENDER COMMUNITY HOSPITAL DISTRICT 2021 PHP RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1134355969 D'ALESSANDRO MA DEL CONSU 2021 GMC RENDERING AGE 0-20 1 1 1 1 1 1 1 1
1134355969 D'ALESSANDRO MA DEL CONSU 2021 PHP RENDERING AGE 0-20 110 570 86 257 35 52 56 57
1134355969 D'ALESSANDRO MA DEL CONSU 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1134369101 NGUYEN, ANH LOAN, DDS 2021 FFS RENDERING AGE 0-20 660 10,967 626 2,435 493 1,947 625 894
1134369101 NGUYEN, ANH LOAN, DDS 2021 FFS RENDERING AGE 21+ 135 971 30 52 75 328 103 103
1134369739 CHO, FRANK K DDS 2021 FFS RENDERING AGE 0-20 93 1,094 82 190 39 174 81 97
1134369739 CHO, FRANK K DDS 2021 FFS RENDERING AGE 21+ 216 2,154 129 251 124 583 174 174
1134369739 CHO, FRANK, DDS 2021 FFS RENDERING AGE 0-20 93 1,094 82 190 39 174 81 97
1134369739 CHO, FRANK, DDS 2021 FFS RENDERING AGE 21+ 216 2,154 129 251 124 583 174 174
1134377856 AL-SHAWE HALA A 2021 FFS RENDERING AGE 0-20 303 3,758 252 804 168 765 233 252
1134377856 AL-SHAWE HALA A 2021 FFS RENDERING AGE 21+ 632 5,048 166 323 439 1,883 300 301
1134377856 AL-SHAWE HALA A 2021 PHP RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1134381049 SUAYAN, JOSE E, DDS 2021 FFS RENDERING AGE 0-20 49 670 45 186 1 2 44 90
1134381049 SUAYAN, JOSE E, DDS 2021 FFS RENDERING AGE 21+ 86 1,142 77 308 1 2 73 146
1134385859 SMITH ROBERT F 2021 FFS RENDERING AGE 0-20 107 1,288 100 306 43 118 102 140
1134385859 SMITH ROBERT F 2021 FFS RENDERING AGE 21+ 80 607 51 74 53 138 62 62
1134386097 MONDAVI ROBERT K 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1134386097 MONDAVI ROBERT K 2021 PHP RENDERING AGE 0-20 135 1,171 134 697 57 161 132 162
1134386097 MONDAVI ROBERT K 2021 PHP RENDERING AGE 21+ 139 853 120 167 70 416 128 145
1134397342 PAMPANIYA ADITI 2021 FFS RENDERING AGE 0-20 331 2,050 238 819 112 336 296 342
1134397342 PAMPANIYA ADITI 2021 FFS RENDERING AGE 21+ 483 1,605 94 125 214 560 330 330
1134415615 MESSINA JUSTIN R 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1134416746 MIAN MICHELLE U 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1134420359 PIERSON CRYSTAL A 2021 FFS RENDERING AGE 0-20 135 2,771 58 125 135 2,125 115 117
1134420698 SEHGAL SHIBANI 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1134420698 SEHGAL SHIBANI 2021 GMC RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1134420698 SEHGAL SHIBANI 2021 GMC RENDERING AGE 21+ 17 56 0 0 14 31 1 1
1134420698 SEHGAL SHIBANI 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1134454705 KIM SOOKHYUN 2021 FFS RENDERING AGE 0-20 59 295 56 149 13 29 55 72
1134454705 KIM SOOKHYUN 2021 FFS RENDERING AGE 21+ 48 154 30 33 16 29 42 42
1134454705 KIM SOOKHYUN 2021 PHP RENDERING AGE 0-20 157 733 119 335 56 91 135 168
1134458177 GUIRGUIS MOUNIR N 2021 FFS RENDERING AGE 0-20 92 616 75 170 34 125 82 92
1134458177 GUIRGUIS MOUNIR N 2021 FFS RENDERING AGE 21+ 518 2,650 139 256 292 1,104 416 416
1134477458 HYUN KEVIN S 2021 FFS RENDERING AGE 0-20 41 285 33 72 26 108 35 38
1134477458 HYUN KEVIN S 2021 FFS RENDERING AGE 21+ 97 676 79 156 65 286 85 85
1134478043 ONG HAMLET H 2021 FFS RENDERING AGE 0-20 241 1,656 141 315 117 213 142 146
1134478043 ONG HAMLET H 2021 FFS RENDERING AGE 21+ 356 1,358 76 146 249 443 144 144
1134478043 ONG HAMLET H 2021 PHP RENDERING AGE 0-20 78 662 70 200 48 135 74 94
1134478043 ONG HAMLET H 2021 PHP RENDERING AGE 21+ 1 2 1 1 0 0 1 1
1134478704 HEDVAT ROBERT P 2021 FFS RENDERING AGE 0-20 11 101 1 2 1 2 11 11
1134478704 HEDVAT ROBERT P 2021 FFS RENDERING AGE 21+ 88 487 47 48 45 206 74 74
1134484900 HAIDER MOHAMMAD S 2021 FFS RENDERING AGE 0-20 52 369 32 123 31 100 37 39
1134484900 HAIDER MOHAMMAD S 2021 FFS RENDERING AGE 21+ 129 613 38 76 81 252 82 82
1134492937 ALTAMED HEALTH SERVICES CORP 2021 PHP RENDERING AGE 0-20 155 3,686 138 1,424 145 472 129 268
1134492937 ALTAMED HEALTH SERVICES CORP 2021 PHP RENDERING AGE 21+ 113 1,608 55 346 85 504 56 112
1134503741 BOZORGMANESH HAMED 2021 FFS RENDERING AGE 0-20 3,896 33,063 3,415 9,551 1,983 3,470 3,426 4,055
1134505498 ISMAILYAN ARBI 2021 FFS RENDERING AGE 0-20 490 5,795 435 1,272 257 1,152 445 530
1134505498 ISMAILYAN ARBI 2021 FFS RENDERING AGE 21+ 945 8,906 728 1,502 712 3,908 683 683
1134521024 SEPIDEHDAM SAHAR 2021 FFS RENDERING AGE 0-20 209 1,602 158 457 118 205 154 154
1134521024 SEPIDEHDAM SAHAR 2021 FFS RENDERING AGE 21+ 50 172 14 28 36 73 17 17
1134538010 BLINSTRUB JONATHAN R 2021 FFS RENDERING AGE 0-20 3,056 30,227 2,588 7,819 2,038 5,778 2,541 2,779
1134550403 PARK, D, DENTAL CORPORATION 2021 PHP RENDERING AGE 0-20 23 171 18 72 1 2 17 17
1134550403 PARK, D, DENTAL CORPORATION 2021 PHP RENDERING AGE 21+ 15 80 1 2 1 2 1 1
1134556004 KUMAR SHAVETA 2021 FFS RENDERING AGE 0-20 31 62 1 1 30 42 0 0
1134556004 KUMAR SHAVETA 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1134563950 SNELL, CHRISTOPHER MD 2021 FFS RENDERING AGE 0-20 102 307 0 0 102 307 0 0
1134573462 ISORDIA BERNES MARYAM 2021 PHP RENDERING AGE 0-20 22 127 20 24 22 44 19 19
1134573462 ISORDIA BERNES MARYAM 2021 PHP RENDERING AGE 21+ 23 91 1 1 22 62 1 1
1134578743 ZADFAR, ANOOSH 2021 FFS RENDERING AGE 0-20 33 241 25 59 17 58 28 31
1134578743 ZADFAR, ANOOSH 2021 FFS RENDERING AGE 21+ 199 1,148 61 93 149 588 142 142
1134587843 FU JASON J 2021 FFS RENDERING AGE 0-20 47 356 45 158 16 45 41 57
1134587843 FU JASON J 2021 FFS RENDERING AGE 21+ 177 1,187 70 126 126 605 130 130
1134615628 SALCEDO CARLISLE G 2021 FFS RENDERING AGE 0-20 118 732 90 199 72 219 91 95
1134615628 SALCEDO CARLISLE G 2021 FFS RENDERING AGE 21+ 198 1,084 98 194 148 540 117 118
1134616121 ROBLES RODRIGO 2021 FFS RENDERING AGE 0-20 64 420 50 112 13 19 47 49
1134616121 ROBLES RODRIGO 2021 FFS RENDERING AGE 21+ 148 689 31 31 68 210 108 114
1134616121 ROBLES RODRIGO 2021 PHP RENDERING AGE 0-20 35 209 28 73 1 2 32 33
1134616121 ROBLES RODRIGO 2021 PHP RENDERING AGE 21+ 48 231 15 27 27 97 31 31
1134632565 ELIZONDO PRISCILLA KAREN 2021 PHP RENDERING AGE 0-20 17 69 1 2 1 1 13 13
1134632565 ELIZONDO PRISCILLA KAREN 2021 PHP RENDERING AGE 21+ 40 130 1 1 27 69 21 21
1134636665 GILLAN MARIA ANNETTE 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1134638885 PHAM UYEN P 2021 FFS RENDERING AGE 0-20 15 55 11 21 1 1 1 1
1134638885 PHAM UYEN P 2021 FFS RENDERING AGE 21+ 4,932 22,806 1,439 2,280 4,674 8,970 3,288 3,291
1134638885 PHAM UYEN P 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1134638885 PHAM UYEN P 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 0 0
1134638885 PHAM UYEN P 2021 PHP RENDERING AGE 21+ 76 522 29 39 76 160 51 52
1134640550 YEKIKIAN MARK J 2021 FFS RENDERING AGE 0-20 253 1,702 148 368 176 431 173 199
1134640550 YEKIKIAN MARK J 2021 FFS RENDERING AGE 21+ 809 3,696 141 276 622 1,441 387 392
1134640550 YEKIKIAN MARK J 2021 PHP RENDERING AGE 0-20 227 1,953 187 692 142 330 186 241
1134640550 YEKIKIAN MARK J 2021 PHP RENDERING AGE 21+ 337 1,958 239 450 221 725 237 241
1134644842 SAPIGAO JAYJAY 2021 FFS RENDERING AGE 0-20 21 208 18 46 13 75 19 19
1134644842 SAPIGAO JAYJAY 2021 FFS RENDERING AGE 21+ 38 271 1 1 27 136 29 29
1134653793 HILL IRA D 2021 FFS RENDERING AGE 0-20 463 5,194 322 967 294 1,141 380 465
1134653793 HILL IRA D 2021 FFS RENDERING AGE 21+ 314 2,212 81 126 240 1,096 212 212
1134653793 HILL IRA D 2021 PHP RENDERING AGE 21+ 1 2 0 0 0 0 1 1
1134656804 ABAEI TAFRESHI REZA 2021 FFS RENDERING AGE 0-20 69 532 67 170 1 2 69 87
1134656804 ABAEI TAFRESHI REZA 2021 FFS RENDERING AGE 21+ 356 2,146 249 496 208 861 301 301
1134673171 REYNA-BLANCO OSCAR H 2021 FFS RENDERING AGE 0-20 519 746 0 0 310 396 0 0
1134674070 PATEL KHUSHBU 2021 FFS RENDERING AGE 0-20 54 591 45 112 24 75 46 53
1134674070 PATEL KHUSHBU 2021 FFS RENDERING AGE 21+ 202 1,787 72 134 165 735 115 115
1134687700 HOPE CHELSEA 2021 FFS RENDERING AGE 0-20 305 2,920 244 693 186 331 225 225
1134722994 MORALES PEDRO 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1134722994 MORALES PEDRO 2021 FFS RENDERING AGE 21+ 1 2 1 2 1 2 1 1
1134729601 TAYYEM ENAS J 2021 FFS RENDERING AGE 0-20 112 618 69 150 51 224 97 104
1134729601 TAYYEM ENAS J 2021 FFS RENDERING AGE 21+ 286 986 57 69 141 355 179 181
1134729601 TAYYEM ENAS J 2021 PHP RENDERING AGE 0-20 41 171 26 52 20 55 34 36
1134729601 TAYYEM ENAS J 2021 PHP RENDERING AGE 21+ 97 307 25 29 43 133 74 78
1134736226 HER SOLOMON 2021 FFS RENDERING AGE 0-20 447 2,027 160 493 203 499 374 380
1134736226 HER SOLOMON 2021 FFS RENDERING AGE 21+ 1,002 3,995 161 304 563 1,809 819 819
1134746936 LIU JERRY 2021 FFS RENDERING AGE 0-20 190 2,396 153 461 136 670 171 191
1134746936 LIU JERRY 2021 FFS RENDERING AGE 21+ 423 5,751 269 524 335 2,497 374 378
1134760382 ALMALFOUH HEBA 2021 FFS RENDERING AGE 0-20 211 1,380 156 459 123 397 134 145
1134760382 ALMALFOUH HEBA 2021 FFS RENDERING AGE 21+ 306 1,665 68 131 273 1,029 87 87
1134771587 RAO NANDITHA 2021 FFS RENDERING AGE 0-20 140 796 127 356 58 77 102 102
1134784572 KESHAV SHIVANI J 2021 FFS RENDERING AGE 0-20 171 1,031 136 335 97 150 128 129
1134786841 AZAD DENTAL CORPORATION 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1134789373 JONG EUNICE RUBY 2021 FFS RENDERING AGE 0-20 24 159 14 28 1 2 16 16
1134789373 JONG EUNICE RUBY 2021 FFS RENDERING AGE 21+ 78 463 26 41 48 154 35 35
1134795719 KEYO KEVORK 2021 FFS RENDERING AGE 0-20 192 862 140 399 90 213 51 51
1134795719 KEYO KEVORK 2021 FFS RENDERING AGE 21+ 320 1,213 87 147 251 756 54 54
1134795719 KEYO KEVORK 2021 PHP RENDERING AGE 0-20 33 178 27 85 17 33 21 21
1134795719 KEYO KEVORK 2021 PHP RENDERING AGE 21+ 24 82 1 1 24 64 1 1
1134796030 SOLEYMANI RUBEN B 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1134796030 SOLEYMANI RUBEN B 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1134796030 SOLEYMANI RUBEN B 2021 PHP RENDERING AGE 0-20 1 1 1 1 1 1 1 1
1134796030 SOLEYMANI RUBEN B 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1144205246 WHITE DAVID K 2021 FFS RENDERING AGE 0-20 266 2,787 249 917 73 127 252 326
1144205246 WHITE DAVID K 2021 FFS RENDERING AGE 21+ 406 2,850 260 485 207 542 303 303
1144232307 PAUL MARGARET A 2021 FFS RENDERING AGE 0-20 1,022 17,366 999 3,751 633 2,460 954 1,491
1144232307 PAUL MARGARET A 2021 FFS RENDERING AGE 21+ 1,563 16,159 1,210 2,411 1,201 5,856 1,265 1,265
1144241258 ALAMI YAZDAN 2021 FFS RENDERING AGE 0-20 33 169 31 84 1 2 31 45
1144241258 ALAMI YAZDAN 2021 FFS RENDERING AGE 21+ 1 2 1 1 0 0 1 1
1144257619 ALEXANDER GERALD W 2021 FFS RENDERING AGE 0-20 1 2 0 0 1 2 1 1
1144304312 NGUYEN FRANKLIN T 2021 FFS RENDERING AGE 0-20 188 1,788 167 646 38 122 163 172
1144304312 NGUYEN FRANKLIN T 2021 FFS RENDERING AGE 21+ 508 3,001 257 482 276 867 336 342
1144304312 NGUYEN FRANKLIN T 2021 PHP RENDERING AGE 0-20 1 2 1 2 1 2 1 1
1144304312 NGUYEN FRANKLIN T 2021 PHP RENDERING AGE 21+ 20 131 12 22 11 62 16 16
1144304759 ISSUED IN ERROR 2021 FFS RENDERING AGE 0-20 758 12,739 744 3,623 433 1,188 749 1,098
1144304759 ISSUED IN ERROR 2021 FFS RENDERING AGE 21+ 427 3,892 383 779 213 539 402 406
1144315029 TRAN, AITRANG, DDS 2021 FFS RENDERING AGE 0-20 92 1,229 89 334 59 187 92 146
1144315029 TRAN, AITRANG, DDS 2021 FFS RENDERING AGE 21+ 342 3,692 260 530 302 1,747 272 272
1144318882 QUACH, LIEN KIM, DDS 2021 FFS RENDERING AGE 0-20 17 106 1 2 12 32 16 18
1144318882 QUACH, LIEN KIM, DDS 2021 FFS RENDERING AGE 21+ 47 261 1 1 40 199 24 24
1144322447 CHA YOUNG H 2021 FFS RENDERING AGE 0-20 25 288 19 40 18 117 20 21
1144322447 CHA YOUNG H 2021 FFS RENDERING AGE 21+ 82 981 42 63 58 437 55 55
1144330143 ANDERSON DAMON A 2021 FFS RENDERING AGE 0-20 13 124 1 1 13 70 1 1
1144330143 ANDERSON DAMON A 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 2 1 1
1144331323 KAWADA PHYLLIS K 2021 FFS RENDERING AGE 0-20 1,081 9,584 953 3,001 618 2,376 985 1,301
1144331323 KAWADA PHYLLIS K 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1144337478 VO HANG P 2021 FFS RENDERING AGE 0-20 81 503 67 172 24 80 71 91
1144340555 BARUT, ROBERTO I DMD 2021 FFS RENDERING AGE 0-20 328 652 14 21 1 1 322 322
1144340555 BARUT, ROBERTO I DMD 2021 FFS RENDERING AGE 21+ 359 932 58 58 64 203 288 288
1144340555 BARUT, ROBERTO I, DMD 2021 FFS RENDERING AGE 0-20 328 652 14 21 1 1 322 322
1144340555 BARUT, ROBERTO I, DMD 2021 FFS RENDERING AGE 21+ 359 932 58 58 64 203 288 288
1144341454 LIU, CHANGRUI, DDS 2021 FFS RENDERING AGE 0-20 11 64 1 2 1 2 1 1
1144341454 LIU, CHANGRUI, DDS 2021 FFS RENDERING AGE 21+ 72 262 27 50 36 90 40 40
1144359845 NGUYEN TRUNG T 2021 FFS RENDERING AGE 0-20 128 1,400 122 639 37 95 56 62
1144363326 PHAN HAI T 2021 FFS RENDERING AGE 0-20 360 2,721 308 1,118 173 467 286 296
1144363326 PHAN HAI T 2021 FFS RENDERING AGE 21+ 1,071 6,398 747 1,444 705 2,152 812 812
1144365461 LIN, HO-SHIANG D, DMD 2021 FFS RENDERING AGE 0-20 36 177 34 37 11 49 34 37
1144365461 LIN, HO-SHIANG D, DMD 2021 FFS RENDERING AGE 21+ 109 377 84 84 52 119 46 46
1144366519 CASTILLO, ROSARIO DDS 2021 FFS RENDERING AGE 0-20 98 1,026 93 349 47 139 96 129
1144366519 CASTILLO, ROSARIO DDS 2021 FFS RENDERING AGE 21+ 157 1,176 64 120 110 416 133 133
1144366519 CASTILLO, ROSARIO DDS 2021 PHP RENDERING AGE 0-20 92 700 84 283 31 58 92 124
1144367699 GEORGIEFF, EVAN P DDS 2021 FFS RENDERING AGE 0-20 291 1,176 17 35 209 655 204 204
1144367699 GEORGIEFF, EVAN P DDS 2021 FFS RENDERING AGE 21+ 887 3,572 44 87 706 1,836 672 677
1144369125 OLSON DOUGLAS P 2021 FFS RENDERING AGE 0-20 47 87 0 0 28 47 0 0
1144369299 RAMAKUMAR SUMAN 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1144376138 AN SCOTT 2021 FFS RENDERING AGE 0-20 1,528 15,662 1,487 4,159 1 2 24 24
1144376138 AN SCOTT 2021 FFS RENDERING AGE 21+ 942 4,741 718 1,431 1 1 15 15
1144381427 GIBSON, GLENN E, DDS 2021 FFS RENDERING AGE 0-20 113 1,292 102 301 45 148 97 112
1144381427 GIBSON, GLENN E, DDS 2021 FFS RENDERING AGE 21+ 313 2,576 188 365 205 767 207 207
1144382276 AFSHARI NAHID 2021 FFS RENDERING AGE 0-20 31 74 1 1 19 33 1 1
1144382276 AFSHARI NAHID 2021 FFS RENDERING AGE 21+ 75 167 1 2 42 76 24 24
1144382276 AFSHARI NAHID 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1144382847 ASWAD, SUHIR DDS 2021 FFS RENDERING AGE 0-20 112 1,479 104 358 71 211 105 156
1144382847 ASWAD, SUHIR DDS 2021 FFS RENDERING AGE 21+ 139 1,600 95 186 113 707 108 108
1144384595 RUST, TERRANCE A, DDS 2021 FFS RENDERING AGE 0-20 42 231 0 0 41 229 1 1
1144384595 RUST, TERRANCE A, DDS 2021 FFS RENDERING AGE 21+ 119 1,155 0 0 116 1,135 1 1
1144384967 LIM, ANDREW DDS 2021 FFS RENDERING AGE 0-20 820 8,807 519 1,454 423 1,321 715 829
1144384967 LIM, ANDREW DDS 2021 FFS RENDERING AGE 21+ 823 5,172 221 441 518 1,803 624 624
1144386194 FATTOUCH ROBERT W 2021 FFS RENDERING AGE 0-20 2,859 46,895 2,667 11,424 2,000 8,243 2,743 4,177
1144386194 FATTOUCH ROBERT W 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1144386194 FATTOUCH ROBERT W 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1144388141 ELSEMARY NAGY RAMADAN A 2021 FFS RENDERING AGE 0-20 154 1,909 142 449 71 316 119 145
1144388430 WANG WEIDONG 2021 FFS RENDERING AGE 0-20 263 3,012 222 668 176 629 240 296
1144388430 WANG WEIDONG 2021 FFS RENDERING AGE 21+ 891 7,013 682 1,380 636 2,513 739 739
1144388687 HAN, JONG C, DDS 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 2 1 1
1144388687 HAN, JONG C, DDS 2021 FFS RENDERING AGE 21+ 43 273 34 34 32 113 41 41
1144388687 HAN, JONG C, DDS 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1144389065 ELIA BACHAR 2021 FFS RENDERING AGE 0-20 163 858 70 235 44 138 155 163
1144389065 ELIA BACHAR 2021 FFS RENDERING AGE 21+ 593 2,924 196 331 320 1,179 510 511
1144389065 ELIA BACHAR 2021 GMC RENDERING AGE 0-20 1 1 1 1 1 1 1 1
1144389065 ELIA BACHAR 2021 PHP RENDERING AGE 0-20 161 1,520 114 448 106 452 140 162
1144389065 ELIA BACHAR 2021 PHP RENDERING AGE 21+ 127 1,052 50 115 88 563 101 107
1144396094 SARADJIAN, ARTEMIS DMD 2021 FFS RENDERING AGE 0-20 33 243 20 38 23 71 30 39
1144396094 SARADJIAN, ARTEMIS DMD 2021 FFS RENDERING AGE 21+ 377 2,597 117 117 315 1,229 215 215
1144406349 PERLECHE LILIANA A 2021 FFS RENDERING AGE 0-20 360 4,448 277 676 238 1,053 263 299
1144406349 PERLECHE LILIANA A 2021 FFS RENDERING AGE 21+ 365 4,036 86 153 290 1,622 236 236
1144410754 CLOR RAMSEY A 2021 FFS RENDERING AGE 0-20 27 46 1 1 22 33 1 1
1144410754 CLOR RAMSEY A 2021 FFS RENDERING AGE 21+ 48 111 0 0 30 59 1 1
1144418567 LE, DIANNE 2021 FFS RENDERING AGE 0-20 67 352 32 75 36 65 33 33
1144418567 LE, DIANNE 2021 FFS RENDERING AGE 21+ 73 319 1 1 49 102 30 30
1144420795 EVAZYAN BENITA 2021 FFS RENDERING AGE 0-20 123 665 1 2 119 336 1 1
1144420795 EVAZYAN BENITA 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1144421637 FUNG ROGER K 2021 FFS RENDERING AGE 21+ 32 63 1 1 20 26 1 1
1144421918 HADY-ELHUSSINY ALIAA 2021 FFS RENDERING AGE 0-20 1,034 9,065 933 2,887 734 2,909 883 1,011
1144421918 HADY-ELHUSSINY ALIAA 2021 FFS RENDERING AGE 21+ 114 310 78 135 61 171 1 1
1144421918 HADY-ELHUSSINY ALIAA 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1144423278 SUN TINA 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1144423278 SUN TINA 2021 PHP RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1144425216 CHOI EUN-JOO 2021 FFS RENDERING AGE 0-20 127 2,081 93 244 123 1,373 112 112
1144425216 CHOI EUN-JOO 2021 FFS RENDERING AGE 21+ 16 189 12 18 16 120 13 13
1144430158 QUINN CHRISTINE L 2021 FFS RENDERING AGE 0-20 177 556 0 0 177 556 0 0
1144430455 JAMES D AHN DDS INC 2021 PHP RENDERING AGE 0-20 20 154 20 55 1 2 20 21
1144430455 JAMES D AHN DDS INC 2021 PHP RENDERING AGE 21+ 18 140 16 38 12 35 11 12
1144433418 KARZEN KATIE J 2021 FFS RENDERING AGE 0-20 23 163 17 66 11 31 20 25
1144433418 KARZEN KATIE J 2021 FFS RENDERING AGE 21+ 75 447 22 38 54 259 64 64
1144434127 MCLACHLAN KIMBERLY K 2021 FFS RENDERING AGE 0-20 18 28 0 0 18 28 0 0
1144434127 MCLACHLAN KIMBERLY K 2021 FFS RENDERING AGE 21+ 797 1,220 0 0 797 1,220 0 0
1144436072 GUERRERO RODNEY R 2021 FFS RENDERING AGE 0-20 91 813 84 281 51 158 86 94
1144436072 GUERRERO RODNEY R 2021 FFS RENDERING AGE 21+ 228 1,743 144 267 173 764 189 189
1144454869 PARK WOO S 2021 FFS RENDERING AGE 21+ 40 83 19 19 1 1 30 30
1144455395 GAFFINO BARBARA P 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1144456070 KALIA BHARTI 2021 FFS RENDERING AGE 0-20 1 2 1 1 0 0 1 1
1144456070 KALIA BHARTI 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1144459108 RAFAEL ARASH 2021 FFS RENDERING AGE 0-20 318 2,094 187 427 216 635 175 175
1144477910 LU MEI 2021 FFS RENDERING AGE 0-20 45 441 45 209 12 47 45 62
1144477910 LU MEI 2021 FFS RENDERING AGE 21+ 66 592 59 118 41 171 62 62
1144482571 JOUZY YANINA 2021 FFS RENDERING AGE 0-20 29 277 23 71 14 63 23 31
1144482571 JOUZY YANINA 2021 FFS RENDERING AGE 21+ 68 360 32 34 28 102 50 50
1144487679 SADDUK ALI A 2021 FFS RENDERING AGE 0-20 148 1,267 76 212 102 431 113 120
1144487679 SADDUK ALI A 2021 FFS RENDERING AGE 21+ 358 1,846 103 205 264 977 197 197
1144512153 POOLE, GARRETT R MD 2021 FFS RENDERING AGE 0-20 109 418 0 0 109 418 0 0
1144512153 POOLE, GARRETT R MD 2021 FFS RENDERING AGE 21+ 29 143 0 0 29 143 0 0
1144518754 COREY, BENJAMIN F, RDHAP 2021 FFS RENDERING AGE 0-20 1 1 1 1 1 1 0 0
1144518754 COREY, BENJAMIN F, RDHAP 2021 FFS RENDERING AGE 21+ 1,083 4,447 1,040 1,836 1,083 2,611 0 0
1144532672 NAMAVAR VIDA 2021 FFS RENDERING AGE 0-20 45 253 38 67 21 59 39 43
1144532672 NAMAVAR VIDA 2021 FFS RENDERING AGE 21+ 181 755 107 131 84 250 162 162
1144534082 SHAHROKH ALI 2021 FFS RENDERING AGE 0-20 269 1,481 170 429 55 133 215 225
1144534082 SHAHROKH ALI 2021 FFS RENDERING AGE 21+ 558 2,694 163 224 225 870 397 401
1144538596 LORENZO MARY LEAH T 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1144538596 LORENZO MARY LEAH T 2021 PHP RENDERING AGE 0-20 449 4,107 409 1,615 162 455 402 535
1144549833 KONCZ BRITTANY L 2021 FFS RENDERING AGE 0-20 3,120 5,687 0 0 66 201 0 0
1144549833 KONCZ BRITTANY L 2021 FFS RENDERING AGE 21+ 13 19 0 0 0 0 0 0
1144555806 ENDRIZZI VECCI JULIA L 2021 FFS RENDERING AGE 0-20 312 1,880 276 842 159 316 247 288
1144555806 ENDRIZZI VECCI JULIA L 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1144584046 SADEGHEIN KAMYAR 2021 PHP RENDERING AGE 0-20 11 42 0 0 11 20 1 1
1144584046 SADEGHEIN KAMYAR 2021 PHP RENDERING AGE 21+ 52 210 0 0 37 50 51 52
1144587064 ASADORIAN RAFFI 2021 FFS RENDERING AGE 0-20 26 52 0 0 26 52 0 0
1144587064 ASADORIAN RAFFI 2021 FFS RENDERING AGE 21+ 90 223 0 0 90 221 0 0
1144587064 ASADORIAN RAFFI 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1144592940 GOMEZ MAYBELLE T 2021 FFS RENDERING AGE 0-20 144 222 0 0 77 134 0 0
1144592940 GOMEZ MAYBELLE T 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1144592940 GOMEZ MAYBELLE T 2021 GMC RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1144592940 GOMEZ MAYBELLE T 2021 PHP RENDERING AGE 0-20 1 2 0 0 1 2 0 0
1144592940 GOMEZ MAYBELLE T 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1144600248 HEALTH AND LIFE ORGANIZATION 2021 GMC RENDERING AGE 0-20 110 860 66 278 23 82 67 134
1144600248 HEALTH AND LIFE ORGANIZATION 2021 GMC RENDERING AGE 21+ 202 1,738 84 334 95 350 125 250
1144602608 WU ERICA 2021 FFS RENDERING AGE 0-20 465 7,843 378 1,480 356 2,267 410 533
1144602608 WU ERICA 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 0 0
1144606880 SUNG, KI HUN 2021 FFS RENDERING AGE 0-20 1,635 27,114 1,493 4,351 1,416 8,136 1,497 1,560
1144606880 SUNG, KI HUN 2021 FFS RENDERING AGE 21+ 50 310 27 52 25 90 34 34
1144608225 DIAB, EHSAN DDS 2021 FFS RENDERING AGE 0-20 639 9,225 593 2,322 460 1,155 619 848
1144608225 DIAB, EHSAN DDS 2021 FFS RENDERING AGE 21+ 731 5,593 300 595 563 2,408 534 534
1144633355 CHEN JOHN S 2021 FFS RENDERING AGE 0-20 250 1,225 231 539 57 163 199 210
1144633355 CHEN JOHN S 2021 PHP RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1144635244 HARIRI SEPEHR 2021 FFS RENDERING AGE 0-20 3,756 37,591 3,310 10,597 2,245 6,299 3,083 3,577
1144635244 HARIRI SEPEHR 2021 FFS RENDERING AGE 21+ 1 2 1 1 0 0 1 1
1144635244 HARIRI SEPEHR 2021 PHP RENDERING AGE 0-20 29 228 16 43 29 141 1 1
1144640368 TODD, JODI, RDHAP 2021 FFS RENDERING AGE 0-20 468 1,398 468 1,397 0 0 0 0
1144640368 TODD, JODI, RDHAP 2021 FFS RENDERING AGE 21+ 183 380 183 365 15 15 0 0
1144655812 LUU THANH T 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1144659434 BELL BRIAN M 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1144660358 PHAN THANH H 2021 FFS RENDERING AGE 0-20 1 2 0 0 1 2 0 0
1144660358 PHAN THANH H 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1144662412 KVITKO KIRILL Z 2021 FFS RENDERING AGE 0-20 38 233 30 90 16 59 34 41
1144662412 KVITKO KIRILL Z 2021 FFS RENDERING AGE 21+ 90 543 61 115 58 225 66 66
1144671173 BUI TRAMMIE B 2021 FFS RENDERING AGE 0-20 162 1,913 154 451 91 388 156 218
1144671173 BUI TRAMMIE B 2021 FFS RENDERING AGE 21+ 510 4,267 398 789 335 1,434 445 445
1144672874 ANTONENKO ANDREY 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1144688532 GAIDUCHIK ANDREY 2021 FFS RENDERING AGE 0-20 1,032 3,346 0 0 355 1,005 708 713
1144688532 GAIDUCHIK ANDREY 2021 FFS RENDERING AGE 21+ 30 89 0 0 0 0 29 29
1144697293 GRIGORYAN ARAM 2021 FFS RENDERING AGE 0-20 381 3,652 299 776 175 589 329 359
1144697293 GRIGORYAN ARAM 2021 FFS RENDERING AGE 21+ 620 4,817 257 500 477 1,940 394 397
1144697723 HUH DANIEL J 2021 FFS RENDERING AGE 21+ 45 156 1 1 24 78 29 29
1144707761 LEE DANIEL J 2021 FFS RENDERING AGE 0-20 2,563 32,026 2,129 7,624 1,722 6,964 2,088 2,378
1144707761 LEE DANIEL J 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1144708090 HUNANYAN LUSINE 2021 FFS RENDERING AGE 0-20 681 7,392 542 1,752 380 1,006 531 615
1144708090 HUNANYAN LUSINE 2021 FFS RENDERING AGE 21+ 294 1,684 126 245 180 320 139 139
1144713173 RANJBAR AGHDAM MARAL 2021 FFS RENDERING AGE 0-20 319 1,519 241 518 63 101 293 304
1144713173 RANJBAR AGHDAM MARAL 2021 FFS RENDERING AGE 21+ 843 2,831 233 440 327 899 566 568
1144713173 RANJBAR AGHDAM MARAL 2021 PHP RENDERING AGE 0-20 17 85 1 2 1 2 1 1
1144713173 RANJBAR AGHDAM MARAL 2021 PHP RENDERING AGE 21+ 56 212 12 21 41 153 1 1
1144719196 RUSSOM SAMUEL Y 2021 FFS RENDERING AGE 0-20 60 473 54 157 33 122 45 53
1144738899 EMAMY MORVARID 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1144753260 KIM MARIE Y 2021 FFS RENDERING AGE 0-20 277 2,748 255 846 149 396 259 331
1144753260 KIM MARIE Y 2021 FFS RENDERING AGE 21+ 399 2,800 150 296 287 1,222 292 292
1144754888 WANG TIFFANY J 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1144754888 WANG TIFFANY J 2021 PHP RENDERING AGE 21+ 1 1 1 1 0 0 0 0
1144755976 COLLINS ATIJAH J 2021 FFS RENDERING AGE 0-20 16 55 1 1 15 45 1 1
1144755976 COLLINS ATIJAH J 2021 FFS RENDERING AGE 21+ 58 184 0 0 58 159 0 0
1144768904 TRAN ROSEMARY KIM O 2021 FFS RENDERING AGE 0-20 419 7,756 247 566 367 3,434 392 404
1144772211 BROWN MICHELLE D 2021 FFS RENDERING AGE 0-20 15 95 1 2 1 2 1 1
1144788910 KAUR RAVINDER 2021 FFS RENDERING AGE 0-20 1,712 12,321 1,281 4,048 1,149 4,022 1,151 1,211
1144788910 KAUR RAVINDER 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1144788910 KAUR RAVINDER 2021 PHP RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1144791377 PATEL ROMI R 2021 FFS RENDERING AGE 0-20 174 702 93 185 69 186 131 134
1144791377 PATEL ROMI R 2021 FFS RENDERING AGE 21+ 195 721 52 93 122 368 100 100
1144791377 PATEL ROMI R 2021 PHP RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1144834953 SARGENT BENJAMIN DAVID 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1144835380 GULATI MINKLE 2021 FFS RENDERING AGE 0-20 255 1,412 154 431 150 453 132 134
1144835380 GULATI MINKLE 2021 FFS RENDERING AGE 21+ 313 1,111 66 125 218 635 104 104
1144876004 GOLBARI DANIELA 2021 FFS RENDERING AGE 0-20 158 935 55 129 154 461 24 24
1144876004 GOLBARI DANIELA 2021 FFS RENDERING AGE 21+ 29 119 0 0 28 73 0 0
1144994419 AL OBAID ALI SAAD MOH 2021 FFS RENDERING AGE 0-20 190 744 68 138 105 194 114 114
1144994419 AL OBAID ALI SAAD MOH 2021 FFS RENDERING AGE 21+ 281 708 22 37 172 303 115 115
1154093623 ARIEH NICOLE S 2021 FFS RENDERING AGE 0-20 17 44 1 2 1 1 1 1
1154093623 ARIEH NICOLE S 2021 FFS RENDERING AGE 21+ 37 84 1 2 18 38 11 11
1154093623 ARIEH NICOLE S 2021 PHP RENDERING AGE 21+ 1 2 0 0 1 2 0 0
1154314060 FAISON & FAISON A PROFESSION 2021 PHP RENDERING AGE 0-20 1 2 0 0 1 1 1 1
1154330017 PHAN CHAU M 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1154330017 PHAN CHAU M 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1154330017 PHAN CHAU M 2021 GMC RENDERING AGE 0-20 1,437 10,480 964 2,412 832 1,908 990 1,089
1154330017 PHAN CHAU M 2021 GMC RENDERING AGE 21+ 1,154 6,427 255 508 799 2,086 546 548
1154333672 YU WALDEN Y 2021 FFS RENDERING AGE 0-20 473 6,799 466 2,175 348 1,521 460 766
1154333672 YU WALDEN Y 2021 FFS RENDERING AGE 21+ 59 650 33 63 46 227 49 49
1154334530 WOLKSTEIN PHILIP 2021 FFS RENDERING AGE 0-20 116 887 116 338 53 264 109 158
1154334530 WOLKSTEIN PHILIP 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1154335859 ANTOLIN RITA M 2021 FFS RENDERING AGE 0-20 122 827 118 299 35 115 101 129
1154335859 ANTOLIN RITA M 2021 FFS RENDERING AGE 21+ 115 719 89 130 60 203 92 92
1154355741 PAVLOV NIKOLAI P 2021 FFS RENDERING AGE 0-20 52 287 29 77 34 75 32 32
1154355741 PAVLOV NIKOLAI P 2021 FFS RENDERING AGE 21+ 158 659 41 81 125 338 71 71
1154392769 DANG, THERESA HANH, DDS 2021 FFS RENDERING AGE 0-20 418 4,909 389 1,414 314 1,096 383 536
1154392769 DANG, THERESA HANH, DDS 2021 FFS RENDERING AGE 21+ 135 984 98 107 103 373 101 101
1154410256 SARRAF KEIVAN 2021 FFS RENDERING AGE 0-20 212 571 1 1 114 339 1 1
1154410256 SARRAF KEIVAN 2021 FFS RENDERING AGE 21+ 17 34 0 0 1 2 1 1
1154410256 SARRAF KEIVAN 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 1 1
1154410256 SARRAF KEIVAN 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1154415016 SHEN CHING-MING 2021 FFS RENDERING AGE 0-20 119 886 91 195 30 55 102 105
1154415016 SHEN CHING-MING 2021 FFS RENDERING AGE 21+ 361 1,817 126 236 224 629 241 241
1154418077 HANANIAN JULIET H 2021 FFS RENDERING AGE 0-20 289 5,366 269 931 192 867 267 350
1154418077 HANANIAN JULIET H 2021 FFS RENDERING AGE 21+ 478 5,353 191 369 382 2,100 387 387
1154420677 THOMPSON KARLA G 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1154420941 LIN, LOUIS, DMD 2021 FFS RENDERING AGE 0-20 27 650 24 272 15 148 27 70
1154420941 LIN, LOUIS, DMD 2021 FFS RENDERING AGE 21+ 106 1,792 57 224 85 844 82 164
1154422053 NAZARIAN ARMINE 2021 FFS RENDERING AGE 0-20 37 329 35 128 12 35 35 47
1154422053 NAZARIAN ARMINE 2021 FFS RENDERING AGE 21+ 268 1,684 183 330 157 514 207 207
1154432474 HOSN, KOOROSH, DDS 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1154432474 HOSN, KOOROSH, DDS 2021 FFS RENDERING AGE 21+ 90 889 53 53 82 404 24 24
1154434843 HA KY Q 2021 FFS RENDERING AGE 0-20 548 8,565 544 2,315 290 672 540 674
1154434843 HA KY Q 2021 FFS RENDERING AGE 21+ 139 1,273 105 112 106 345 123 123
1154440261 MEYERKOVA, KIRA DDS 2021 FFS RENDERING AGE 0-20 61 476 53 141 15 38 53 58
1154440261 MEYERKOVA, KIRA DDS 2021 FFS RENDERING AGE 21+ 291 2,113 173 458 229 880 181 181
1154440303 DESAI, MADHAVI DDS 2021 FFS RENDERING AGE 0-20 174 1,637 163 599 69 188 171 212
1154440303 DESAI, MADHAVI DDS 2021 FFS RENDERING AGE 21+ 173 729 58 62 83 276 143 143
1154447258 NYKOLAYCHUK IVANNA Y 2021 FFS RENDERING AGE 0-20 1,292 16,129 1,160 4,532 639 1,437 1,148 1,454
1154447258 NYKOLAYCHUK IVANNA Y 2021 FFS RENDERING AGE 21+ 199 1,221 111 223 126 263 116 116
1154447258 NYKOLAYCHUK IVANNA Y 2021 GMC RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1154447258 NYKOLAYCHUK IVANNA Y 2021 PHP RENDERING AGE 0-20 30 367 29 76 16 49 29 34
1154447258 NYKOLAYCHUK IVANNA Y 2021 PHP RENDERING AGE 21+ 31 297 27 58 24 112 28 30
1154450005 BINAFARD, DENTALAND CORP 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 2 1 1
1154450005 BINAFARD, DENTALAND CORP 2021 PHP RENDERING AGE 21+ 15 96 1 1 1 2 14 14
1154462109 VO THACH N 2021 FFS RENDERING AGE 0-20 31 296 24 86 17 40 27 33
1154462109 VO THACH N 2021 FFS RENDERING AGE 21+ 73 514 36 68 57 274 48 48
1154462588 LE ANH K 2021 FFS RENDERING AGE 0-20 110 760 103 169 34 90 107 152
1154462588 LE ANH K 2021 FFS RENDERING AGE 21+ 206 1,212 157 157 104 312 76 76
1154462588 LE, ANH KIM, DDS 2021 FFS RENDERING AGE 0-20 110 760 103 169 34 90 107 152
1154462588 LE, ANH KIM, DDS 2021 FFS RENDERING AGE 21+ 206 1,212 157 157 104 312 76 76
1154466027 DONESA ARLYN HEIDI R 2021 FFS RENDERING AGE 0-20 21 280 21 89 1 2 21 32
1154466027 DONESA ARLYN HEIDI R 2021 FFS RENDERING AGE 21+ 18 105 14 28 1 2 15 15
1154467405 KIM, SUNNY SONG MI, DDS 2021 FFS RENDERING AGE 0-20 27 173 21 54 1 2 23 29
1154467405 KIM, SUNNY SONG MI, DDS 2021 FFS RENDERING AGE 21+ 30 116 14 14 15 48 21 21
1154467439 RIFMAN, ARNOLD, DDS 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1154467439 RIFMAN, ARNOLD, DDS 2021 FFS RENDERING AGE 21+ 108 437 50 64 58 162 87 87
1154467439 RIFMAN, ARNOLD, DDS 2021 PHP RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1154468098 NEERUMALLA MADHAVI 2021 FFS RENDERING AGE 0-20 270 1,437 138 493 35 114 265 284
1154468098 NEERUMALLA MADHAVI 2021 FFS RENDERING AGE 21+ 922 2,402 41 83 25 72 852 852
1154483550 DE LOS RIOS MARTHA E 2021 FFS RENDERING AGE 0-20 740 6,083 508 1,289 384 1,561 502 560
1154483550 DE LOS RIOS MARTHA E 2021 GMC RENDERING AGE 0-20 205 2,192 148 328 178 1,327 39 39
1154486512 ALIKHANIAN VIGEN 2021 FFS RENDERING AGE 0-20 41 188 39 62 1 2 39 59
1154486512 ALIKHANIAN VIGEN 2021 FFS RENDERING AGE 21+ 255 1,110 190 190 146 525 224 224
1154487056 WILLIAMS, WENDY MCINERNEY, R 2021 FFS RENDERING AGE 0-20 59 232 59 154 58 78 0 0
1154487056 WILLIAMS, WENDY MCINERNEY, R 2021 FFS RENDERING AGE 21+ 95 382 95 244 91 138 0 0
1154487650 HOYOS DICK S 2021 FFS RENDERING AGE 0-20 114 889 97 212 51 176 101 116
1154487650 HOYOS DICK S 2021 FFS RENDERING AGE 21+ 303 2,082 124 130 211 885 231 231
1154487924 UPPAL GAGAN 2021 FFS RENDERING AGE 0-20 33 144 26 58 1 2 20 21
1154487924 UPPAL GAGAN 2021 FFS RENDERING AGE 21+ 150 640 68 128 62 149 102 102
1154487924 UPPAL GAGAN 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1154487924 UPPAL GAGAN 2021 PHP RENDERING AGE 21+ 30 139 14 29 14 37 25 27
1154488757 NGUYEN, LONG N, DDS 2021 FFS RENDERING AGE 0-20 60 510 56 176 22 74 55 85
1154488757 NGUYEN, LONG N, DDS 2021 FFS RENDERING AGE 21+ 117 1,347 102 203 83 568 107 107
1154489003 RAVINDRAN, SAVITHRI P, DDS 2021 FFS RENDERING AGE 0-20 17 109 15 44 1 2 17 24
1154489003 RAVINDRAN, SAVITHRI P, DDS 2021 FFS RENDERING AGE 21+ 43 187 32 32 26 71 38 40
1154492379 COHEN, JOHN DDS 2021 FFS RENDERING AGE 0-20 145 1,370 99 241 78 276 120 128
1154492379 COHEN, JOHN DDS 2021 FFS RENDERING AGE 21+ 394 2,904 48 59 254 961 230 234
1154492379 COHEN, JOHN, DDS DENTAL CORP 2021 FFS RENDERING AGE 0-20 145 2,740 99 482 78 552 120 256
1154492379 COHEN, JOHN, DDS DENTAL CORP 2021 FFS RENDERING AGE 21+ 394 5,808 48 118 254 1,922 230 468
1154494201 SHAMSA RASHEL 2021 FFS RENDERING AGE 0-20 1 1 1 1 1 1 1 1
1154494201 SHAMSA RASHEL 2021 PHP RENDERING AGE 0-20 101 586 86 241 85 138 52 55
1154494201 SHAMSA RASHEL 2021 PHP RENDERING AGE 21+ 48 177 12 32 33 58 11 12
1154496768 LY HOA X 2021 FFS RENDERING AGE 0-20 25 68 0 0 25 54 0 0
1154496768 LY HOA X 2021 FFS RENDERING AGE 21+ 220 611 0 0 220 475 1 1
1154497246 KHODADAD BEHNAZ 2021 FFS RENDERING AGE 0-20 65 693 62 216 35 164 62 72
1154497246 KHODADAD BEHNAZ 2021 FFS RENDERING AGE 21+ 111 1,033 48 93 90 555 82 82
1154499291 KIM JAMES S 2021 FFS RENDERING AGE 0-20 772 11,343 715 2,947 522 1,443 744 1,013
1154499291 KIM JAMES S 2021 FFS RENDERING AGE 21+ 522 3,362 174 356 380 1,200 365 365
1154499473 TAN DEBBIE C 2021 FFS RENDERING AGE 0-20 211 1,906 200 587 89 228 207 258
1154499473 TAN DEBBIE C 2021 FFS RENDERING AGE 21+ 251 1,640 166 167 192 671 210 210
1154499564 TRAN JUSTIN D 2021 FFS RENDERING AGE 0-20 59 621 58 280 15 38 56 81
1154499564 TRAN JUSTIN D 2021 FFS RENDERING AGE 21+ 99 556 60 116 54 195 85 85
1154504140 DERKEJIAN ARA A 2021 FFS RENDERING AGE 0-20 435 2,614 281 1,049 156 364 352 382
1154504140 DERKEJIAN ARA A 2021 FFS RENDERING AGE 21+ 855 2,744 227 431 402 788 523 523
1154513455 SUAREZ ZAIDA E 2021 FFS RENDERING AGE 0-20 127 815 82 224 89 181 82 91
1154513455 SUAREZ ZAIDA E 2021 FFS RENDERING AGE 21+ 236 1,051 50 98 182 481 93 93
1154513455 SUAREZ ZAIDA E 2021 PHP RENDERING AGE 0-20 196 1,334 125 494 108 187 121 134
1154513455 SUAREZ ZAIDA E 2021 PHP RENDERING AGE 21+ 174 690 65 113 135 302 53 54
1154514537 MOORHOUSE RICHARD FRANCIS 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1154514537 MOORHOUSE RICHARD FRANCIS 2021 GMC RENDERING AGE 0-20 111 556 0 0 100 514 24 24
1154514537 MOORHOUSE RICHARD FRANCIS 2021 GMC RENDERING AGE 21+ 526 2,800 0 0 349 2,094 447 447
1154521391 HERRERA LUIS A 2021 FFS RENDERING AGE 0-20 74 460 52 63 24 52 52 59
1154521391 HERRERA LUIS A 2021 FFS RENDERING AGE 21+ 142 707 15 15 65 186 98 98
1154521391 HERRERA LUIS A 2021 PHP RENDERING AGE 0-20 43 259 41 57 1 2 43 52
1154529659 ROSEN EDWARD L 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1154529659 ROSEN EDWARD L 2021 PHP RENDERING AGE 0-20 60 262 1 1 18 35 30 31
1154529659 ROSEN EDWARD L 2021 PHP RENDERING AGE 21+ 329 1,642 35 44 123 474 176 181
1154533180 AZAD KOUSHAN H 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1154533180 AZAD KOUSHAN H 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1154541738 GHALCHI OJAN 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 2 1 1
1154541738 GHALCHI OJAN 2021 FFS RENDERING AGE 21+ 69 433 21 41 50 170 43 43
1154546075 PEPPARD, JEFF DENNIS DDS 2021 FFS RENDERING AGE 0-20 847 12,640 838 3,793 333 893 841 1,256
1154546075 PEPPARD, JEFF DENNIS DDS 2021 FFS RENDERING AGE 21+ 327 3,114 289 565 237 797 298 298
1154549012 KOLAHI AZIN H 2021 FFS RENDERING AGE 0-20 72 1,355 67 213 46 393 63 91
1154549012 KOLAHI AZIN H 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1154553378 CHIANG, KRISTI ANNE DDS 2021 FFS RENDERING AGE 0-20 31 314 28 117 14 33 30 42
1154553378 CHIANG, KRISTI ANNE DDS 2021 FFS RENDERING AGE 21+ 99 676 85 166 54 172 86 86
1154562338 SAGE PARHAM M 2021 FFS RENDERING AGE 0-20 155 1,308 103 337 95 207 113 115
1154562338 SAGE PARHAM M 2021 FFS RENDERING AGE 21+ 433 2,683 188 379 267 714 242 242
1154568111 PIMPLE ARCHANA S 2021 FFS RENDERING AGE 0-20 31 213 27 60 20 50 25 28
1154568111 PIMPLE ARCHANA S 2021 FFS RENDERING AGE 21+ 76 478 36 36 61 226 48 48
1154569077 KELLA GUNJAN P 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1154569077 KELLA GUNJAN P 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 2 0 0
1154570471 BAL HARSIMRAT K 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1154572535 HIDALGO ELIZABETH 2021 FFS RENDERING AGE 0-20 912 5,980 804 3,092 409 698 558 578
1154572535 HIDALGO ELIZABETH 2021 FFS RENDERING AGE 21+ 847 3,123 188 348 497 1,632 212 212
1154576619 VERDI SAHAR 2021 PHP RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1154577492 RATTU ROHINI T 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1154577492 RATTU ROHINI T 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1154577492 RATTU ROHINI T 2021 GMC RENDERING AGE 0-20 854 8,174 306 768 847 4,937 1 1
1154582518 DANESH JOSEPH 2021 FFS RENDERING AGE 0-20 506 2,623 0 0 345 1,895 357 357
1154582518 DANESH JOSEPH 2021 FFS RENDERING AGE 21+ 700 3,070 0 0 362 1,918 569 569
1154590180 HE HONG 2021 FFS RENDERING AGE 0-20 84 748 81 425 18 47 83 98
1154590180 HE HONG 2021 FFS RENDERING AGE 21+ 147 865 130 256 21 52 142 144
1154591410 KIM DAVID S 2021 FFS RENDERING AGE 0-20 23 115 18 35 1 2 19 19
1154591410 KIM DAVID S 2021 FFS RENDERING AGE 21+ 90 248 16 28 13 46 60 60
1154591410 KIM DAVID S 2021 PHP RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1154599108 TOCUSEANU MATEI T 2021 FFS RENDERING AGE 0-20 32 576 32 184 30 182 31 39
1154599108 TOCUSEANU MATEI T 2021 FFS RENDERING AGE 21+ 99 1,983 55 107 92 1,296 68 72
1154609808 HAYRAPETIAN ARIN 2021 FFS RENDERING AGE 0-20 82 631 76 320 11 15 77 88
1154609808 HAYRAPETIAN ARIN 2021 FFS RENDERING AGE 21+ 212 1,007 115 228 88 251 166 166
1154610921 AMERI AIDA 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1154610921 AMERI AIDA 2021 GMC RENDERING AGE 0-20 577 2,713 0 0 537 2,521 0 0
1154610921 AMERI AIDA 2021 GMC RENDERING AGE 21+ 11 20 0 0 11 19 1 1
1154610921 AMERI AIDA 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1154614766 WU SHING K 2021 FFS RENDERING AGE 0-20 30 170 25 50 1 2 25 25
1154614766 WU SHING K 2021 FFS RENDERING AGE 21+ 67 367 41 82 35 84 41 41
1154619021 MOSCOSO MARTINEZ SANTIAGO FABIAN 2021 GMC RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1154619211 GROSLAND JEFFREY OLI 2021 GMC RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1154624179 PATEL KUSH H 2021 FFS RENDERING AGE 0-20 34 324 33 112 12 50 29 30
1154624179 PATEL KUSH H 2021 FFS RENDERING AGE 21+ 50 337 37 74 31 92 42 42
1154629566 SOTOMIL ELIZABETH M 2021 FFS RENDERING AGE 0-20 70 425 34 104 46 144 53 55
1154629566 SOTOMIL ELIZABETH M 2021 FFS RENDERING AGE 21+ 142 708 36 63 104 362 84 84
1154649366 KIM JOHN Y 2021 FFS RENDERING AGE 0-20 168 973 0 0 168 963 0 0
1154649366 KIM JOHN Y 2021 FFS RENDERING AGE 21+ 274 1,466 0 0 271 1,444 0 0
1154649366 KIM JOHN Y 2021 PHP RENDERING AGE 0-20 1 2 0 0 1 2 0 0
1154649366 KIM JOHN Y 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1154665289 LAI RICHARD B 2021 FFS RENDERING AGE 0-20 41 234 32 79 1 2 36 37
1154665289 LAI RICHARD B 2021 FFS RENDERING AGE 21+ 35 160 22 43 13 29 29 29
1154665388 LEE NATALIA E 2021 FFS RENDERING AGE 0-20 51 574 44 167 32 118 46 58
1154665388 LEE NATALIA E 2021 FFS RENDERING AGE 21+ 221 2,446 188 376 158 1,000 204 206
1154678738 KABAKLIAN JOSEPH H 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1154678738 KABAKLIAN JOSEPH H 2021 PHP RENDERING AGE 0-20 1 1 1 1 1 1 0 0
1154678738 KABAKLIAN JOSEPH H 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1154688901 WONG JUSTIN 2021 GMC RENDERING AGE 0-20 1 1 1 1 1 1 1 1
1154688901 WONG JUSTIN 2021 GMC RENDERING AGE 21+ 23 42 12 13 1 1 19 19
1154690196 MOSTAFA SHERIN M 2021 FFS RENDERING AGE 0-20 58 408 43 119 30 153 57 58
1154690196 MOSTAFA SHERIN M 2021 FFS RENDERING AGE 21+ 157 1,196 58 116 103 667 141 141
1154699585 TAM ANNA Y 2021 FFS RENDERING AGE 0-20 24 121 1 2 16 25 1 1
1154699585 TAM ANNA Y 2021 FFS RENDERING AGE 21+ 123 610 1 2 96 205 45 45
1154699726 APARECE ARVIN R 2021 GMC RENDERING AGE 0-20 1 1 0 0 1 1 1 1
1154699726 APARECE ARVIN R 2021 GMC RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1154700300 VALMANA ESTHER 2021 FFS RENDERING AGE 0-20 85 972 67 182 41 116 76 84
1154700300 VALMANA ESTHER 2021 FFS RENDERING AGE 21+ 396 3,231 128 128 284 1,021 266 266
1154700300 VALMANA ESTHER 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1154717577 MILLER, MICHELLE JEAN, RDHAP 2021 FFS RENDERING AGE 0-20 33 157 33 114 0 0 0 0
1154717577 MILLER, MICHELLE JEAN, RDHAP 2021 FFS RENDERING AGE 21+ 31 84 27 54 0 0 0 0
1154724649 BOWENS MICHELLE J 2021 FFS RENDERING AGE 0-20 135 1,946 121 449 81 262 121 154
1154724649 BOWENS MICHELLE J 2021 FFS RENDERING AGE 21+ 412 4,192 262 516 291 1,486 331 331
1154726321 CHOI JAEYONG 2021 FFS RENDERING AGE 0-20 497 2,974 381 882 201 617 377 432
1154726321 CHOI JAEYONG 2021 FFS RENDERING AGE 21+ 657 2,509 234 440 248 778 447 454
1154727931 JEON HYEJIN 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1154730349 AMIRANI ZAHRA M 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1154730349 AMIRANI ZAHRA M 2021 FFS RENDERING AGE 21+ 59 696 32 60 59 391 40 40
1154730349 AMIRANI ZAHRA M 2021 PHP RENDERING AGE 0-20 12 125 1 2 1 2 11 16
1154730349 AMIRANI ZAHRA M 2021 PHP RENDERING AGE 21+ 38 485 26 88 36 274 27 29
1154736072 SYCHRAVA MICHAEL 2021 FFS RENDERING AGE 0-20 1 2 1 1 0 0 1 1
1154736072 SYCHRAVA MICHAEL 2021 FFS RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1154737047 HELAL SHEHAB O 2021 FFS RENDERING AGE 0-20 351 714 0 0 171 410 0 0
1154737047 HELAL SHEHAB O 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1154737047 HELAL SHEHAB O 2021 GMC RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1154737047 HELAL SHEHAB O 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1154753747 ISMAIL AFFAF S 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1154812709 DEMISSIE DAVID B 2021 FFS RENDERING AGE 0-20 30 118 21 48 1 2 19 21
1154812709 DEMISSIE DAVID B 2021 FFS RENDERING AGE 21+ 82 394 51 102 47 95 53 53
1154838746 ISKAROUS MONIQUE 2021 PHP RENDERING AGE 0-20 1 2 1 2 1 2 1 1
1154838746 ISKAROUS MONIQUE 2021 PHP RENDERING AGE 21+ 1 2 0 0 1 2 1 1
1154844702 BOBACK BERNARD 2021 FFS RENDERING AGE 0-20 66 93 0 0 1 2 0 0
1154845345 FARGO BASHAR W 2021 FFS RENDERING AGE 0-20 45 244 18 38 14 41 41 42
1154845345 FARGO BASHAR W 2021 FFS RENDERING AGE 21+ 252 989 1 1 102 382 195 195
1154858082 GARCIA JENNY A 2021 FFS RENDERING AGE 0-20 648 2,713 480 1,134 268 964 484 524
1154858082 GARCIA JENNY A 2021 PHP RENDERING AGE 0-20 12 118 1 2 11 31 1 1
1154860716 DOWDY REGINA A 2021 FFS RENDERING AGE 0-20 328 1,172 0 0 328 1,172 0 0
1154871200 CHUNG RONALD L 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1154886398 MOHAMMED SHWAN R 2021 FFS RENDERING AGE 0-20 442 1,890 228 626 113 229 290 297
1154886398 MOHAMMED SHWAN R 2021 FFS RENDERING AGE 21+ 588 2,070 162 308 298 771 327 327
1154886398 MOHAMMED SHWAN R 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1154928208 KIM HYUN W 2021 FFS RENDERING AGE 0-20 37 179 30 83 12 29 32 33
1154928208 KIM HYUN W 2021 FFS RENDERING AGE 21+ 94 514 35 67 65 273 61 61
1154949097 BATH KARANJOT S 2021 FFS RENDERING AGE 0-20 2,264 28,423 1,988 6,512 1,560 3,895 2,036 2,264
1154949097 BATH KARANJOT S 2021 FFS RENDERING AGE 21+ 1 2 1 1 0 0 1 1
1154949097 BATH KARANJOT S 2021 GMC RENDERING AGE 0-20 1,994 8,116 1,994 2,030 1,994 2,029 0 0
1154949097 BATH KARANJOT S 2021 GMC RENDERING AGE 21+ 1 2 1 1 1 1 0 0
1154949097 BATH KARANJOT S 2021 PHP RENDERING AGE 0-20 462 1,868 462 467 462 467 0 0
1154949097 BATH KARANJOT S 2021 PHP RENDERING AGE 21+ 1 1 1 1 1 1 0 0
1154960698 HASSAN, HESHAM M, DDS INC 2021 PHP RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1154960698 HASSAN, HESHAM M, DDS INC 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1164037958 VUONG EDWARD 2021 FFS RENDERING AGE 0-20 61 363 46 91 14 35 47 47
1164037958 VUONG EDWARD 2021 FFS RENDERING AGE 21+ 131 739 54 102 55 128 78 78
1164055851 QIU HENRY 2021 FFS RENDERING AGE 0-20 299 2,299 203 571 128 217 228 228
1164055851 QIU HENRY 2021 FFS RENDERING AGE 21+ 361 2,051 163 326 214 439 189 189
1164060737 SALIBA ABJAR 2021 FFS RENDERING AGE 0-20 45 306 26 54 19 26 29 29
1164060737 SALIBA ABJAR 2021 FFS RENDERING AGE 21+ 43 143 1 1 26 46 13 13
1164078242 JAVAN NIMA N 2021 FFS RENDERING AGE 0-20 5,006 43,492 3,811 11,555 2,763 7,409 3,652 3,701
1164078242 JAVAN NIMA N 2021 FFS RENDERING AGE 21+ 1 2 1 1 0 0 1 1
1164081659 SHIMIZU CHRISTOPHER M 2021 FFS RENDERING AGE 0-20 41 326 36 89 16 22 35 35
1164081659 SHIMIZU CHRISTOPHER M 2021 FFS RENDERING AGE 21+ 43 176 11 21 34 82 12 12
1164089728 HIRPARA KOMAL J 2021 FFS RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1164089728 HIRPARA KOMAL J 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1164094793 ARREGUIN ELIZABETH 2021 FFS RENDERING AGE 0-20 1,036 8,122 680 1,685 530 1,402 660 662
1164095360 RIJAL TSHRISTI 2021 FFS RENDERING AGE 0-20 185 821 111 246 124 278 46 48
1164095360 RIJAL TSHRISTI 2021 FFS RENDERING AGE 21+ 240 832 52 101 185 473 52 52
1164197547 KAWATA ALLISON N 2021 FFS RENDERING AGE 0-20 97 420 85 171 1 1 91 91
1164197547 KAWATA ALLISON N 2021 PHP RENDERING AGE 0-20 1 1 1 1 1 1 1 1
1164402756 CASTELLANOS MARIO J 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1164429916 CHAM JIMMY CHI F 2021 FFS RENDERING AGE 0-20 128 909 111 347 48 117 113 158
1164429916 CHAM JIMMY CHI F 2021 FFS RENDERING AGE 21+ 788 4,988 480 959 559 1,707 546 546
1164435558 HERNANDEZ, ANA, DDS 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1164435558 HERNANDEZ, ANA, DDS 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1164456513 GILLIN, SCOTT A MD 2021 FFS RENDERING AGE 0-20 732 2,703 1 1 727 2,685 1 1
1164456513 GILLIN, SCOTT A MD 2021 FFS RENDERING AGE 21+ 14 47 0 0 14 47 0 0
1164462263 AHN JAMES D 2021 FFS RENDERING AGE 0-20 421 2,751 392 1,102 141 330 405 441
1164462263 AHN JAMES D 2021 FFS RENDERING AGE 21+ 624 3,118 397 402 417 1,220 441 443
1164462263 AHN JAMES D 2021 PHP RENDERING AGE 0-20 95 598 90 127 23 84 91 111
1164462263 AHN JAMES D 2021 PHP RENDERING AGE 21+ 34 219 29 57 17 45 25 25
1164466132 CHEN, FRANK DDS 2021 FFS RENDERING AGE 0-20 833 10,487 807 3,279 341 840 823 1,229
1164466132 CHEN, FRANK DDS 2021 FFS RENDERING AGE 21+ 537 3,709 450 899 308 966 473 473
1164491916 JAHANGIRI HAGHIGHI, NASRIN 2021 FFS RENDERING AGE 0-20 187 1,299 156 459 84 240 150 154
1164491916 JAHANGIRI HAGHIGHI, NASRIN 2021 FFS RENDERING AGE 21+ 168 1,210 98 194 122 437 119 119
1164510103 SISON JAY 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1164514634 GRANADA, BELINDA DDS 2021 FFS RENDERING AGE 0-20 121 1,172 106 235 63 210 112 136
1164514634 GRANADA, BELINDA DDS 2021 FFS RENDERING AGE 21+ 374 3,105 202 204 272 977 276 276
1164514634 GRANADA, BELINDA DDS 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1164514634 GRANADA, BELINDA S, DDS 2021 FFS RENDERING AGE 0-20 121 1,172 106 235 63 210 112 136
1164514634 GRANADA, BELINDA S, DDS 2021 FFS RENDERING AGE 21+ 374 3,105 202 204 272 977 276 276
1164514634 GRANADA, BELINDA S, DDS 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1164514758 HEMMATI, AMIR 2021 FFS RENDERING AGE 0-20 420 1,822 206 496 188 441 290 302
1164514758 HEMMATI, AMIR 2021 FFS RENDERING AGE 21+ 550 1,809 18 26 354 1,018 266 272
1164514758 HEMMATI, AMIR 2021 PHP RENDERING AGE 0-20 58 183 39 89 17 33 45 46
1164514758 HEMMATI, AMIR 2021 PHP RENDERING AGE 21+ 57 103 1 1 26 54 33 33
1164520227 MIZUNO DEAN Y 2021 FFS RENDERING AGE 21+ 1,776 8,330 997 2,958 1,774 3,912 1,385 1,385
1164520821 NGUYEN TOAN D 2021 FFS RENDERING AGE 0-20 107 533 97 187 36 80 94 105
1164520821 NGUYEN TOAN D 2021 FFS RENDERING AGE 21+ 372 1,533 245 245 197 507 266 266
1164523114 CAMARGO PAULO MUNDIM 2021 PHP RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1164524872 JANG AMY 2021 FFS RENDERING AGE 21+ 20 69 0 0 20 69 0 0
1164528113 LIN YI-LING 2021 FFS RENDERING AGE 0-20 61 76 0 0 1 1 0 0
1164528113 LIN YI-LING 2021 FFS RENDERING AGE 21+ 114 140 0 0 1 1 0 0
1164533261 JEBRINI, NIHAD, DDS 2021 FFS RENDERING AGE 0-20 351 2,090 218 421 182 722 327 417
1164533261 JEBRINI, NIHAD, DDS 2021 FFS RENDERING AGE 21+ 726 3,895 245 245 453 2,125 571 571
1164545042 CAO JIAN 2021 FFS RENDERING AGE 0-20 1 1 0 0 0 0 1 1
1164545729 GOFF YVONNE 2021 FFS RENDERING AGE 0-20 14 100 1 1 1 2 11 11
1164545729 GOFF YVONNE 2021 FFS RENDERING AGE 21+ 93 489 11 11 71 192 37 37
1164545729 GOFF YVONNE 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1164552246 PARK JIN H 2021 FFS RENDERING AGE 0-20 107 911 95 294 61 228 100 111
1164552246 PARK JIN H 2021 FFS RENDERING AGE 21+ 333 2,372 252 252 244 955 281 281
1164552402 DOSHI TUSHAR P 2021 FFS RENDERING AGE 0-20 90 1,137 72 190 61 182 76 91
1164552402 DOSHI TUSHAR P 2021 FFS RENDERING AGE 21+ 155 1,204 77 104 108 364 111 111
1164560322 ZAKI, SAMUEL M, DDS 2021 FFS RENDERING AGE 0-20 53 672 44 182 29 224 47 102
1164560322 ZAKI, SAMUEL M, DDS 2021 FFS RENDERING AGE 21+ 219 3,618 135 270 176 2,362 171 342
1164563755 LIM CHRISTOPHER M 2021 FFS RENDERING AGE 0-20 83 1,040 57 133 75 823 55 57
1164563755 LIM CHRISTOPHER M 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1164568093 BAYDIAN, BELLA, DDS 2021 FFS RENDERING AGE 0-20 47 383 43 138 26 91 45 67
1164568093 BAYDIAN, BELLA, DDS 2021 FFS RENDERING AGE 21+ 273 2,038 195 384 192 737 211 211
1164569828 ZABIHI, FARZIN 2021 FFS RENDERING AGE 0-20 385 3,553 242 863 175 451 335 385
1164569828 ZABIHI, FARZIN 2021 FFS RENDERING AGE 21+ 780 3,870 125 244 472 1,332 573 574
1164569950 BUAN MARIE YVETTE M 2021 FFS RENDERING AGE 0-20 13 57 12 20 1 1 1 1
1164569950 BUAN MARIE YVETTE M 2021 FFS RENDERING AGE 21+ 1 1 1 1 1 1 0 0
1164572939 ROEDER GLENN S 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1164572939 ROEDER GLENN S 2021 PHP RENDERING AGE 21+ 1 2 0 0 1 1 1 1
1164573879 HERRERA LISE 2021 FFS RENDERING AGE 21+ 14 27 1 1 1 1 1 1
1164574109 ARIAS OSCAR R 2021 FFS RENDERING AGE 0-20 926 7,683 624 1,367 339 835 777 837
1164574109 ARIAS OSCAR R 2021 FFS RENDERING AGE 21+ 1,151 7,707 365 508 796 2,499 798 798
1164574729 BAUER, PETER J, DDS 2021 FFS RENDERING AGE 0-20 233 453 0 0 43 150 0 0
1164578639 ALEXANDRIAN NAREG 2021 FFS RENDERING AGE 0-20 123 184 0 0 22 63 0 0
1164578639 ALEXANDRIAN NAREG 2021 PHP RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1164579371 LUU, LOAN MINH, DDS 2021 FFS RENDERING AGE 0-20 66 591 66 261 22 58 61 87
1164579371 LUU, LOAN MINH, DDS 2021 FFS RENDERING AGE 21+ 191 1,459 148 292 141 579 145 145
1164579835 LUI RITA 2021 FFS RENDERING AGE 0-20 130 884 91 288 54 104 108 120
1164579835 LUI RITA 2021 FFS RENDERING AGE 21+ 129 493 18 32 62 171 92 92
1164579835 LUI RITA 2021 PHP RENDERING AGE 0-20 140 718 95 309 43 94 117 130
1164579835 LUI RITA 2021 PHP RENDERING AGE 21+ 131 373 29 33 69 184 87 88
1164581260 JIN, HANGQING, DDS 2021 FFS RENDERING AGE 0-20 209 885 91 262 122 303 85 85
1164581260 JIN, HANGQING, DDS 2021 FFS RENDERING AGE 21+ 479 1,302 53 100 331 779 131 131
1164581658 KIM, MI HYE, DDS 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1164581658 KIM, MI HYE, DDS 2021 FFS RENDERING AGE 21+ 125 678 92 92 76 315 50 50
1164582813 GARCIA OSVALDO R 2021 FFS RENDERING AGE 0-20 113 925 76 211 50 111 102 113
1164582813 GARCIA OSVALDO R 2021 FFS RENDERING AGE 21+ 347 2,202 107 107 272 910 120 120
1164588455 SALACUP, THOMAS GALAPON DMD 2021 FFS RENDERING AGE 0-20 70 802 66 236 29 90 66 89
1164588455 SALACUP, THOMAS GALAPON DMD 2021 FFS RENDERING AGE 21+ 147 941 92 187 74 212 121 121
1164602538 SISODIA MANISHA 2021 FFS RENDERING AGE 0-20 87 108 0 0 46 54 0 0
1164602538 SISODIA MANISHA 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1164611471 TUASON CYNTHIA C 2021 FFS RENDERING AGE 0-20 88 1,033 83 257 47 226 82 113
1164611471 TUASON CYNTHIA C 2021 FFS RENDERING AGE 21+ 208 2,189 159 310 148 810 175 175
1164618054 ONYEADOR LINDA C 2021 FFS RENDERING AGE 0-20 169 2,690 140 531 117 469 143 187
1164618054 ONYEADOR LINDA C 2021 FFS RENDERING AGE 21+ 107 1,197 11 22 91 526 69 69
1164618724 KWON CHANG H 2021 FFS RENDERING AGE 0-20 225 1,944 196 631 76 212 180 199
1164618724 KWON CHANG H 2021 FFS RENDERING AGE 21+ 184 1,058 82 116 99 273 122 122
1164620597 DAVIS GARY S 2021 FFS RENDERING AGE 0-20 1,421 11,517 1,093 3,066 903 3,805 881 954
1164620597 DAVIS GARY S 2021 FFS RENDERING AGE 21+ 41 120 1 2 20 62 1 1
1164625075 CARRACEDO ERWIN T 2021 FFS RENDERING AGE 0-20 32 404 26 62 19 112 29 33
1164625075 CARRACEDO ERWIN T 2021 FFS RENDERING AGE 21+ 50 468 29 58 27 116 37 37
1164629705 NGO CHAU T 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1164629705 NGO CHAU T 2021 FFS RENDERING AGE 21+ 1 1 1 1 1 1 0 0
1164629705 NGO CHAU T 2021 PHP RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1164629705 NGO CHAU T 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 2 0 0
1164636270 ALONZO, OTTO RAUL DDS 2021 FFS RENDERING AGE 0-20 373 6,306 366 1,664 216 651 364 540
1164636270 ALONZO, OTTO RAUL DDS 2021 FFS RENDERING AGE 21+ 436 4,133 362 727 290 1,243 386 386
1164646469 SHIRVAN, ALLAHYAR DDS 2021 FFS RENDERING AGE 0-20 74 1,229 71 272 34 93 69 102
1164646469 SHIRVAN, ALLAHYAR DDS 2021 FFS RENDERING AGE 21+ 199 2,071 129 129 148 696 128 128
1164646618 FARID PAKRAVAN DENTAL CORPOR 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1164646618 FARID PAKRAVAN DENTAL CORPOR 2021 PHP RENDERING AGE 21+ 1 2 0 0 1 1 1 1
1164647327 NERWINSKI JOHN A 2021 GMC RENDERING AGE 0-20 1 2 0 0 1 1 0 0
1164647327 NERWINSKI JOHN A 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1164649810 KONO-FLORES, THOMAS C, DDS 2021 FFS RENDERING AGE 0-20 46 740 45 160 21 48 42 63
1164649810 KONO-FLORES, THOMAS C, DDS 2021 FFS RENDERING AGE 21+ 32 261 23 40 21 42 24 24
1164652053 SANGSURASAK CHANCHAI 2021 FFS RENDERING AGE 0-20 260 2,115 242 844 105 335 250 310
1164652053 SANGSURASAK CHANCHAI 2021 FFS RENDERING AGE 21+ 526 4,510 311 618 448 2,530 389 389
1164656906 GABOR DAVID S 2021 GMC RENDERING AGE 0-20 13 56 1 2 1 2 1 1
1164656906 GABOR DAVID S 2021 GMC RENDERING AGE 21+ 52 180 1 1 19 53 43 43
1164657425 LIM, CHING LAN DMD 2021 FFS RENDERING AGE 0-20 244 2,241 231 750 151 508 237 283
1164657425 LIM, CHING LAN DMD 2021 FFS RENDERING AGE 21+ 458 3,652 323 637 326 1,563 378 379
1164659272 HERMOSILLO, ELIZABETH F, RDH 2021 FFS RENDERING AGE 0-20 41 258 41 146 41 112 0 0
1164659272 HERMOSILLO, ELIZABETH F, RDH 2021 FFS RENDERING AGE 21+ 14 58 12 33 14 25 0 0
1164660379 GALLEGO, DORA E, DDS 2021 FFS RENDERING AGE 0-20 60 426 57 182 21 74 47 53
1164660379 GALLEGO, DORA E, DDS 2021 FFS RENDERING AGE 21+ 149 1,168 115 271 103 457 120 121
1164660833 HUNG WEILING 2021 FFS RENDERING AGE 0-20 1,853 14,614 1,513 4,286 1,077 2,669 1,416 1,586
1164660833 HUNG WEILING 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1164660833 HUNG WEILING 2021 PHP RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1164662789 PHAN QUY-PHUNG T 2021 FFS RENDERING AGE 0-20 219 2,226 162 466 68 202 173 214
1164662789 PHAN QUY-PHUNG T 2021 FFS RENDERING AGE 21+ 313 1,776 96 142 202 629 166 166
1164662789 PHAN QUY-PHUNG T 2021 PHP RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1164662789 PHAN QUY-PHUNG T 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1164669123 MARQUEZ GUADALUPE 2021 FFS RENDERING AGE 0-20 259 3,030 231 680 91 274 238 330
1164669123 MARQUEZ GUADALUPE 2021 FFS RENDERING AGE 21+ 368 2,505 250 342 188 791 326 326
1164674859 IMOTO CARRIE A 2021 FFS RENDERING AGE 0-20 446 970 0 0 249 570 0 0
1164675971 SILVA ARTURO N 2021 FFS RENDERING AGE 0-20 1,021 7,238 678 1,441 390 832 726 745
1164675971 SILVA ARTURO N 2021 FFS RENDERING AGE 21+ 989 4,568 283 568 500 1,031 582 584
1164677142 KOTHANDAPANI REVATHI 2021 FFS RENDERING AGE 0-20 1,722 10,559 1,052 2,201 836 1,374 1,039 1,065
1164677142 KOTHANDAPANI REVATHI 2021 FFS RENDERING AGE 21+ 39 202 22 38 16 23 21 21
1164679379 NGHIEM TAN T 2021 FFS RENDERING AGE 0-20 571 3,846 270 769 334 1,101 450 534
1164679379 NGHIEM TAN T 2021 FFS RENDERING AGE 21+ 2,831 16,846 372 563 1,739 7,539 2,099 2,106
1164679379 NGHIEM TAN T 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1164685723 ZAMORA BLANCA E 2021 FFS RENDERING AGE 0-20 43 173 20 50 17 23 25 26
1164685723 ZAMORA BLANCA E 2021 FFS RENDERING AGE 21+ 67 222 12 23 39 71 30 30
1164688396 SANDHU SHABAZ 2021 FFS RENDERING AGE 0-20 665 4,448 0 0 579 4,009 219 219
1164688396 SANDHU SHABAZ 2021 FFS RENDERING AGE 21+ 523 3,356 0 0 371 2,894 234 234
1164692836 ROJAS SOTO JENNIFFER 2021 FFS RENDERING AGE 0-20 112 150 0 0 18 32 0 0
1164692836 ROJAS SOTO JENNIFFER 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1164692836 ROJAS SOTO JENNIFFER 2021 PHP RENDERING AGE 0-20 23 61 0 0 21 51 0 0
1164692836 ROJAS SOTO JENNIFFER 2021 PHP RENDERING AGE 21+ 1 2 0 0 1 1 0 0
1164703559 OVSEPIAN NAREK 2021 FFS RENDERING AGE 0-20 42 122 1 2 25 60 16 16
1164703559 OVSEPIAN NAREK 2021 FFS RENDERING AGE 21+ 207 628 17 17 136 362 81 81
1164703559 OVSEPIAN NAREK 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1164703559 OVSEPIAN NAREK 2021 PHP RENDERING AGE 21+ 22 91 1 1 1 2 15 16
1164713889 PERALTA RICARDO A 2021 FFS RENDERING AGE 0-20 79 570 65 218 33 99 68 90
1164713889 PERALTA RICARDO A 2021 FFS RENDERING AGE 21+ 273 1,520 150 255 176 614 189 189
1164719837 SOJITRA PRAKASH K 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 0 0
1164729422 BOOTH MARK T 2021 FFS RENDERING AGE 0-20 103 456 67 97 88 213 65 66
1164729422 BOOTH MARK T 2021 FFS RENDERING AGE 21+ 806 3,684 248 257 722 2,115 470 470
1164729885 SAMOHA SHMUEL 2021 FFS RENDERING AGE 0-20 377 5,406 332 1,103 206 576 315 350
1164729885 SAMOHA SHMUEL 2021 FFS RENDERING AGE 21+ 71 506 1 1 43 77 35 35
1164739801 AHMADI-ARDAKANI AZADEH 2021 FFS RENDERING AGE 0-20 268 2,534 234 809 141 849 205 263
1164746699 LEDESMA MARK CHEVY S 2021 FFS RENDERING AGE 0-20 44 639 40 128 19 72 38 49
1164746699 LEDESMA MARK CHEVY S 2021 FFS RENDERING AGE 21+ 136 1,514 86 158 84 359 95 95
1164749891 PANCHAL NIRMALA U 2021 FFS RENDERING AGE 0-20 131 905 63 179 56 130 95 95
1164749891 PANCHAL NIRMALA U 2021 FFS RENDERING AGE 21+ 147 675 25 46 104 244 68 68
1164751426 FANG MICHELLE MEI C 2021 FFS RENDERING AGE 0-20 979 9,132 853 3,200 724 2,749 824 958
1164751426 FANG MICHELLE MEI C 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 1 1 1
1164767489 COHEN SEDGH MANAVI & PAKRAVA 2021 PHP RENDERING AGE 0-20 92 337 54 155 1 1 1 1
1164767489 COHEN SEDGH MANAVI & PAKRAVA 2021 PHP RENDERING AGE 21+ 98 270 16 32 35 112 16 16
1164767489 COHEN SEDGH, MANAVI & PAKRAVAN DENTAL CORPORATION 2021 PHP RENDERING AGE 0-20 92 337 54 155 1 1 1 1
1164767489 COHEN SEDGH, MANAVI & PAKRAVAN DENTAL CORPORATION 2021 PHP RENDERING AGE 21+ 98 270 16 32 35 112 16 16
1164781662 RIOS LOAIZA JOSE A 2021 FFS RENDERING AGE 0-20 23 118 1 2 20 73 1 1
1164781662 RIOS LOAIZA JOSE A 2021 FFS RENDERING AGE 21+ 15 47 1 1 11 30 1 1
1164800025 DERAKHSHANI MARYAM 2021 FFS RENDERING AGE 0-20 304 1,378 187 390 73 172 279 279
1164800025 DERAKHSHANI MARYAM 2021 FFS RENDERING AGE 21+ 734 2,170 113 208 246 612 491 491
1164804654 AL JUMAILI SAMARA 2021 FFS RENDERING AGE 0-20 203 1,194 153 458 122 423 109 109
1164804654 AL JUMAILI SAMARA 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1164804654 AL JUMAILI SAMARA 2021 GMC RENDERING AGE 0-20 90 574 55 156 62 266 32 33
1164807384 HA CINDY 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1164807384 HA CINDY 2021 GMC RENDERING AGE 0-20 485 2,183 256 838 209 260 187 188
1164807384 HA CINDY 2021 GMC RENDERING AGE 21+ 174 419 22 35 118 165 40 40
1164812749 PAIK, MISUNG, DDS A PROFESSI 2021 PHP RENDERING AGE 0-20 16 59 14 30 1 1 14 14
1164812749 PAIK, MISUNG, DDS A PROFESSI 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1164819025 PINESETT ANDRE J 2021 FFS RENDERING AGE 0-20 410 1,316 1 1 410 1,315 0 0
1164819025 PINESETT ANDRE J 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 2 0 0
1164823365 SHAHROKHI RAD AFSANEH 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1164842373 SONG COREY 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1164848552 BRENNAN HUGHES DMD A PROFESSIONAL COORPORATION 2021 PHP RENDERING AGE 0-20 1 1 0 0 0 0 1 1
1164848552 BRENNAN HUGHES DMD A PROFESSIONAL COORPORATION 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1164848552 HUGHES, BRENNAN, DMD A PROFE 2021 PHP RENDERING AGE 0-20 1 1 0 0 0 0 1 1
1164848552 HUGHES, BRENNAN, DMD A PROFE 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1164863833 KIM ANSONY J 2021 FFS RENDERING AGE 0-20 665 7,483 654 2,747 223 1,210 648 969
1164863833 KIM ANSONY J 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1164865242 CHAN CHRISTOPHER 2021 FFS RENDERING AGE 0-20 80 285 0 0 79 274 1 1
1164865242 CHAN CHRISTOPHER 2021 FFS RENDERING AGE 21+ 187 609 0 0 187 602 1 1
1164865242 CHAN CHRISTOPHER 2021 GMC RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1164865242 CHAN CHRISTOPHER 2021 GMC RENDERING AGE 21+ 14 66 0 0 13 51 13 13
1164865242 CHAN CHRISTOPHER 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1164865242 CHAN CHRISTOPHER 2021 PHP RENDERING AGE 21+ 1 2 0 0 1 2 1 1
1164868063 SHASTRY SHRUTI 2021 FFS RENDERING AGE 0-20 404 513 0 0 40 59 0 0
1164868063 SHASTRY SHRUTI 2021 FFS RENDERING AGE 21+ 19 19 0 0 0 0 0 0
1164868063 SHASTRY SHRUTI 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1164881413 SMITH CORBIN 2021 FFS RENDERING AGE 0-20 1,945 17,730 1,508 3,994 1,158 3,300 1,335 1,465
1164881413 SMITH CORBIN 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1164881926 BALACKY PETER 2021 FFS RENDERING AGE 0-20 19 46 0 0 18 40 1 1
1164881926 BALACKY PETER 2021 FFS RENDERING AGE 21+ 72 169 0 0 65 132 11 11
1164881926 BALACKY PETER 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1164883997 KOROBKIN ISRAEL 2021 FFS RENDERING AGE 0-20 19 85 1 2 19 62 0 0
1164883997 KOROBKIN ISRAEL 2021 FFS RENDERING AGE 21+ 46 131 0 0 46 101 0 0
1164883997 KOROBKIN ISRAEL 2021 PHP RENDERING AGE 0-20 15 73 1 1 14 64 1 1
1164883997 KOROBKIN ISRAEL 2021 PHP RENDERING AGE 21+ 28 52 1 1 28 49 0 0
1164900452 WEBER NATALIA 2021 FFS RENDERING AGE 0-20 18 63 14 26 1 2 12 12
1164900452 WEBER NATALIA 2021 FFS RENDERING AGE 21+ 42 232 14 21 31 164 22 22
1164917092 DAWOOD ANTONIOUS K 2021 FFS RENDERING AGE 0-20 328 2,366 199 563 174 482 234 236
1164917092 DAWOOD ANTONIOUS K 2021 FFS RENDERING AGE 21+ 575 2,540 164 263 313 881 348 348
1164917092 DAWOOD ANTONIOUS K 2021 GMC RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1164917092 DAWOOD ANTONIOUS K 2021 GMC RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1164917092 DAWOOD ANTONIOUS K 2021 PHP RENDERING AGE 0-20 87 271 60 123 23 45 75 75
1164917092 DAWOOD ANTONIOUS K 2021 PHP RENDERING AGE 21+ 188 524 77 103 93 235 112 113
1164937140 KAUL ARJUN 2021 FFS RENDERING AGE 0-20 58 317 23 48 40 80 32 32
1164937140 KAUL ARJUN 2021 FFS RENDERING AGE 21+ 70 218 14 27 47 89 31 31
1164941068 FEDONENKO ANGELA B 2021 FFS RENDERING AGE 0-20 106 953 72 187 44 90 70 73
1164941068 FEDONENKO ANGELA B 2021 FFS RENDERING AGE 21+ 153 785 36 36 93 239 67 67
1164947875 PARKER AMBER D 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1164947875 PARKER AMBER D 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 0 0
1164949111 SHAYESTEH KHORR PEGAH 2021 FFS RENDERING AGE 0-20 1,671 19,845 1,572 4,624 934 3,531 1,590 1,822
1164970505 LEWIS BRANDI E 2021 FFS RENDERING AGE 0-20 701 964 0 0 75 208 0 0
1164970505 LEWIS BRANDI E 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1164970505 LEWIS BRANDI E 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1164979217 KAUR AMANPREET 2021 FFS RENDERING AGE 0-20 396 5,009 326 1,088 274 881 346 418
1164979217 KAUR AMANPREET 2021 FFS RENDERING AGE 21+ 860 5,469 342 600 624 2,817 626 637
1174021158 LEE SEUNG Y 2021 FFS RENDERING AGE 0-20 1,627 29,213 1,516 5,383 1,454 9,337 1,495 1,644
1174021158 LEE SEUNG Y 2021 FFS RENDERING AGE 21+ 195 1,665 129 240 123 615 158 162
1174029326 HUI BRIAN K 2021 FFS RENDERING AGE 0-20 41 235 0 0 41 224 0 0
1174029326 HUI BRIAN K 2021 FFS RENDERING AGE 21+ 69 356 0 0 68 339 0 0
1174031710 MATTAR DENTAL INC 2021 FFS RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1174037212 SHARRAK NOOR A 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1174042287 KAMRANI SAMIR S 2021 FFS RENDERING AGE 0-20 71 113 1 1 65 86 1 1
1174042287 KAMRANI SAMIR S 2021 FFS RENDERING AGE 21+ 159 234 0 0 155 204 1 1
1174045702 ESPARZA BIANCA M 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 2 1 1
1174045702 ESPARZA BIANCA M 2021 FFS RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1174051049 KOROVIN LEV 2021 FFS RENDERING AGE 0-20 111 1,104 63 179 73 283 67 68
1174051049 KOROVIN LEV 2021 FFS RENDERING AGE 21+ 395 2,997 151 303 324 1,362 194 197
1174059950 KIM JUNE H 2021 FFS RENDERING AGE 0-20 31 83 1 1 28 70 1 1
1174059950 KIM JUNE H 2021 FFS RENDERING AGE 21+ 20 66 1 1 18 62 0 0
1174063937 LUAN ALBERT 2021 FFS RENDERING AGE 0-20 313 2,026 144 467 174 419 219 241
1174063937 LUAN ALBERT 2021 FFS RENDERING AGE 21+ 537 2,764 164 326 373 1,132 283 285
1174063937 LUAN ALBERT 2021 PHP RENDERING AGE 21+ 1 2 1 2 1 1 1 1
1174073704 KABIRI AZITA 2021 FFS RENDERING AGE 0-20 73 562 29 72 18 71 67 75
1174073704 KABIRI AZITA 2021 FFS RENDERING AGE 21+ 369 2,321 55 65 126 383 318 318
1174073704 KABIRI AZITA 2021 GMC RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1174078208 NABELSI TASNEEM 2021 FFS RENDERING AGE 0-20 116 1,681 106 440 80 284 109 142
1174078208 NABELSI TASNEEM 2021 FFS RENDERING AGE 21+ 335 3,590 215 412 264 1,724 277 277
1174079370 TRAN NGAN K 2021 FFS RENDERING AGE 0-20 256 3,169 223 787 146 731 236 285
1174079370 TRAN NGAN K 2021 FFS RENDERING AGE 21+ 687 5,910 426 839 470 2,238 510 510
1174094734 ISLAM MOHAMMED S 2021 FFS RENDERING AGE 0-20 87 319 1 1 83 152 21 21
1174094734 ISLAM MOHAMMED S 2021 FFS RENDERING AGE 21+ 327 1,114 1 2 283 554 71 71
1174125124 PARK JUNMOOK 2021 FFS RENDERING AGE 0-20 1,666 16,496 1,319 4,736 1,458 7,317 1,160 1,201
1174125124 PARK JUNMOOK 2021 FFS RENDERING AGE 21+ 240 1,320 13 25 197 915 139 139
1174125124 PARK JUNMOOK 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 2 1 1
1174128052 NGUYEN NGHIA H 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1174131296 HANSEN ALEXANDRA 2021 FFS RENDERING AGE 0-20 330 2,873 286 719 130 270 302 360
1174131296 HANSEN ALEXANDRA 2021 FFS RENDERING AGE 21+ 619 4,319 377 712 253 729 475 475
1174153621 NGUYEN JACQUELINE P 2021 FFS RENDERING AGE 0-20 178 1,040 156 516 52 107 153 153
1174176598 BAEK JOSHUA S 2021 FFS RENDERING AGE 0-20 3,897 36,846 3,029 7,236 1,348 5,221 2,811 3,118
1174176598 BAEK JOSHUA S 2021 FFS RENDERING AGE 21+ 110 919 80 155 77 437 87 87
1174176598 BAEK JOSHUA S 2021 PHP RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1174176598 BAEK JOSHUA S 2021 PHP RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1174179436 VALENCIA BAEZ ALVARO 2021 FFS RENDERING AGE 0-20 53 239 20 48 30 120 26 26
1174179436 VALENCIA BAEZ ALVARO 2021 FFS RENDERING AGE 21+ 98 435 1 1 76 346 28 28
1174187009 WOHLGEMUTH SINEAD S 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 2 0 0
1174193288 WANG MARK D 2021 FFS RENDERING AGE 0-20 118 471 57 119 62 162 52 52
1174193288 WANG MARK D 2021 FFS RENDERING AGE 21+ 204 575 52 83 145 344 38 38
1174193791 MOUSSAVIAN PARISA A 2021 FFS RENDERING AGE 0-20 594 3,873 397 1,062 404 821 380 382
1174193791 MOUSSAVIAN PARISA A 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1174298806 TRAN BINH N 2021 FFS RENDERING AGE 0-20 50 455 43 208 1 2 34 34
1174298806 TRAN BINH N 2021 FFS RENDERING AGE 21+ 131 848 30 60 87 204 57 57
1174509848 PHAM AMY H 2021 FFS RENDERING AGE 0-20 2,216 18,593 2,135 7,369 972 2,919 2,163 2,950
1174509848 PHAM AMY H 2021 FFS RENDERING AGE 21+ 1,551 9,757 938 1,826 940 3,579 1,332 1,332
1174511364 BUCHLER MICHAEL R 2021 FFS RENDERING AGE 0-20 193 1,329 160 401 94 320 147 148
1174511364 BUCHLER MICHAEL R 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1174512339 GONAVARUM PRASAD B 2021 FFS RENDERING AGE 0-20 38 244 28 91 20 63 30 34
1174512339 GONAVARUM PRASAD B 2021 FFS RENDERING AGE 21+ 185 941 53 54 139 448 101 106
1174517486 MUSHET SHAY B 2021 FFS RENDERING AGE 0-20 1,343 14,966 1,264 4,241 1,186 4,183 1,236 1,442
1174530927 ALVAREZ, MICHAEL, DDS 2021 FFS RENDERING AGE 0-20 156 1,120 135 412 40 90 141 182
1174530927 ALVAREZ, MICHAEL, DDS 2021 FFS RENDERING AGE 21+ 201 1,118 102 104 130 323 112 112
1174542534 LUU KIM T 2021 FFS RENDERING AGE 0-20 157 2,156 149 732 55 157 141 211
1174542534 LUU KIM T 2021 FFS RENDERING AGE 21+ 282 2,249 220 437 140 333 216 216
1174546675 PIERSON, KENNETH W, DDS INC 2021 FFS RENDERING AGE 0-20 2,497 5,410 1 2 2,467 5,206 37 37
1174547327 HYNEMAN MICHAEL J 2021 FFS RENDERING AGE 0-20 1 2 0 0 1 2 0 0
1174547327 HYNEMAN MICHAEL J 2021 FFS RENDERING AGE 21+ 52 124 1 1 51 121 1 1
1174559025 BALABANIAN, RAFI, DDS 2021 FFS RENDERING AGE 0-20 11 36 1 2 1 1 1 1
1174559025 BALABANIAN, RAFI, DDS 2021 FFS RENDERING AGE 21+ 50 172 24 24 30 61 31 31
1174570469 FELICIANO, PETER PAUL, DMD 2021 FFS RENDERING AGE 0-20 104 920 92 243 44 107 98 105
1174570469 FELICIANO, PETER PAUL, DMD 2021 FFS RENDERING AGE 21+ 216 1,558 86 86 159 716 161 161
1174580799 GLADKOV ALEXANDRE G 2021 FFS RENDERING AGE 0-20 23 76 1 2 1 2 12 12
1174580799 GLADKOV ALEXANDRE G 2021 FFS RENDERING AGE 21+ 38 100 1 1 11 21 32 32
1174583868 LEVI BENJAMIN 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1174583868 LEVI BENJAMIN 2021 PHP RENDERING AGE 21+ 51 98 0 0 26 40 45 52
1174605711 TRUONG STEVEN H 2021 FFS RENDERING AGE 0-20 277 471 0 0 68 183 0 0
1174605711 TRUONG STEVEN H 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1174607998 NGO, TRACY DDS 2021 FFS RENDERING AGE 0-20 175 1,259 171 478 41 79 160 224
1174607998 NGO, TRACY DDS 2021 FFS RENDERING AGE 21+ 15 85 15 15 1 1 15 15
1174618136 NOORVASH RAMIN 2021 FFS RENDERING AGE 0-20 279 3,256 250 891 170 817 262 351
1174618136 NOORVASH RAMIN 2021 FFS RENDERING AGE 21+ 501 4,110 304 627 356 1,967 391 397
1174619803 CHIU WAYNE S 2021 FFS RENDERING AGE 0-20 164 1,617 133 496 95 416 134 156
1174619803 CHIU WAYNE S 2021 FFS RENDERING AGE 21+ 178 1,024 55 98 123 498 121 121
1174620348 MECHAEL SHATHA F 2021 FFS RENDERING AGE 0-20 87 753 66 153 52 225 78 84
1174620348 MECHAEL SHATHA F 2021 FFS RENDERING AGE 21+ 301 2,262 119 207 227 1,072 226 226
1174623094 ELIADES, GEORGE, DDS 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 0 0
1174623615 NGUYEN JAIME A 2021 FFS RENDERING AGE 0-20 313 2,997 309 1,375 128 386 263 401
1174623615 NGUYEN JAIME A 2021 FFS RENDERING AGE 21+ 213 1,295 157 310 108 396 189 191
1174626113 ZAW ADA 2021 FFS RENDERING AGE 0-20 134 1,236 83 252 81 232 102 102
1174626113 ZAW ADA 2021 FFS RENDERING AGE 21+ 329 1,586 22 43 254 744 163 163
1174642284 BEAM, ROY, DDS 2021 FFS RENDERING AGE 0-20 103 955 100 354 34 147 35 48
1174652135 DE LA PENA FERNANDO 2021 FFS RENDERING AGE 0-20 80 496 80 209 21 40 78 103
1174652135 DE LA PENA FERNANDO 2021 FFS RENDERING AGE 21+ 58 331 47 85 35 62 43 43
1174653687 SAEED, MAYSOON M, DDS 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 1 1 1
1174656854 VILLARUBIA PAUL 2021 FFS RENDERING AGE 0-20 21 259 20 88 12 34 21 33
1174656854 VILLARUBIA PAUL 2021 FFS RENDERING AGE 21+ 58 410 43 86 24 74 53 53
1174657241 GREMILLION, JAY KEVIN, DDS 2021 FFS RENDERING AGE 0-20 3,102 21,699 2,818 8,643 1,886 3,280 2,875 3,477
1174660799 PATEL, VIKAS D DDS 2021 FFS RENDERING AGE 0-20 560 10,491 535 2,578 286 1,311 549 876
1174660799 PATEL, VIKAS D DDS 2021 FFS RENDERING AGE 21+ 297 3,314 217 437 161 734 245 248
1174661334 SPOOLSTRA ALBERN LEE 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1174661334 SPOOLSTRA ALBERN LEE 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1174661656 PANOFF, CRISTIAN I 2021 FFS RENDERING AGE 0-20 750 7,635 675 2,708 477 1,593 700 733
1174661656 PANOFF, CRISTIAN I 2021 FFS RENDERING AGE 21+ 407 2,829 242 463 254 865 367 369
1174668297 TAYAB, GAMAL A, DDS 2021 FFS RENDERING AGE 0-20 54 264 46 99 23 57 45 48
1174668297 TAYAB, GAMAL A, DDS 2021 FFS RENDERING AGE 21+ 134 607 79 79 88 312 88 88
1174668297 TAYAB, GAMAL A, DDS 2021 PHP RENDERING AGE 0-20 28 182 23 49 18 49 25 28
1174668297 TAYAB, GAMAL A, DDS 2021 PHP RENDERING AGE 21+ 63 354 43 46 41 184 52 54
1174668297 TAYAB, GAMAL DDS 2021 FFS RENDERING AGE 0-20 54 264 46 99 23 57 45 48
1174668297 TAYAB, GAMAL DDS 2021 FFS RENDERING AGE 21+ 134 607 79 79 88 312 88 88
1174668297 TAYAB, GAMAL DDS 2021 PHP RENDERING AGE 0-20 28 182 23 49 18 49 25 28
1174668297 TAYAB, GAMAL DDS 2021 PHP RENDERING AGE 21+ 63 354 43 46 41 184 52 54
1174668990 PAIK SANG C 2021 FFS RENDERING AGE 0-20 43 241 34 87 12 22 25 26
1174668990 PAIK SANG C 2021 FFS RENDERING AGE 21+ 19 84 12 16 1 2 1 1
1174670178 NISHINO PHILIP K 2021 FFS RENDERING AGE 0-20 33 42 0 0 1 1 0 0
1174670178 NISHINO PHILIP K 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1174672786 SALAMA MAHMOUD M 2021 FFS RENDERING AGE 0-20 120 948 89 350 44 120 104 131
1174672786 SALAMA MAHMOUD M 2021 FFS RENDERING AGE 21+ 602 4,431 314 624 409 1,867 478 478
1174672786 SALAMA MAHMOUD M 2021 GMC RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1174673024 NGUYEN TAO D 2021 FFS RENDERING AGE 0-20 400 1,690 243 557 120 284 260 277
1174673024 NGUYEN TAO D 2021 FFS RENDERING AGE 21+ 1,211 5,164 452 872 687 2,260 621 621
1174675078 NGUYEN KHUONG HUU 2021 FFS RENDERING AGE 0-20 1,024 15,350 955 4,331 627 2,837 828 1,047
1174675078 NGUYEN KHUONG HUU 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 0 0
1174677686 TRAN HENRY H 2021 FFS RENDERING AGE 0-20 225 2,237 206 743 137 479 189 220
1174677686 TRAN HENRY H 2021 FFS RENDERING AGE 21+ 563 5,285 353 694 435 2,467 465 465
1174677819 CHEN CONNIE 2021 FFS RENDERING AGE 0-20 346 1,921 229 664 246 649 131 135
1174677819 CHEN CONNIE 2021 FFS RENDERING AGE 21+ 381 1,578 132 246 306 940 84 84
1174677819 CHEN CONNIE 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1174678924 TRAN, BRUCE T, DDS 2021 FFS RENDERING AGE 0-20 160 1,354 155 786 54 124 155 194
1174678924 TRAN, BRUCE T, DDS 2021 FFS RENDERING AGE 21+ 555 2,567 417 420 403 906 430 430
1174680243 KNAPP FARIDEH T 2021 FFS RENDERING AGE 0-20 2,699 20,605 2,317 7,419 1,754 8,127 1,418 1,504
1174680243 KNAPP FARIDEH T 2021 FFS RENDERING AGE 21+ 38 77 1 2 1 1 24 24
1174680243 KNAPP FARIDEH T 2021 GMC RENDERING AGE 0-20 1 2 0 0 1 1 0 0
1174680243 KNAPP FARIDEH T 2021 GMC RENDERING AGE 21+ 1 2 0 0 1 2 0 0
1174680243 KNAPP FARIDEH T 2021 PHP RENDERING AGE 0-20 148 1,307 117 534 83 342 115 145
1174680243 KNAPP FARIDEH T 2021 PHP RENDERING AGE 21+ 101 716 36 77 84 455 64 68
1174681118 LOZADA RANDY LAWREN M 2021 FFS RENDERING AGE 0-20 91 1,058 82 358 85 332 71 87
1174681118 LOZADA RANDY LAWREN M 2021 FFS RENDERING AGE 21+ 184 1,788 123 203 166 946 142 142
1174681662 MADALA NIRMALA 2021 FFS RENDERING AGE 0-20 1,107 7,247 846 3,743 45 83 1,065 1,202
1174681662 MADALA NIRMALA 2021 FFS RENDERING AGE 21+ 1,515 3,787 154 301 138 202 1,110 1,112
1174682421 ABRAHAM HENRY 2021 FFS RENDERING AGE 0-20 226 3,740 189 731 102 423 214 277
1174682421 ABRAHAM HENRY 2021 FFS RENDERING AGE 21+ 538 6,118 323 641 356 1,489 415 415
1174683171 CHEW, GEORGE K, DDS 2021 FFS RENDERING AGE 0-20 503 1,583 0 0 304 829 432 433
1174683171 CHEW, GEORGE K, DDS 2021 FFS RENDERING AGE 21+ 1,130 3,401 0 0 598 1,575 983 983
1174683841 KARAPETIAN HAMLET 2021 FFS RENDERING AGE 0-20 994 7,101 591 1,530 465 1,039 608 625
1174683841 KARAPETIAN HAMLET 2021 FFS RENDERING AGE 21+ 1,365 5,181 262 503 996 2,265 417 417
1174685838 SOLIMAN, JOSEPH, DDS 2021 FFS RENDERING AGE 0-20 402 3,646 285 750 156 402 298 346
1174685838 SOLIMAN, JOSEPH, DDS 2021 FFS RENDERING AGE 21+ 826 6,424 363 728 481 1,544 558 560
1174687313 WESTERN DENTAL SERVICES INC 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1174687313 WESTERN DENTAL SERVICES, INC. 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1174687933 RITER HOLLI C 2021 FFS RENDERING AGE 0-20 192 3,267 140 387 191 2,100 172 173
1174687933 RITER HOLLI C 2021 FFS RENDERING AGE 21+ 24 212 15 24 24 119 19 19
1174688865 SHERR, INNA, DDS 2021 FFS RENDERING AGE 0-20 14 49 13 17 1 2 1 1
1174688865 SHERR, INNA, DDS 2021 FFS RENDERING AGE 21+ 402 1,750 206 206 341 1,078 97 97
1174694640 GERAYLI AFSOON S 2021 FFS RENDERING AGE 0-20 25 183 23 73 1 1 24 30
1174694640 GERAYLI AFSOON S 2021 FFS RENDERING AGE 21+ 79 524 55 109 51 231 69 69
1174694640 GERAYLI AFSOON S 2021 PHP RENDERING AGE 0-20 116 851 106 386 30 47 114 150
1174694640 GERAYLI AFSOON S 2021 PHP RENDERING AGE 21+ 156 1,285 140 310 85 376 144 148
1174694806 MONDEJAR AGNES S 2021 FFS RENDERING AGE 0-20 4,363 37,932 3,499 10,058 2,554 6,000 3,520 4,105
1174694806 MONDEJAR AGNES S 2021 FFS RENDERING AGE 21+ 1 2 1 1 0 0 1 1
1174698732 FU SOPHIA S 2021 FFS RENDERING AGE 0-20 206 2,403 177 492 93 257 195 266
1174698732 FU SOPHIA S 2021 FFS RENDERING AGE 21+ 255 1,850 161 321 145 487 209 209
1174713937 ALEAGHA NIMA 2021 FFS RENDERING AGE 0-20 186 985 116 432 77 163 140 146
1174713937 ALEAGHA NIMA 2021 FFS RENDERING AGE 21+ 393 1,398 82 150 301 811 164 164
1174713937 ALEAGHA NIMA 2021 PHP RENDERING AGE 0-20 430 2,763 278 1,101 178 575 379 444
1174713937 ALEAGHA NIMA 2021 PHP RENDERING AGE 21+ 647 2,881 156 314 397 1,444 475 497
1174716880 RAMTIN PARHAM 2021 FFS RENDERING AGE 0-20 54 213 41 78 17 38 27 28
1174716880 RAMTIN PARHAM 2021 FFS RENDERING AGE 21+ 311 1,227 164 165 166 487 184 184
1174717318 DANO MARIANNE R 2021 FFS RENDERING AGE 21+ 135 495 1 1 95 234 44 44
1174718290 BIGDELI, FARANAK 2021 FFS RENDERING AGE 0-20 109 2,071 93 423 61 316 102 129
1174718290 BIGDELI, FARANAK 2021 FFS RENDERING AGE 21+ 420 6,264 254 506 329 2,445 318 318
1174720213 NGUYEN, DUC DDS 2021 FFS RENDERING AGE 0-20 113 1,150 102 289 34 106 106 116
1174720213 NGUYEN, DUC DDS 2021 FFS RENDERING AGE 21+ 690 6,157 557 998 393 1,304 590 590
1174721054 ATANAY RONALD D 2021 FFS RENDERING AGE 0-20 93 892 89 323 35 143 88 136
1174721054 ATANAY RONALD D 2021 FFS RENDERING AGE 21+ 162 1,157 66 115 101 624 118 118
1174721534 NGUYEN KIMANH T 2021 FFS RENDERING AGE 0-20 14 68 1 2 1 2 11 11
1174721534 NGUYEN KIMANH T 2021 FFS RENDERING AGE 21+ 181 1,100 93 156 131 380 125 125
1174723100 ORTOLA, JOSEPH A, DDS 2021 FFS RENDERING AGE 0-20 51 388 43 89 28 91 47 61
1174723100 ORTOLA, JOSEPH A, DDS 2021 FFS RENDERING AGE 21+ 113 714 62 62 86 359 83 83
1174723506 YOUSEFI BABAK 2021 FFS RENDERING AGE 0-20 727 1,774 32 75 73 212 37 37
1174723506 YOUSEFI BABAK 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1174723506 YOUSEFI BABAK 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 2 1 1
1174723506 YOUSEFI BABAK 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1174724447 MEDHAT N NAHED DDS MS INC 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1174724447 MEDHAT N NAHED DDS MS INC 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 2 1 1
1174724447 UNKNOWN 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1174724447 UNKNOWN 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 2 1 1
1174731772 GANJI GREGORY G 2021 FFS RENDERING AGE 0-20 1 2 0 0 1 2 0 0
1174731772 GANJI GREGORY G 2021 FFS RENDERING AGE 21+ 40 99 0 0 39 97 1 1
1174736144 SHAH KAVITA A 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1174736144 SHAH KAVITA A 2021 PHP RENDERING AGE 0-20 641 6,233 591 2,596 291 705 575 792
1174740302 CALIFORNIA SMILE DENTAL GROU 2021 FFS RENDERING AGE 0-20 135 1,246 76 173 75 359 105 112
1174740302 CALIFORNIA SMILE DENTAL GROU 2021 FFS RENDERING AGE 21+ 498 4,659 145 145 407 2,083 314 314
1174741334 YOUSSEF, SAMI, DDS 2021 FFS RENDERING AGE 0-20 441 3,376 411 1,726 163 448 407 495
1174741334 YOUSSEF, SAMI, DDS 2021 FFS RENDERING AGE 21+ 481 2,689 339 657 340 1,048 388 388
1174744569 LEE JINTAEK 2021 FFS RENDERING AGE 0-20 92 1,860 56 182 92 1,407 32 44
1174746937 MIDCITY REHABILITATION SERVICES,LTD 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1174754568 SEO YOUNGSEOK 2021 FFS RENDERING AGE 0-20 63 484 45 202 41 105 51 69
1174754568 SEO YOUNGSEOK 2021 FFS RENDERING AGE 21+ 253 1,691 166 316 196 768 206 206
1174761522 LOUIS KIM DDS INC 2021 GMC RENDERING AGE 0-20 53 290 49 111 31 41 50 50
1174761522 LOUIS KIM DDS INC 2021 GMC RENDERING AGE 21+ 93 373 19 25 61 146 52 55
1174764856 HA, KY, DENTAL CORPORATION 2021 FFS RENDERING AGE 0-20 1 1 1 1 1 1 0 0
1174772040 NGUYEN THOMAS J 2021 GMC RENDERING AGE 0-20 25 120 1 2 14 16 14 15
1174772040 NGUYEN THOMAS J 2021 GMC RENDERING AGE 21+ 74 281 14 33 64 111 21 21
1174788400 WILLIAMS FRENDA B 2021 FFS RENDERING AGE 0-20 192 483 1 2 35 45 180 180
1174788400 WILLIAMS FRENDA B 2021 FFS RENDERING AGE 21+ 464 1,127 1 1 83 105 436 436
1174788400 WILLIAMS FRENDA B 2021 PHP RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1174788400 WILLIAMS FRENDA B 2021 PHP RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1174802813 NGUYEN QUY LAM P 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1174803803 COLBY SHIRLEY A 2021 FFS RENDERING AGE 0-20 11 31 11 24 0 0 0 0
1174816870 ORTEGA JULIO C 2021 FFS RENDERING AGE 0-20 572 7,314 503 1,995 353 1,218 516 663
1174816870 ORTEGA JULIO C 2021 FFS RENDERING AGE 21+ 382 2,911 136 268 282 1,419 282 282
1174836860 ZARRABIAN SAHAND 2021 FFS RENDERING AGE 0-20 3,184 25,316 2,919 10,381 1,587 4,893 2,886 3,507
1174836860 ZARRABIAN SAHAND 2021 FFS RENDERING AGE 21+ 229 898 165 340 50 157 187 187
1174836860 ZARRABIAN SAHAND 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1174869515 KHALED MOHAMED 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1174869515 KHALED MOHAMED 2021 FFS RENDERING AGE 21+ 58 227 0 0 55 218 1 1
1174872428 SHAHRIARI AHMAD GHAZALEH 2021 PHP RENDERING AGE 0-20 86 528 74 257 45 70 44 45
1174906929 RYAD SHADI 2021 FFS RENDERING AGE 0-20 48 100 1 1 43 84 1 1
1174906929 RYAD SHADI 2021 FFS RENDERING AGE 21+ 378 833 0 0 373 813 1 1
1174931661 TRAN TIEN 2021 FFS RENDERING AGE 0-20 80 860 76 283 43 168 68 102
1174931661 TRAN TIEN 2021 FFS RENDERING AGE 21+ 182 1,341 116 222 133 695 135 135
1174939581 ARNASON CHRISHELL Y 2021 FFS RENDERING AGE 0-20 62 75 0 0 31 34 0 0
1174939581 ARNASON CHRISHELL Y 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1174943476 MILLER, BRENDA E, DDS APC 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1174943476 MILLER, BRENDA E, DDS APC 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1174955272 WELL HILLEL Y 2021 FFS RENDERING AGE 0-20 146 409 13 44 22 66 13 18
1174955272 WELL HILLEL Y 2021 FFS RENDERING AGE 21+ 1 2 1 2 1 1 1 1
1174965289 LEE CHRISTINE Y 2021 FFS RENDERING AGE 0-20 74 175 18 39 60 99 1 1
1174965289 LEE CHRISTINE Y 2021 FFS RENDERING AGE 21+ 128 251 1 2 118 199 1 1
1174971188 SOTO SOLIS YARA STEPHAN 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1174975593 LIU VIENNA C 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1174998322 REYES MARIGOLD ROS A 2021 FFS RENDERING AGE 0-20 1 2 1 1 0 0 1 1
1174998322 REYES MARIGOLD ROS A 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1174998322 REYES MARIGOLD ROS A 2021 PHP RENDERING AGE 0-20 44 226 30 82 23 35 28 29
1174998322 REYES MARIGOLD ROS A 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1174998595 BELEW TIRSIT G 2021 PHP RENDERING AGE 21+ 1 1 1 1 1 1 0 0
1184000358 GEVORKYAN ALISA 2021 FFS RENDERING AGE 0-20 5,680 74,645 5,390 19,153 3,509 10,475 5,363 7,891
1184024085 ASBAGHI MAMAGHA NAGHMEH 2021 FFS RENDERING AGE 0-20 1 1 1 1 1 1 0 0
1184024085 ASBAGHI MAMAGHA NAGHMEH 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1184024085 ASBAGHI MAMAGHA NAGHMEH 2021 GMC RENDERING AGE 0-20 588 4,175 448 1,819 398 614 400 415
1184024085 ASBAGHI MAMAGHA NAGHMEH 2021 GMC RENDERING AGE 21+ 670 2,845 132 257 501 1,208 277 279
1184033821 KOYAMA SARAH E 2021 FFS RENDERING AGE 21+ 20 49 1 1 1 1 15 15
1184043432 HOM JENNIFER J 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1184043432 HOM JENNIFER J 2021 FFS RENDERING AGE 21+ 82 341 34 36 54 151 50 52
1184058984 MEHDIZADEH, ALBORZ, DDS 2021 FFS RENDERING AGE 0-20 159 9,895 124 1,805 142 4,880 129 695
1184058984 MEHDIZADEH, ALBORZ, DDS 2021 FFS RENDERING AGE 21+ 876 49,925 439 4,310 796 35,390 503 2,515
1184060915 GALUSTIAN RAZMIK 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1184065971 SOBOL, HENRY DMD 2021 FFS RENDERING AGE 0-20 49 332 42 134 17 50 46 65
1184065971 SOBOL, HENRY DMD 2021 FFS RENDERING AGE 21+ 140 964 67 110 97 489 119 119
1184075293 LAN JASON 2021 FFS RENDERING AGE 0-20 213 1,419 156 365 146 505 154 166
1184075293 LAN JASON 2021 FFS RENDERING AGE 21+ 326 1,957 167 330 269 1,058 189 189
1184083271 SHAH NEEL N 2021 FFS RENDERING AGE 0-20 43 263 20 44 28 87 20 20
1184083271 SHAH NEEL N 2021 FFS RENDERING AGE 21+ 42 206 1 1 35 102 12 12
1184091571 NNEBE IFEATU C 2021 FFS RENDERING AGE 0-20 34 198 27 72 14 53 28 31
1184091571 NNEBE IFEATU C 2021 FFS RENDERING AGE 21+ 165 1,053 102 195 116 492 132 132
1184091571 NNEBE IFEATU C 2021 GMC RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1184108938 CUEVAS ERIKA 2021 FFS RENDERING AGE 21+ 369 761 0 0 364 567 192 192
1184111254 TAGHIZADEH-TOOS HESSAM 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 2 1 1
1184111254 TAGHIZADEH-TOOS HESSAM 2021 FFS RENDERING AGE 21+ 41 118 1 1 38 88 1 1
1184111254 TAGHIZADEH-TOOS HESSAM 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1184111254 TAGHIZADEH-TOOS HESSAM 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1184111445 BATEMAN RILEY A 2021 FFS RENDERING AGE 0-20 377 2,683 339 1,020 127 306 325 422
1184111445 BATEMAN RILEY A 2021 FFS RENDERING AGE 21+ 332 1,993 134 179 249 754 188 188
1184111445 BATEMAN RILEY A 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1184120487 KOZYRYEV MARYNA 2021 GMC RENDERING AGE 0-20 1 2 1 1 0 0 1 1
1184120487 KOZYRYEV MARYNA 2021 GMC RENDERING AGE 21+ 1 2 0 0 1 2 1 1
1184143562 TO KEVIN W 2021 FFS RENDERING AGE 0-20 2,853 32,150 2,413 7,604 1,705 5,453 2,383 2,822
1184143562 TO KEVIN W 2021 FFS RENDERING AGE 21+ 759 4,698 234 464 420 1,359 504 504
1184148579 VERGEL DE DIOS JESSICA M 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 1 1 1
1184151045 LEE ELIZA X 2021 FFS RENDERING AGE 0-20 116 1,145 110 340 50 130 109 158
1184151045 LEE ELIZA X 2021 FFS RENDERING AGE 21+ 86 658 62 121 58 202 64 64
1184151219 KABADE DIPALEE D 2021 FFS RENDERING AGE 0-20 202 1,091 138 471 45 135 136 142
1184151219 KABADE DIPALEE D 2021 FFS RENDERING AGE 21+ 384 1,284 110 194 215 556 134 135
1184151219 KABADE DIPALEE D 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1184188120 VU ANNIE H 2021 GMC RENDERING AGE 0-20 25 100 25 25 25 25 0 0
1184188120 VU ANNIE H 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 0 0
1184213712 PEREZ YESCENIA 2021 FFS RENDERING AGE 0-20 233 1,222 161 462 114 172 183 183
1184213712 PEREZ YESCENIA 2021 FFS RENDERING AGE 21+ 181 564 44 86 97 234 83 83
1184225211 MALEKI SIMA 2021 FFS RENDERING AGE 0-20 1,409 11,887 1,200 3,699 768 1,934 1,191 1,347
1184225211 MALEKI SIMA 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1184239766 CHEN RICHARD H 2021 FFS RENDERING AGE 0-20 18 189 12 28 1 2 12 12
1184239766 CHEN RICHARD H 2021 FFS RENDERING AGE 21+ 109 852 26 53 97 412 35 36
1184243420 KO SOONA 2021 FFS RENDERING AGE 0-20 120 867 107 375 59 110 108 108
1184243636 KABABCHY MASSARA A 2021 FFS RENDERING AGE 0-20 115 672 71 146 61 135 74 77
1184243636 KABABCHY MASSARA A 2021 FFS RENDERING AGE 21+ 279 1,359 94 168 200 453 118 118
1184257891 DIEP DAN B 2021 FFS RENDERING AGE 0-20 226 2,187 184 566 118 256 184 185
1184257891 DIEP DAN B 2021 FFS RENDERING AGE 21+ 204 1,241 89 174 131 343 115 116
1184271934 MITTAL VARUN 2021 FFS RENDERING AGE 0-20 227 909 121 399 50 91 146 149
1184271934 MITTAL VARUN 2021 FFS RENDERING AGE 21+ 504 1,284 83 156 221 431 277 277
1184271934 MITTAL VARUN 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1184280083 KATO BRYCE T 2021 FFS RENDERING AGE 0-20 52 420 27 59 33 84 34 34
1184280083 KATO BRYCE T 2021 FFS RENDERING AGE 21+ 142 1,018 16 32 90 203 78 78
1184293946 SINGH TANVIR 2021 FFS RENDERING AGE 0-20 919 8,843 837 2,153 506 761 772 775
1184293946 SINGH TANVIR 2021 FFS RENDERING AGE 21+ 163 990 79 143 102 215 108 110
1184399529 KIM MATTHEW H 2021 FFS RENDERING AGE 0-20 225 1,107 189 385 64 108 187 187
1184399529 KIM MATTHEW H 2021 FFS RENDERING AGE 21+ 67 226 32 32 40 57 36 36
1184601791 GRAVES JEFFREY R 2021 FFS RENDERING AGE 0-20 1 2 0 0 1 1 1 1
1184601791 GRAVES JEFFREY R 2021 FFS RENDERING AGE 21+ 11 27 0 0 1 2 1 1
1184611162 DROSDIK KAREN A 2021 FFS RENDERING AGE 0-20 3,494 38,005 2,759 7,940 2,168 8,503 2,611 2,871
1184611162 DROSDIK KAREN A 2021 FFS RENDERING AGE 21+ 173 620 29 52 84 142 107 107
1184611162 DROSDIK KAREN A 2021 PHP RENDERING AGE 0-20 36 232 31 86 16 45 28 28
1184611162 DROSDIK KAREN A 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1184628539 MINSKY, JERRY 2021 FFS RENDERING AGE 21+ 30 185 27 27 30 103 12 12
1184631921 CASIBANG VICENTE G 2021 FFS RENDERING AGE 0-20 128 773 117 177 48 151 119 159
1184631921 CASIBANG VICENTE G 2021 FFS RENDERING AGE 21+ 254 1,410 158 158 149 518 185 185
1184643702 SANTOS MARIA VICTOR V 2021 FFS RENDERING AGE 0-20 155 1,885 130 344 94 328 126 150
1184643702 SANTOS MARIA VICTOR V 2021 FFS RENDERING AGE 21+ 358 3,350 181 182 287 1,338 211 211
1184650418 TRAN JANA H 2021 FFS RENDERING AGE 0-20 187 2,165 169 842 71 201 174 260
1184650418 TRAN JANA H 2021 FFS RENDERING AGE 21+ 470 3,621 265 272 360 2,009 363 366
1184677155 AN, ELIZABETH DDS 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1184677155 AN, ELIZABETH DDS 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1184695678 KIM JINYOUNG 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1184695678 KIM JINYOUNG 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1184706483 EHRLER TODD B 2021 FFS RENDERING AGE 0-20 57 212 0 0 26 82 0 0
1184714537 LEE, VIVIENNE, DDS 2021 FFS RENDERING AGE 0-20 19 229 12 31 15 57 18 20
1184714537 LEE, VIVIENNE, DDS 2021 FFS RENDERING AGE 21+ 163 1,405 27 27 132 465 133 133
1184714537 LEE, VIVIENNE, DDS 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1184714537 LEE, VIVIENNE, DDS 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1184723801 SU, CHARLES DDS 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1184723801 SU, CHARLES DDS 2021 FFS RENDERING AGE 21+ 287 2,804 85 85 271 1,185 192 192
1184724940 AIROOD BASEM M 2021 FFS RENDERING AGE 0-20 217 2,112 213 668 63 176 216 331
1184724940 AIROOD BASEM M 2021 FFS RENDERING AGE 21+ 483 3,426 413 826 269 989 442 442
1184725186 ALLEN WILLIAM M 2021 FFS RENDERING AGE 0-20 78 250 0 0 72 198 30 30
1184736993 XU, YI, DDS 2021 FFS RENDERING AGE 0-20 21 149 17 54 1 2 20 21
1184736993 XU, YI, DDS 2021 FFS RENDERING AGE 21+ 266 1,776 171 337 190 576 115 115
1184741738 KHZOUZ ROBERT 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 1 1
1184741738 KHZOUZ ROBERT 2021 FFS RENDERING AGE 21+ 1,367 3,615 1 1 1,367 2,976 634 634
1184750218 NGUYEN TUAN M 2021 FFS RENDERING AGE 0-20 88 763 61 169 69 298 56 58
1184750218 NGUYEN TUAN M 2021 FFS RENDERING AGE 21+ 175 994 36 61 165 635 40 41
1184751125 JACOBSON RICHARD LESLIE 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1184753535 SAHIBZADA, NAUREES DDS 2021 FFS RENDERING AGE 0-20 216 1,547 144 472 91 196 157 171
1184753535 SAHIBZADA, NAUREES DDS 2021 FFS RENDERING AGE 21+ 249 1,082 28 49 125 258 153 153
1184753535 SAHIBZADA, NAUREES DDS 2021 PHP RENDERING AGE 0-20 96 789 78 249 27 60 86 104
1184753535 SAHIBZADA, NAUREES DDS 2021 PHP RENDERING AGE 21+ 71 307 14 17 26 74 45 45
1184753873 LIN LORRAINE Y 2021 FFS RENDERING AGE 0-20 164 1,419 148 541 72 302 138 194
1184760373 LEE, RUY TSUN, DDS 2021 FFS RENDERING AGE 0-20 1 2 1 1 0 0 1 1
1184760373 LEE, RUY TSUN, DDS 2021 FFS RENDERING AGE 21+ 35 129 23 23 1 2 30 30
1184764607 VICENTE NOEMI S 2021 FFS RENDERING AGE 0-20 13 95 12 53 1 2 1 2
1184764607 VICENTE NOEMI S 2021 FFS RENDERING AGE 21+ 27 143 17 32 15 53 21 21
1184764714 LIZANA JESSICA A 2021 FFS RENDERING AGE 0-20 220 2,122 206 676 141 722 170 230
1184764714 LIZANA JESSICA A 2021 FFS RENDERING AGE 21+ 403 3,900 215 367 324 2,464 255 255
1184765778 GEREIS MAHFOUZ M 2021 FFS RENDERING AGE 0-20 33 248 21 57 1 1 29 31
1184765778 GEREIS MAHFOUZ M 2021 FFS RENDERING AGE 21+ 73 298 19 38 44 69 37 37
1184765778 GEREIS MAHFOUZ M 2021 PHP RENDERING AGE 21+ 1 2 0 0 1 1 1 1
1184767402 JABALI, SHADAN, DMD 2021 FFS RENDERING AGE 0-20 111 1,063 110 379 1 2 110 144
1184767402 JABALI, SHADAN, DMD 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1184769986 ESTRADA LUIS C 2021 FFS RENDERING AGE 0-20 2,187 22,312 1,908 5,282 1,089 3,035 2,013 2,153
1184769986 ESTRADA LUIS C 2021 FFS RENDERING AGE 21+ 1,004 7,126 403 801 529 2,200 758 762
1184771818 ROSTOMIAN SOUREN A 2021 FFS RENDERING AGE 0-20 28 89 0 0 28 89 0 0
1184771818 ROSTOMIAN SOUREN A 2021 FFS RENDERING AGE 21+ 31 97 0 0 31 97 0 0
1184778292 FARHAN, FARZIN DDS 2021 FFS RENDERING AGE 0-20 559 8,160 532 1,834 247 1,362 541 735
1184778292 FARHAN, FARZIN DDS 2021 FFS RENDERING AGE 21+ 863 8,806 549 1,099 620 2,602 636 636
1184782047 ECHARTE GONZALO 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1184782047 ECHARTE GONZALO 2021 FFS RENDERING AGE 21+ 28 120 15 27 20 54 13 13
1184783276 ANGELES MAY-LEONILA R 2021 FFS RENDERING AGE 0-20 1 2 0 0 1 2 0 0
1184783276 ANGELES MAY-LEONILA R 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 2 0 0
1184786790 TALMOOD ANNA K 2021 FFS RENDERING AGE 0-20 24 164 18 37 1 2 16 17
1184786790 TALMOOD ANNA K 2021 FFS RENDERING AGE 21+ 37 160 11 11 17 69 22 22
1184792665 SANCHEZ CHRISTEN ANN 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1184797052 RANGEL-SCOBLE, INGRID, DDS M 2021 FFS RENDERING AGE 0-20 93 243 0 0 31 105 0 0
1184797052 RANGEL-SCOBLE, INGRID, DDS M 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1184804908 ALEXANDER JEFFREY P 2021 FFS RENDERING AGE 0-20 932 6,875 428 1,108 753 2,732 174 177
1184805392 FU QING-HUI 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1184805392 FU QING-HUI 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1184807711 KATTA NEELIMA 2021 FFS RENDERING AGE 0-20 1,015 6,013 799 2,304 292 362 969 1,056
1184807711 KATTA NEELIMA 2021 FFS RENDERING AGE 21+ 978 2,825 199 399 291 452 758 761
1184810269 TOUKATLI HANNAH M 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1184810269 TOUKATLI HANNAH M 2021 FFS RENDERING AGE 21+ 68 449 11 20 43 164 42 42
1184815268 EL RAHEB AYMAN K 2021 FFS RENDERING AGE 0-20 154 1,174 129 467 62 208 129 148
1184815268 EL RAHEB AYMAN K 2021 FFS RENDERING AGE 21+ 302 1,876 126 158 203 855 219 221
1184815276 NOLAN PATRICIA D 2021 FFS RENDERING AGE 0-20 1,615 15,920 1,531 5,784 1,038 3,220 1,534 2,016
1184816019 YEUNG LAIMUI 2021 FFS RENDERING AGE 0-20 965 16,217 920 3,851 612 2,414 918 1,296
1184816019 YEUNG LAIMUI 2021 FFS RENDERING AGE 21+ 832 7,080 504 1,004 544 2,183 634 634
1184821449 PARTOVY RAMIN D. 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1184822918 CORTADI CLAUDIA B 2021 FFS RENDERING AGE 0-20 15 89 12 30 1 2 15 16
1184822918 CORTADI CLAUDIA B 2021 FFS RENDERING AGE 21+ 96 485 64 113 46 174 92 92
1184825317 MASCAGNO STEVEN N 2021 FFS RENDERING AGE 0-20 2,094 11,892 1,548 3,845 1,385 2,910 1,355 1,370
1184847162 TRAN, PHAT LK, DDS 2021 FFS RENDERING AGE 0-20 106 904 99 299 63 186 100 123
1184847162 TRAN, PHAT LK, DDS 2021 FFS RENDERING AGE 21+ 424 3,972 254 374 350 1,758 283 283
1184847931 LEDESMA LOIS R 2021 FFS RENDERING AGE 0-20 2,280 24,677 1,901 7,279 1,327 5,350 1,641 1,719
1184847931 LEDESMA LOIS R 2021 FFS RENDERING AGE 21+ 1,160 9,405 72 122 364 804 230 230
1184847931 LEDESMA LOIS R 2021 PHP RENDERING AGE 0-20 50 377 38 130 32 138 29 30
1184847931 LEDESMA LOIS R 2021 PHP RENDERING AGE 21+ 12 45 0 0 1 1 1 1
1184850687 LIM PAULINE S 2021 FFS RENDERING AGE 0-20 3,966 50,580 3,845 14,143 2,237 3,445 3,690 4,376
1184850687 LIM PAULINE S 2021 GMC RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1184852691 RIVAMONTE ANDREW A 2021 FFS RENDERING AGE 0-20 5,805 65,049 5,024 19,179 3,844 5,429 4,784 5,701
1184859258 ABUL-FIELAT, MOHAMMAD, DDS I 2021 FFS RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1184859258 MOHAMMAD ABUL FIELAT DDS INC 2021 FFS RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1184863656 CALVO MARTA 2021 FFS RENDERING AGE 0-20 490 5,463 416 1,234 157 506 443 515
1184863656 CALVO MARTA 2021 FFS RENDERING AGE 21+ 561 3,970 192 330 307 1,181 366 366
1184869562 KVYATKOVSKAYA TATYANA V 2021 FFS RENDERING AGE 0-20 419 3,307 235 688 330 1,346 290 317
1184869562 KVYATKOVSKAYA TATYANA V 2021 FFS RENDERING AGE 21+ 1,559 10,374 427 841 1,284 6,329 905 905
1184874893 SANDERS MATTHEW A 2021 FFS RENDERING AGE 0-20 179 497 0 0 33 78 0 0
1184874893 SANDERS MATTHEW A 2021 GMC RENDERING AGE 0-20 235 648 0 0 234 602 0 0
1184882946 KELISHADI-SAMAN MARJAN 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1184882946 KELISHADI-SAMAN MARJAN 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 1 1 1
1184886368 JOU TOM T 2021 FFS RENDERING AGE 21+ 27 100 0 0 27 100 0 0
1184894305 CHANG MICHAEL J 2021 FFS RENDERING AGE 21+ 22 53 0 0 22 53 0 0
1184903940 OH, ALBERT EUNSUK DDS 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 2 1 1
1184903940 OH, ALBERT EUNSUK DDS 2021 FFS RENDERING AGE 21+ 259 1,653 167 334 148 400 256 256
1184914384 LADD, MARIA ELIZABETH, RDHAP 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 0 0
1184939621 BAKER MEGAN J 2021 FFS RENDERING AGE 0-20 122 128 0 0 13 16 0 0
1184939621 BAKER MEGAN J 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1184953002 JONES BIRVA J 2021 FFS RENDERING AGE 0-20 1 1 1 1 1 1 1 1
1184953002 JONES BIRVA J 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1184953002 JONES BIRVA J 2021 PHP RENDERING AGE 0-20 1 1 0 0 0 0 1 1
1184989170 NGUYEN HENRY T 2021 FFS RENDERING AGE 0-20 208 821 103 236 97 231 94 95
1184989170 NGUYEN HENRY T 2021 FFS RENDERING AGE 21+ 81 203 1 2 31 54 44 44
1184989170 NGUYEN HENRY T 2021 PHP RENDERING AGE 0-20 1 1 1 1 1 1 1 1
1184989170 NGUYEN HENRY T 2021 PHP RENDERING AGE 21+ 1 2 0 0 1 1 1 1
1194008417 MARQUEZ MOLINA MARIELY 2021 FFS RENDERING AGE 0-20 99 773 66 134 47 129 69 69
1194008417 MARQUEZ MOLINA MARIELY 2021 FFS RENDERING AGE 21+ 58 453 18 18 47 158 32 32
1194008417 MARQUEZ MOLINA MARIELY 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1194008417 MARQUEZ MOLINA MARIELY 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 1 0 0
1194025767 SHAMOEIL, HOMAN DDS 2021 FFS RENDERING AGE 0-20 347 2,766 146 390 166 398 279 296
1194025767 SHAMOEIL, HOMAN DDS 2021 FFS RENDERING AGE 21+ 570 3,872 109 219 329 820 369 369
1194051292 CARDOSO, LOURDES, DDS INC 2021 FFS RENDERING AGE 0-20 1 1 1 1 1 1 0 0
1194056366 LIN BRENT C 2021 FFS RENDERING AGE 0-20 195 1,581 171 458 68 199 174 194
1194056366 LIN BRENT C 2021 FFS RENDERING AGE 21+ 146 614 32 57 80 224 80 81
1194058768 ESPINOZA, REGINA G, DDS 2021 FFS RENDERING AGE 0-20 256 5,075 243 1,067 185 821 241 374
1194058768 ESPINOZA, REGINA G, DDS 2021 FFS RENDERING AGE 21+ 134 1,165 66 129 99 362 69 69
1194070110 ANDERSON JAY R 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1194070110 ANDERSON JAY R 2021 GMC RENDERING AGE 0-20 65 410 46 181 18 48 48 48
1194070110 ANDERSON JAY R 2021 GMC RENDERING AGE 21+ 147 731 48 82 113 318 44 48
1194096230 TRUONG KIM N 2021 FFS RENDERING AGE 0-20 829 15,955 553 1,499 826 10,832 13 13
1194103671 GIRGIS MINA M 2021 FFS RENDERING AGE 0-20 35 207 29 76 13 47 32 38
1194103671 GIRGIS MINA M 2021 FFS RENDERING AGE 21+ 142 915 104 200 82 297 119 119
1194108191 NAMOO SAMER R 2021 FFS RENDERING AGE 0-20 137 760 103 271 50 145 101 132
1194108191 NAMOO SAMER R 2021 FFS RENDERING AGE 21+ 238 795 29 31 97 195 125 125
1194146472 ROMANA HARJINDER S 2021 FFS RENDERING AGE 0-20 85 934 76 320 31 144 75 87
1194146472 ROMANA HARJINDER S 2021 FFS RENDERING AGE 21+ 176 1,095 57 112 81 310 138 138
1194184804 KIM SUE Y 2021 FFS RENDERING AGE 0-20 143 2,149 137 631 57 214 134 195
1194184804 KIM SUE Y 2021 FFS RENDERING AGE 21+ 208 1,992 132 252 142 748 146 146
1194184887 CONSUMERHEALTH INC 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1194184887 CONSUMERHEALTH, INC. 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1194192831 NGUYEN TUONG VI T 2021 FFS RENDERING AGE 0-20 77 872 69 208 32 74 69 92
1194192831 NGUYEN TUONG VI T 2021 FFS RENDERING AGE 21+ 177 1,391 108 212 109 363 132 132
1194196436 GLADKOV, ALEX G, DENTAL CORP 2021 FFS RENDERING AGE 0-20 1 2 0 0 0 0 1 1
1194200865 SHARMA ASHU 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1194201566 SYAL GAURI T 2021 FFS RENDERING AGE 0-20 377 3,483 319 830 211 800 300 361
1194201566 SYAL GAURI T 2021 FFS RENDERING AGE 21+ 883 6,310 556 1,099 645 2,607 600 601
1194210203 MULHIM RAMSON A 2021 FFS RENDERING AGE 0-20 3,626 54,416 3,466 16,238 2,426 7,190 3,411 4,751
1194210203 MULHIM RAMSON A 2021 FFS RENDERING AGE 21+ 13 187 1 2 1 2 1 1
1194215442 PARK, D, PROFESSIONAL DENTAL 2021 FFS RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1194230375 QIN RUIXIANG L 2021 FFS RENDERING AGE 0-20 46 351 38 102 18 41 38 51
1194230375 QIN RUIXIANG L 2021 FFS RENDERING AGE 21+ 91 587 63 124 50 98 63 63
1194244566 PARTIDA HUGO J 2021 FFS RENDERING AGE 0-20 322 1,638 261 599 118 242 249 249
1194244566 PARTIDA HUGO J 2021 FFS RENDERING AGE 21+ 365 1,314 122 243 193 470 209 209
1194244566 PARTIDA HUGO J 2021 PHP RENDERING AGE 0-20 1 1 0 0 0 0 1 1
1194245704 STEWART LOLIYA J 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1194252627 AMIN CHEERAG A 2021 FFS RENDERING AGE 0-20 30 131 12 25 18 28 16 17
1194252627 AMIN CHEERAG A 2021 FFS RENDERING AGE 21+ 82 224 11 18 69 149 11 12
1194255810 AHARONIAN SHANT 2021 FFS RENDERING AGE 0-20 1,116 7,816 983 2,891 519 1,180 986 1,091
1194255810 AHARONIAN SHANT 2021 FFS RENDERING AGE 21+ 174 530 18 21 86 185 103 105
1194270231 PARK MICHAEL H 2021 FFS RENDERING AGE 0-20 639 5,277 528 1,444 542 2,817 209 210
1194270231 PARK MICHAEL H 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 0 0
1194330472 KAUR JYOTPREET 2021 FFS RENDERING AGE 0-20 181 970 100 213 83 233 129 129
1194330472 KAUR JYOTPREET 2021 FFS RENDERING AGE 21+ 435 1,527 139 233 187 480 294 295
1194330472 KAUR JYOTPREET 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1194337659 JAHAGIRDAR ABHISHEK 2021 FFS RENDERING AGE 0-20 160 699 66 174 105 278 36 36
1194337659 JAHAGIRDAR ABHISHEK 2021 FFS RENDERING AGE 21+ 189 562 62 121 126 272 29 29
1194347187 FLORES ESTHELLA N 2021 FFS RENDERING AGE 0-20 652 5,927 508 1,531 389 916 504 559
1194347187 FLORES ESTHELLA N 2021 FFS RENDERING AGE 21+ 249 1,388 108 196 184 518 124 124
1194347187 FLORES ESTHELLA N 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1194347187 FLORES ESTHELLA N 2021 PHP RENDERING AGE 21+ 14 61 1 1 1 2 1 1
1194367623 JAFFER RUHEE 2021 FFS RENDERING AGE 0-20 214 1,934 145 301 114 328 151 151
1194374439 ENCISO JORGE 2021 FFS RENDERING AGE 0-20 175 1,468 147 424 83 304 150 151
1194374439 ENCISO JORGE 2021 FFS RENDERING AGE 21+ 290 1,654 98 159 171 708 209 214
1194395954 FRANCO MORGAN P 2021 PHP RENDERING AGE 0-20 1 1 0 0 0 0 1 1
1194395954 FRANCO MORGAN P 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1194499327 TRAN KURT K 2021 FFS RENDERING AGE 0-20 94 398 59 131 22 41 72 72
1194499327 TRAN KURT K 2021 FFS RENDERING AGE 21+ 208 539 25 37 87 149 105 105
1194499327 TRAN KURT K 2021 PHP RENDERING AGE 0-20 23 88 17 33 1 1 21 21
1194499327 TRAN KURT K 2021 PHP RENDERING AGE 21+ 58 152 17 21 20 27 34 37
1194746933 PATEL PRADIP D 2021 FFS RENDERING AGE 0-20 130 1,074 113 223 51 118 113 120
1194746933 PATEL PRADIP D 2021 FFS RENDERING AGE 21+ 444 2,878 249 249 307 948 305 305
1194750521 ATEIA EHAB N 2021 FFS RENDERING AGE 0-20 132 1,465 132 511 33 64 130 174
1194750521 ATEIA EHAB N 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1194750729 MANZANO AILEEN V 2021 FFS RENDERING AGE 0-20 61 485 45 115 29 62 49 52
1194750729 MANZANO AILEEN V 2021 FFS RENDERING AGE 21+ 246 1,595 123 243 159 441 157 157
1194777532 CARBAJAL, MARIA ZAIDA, DDS 2021 FFS RENDERING AGE 0-20 59 620 54 151 44 275 56 73
1194777532 CARBAJAL, MARIA ZAIDA, DDS 2021 FFS RENDERING AGE 21+ 150 1,164 77 147 117 711 126 129
1194792218 BINGHAM, CHERYL DIANE 2021 FFS RENDERING AGE 0-20 49 341 41 96 16 36 45 53
1194792218 BINGHAM, CHERYL DIANE 2021 FFS RENDERING AGE 21+ 157 879 93 179 109 315 110 110
1194792218 BINGHAM, CHERYL DIANE 2021 PHP RENDERING AGE 0-20 37 169 32 74 15 29 32 32
1194792218 BINGHAM, CHERYL DIANE 2021 PHP RENDERING AGE 21+ 71 344 50 101 38 135 53 54
1194804781 TEE PETER A 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1194805028 BEAMS JILL 2021 PHP RENDERING AGE 0-20 1 1 0 0 0 0 1 1
1194809830 JOSHI, MEGHA DDS 2021 FFS RENDERING AGE 21+ 11 33 0 0 11 33 0 0
1194818476 THAI, QUYNH-THU 2021 FFS RENDERING AGE 0-20 582 9,009 570 2,565 279 642 570 865
1194818476 THAI, QUYNH-THU 2021 FFS RENDERING AGE 21+ 150 1,050 123 153 85 250 131 131
1194831255 DO, CHI T, DDS 2021 FFS RENDERING AGE 0-20 155 1,727 151 557 78 208 146 219
1194831255 DO, CHI T, DDS 2021 FFS RENDERING AGE 21+ 100 641 89 174 50 124 91 91
1194831487 SHOEMAKER, RONALD A DDS 2021 FFS RENDERING AGE 0-20 404 3,600 263 589 216 595 317 363
1194831487 SHOEMAKER, RONALD A DDS 2021 FFS RENDERING AGE 21+ 308 2,411 180 309 214 674 199 199
1194835884 HERRERA, RENE ALBERT DDS 2021 FFS RENDERING AGE 0-20 248 2,528 208 269 150 612 218 280
1194835884 HERRERA, RENE ALBERT DDS 2021 FFS RENDERING AGE 21+ 425 2,657 248 248 255 878 321 321
1194847939 KIM ANDREW 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 0 0
1194847939 KIM ANDREW 2021 PHP RENDERING AGE 0-20 74 551 69 206 28 74 69 82
1194847939 KIM ANDREW 2021 PHP RENDERING AGE 21+ 135 878 101 212 79 237 117 127
1194848622 HUH, KYUNG B DDS 2021 FFS RENDERING AGE 0-20 281 2,959 267 1,274 133 396 266 431
1194848622 HUH, KYUNG B DDS 2021 FFS RENDERING AGE 21+ 385 2,916 179 350 300 1,400 267 271
1194850495 CALIMA DONNA M 2021 FFS RENDERING AGE 0-20 150 699 82 216 104 337 46 46
1194850495 CALIMA DONNA M 2021 FFS RENDERING AGE 21+ 286 1,013 45 79 237 758 48 48
1194850495 CALIMA DONNA M 2021 GMC RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1194850495 CALIMA DONNA M 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1194850495 CALIMA DONNA M 2021 PHP RENDERING AGE 0-20 11 29 1 1 1 2 1 1
1194850495 CALIMA DONNA M 2021 PHP RENDERING AGE 21+ 15 44 1 1 1 2 1 1
1194860809 CORRAL JESSIE C 2021 FFS RENDERING AGE 0-20 1,381 14,913 882 3,443 611 2,294 1,198 1,336
1194860809 CORRAL JESSIE C 2021 FFS RENDERING AGE 21+ 2,354 14,332 774 774 1,409 6,320 1,680 1,680
1194867788 TAO, GEORGE J, DDS INC 2021 FFS RENDERING AGE 0-20 70 1,188 50 328 37 196 47 124
1194867788 TAO, GEORGE J, DDS INC 2021 FFS RENDERING AGE 21+ 96 1,454 41 158 78 516 59 118
1194869743 KIM DAVID SUNG 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1194869743 KIM DAVID SUNG 2021 PHP RENDERING AGE 21+ 1 2 0 0 1 1 1 1
1194870196 SANDOVAL, ROGER E, DDS 2021 FFS RENDERING AGE 0-20 102 696 83 277 36 56 86 86
1194871889 NABAVI FARNAZ 2021 FFS RENDERING AGE 0-20 741 4,554 707 2,311 403 1,360 721 856
1194871889 NABAVI FARNAZ 2021 FFS RENDERING AGE 21+ 167 800 85 173 129 523 101 101
1194871889 NABAVI FARNAZ 2021 PHP RENDERING AGE 0-20 56 566 53 181 24 81 53 68
1194871889 NABAVI FARNAZ 2021 PHP RENDERING AGE 21+ 24 109 14 17 17 64 14 14
1194889923 RICHARDS SUSAN DIANN C 2021 FFS RENDERING AGE 0-20 133 2,240 96 292 132 1,389 126 126
1194889923 RICHARDS SUSAN DIANN C 2021 FFS RENDERING AGE 21+ 26 236 24 43 26 108 20 20
1194892547 JOO, WEON C, DDS 2021 FFS RENDERING AGE 0-20 142 1,011 135 265 53 117 129 165
1194892547 JOO, WEON C, DDS 2021 FFS RENDERING AGE 21+ 350 2,003 236 236 198 593 285 287
1194892547 JOO, WEON CHEOL DDS 2021 FFS RENDERING AGE 0-20 142 1,011 135 265 53 117 129 165
1194892547 JOO, WEON CHEOL DDS 2021 FFS RENDERING AGE 21+ 350 2,003 236 236 198 593 285 287
1194902767 ROBLES ARMINDA V 2021 FFS RENDERING AGE 0-20 717 8,264 521 1,498 582 3,342 516 532
1194905117 YONG RICHARD J 2021 FFS RENDERING AGE 0-20 63 629 42 113 33 108 45 57
1194905117 YONG RICHARD J 2021 FFS RENDERING AGE 21+ 182 1,331 87 165 134 533 101 101
1194905927 KASHFI, SHARHARIAR SEAN, DDS 2021 FFS RENDERING AGE 0-20 102 1,816 98 689 84 428 99 190
1194905927 KASHFI, SHARHARIAR SEAN, DDS 2021 FFS RENDERING AGE 21+ 379 5,277 279 279 364 3,371 331 331
1194916536 CANTOS, RACHEL A, DMD 2021 FFS RENDERING AGE 0-20 314 2,990 268 628 111 380 298 340
1194916536 CANTOS, RACHEL A, DMD 2021 FFS RENDERING AGE 21+ 428 2,559 94 183 294 1,307 325 337
1194917609 ATLA RADHIKA 2021 FFS RENDERING AGE 0-20 233 3,580 228 1,290 120 209 211 359
1194917609 ATLA RADHIKA 2021 FFS RENDERING AGE 21+ 884 8,766 735 1,442 497 1,596 763 763
1194920173 NGUYEN CHRISTOPHER D 2021 FFS RENDERING AGE 0-20 45 291 40 92 1 2 44 56
1194920173 NGUYEN CHRISTOPHER D 2021 FFS RENDERING AGE 21+ 754 3,931 320 545 450 1,435 588 588
1194920363 RIDEAU ENRICO J 2021 FFS RENDERING AGE 0-20 46 362 33 54 23 46 34 35
1194920363 RIDEAU ENRICO J 2021 FFS RENDERING AGE 21+ 71 382 12 12 42 96 28 28
1194921890 FETALINO CZARINNE PAT A 2021 FFS RENDERING AGE 0-20 25 304 25 92 14 61 22 34
1194921890 FETALINO CZARINNE PAT A 2021 FFS RENDERING AGE 21+ 57 497 43 77 40 152 50 50
1194928598 SHOKER, DR D S, DDS INC 2021 FFS RENDERING AGE 21+ 1 1 1 1 1 1 0 0
1194931386 LEE KENNETH K 2021 FFS RENDERING AGE 0-20 75 850 43 79 75 665 46 46
1194931386 LEE KENNETH K 2021 FFS RENDERING AGE 21+ 432 4,577 53 105 431 3,719 288 289
1194937748 HOANG DAREN T 2021 FFS RENDERING AGE 0-20 441 4,381 395 1,283 163 435 410 488
1194937748 HOANG DAREN T 2021 FFS RENDERING AGE 21+ 506 3,103 252 324 353 1,196 343 343
1194939009 VELOSA JUAN C 2021 FFS RENDERING AGE 0-20 179 1,704 146 403 76 212 142 172
1194939009 VELOSA JUAN C 2021 FFS RENDERING AGE 21+ 303 2,346 109 161 186 828 221 221
1194940841 LO MAN-PIK 2021 FFS RENDERING AGE 0-20 48 210 42 92 1 2 41 44
1194940841 LO MAN-PIK 2021 FFS RENDERING AGE 21+ 243 714 155 155 104 168 80 80
1194941245 SANDOVAL PEDRO M 2021 FFS RENDERING AGE 0-20 100 1,074 81 241 54 296 92 109
1194941245 SANDOVAL PEDRO M 2021 FFS RENDERING AGE 21+ 206 1,791 47 72 158 941 166 166
1194941245 SANDOVAL, PEDRO M, DDS CORPO 2021 FFS RENDERING AGE 0-20 100 1,074 81 241 54 296 92 109
1194941245 SANDOVAL, PEDRO M, DDS CORPO 2021 FFS RENDERING AGE 21+ 206 1,791 47 72 158 941 166 166
1194943035 VO, TRINH-MAI NGOC, DDS 2021 FFS RENDERING AGE 0-20 157 1,101 144 445 67 183 126 158
1194943035 VO, TRINH-MAI NGOC, DDS 2021 FFS RENDERING AGE 21+ 242 1,221 150 152 174 473 140 140
1194943563 NGUYEN SCOTT H 2021 FFS RENDERING AGE 0-20 133 1,083 127 339 48 125 125 146
1194943563 NGUYEN SCOTT H 2021 FFS RENDERING AGE 21+ 68 469 45 84 43 122 45 45
1194944066 ROFAEL, NAWAL NAZEER DDS 2021 FFS RENDERING AGE 0-20 54 266 45 151 11 18 43 43
1194944066 ROFAEL, NAWAL NAZEER DDS 2021 FFS RENDERING AGE 21+ 78 336 29 29 49 167 40 40
1194944066 ROFAEL, NAWAL NAZEER DDS 2021 PHP RENDERING AGE 0-20 38 145 38 85 1 1 38 39
1194944066 ROFAEL, NAWAL NAZEER DDS 2021 PHP RENDERING AGE 21+ 72 376 38 39 37 199 59 61
1194944389 KHAYAL, SAMIR JAMAL DDS 2021 FFS RENDERING AGE 0-20 1,090 8,347 918 3,313 477 965 932 1,100
1194944389 KHAYAL, SAMIR JAMAL DDS 2021 FFS RENDERING AGE 21+ 628 3,244 207 418 463 1,447 293 293
1194944389 KHAYAL, SAMIR JAMAL DDS 2021 PHP RENDERING AGE 0-20 46 325 43 121 23 47 42 55
1194944389 KHAYAL, SAMIR JAMAL DDS 2021 PHP RENDERING AGE 21+ 20 67 1 1 1 2 17 17
1194944769 SALEHANI, FARIBA, DDS 2021 FFS RENDERING AGE 0-20 105 976 74 182 64 158 71 81
1194944769 SALEHANI, FARIBA, DDS 2021 FFS RENDERING AGE 21+ 177 1,653 90 175 132 735 115 115
1194944769 SALEHANI, FARIBA, DDS 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1194944769 SALEHANI, FARIBA, DDS 2021 PHP RENDERING AGE 21+ 14 109 1 2 1 2 12 13
1194946004 PETRUSKA LASZLO 2021 FFS RENDERING AGE 0-20 126 1,048 97 251 61 211 103 120
1194946004 PETRUSKA LASZLO 2021 FFS RENDERING AGE 21+ 639 5,111 295 295 510 2,300 409 409
1194946004 PETRUSKA LASZLO 2021 PHP RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1194946566 HASHEMI SEAN S 2021 FFS RENDERING AGE 0-20 13 119 12 67 1 2 11 16
1194946566 HASHEMI SEAN S 2021 FFS RENDERING AGE 21+ 114 576 54 81 73 239 80 80
1194948083 AZEVEDO ANDREA B 2021 FFS RENDERING AGE 0-20 85 560 77 193 20 63 73 75
1194948083 AZEVEDO ANDREA B 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1194956326 GERBAKHER ALEXANDER I 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1194956326 GERBAKHER ALEXANDER I 2021 FFS RENDERING AGE 21+ 23 57 1 1 18 44 1 1
1194957969 PURECO MARIO 2021 FFS RENDERING AGE 0-20 31 392 26 73 15 58 25 30
1194957969 PURECO MARIO 2021 FFS RENDERING AGE 21+ 81 614 20 20 65 241 45 45
1194967174 PERKINS CHEN, JENNIFER D MD 2021 FFS RENDERING AGE 21+ 17 44 0 0 1 2 14 14
1194969378 SEDIQI NAS 2021 FFS RENDERING AGE 0-20 32 121 0 0 31 104 14 14
1194969378 SEDIQI NAS 2021 FFS RENDERING AGE 21+ 12 27 0 0 1 2 1 1
1194979989 NGUYEN JIMMY 2021 FFS RENDERING AGE 0-20 387 5,713 355 1,425 268 1,603 365 539
1194979989 NGUYEN JIMMY 2021 FFS RENDERING AGE 21+ 403 3,542 179 354 311 1,919 320 320
1194979989 NGUYEN JIMMY 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1194985812 KHANZADEH, ALBERT, DDS 2021 FFS RENDERING AGE 0-20 1 2 1 1 0 0 1 1
1194985812 KHANZADEH, ALBERT, DDS 2021 FFS RENDERING AGE 21+ 30 170 14 14 21 103 17 17
1205001203 EZZAT ANGELA 2021 FFS RENDERING AGE 0-20 796 7,754 657 1,638 230 627 733 888
1205001203 EZZAT ANGELA 2021 FFS RENDERING AGE 21+ 405 2,562 159 328 206 591 263 266
1205004082 CATABIJAN DIVINIA G 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1205004389 NAGAI BARNARD G 2021 FFS RENDERING AGE 0-20 51 339 45 148 23 42 44 50
1205004389 NAGAI BARNARD G 2021 FFS RENDERING AGE 21+ 110 772 82 161 78 339 89 89
1205006707 ROBINOS MARY B 2021 FFS RENDERING AGE 0-20 65 1,014 61 229 43 214 54 74
1205006707 ROBINOS MARY B 2021 FFS RENDERING AGE 21+ 128 1,653 94 185 102 502 98 98
1205007861 ORDES, RODOLFO C, DDS 2021 FFS RENDERING AGE 21+ 1 2 0 0 0 0 0 0
1205012986 COBB, STACEY ANN, RDHAP 2021 FFS RENDERING AGE 21+ 119 752 116 462 119 290 0 0
1205017746 SANTA ROSA DENTAL OFFICE 2021 FFS RENDERING AGE 0-20 1 1 1 1 1 1 0 0
1205019072 YOUSEFZADEH FERESHTEH 2021 FFS RENDERING AGE 0-20 116 162 0 0 18 57 0 0
1205019072 YOUSEFZADEH FERESHTEH 2021 PHP RENDERING AGE 0-20 1 2 0 0 1 2 0 0
1205021250 SAHARAN SACHIN 2021 FFS RENDERING AGE 0-20 355 3,193 258 1,132 174 582 329 396
1205021250 SAHARAN SACHIN 2021 FFS RENDERING AGE 21+ 707 4,041 194 385 490 1,859 538 538
1205021250 SAHARAN SACHIN 2021 PHP RENDERING AGE 0-20 223 1,637 205 666 86 262 206 241
1205021250 SAHARAN SACHIN 2021 PHP RENDERING AGE 21+ 273 1,329 121 242 119 323 209 210
1205022431 HANNA, MAHA M, DDS 2021 FFS RENDERING AGE 0-20 33 626 24 178 13 106 30 82
1205022431 HANNA, MAHA M, DDS 2021 FFS RENDERING AGE 21+ 213 3,554 76 214 153 1,926 159 326
1205022431 HANNA, MAHA M, DDS 2021 PHP RENDERING AGE 21+ 11 86 1 1 1 2 1 2
1205026515 GOWDA RAMESH A M 2021 FFS RENDERING AGE 0-20 55 550 45 140 32 101 38 41
1205026515 GOWDA RAMESH A M 2021 FFS RENDERING AGE 21+ 172 1,127 82 82 96 406 132 133
1205031119 GARZA, ROSENDO, DDS 2021 FFS RENDERING AGE 0-20 298 3,500 255 848 150 642 238 288
1205031119 GARZA, ROSENDO, DDS 2021 FFS RENDERING AGE 21+ 467 3,821 136 217 336 1,844 334 336
1205033149 TRAN DAVID D 2021 FFS RENDERING AGE 0-20 88 762 81 214 56 265 83 110
1205033149 TRAN DAVID D 2021 FFS RENDERING AGE 21+ 157 1,286 135 266 109 604 139 139
1205034790 BRONZINI NICOLAS L 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 2 0 0
1205040573 NAZIRI, RAMIN A, DDS 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1205042322 CALICDAN CAROL S 2021 FFS RENDERING AGE 0-20 100 630 36 73 42 145 73 77
1205042322 CALICDAN CAROL S 2021 FFS RENDERING AGE 21+ 434 2,303 21 31 209 585 315 316
1205053907 GONZALEZ ALBERTO 2021 FFS RENDERING AGE 0-20 38 212 29 71 16 46 35 42
1205053907 GONZALEZ ALBERTO 2021 FFS RENDERING AGE 21+ 92 506 59 118 53 181 69 69
1205056207 KUNIMOTO BLAKE K 2021 FFS RENDERING AGE 0-20 1,131 8,273 1,038 1,578 185 591 1,061 1,443
1205056207 KUNIMOTO BLAKE K 2021 FFS RENDERING AGE 21+ 599 4,375 146 146 315 997 415 415
1205056264 SHAH, RAJESH DDS 2021 FFS RENDERING AGE 0-20 183 2,826 161 623 102 345 165 210
1205056264 SHAH, RAJESH DDS 2021 FFS RENDERING AGE 21+ 217 2,276 34 46 177 743 138 138
1205057379 SHIN, ANDREW WOOCHUL, DDS 2021 FFS RENDERING AGE 0-20 201 1,298 194 460 58 149 190 269
1205057379 SHIN, ANDREW WOOCHUL, DDS 2021 FFS RENDERING AGE 21+ 312 1,520 226 226 161 472 253 253
1205057619 MILLAR, SUSAN FLORRIE DDS 2021 FFS RENDERING AGE 0-20 132 1,074 112 401 59 182 110 153
1205057619 MILLAR, SUSAN FLORRIE DDS 2021 FFS RENDERING AGE 21+ 506 3,507 309 575 373 1,513 328 329
1205057783 FRYDMAN ALON 2021 FFS RENDERING AGE 0-20 1 1 1 1 1 1 1 1
1205065265 SWAROOP, MELODY ANN, RDHAP 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1205067980 CHAUDHRY MANU 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1205076338 BONILLA CARLOS E 2021 GMC RENDERING AGE 21+ 15 55 1 1 14 31 1 2
1205082708 CERVANTES GABRIELA 2021 FFS RENDERING AGE 0-20 3,517 33,007 2,977 10,200 2,261 5,215 2,756 3,387
1205082708 CERVANTES GABRIELA 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 2 1 1
1205099637 SINGH RANBIR 2021 PHP RENDERING AGE 0-20 103 498 86 245 43 54 46 47
1205099637 SINGH RANBIR 2021 PHP RENDERING AGE 21+ 13 68 12 21 1 2 1 1
1205102365 CASTIGLIONE ZACHERY J 2021 FFS RENDERING AGE 0-20 326 3,024 288 461 177 637 283 346
1205102365 CASTIGLIONE ZACHERY J 2021 FFS RENDERING AGE 21+ 16 61 1 1 1 2 1 1
1205137999 KIM YOUNG R 2021 FFS RENDERING AGE 0-20 776 12,182 739 2,609 488 2,075 752 1,003
1205137999 KIM YOUNG R 2021 FFS RENDERING AGE 21+ 403 4,284 281 549 296 1,522 344 344
1205149176 CALIGIURI PEARL A 2021 PHP RENDERING AGE 0-20 256 1,577 208 695 126 182 164 193
1205149176 CALIGIURI PEARL A 2021 PHP RENDERING AGE 21+ 1 2 0 0 1 1 1 1
1205156122 DAOUD HASAN A 2021 FFS RENDERING AGE 0-20 1 2 0 0 1 2 1 1
1205156122 DAOUD HASAN A 2021 FFS RENDERING AGE 21+ 17 52 0 0 12 24 1 1
1205159498 IKEDA HIDEKI 2021 FFS RENDERING AGE 0-20 615 1,540 0 0 52 90 0 0
1205159498 IKEDA HIDEKI 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1205162948 WU, YING, DDS INC 2021 PHP RENDERING AGE 0-20 49 296 41 82 12 28 45 46
1205162948 WU, YING, DDS INC 2021 PHP RENDERING AGE 21+ 33 179 18 22 20 57 20 20
1205177185 MEHRKHODAVANDI NEEMA B 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1205177185 MEHRKHODAVANDI NEEMA B 2021 FFS RENDERING AGE 21+ 36 48 0 0 36 47 0 0
1205178357 OSIBIN III WILLARD S 2021 FFS RENDERING AGE 0-20 208 1,374 0 0 199 1,352 11 11
1205178357 OSIBIN III WILLARD S 2021 FFS RENDERING AGE 21+ 309 3,147 0 0 297 3,108 18 18
1205184918 HAMZE HOUDA W 2021 FFS RENDERING AGE 0-20 672 4,750 644 1,716 608 803 585 586
1205197399 EMDADI JENNIFER R 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 1 1
1205197399 EMDADI JENNIFER R 2021 FFS RENDERING AGE 21+ 22 95 1 2 14 34 18 18
1205203304 FOROUGHI ASHKAN 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1205226875 JANG, S, DDS INCORPORATED 2021 GMC RENDERING AGE 0-20 1 2 1 1 1 2 1 1
1205226875 S. JANG DDS INCORPORATED 2021 GMC RENDERING AGE 0-20 1 2 1 1 1 2 1 1
1205241668 TUCKER BRENT A 2021 FFS RENDERING AGE 0-20 843 14,417 779 3,601 570 2,325 775 1,209
1205241668 TUCKER BRENT A 2021 FFS RENDERING AGE 21+ 87 474 40 80 54 85 44 44
1205247434 KENDALL SAMANTHA 2021 FFS RENDERING AGE 0-20 75 518 37 81 46 111 45 45
1205247434 KENDALL SAMANTHA 2021 FFS RENDERING AGE 21+ 342 2,145 34 61 252 818 208 208
1205248812 MUNEER QURATULANNE 2021 FFS RENDERING AGE 0-20 273 4,017 250 752 119 928 268 356
1205248812 MUNEER QURATULANNE 2021 FFS RENDERING AGE 21+ 202 2,177 88 147 153 913 160 161
1205265527 CHANG PHILIP 2021 FFS RENDERING AGE 0-20 316 4,089 303 1,230 148 364 304 380
1205265527 CHANG PHILIP 2021 FFS RENDERING AGE 21+ 576 6,645 435 1,291 356 1,425 472 688
1205265527 CHANG PHILIP 2021 PHP RENDERING AGE 0-20 48 308 41 119 20 25 43 43
1205265527 CHANG PHILIP 2021 PHP RENDERING AGE 21+ 44 271 33 64 18 30 37 38
1205273810 MIKHAIL EMAN 2021 FFS RENDERING AGE 0-20 27 200 23 65 14 76 18 21
1205273810 MIKHAIL EMAN 2021 FFS RENDERING AGE 21+ 43 209 19 34 18 65 34 34
1205290327 KIM JOANNE J 2021 FFS RENDERING AGE 0-20 2,656 47,083 2,522 9,743 2,123 11,149 2,552 3,329
1205290327 KIM JOANNE J 2021 FFS RENDERING AGE 21+ 58 577 46 96 18 76 49 51
1205295862 BATEMAN GABRIELLA MA O 2021 FFS RENDERING AGE 0-20 179 844 146 350 39 61 142 148
1205295862 BATEMAN GABRIELLA MA O 2021 FFS RENDERING AGE 21+ 114 427 27 38 76 145 52 52
1205311057 GARCIA GIOVANNA 2021 FFS RENDERING AGE 0-20 87 413 34 73 68 107 38 40
1205311057 GARCIA GIOVANNA 2021 FFS RENDERING AGE 21+ 321 1,584 68 130 250 585 126 126
1205331022 YU WENLI 2021 FFS RENDERING AGE 0-20 178 1,105 0 0 155 1,037 34 34
1205331022 YU WENLI 2021 FFS RENDERING AGE 21+ 249 1,316 0 0 182 1,096 112 112
1205341336 ELICA HEALTH CENTERS 2021 GMC RENDERING AGE 0-20 1 2 1 2 1 2 1 1
1205341336 ELICA HEALTH CENTERS 2021 GMC RENDERING AGE 21+ 1 2 0 0 0 0 1 2
1205343654 ASKARI NINOOSH 2021 FFS RENDERING AGE 21+ 364 858 79 113 364 463 282 282
1205365103 YANG JESSIE 2021 FFS RENDERING AGE 0-20 86 567 42 83 54 119 44 44
1205365103 YANG JESSIE 2021 FFS RENDERING AGE 21+ 208 1,113 55 108 151 415 95 95
1205370673 TRAN ELIZABETH 2021 PHP RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1205370673 TRAN ELIZABETH 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1205380052 PEGAH TEHRANI 2021 FFS RENDERING AGE 0-20 990 7,140 589 1,395 468 1,072 729 746
1205380052 PEGAH TEHRANI 2021 FFS RENDERING AGE 21+ 993 3,920 106 205 611 1,401 542 544
1205380052 PEGAH TEHRANI 2021 PHP RENDERING AGE 0-20 14 72 1 2 1 2 1 1
1205380052 PEGAH TEHRANI 2021 PHP RENDERING AGE 21+ 25 83 1 1 14 34 15 15
1205398567 PETERS DA'KANDRYIA 2021 FFS RENDERING AGE 0-20 270 1,559 218 519 101 277 243 264
1205398567 PETERS DA'KANDRYIA 2021 FFS RENDERING AGE 21+ 212 998 20 33 155 601 122 122
1205406949 TAFESH PETER B 2021 FFS RENDERING AGE 0-20 79 425 41 94 60 241 15 15
1205406949 TAFESH PETER B 2021 FFS RENDERING AGE 21+ 200 922 44 78 174 695 20 20
1205423803 CEBALLOS MARISOL D 2021 FFS RENDERING AGE 0-20 51 223 29 63 31 42 30 30
1205423803 CEBALLOS MARISOL D 2021 FFS RENDERING AGE 21+ 36 122 13 25 28 47 13 13
1205428802 NAINA FNU 2021 FFS RENDERING AGE 0-20 1,424 10,927 1,188 2,489 161 418 1,357 1,424
1205428802 NAINA FNU 2021 FFS RENDERING AGE 21+ 319 2,360 120 239 214 737 214 216
1205448156 BUI TIFFANY 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1205472495 VO TRISHA-THUY- 2021 FFS RENDERING AGE 0-20 551 3,998 401 1,037 324 695 357 358
1205472495 VO TRISHA-THUY- 2021 FFS RENDERING AGE 21+ 65 319 24 48 44 109 27 27
1205476207 DRS SALEM AND SOLIMAN DENTAL 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1205476207 DRS SALEM AND SOLIMAN DENTAL CORP 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1205481256 HONG JENNY H 2021 FFS RENDERING AGE 0-20 782 5,164 503 1,295 539 1,183 439 453
1205481256 HONG JENNY H 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1205496155 GHASEMI REZA 2021 FFS RENDERING AGE 0-20 55 397 37 109 36 121 51 51
1205496155 GHASEMI REZA 2021 FFS RENDERING AGE 21+ 106 673 35 69 83 381 95 95
1205821931 NICHOLS RONALD W 2021 FFS RENDERING AGE 0-20 29 228 29 86 13 46 28 29
1205821931 NICHOLS RONALD W 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1205821931 NICHOLS RONALD W 2021 PHP RENDERING AGE 0-20 17 112 17 50 1 1 16 20
1205821931 NICHOLS RONALD W 2021 PHP RENDERING AGE 21+ 1 1 1 1 1 1 0 0
1205822285 HUANG, WILBUR 2021 FFS RENDERING AGE 0-20 35 90 0 0 35 90 0 0
1205847068 GEWAID SHENOUDA F 2021 FFS RENDERING AGE 0-20 229 1,656 182 698 73 161 143 168
1205847068 GEWAID SHENOUDA F 2021 FFS RENDERING AGE 21+ 616 2,106 284 382 390 1,085 182 182
1205847068 GEWAID SHENOUDA F 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1205847068 GEWAID SHENOUDA F 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1205865375 SHOKOHI ARMON 2021 FFS RENDERING AGE 0-20 216 952 131 255 44 88 188 190
1205865375 SHOKOHI ARMON 2021 FFS RENDERING AGE 21+ 413 1,251 52 59 182 352 243 243
1205865375 SHOKOHI ARMON 2021 PHP RENDERING AGE 0-20 126 369 82 130 19 33 109 113
1205865375 SHOKOHI ARMON 2021 PHP RENDERING AGE 21+ 227 520 41 49 94 212 156 159
1205871415 AVULA SHILPA 2021 FFS RENDERING AGE 0-20 116 786 102 259 47 208 84 88
1205871415 AVULA SHILPA 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1205882255 MORRIS JUDI 2021 PHP RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1205900438 SOLTANZADEH PEDRAM 2021 FFS RENDERING AGE 0-20 147 1,090 124 282 57 245 133 150
1205900438 SOLTANZADEH PEDRAM 2021 FFS RENDERING AGE 21+ 214 1,318 111 222 129 580 142 142
1205900982 NAKAHARA ARTHUR T 2021 FFS RENDERING AGE 0-20 1 1 1 1 1 1 0 0
1205900982 NAKAHARA ARTHUR T 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 1 1 1
1205902251 KHASRU, MOHAMMED A, DDS 2021 FFS RENDERING AGE 0-20 1,279 6,232 553 1,811 229 286 1,254 1,447
1205902251 KHASRU, MOHAMMED A, DDS 2021 FFS RENDERING AGE 21+ 1,456 4,442 366 669 198 488 1,340 1,344
1205902251 KHASRU, MOHAMMED A, DDS 2021 PHP RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1205907417 MADANI, ABOLGHASSEM, DDS 2021 FFS RENDERING AGE 21+ 29 135 18 18 20 53 23 23
1205908290 TRAN, PHUONG DDS 2021 FFS RENDERING AGE 0-20 229 3,585 227 993 147 427 227 349
1205908290 TRAN, PHUONG DDS 2021 FFS RENDERING AGE 21+ 204 2,113 161 321 146 732 172 172
1205908290 TRAN, PHUONG P, DDS 2021 FFS RENDERING AGE 0-20 229 3,585 227 993 147 427 227 349
1205908290 TRAN, PHUONG P, DDS 2021 FFS RENDERING AGE 21+ 204 2,113 161 321 146 732 172 172
1205921269 AGAKI MEIR 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1205921897 WILLIAMS, DOUGLAS P, DDS 2021 FFS RENDERING AGE 0-20 110 249 0 0 47 142 0 0
1205922705 CENTRAL COAST PED DENTAL GRP 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1205922705 CENTRAL COAST PEDIATRIC DENT 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1205934346 RAJABI ABBAS 2021 FFS RENDERING AGE 0-20 325 2,485 273 783 166 532 303 345
1205934346 RAJABI ABBAS 2021 FFS RENDERING AGE 21+ 745 4,861 359 718 560 2,308 523 531
1205934346 UNKNOWN 2021 FFS RENDERING AGE 0-20 325 2,485 273 783 166 532 303 345
1205934346 UNKNOWN 2021 FFS RENDERING AGE 21+ 745 4,861 359 718 560 2,308 523 531
1205934809 TJIONG HWIE-BENG 2021 FFS RENDERING AGE 0-20 16 115 14 50 12 24 11 12
1205934809 TJIONG HWIE-BENG 2021 FFS RENDERING AGE 21+ 76 324 43 43 45 119 57 57
1205943271 OSORIA, JOSE L, DDS 2021 FFS RENDERING AGE 0-20 233 1,087 36 43 195 408 58 63
1205943271 OSORIA, JOSE L, DDS 2021 FFS RENDERING AGE 21+ 718 2,836 50 50 534 1,226 370 371
1205943495 STEFANIDIS, MICHAEL A, DDS 2021 FFS RENDERING AGE 0-20 21 79 20 40 1 1 20 21
1205943495 STEFANIDIS, MICHAEL A, DDS 2021 FFS RENDERING AGE 21+ 60 201 28 28 34 58 31 31
1205949005 KHAN SHATAJ A 2021 FFS RENDERING AGE 21+ 14 27 0 0 14 27 0 0
1205949021 FORGE, JONI A, DDS 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1205949021 FORGE, JONI A, DDS 2021 FFS RENDERING AGE 21+ 22 85 1 1 1 2 16 16
1205961026 REESE, COTE, DDS 2021 FFS RENDERING AGE 21+ 96 189 0 0 94 159 1 1
1205966553 TRAN VIVIAN T 2021 FFS RENDERING AGE 0-20 2,220 22,030 2,133 6,209 1,338 3,938 2,139 2,778
1205966553 TRAN VIVIAN T 2021 FFS RENDERING AGE 21+ 222 1,164 118 118 106 276 156 156
1205966553 TRAN VIVIAN T 2021 PHP RENDERING AGE 0-20 102 578 102 238 39 97 101 107
1205971306 HATCHER & DIAL INC. 2021 GMC RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1205973351 GAJARDO, ANA MARIA DDS 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 1 1 1
1205978897 NGUYEN VALERIE D 2021 FFS RENDERING AGE 0-20 1,004 13,476 922 2,383 614 2,328 917 1,072
1205978897 NGUYEN VALERIE D 2021 FFS RENDERING AGE 21+ 166 1,077 56 111 115 236 88 88
1205982295 TABIBZADEH NAVID 2021 FFS RENDERING AGE 0-20 1,605 12,936 1,450 4,660 638 1,729 1,493 1,725
1205982295 TABIBZADEH NAVID 2021 FFS RENDERING AGE 21+ 540 1,845 164 330 319 957 362 362
1205982295 TABIBZADEH NAVID 2021 PHP RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1205982295 TABIBZADEH NAVID 2021 PHP RENDERING AGE 21+ 13 53 1 1 1 2 1 1
1205982311 JUSTIN HARTANTO L 2021 FFS RENDERING AGE 0-20 81 733 77 244 40 118 78 108
1205982311 JUSTIN HARTANTO L 2021 FFS RENDERING AGE 21+ 176 1,664 130 143 122 443 138 138
1205983830 DESAR JYOTI V 2021 FFS RENDERING AGE 0-20 224 2,438 187 482 85 275 189 213
1205983830 DESAR JYOTI V 2021 FFS RENDERING AGE 21+ 358 3,149 195 198 159 505 295 295
1205986221 HA, KIM PHUNG T, DMD 2021 FFS RENDERING AGE 0-20 300 2,880 285 1,213 165 585 285 363
1205986221 HA, KIM PHUNG T, DMD 2021 FFS RENDERING AGE 21+ 283 1,941 215 421 227 889 218 218
1205989100 AHN, JAMES C T, DDS 2021 FFS RENDERING AGE 21+ 66 176 12 12 21 43 58 58
1205989423 GONZALES LEILA P 2021 FFS RENDERING AGE 0-20 3,111 30,605 2,424 5,570 1,763 4,147 2,415 2,572
1205989423 GONZALES LEILA P 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1205989423 GONZALES LEILA P 2021 PHP RENDERING AGE 0-20 1 1 0 0 0 0 1 1
1205989589 ELAZEGUI, NONATO H DMD 2021 FFS RENDERING AGE 0-20 172 3,319 163 690 115 873 165 208
1205989589 ELAZEGUI, NONATO H DMD 2021 FFS RENDERING AGE 21+ 60 1,039 50 104 47 402 51 53
1205989829 ZINBERG, DIANA DDS 2021 FFS RENDERING AGE 0-20 210 1,166 136 359 121 310 136 138
1205989829 ZINBERG, DIANA DDS 2021 FFS RENDERING AGE 21+ 488 2,468 160 161 422 1,420 185 185
1205991577 JIMENEZ CESAR 2021 FFS RENDERING AGE 0-20 156 1,235 141 358 63 203 143 183
1205991577 JIMENEZ CESAR 2021 FFS RENDERING AGE 21+ 291 1,231 133 133 167 435 198 198
1205993995 FISCHER, DAVID J MD 2021 FFS RENDERING AGE 0-20 480 1,592 0 0 480 1,592 0 0
1205993995 FISCHER, DAVID J MD 2021 FFS RENDERING AGE 21+ 15 45 0 0 15 45 0 0
1205998184 FARHANGI FAYE F 2021 FFS RENDERING AGE 0-20 20 240 17 72 18 115 20 20
1205998184 FARHANGI FAYE F 2021 FFS RENDERING AGE 21+ 253 3,234 170 337 245 2,472 195 195
1205999497 PHAM BACH MAI T 2021 FFS RENDERING AGE 0-20 134 779 98 310 96 343 38 38
1205999497 PHAM BACH MAI T 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1205999497 PHAM BACH MAI T 2021 GMC RENDERING AGE 0-20 1,499 10,711 1,002 3,293 853 3,010 1,249 1,442
1205999497 PHAM BACH MAI T 2021 GMC RENDERING AGE 21+ 1,088 7,010 364 626 672 3,610 836 841
1205999497 PHAM BACH MAI T 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1205999497 PHAM BACH MAI T 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1205999828 GHRAIR SUZAN B 2021 FFS RENDERING AGE 0-20 1,415 12,734 1,083 4,211 1,068 5,999 566 606
1205999828 GHRAIR SUZAN B 2021 FFS RENDERING AGE 21+ 85 240 43 80 42 153 1 1
1205999828 GHRAIR SUZAN B 2021 GMC RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1205999828 GHRAIR SUZAN B 2021 PHP RENDERING AGE 0-20 233 2,808 193 1,118 160 877 189 230
1205999828 GHRAIR SUZAN B 2021 PHP RENDERING AGE 21+ 158 1,370 75 155 124 829 124 128
1215004833 VELARDE CARLOS E 2021 FFS RENDERING AGE 0-20 39 472 36 153 16 25 34 47
1215004833 VELARDE CARLOS E 2021 FFS RENDERING AGE 21+ 21 89 1 1 12 31 17 17
1215005640 ZHANG SHAOBIN 2021 FFS RENDERING AGE 0-20 440 630 0 0 131 236 0 0
1215005640 ZHANG SHAOBIN 2021 FFS RENDERING AGE 21+ 14 14 0 0 0 0 0 0
1215010319 FELD, LEONARD J, DDS 2021 FFS RENDERING AGE 0-20 124 549 18 25 106 173 24 24
1215010319 FELD, LEONARD J, DDS 2021 FFS RENDERING AGE 21+ 142 652 21 25 124 246 31 31
1215020391 TRAN, THUYVAN H, DDS 2021 FFS RENDERING AGE 0-20 65 427 64 152 23 83 62 79
1215020391 TRAN, THUYVAN H, DDS 2021 FFS RENDERING AGE 21+ 74 430 60 62 46 213 61 63
1215023189 FLACHNER STEWART D 2021 FFS RENDERING AGE 0-20 226 3,065 188 772 91 176 212 286
1215023189 FLACHNER STEWART D 2021 FFS RENDERING AGE 21+ 162 868 25 45 101 252 105 105
1215023189 FLACHNER STEWART D 2021 PHP RENDERING AGE 0-20 56 549 46 116 31 47 54 61
1215023189 FLACHNER STEWART D 2021 PHP RENDERING AGE 21+ 38 179 1 1 15 50 30 31
1215027651 REYES EDWIN P 2021 FFS RENDERING AGE 0-20 50 327 44 106 17 32 46 53
1215027651 REYES EDWIN P 2021 FFS RENDERING AGE 21+ 163 906 84 166 92 311 134 134
1215029772 HOU, STEVEN Y, DDS INC 2021 FFS RENDERING AGE 0-20 17 127 17 40 1 2 12 16
1215029772 HOU, STEVEN Y, DDS INC 2021 FFS RENDERING AGE 21+ 49 318 29 58 26 80 25 25
1215032115 AHDOUT SAIED S 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1215035217 O'CONNOR MARY M 2021 FFS RENDERING AGE 0-20 1,264 10,597 1,230 4,052 539 1,916 1,207 1,675
1215035217 O'CONNOR MARY M 2021 FFS RENDERING AGE 21+ 256 1,657 217 420 217 432 204 204
1215040118 NGUYEN PETER T 2021 FFS RENDERING AGE 0-20 119 1,554 108 443 40 122 107 130
1215040118 NGUYEN PETER T 2021 FFS RENDERING AGE 21+ 328 2,748 145 288 249 1,262 188 189
1215047303 ABELITA, LEO JIREH C, DMD IN 2021 FFS RENDERING AGE 0-20 65 722 64 228 13 45 64 111
1215047303 ABELITA, LEO JIREH C, DMD IN 2021 FFS RENDERING AGE 21+ 134 1,161 102 202 72 300 119 119
1215053236 TRAN, SON ANH, DDS 2021 FFS RENDERING AGE 0-20 26 156 18 64 13 22 20 23
1215053236 TRAN, SON ANH, DDS 2021 FFS RENDERING AGE 21+ 61 399 56 112 42 94 56 56
1215056262 MARTINEZ JACKQUELINE M 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1215057419 KO, SAMUEL H, DDS 2021 FFS RENDERING AGE 0-20 3,373 34,353 3,078 11,258 1,187 3,707 3,243 4,246
1215057419 KO, SAMUEL H, DDS 2021 FFS RENDERING AGE 21+ 400 3,349 272 274 204 678 342 342
1215060769 PEREZ ZEPEDA MARCELA I 2021 FFS RENDERING AGE 0-20 40 315 20 49 25 48 28 31
1215060769 PEREZ ZEPEDA MARCELA I 2021 FFS RENDERING AGE 21+ 139 1,168 14 16 110 358 66 66
1215060769 PEREZ ZEPEDA MARCELA I 2021 PHP RENDERING AGE 0-20 50 362 30 111 29 65 33 33
1215060769 PEREZ ZEPEDA MARCELA I 2021 PHP RENDERING AGE 21+ 83 600 16 20 75 264 42 44
1215063011 KWON ANDREW W 2021 FFS RENDERING AGE 0-20 39 186 26 53 18 41 28 31
1215063011 KWON ANDREW W 2021 FFS RENDERING AGE 21+ 166 625 46 73 110 236 90 90
1215064548 CAPDEVILA, GABRIEL E, DDS 2021 FFS RENDERING AGE 0-20 28 209 27 75 1 1 25 32
1215064548 CAPDEVILA, GABRIEL E, DDS 2021 FFS RENDERING AGE 21+ 1 2 1 1 0 0 1 1
1215065461 OLGUIN, JOSE 2021 FFS RENDERING AGE 0-20 365 3,706 347 1,213 147 368 351 525
1215065461 OLGUIN, JOSE 2021 FFS RENDERING AGE 21+ 171 975 40 41 110 438 121 121
1215066329 YAFAI, MARK S MD 2021 FFS RENDERING AGE 0-20 40 186 0 0 37 174 0 0
1215066329 YAFAI, MARK S MD 2021 FFS RENDERING AGE 21+ 58 273 0 0 56 254 0 0
1215066329 YAFAI, MARK S MD 2021 PHP RENDERING AGE 0-20 1 2 0 0 1 2 0 0
1215066329 YAFAI, MARK S MD 2021 PHP RENDERING AGE 21+ 1 2 0 0 1 1 1 1
1215068150 ISKANDAR MONA F 2021 PHP RENDERING AGE 21+ 1 2 1 2 1 1 1 1
1215068622 TRAN, TAMMY N, DDS 2021 FFS RENDERING AGE 0-20 148 2,538 141 598 51 161 142 225
1215068622 TRAN, TAMMY N, DDS 2021 FFS RENDERING AGE 21+ 97 992 78 143 54 177 79 79
1215077508 KHULLAR REENA 2021 FFS RENDERING AGE 0-20 87 135 0 0 1 2 0 0
1215078746 HUYNH, QUANG D, DDS 2021 FFS RENDERING AGE 0-20 99 859 96 230 20 48 96 116
1215078746 HUYNH, QUANG D, DDS 2021 FFS RENDERING AGE 21+ 675 3,093 286 568 259 542 566 572
1215079801 SANTOS JENNIFER V 2021 FFS RENDERING AGE 0-20 22 265 15 52 16 59 16 16
1215079801 SANTOS JENNIFER V 2021 FFS RENDERING AGE 21+ 23 201 1 1 16 65 21 21
1215079801 SANTOS JENNIFER V 2021 PHP RENDERING AGE 0-20 46 378 37 109 24 72 40 46
1215079801 SANTOS JENNIFER V 2021 PHP RENDERING AGE 21+ 63 316 17 18 37 97 46 46
1215079942 CHILDREN'S DENTISTRY 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 2 1 1
1215079942 CHILDREN'S DENTISTRY 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1215083589 LAZO JULIE M 2021 FFS RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1215089347 CHOUDHURY, SHIREEN, DDS 2021 FFS RENDERING AGE 0-20 37 285 34 138 23 62 24 29
1215089347 CHOUDHURY, SHIREEN, DDS 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1215093034 TOBON, BEATRIZ DDS 2021 FFS RENDERING AGE 0-20 13 76 13 24 1 2 13 20
1215093034 TOBON, BEATRIZ DDS 2021 FFS RENDERING AGE 21+ 61 250 40 40 37 87 46 46
1215093315 JACOB, ROBERT DDS 2021 FFS RENDERING AGE 0-20 292 734 0 0 121 398 0 0
1215093315 JACOB, ROBERT DDS 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1215093364 KLOCKENTEGER, LISA L, RDHAP 2021 FFS RENDERING AGE 0-20 1 2 1 2 0 0 0 0
1215093364 KLOCKENTEGER, LISA L, RDHAP 2021 FFS RENDERING AGE 21+ 32 64 32 64 0 0 0 0
1215095021 LE, HOA T, DDS 2021 FFS RENDERING AGE 0-20 154 1,215 145 572 68 180 147 168
1215095021 LE, HOA T, DDS 2021 FFS RENDERING AGE 21+ 286 1,769 221 437 207 576 240 241
1215096391 ANGELES JR GODOFREDO C 2021 FFS RENDERING AGE 0-20 603 9,594 588 2,473 202 483 587 852
1215096391 ANGELES JR GODOFREDO C 2021 FFS RENDERING AGE 21+ 416 4,023 317 635 216 674 347 349
1215099288 MANICKAM KAVITHA 2021 FFS RENDERING AGE 0-20 586 2,316 200 441 102 140 527 550
1215099288 MANICKAM KAVITHA 2021 FFS RENDERING AGE 21+ 870 2,135 51 101 122 158 730 730
1215104690 NGUYEN, LINH DONG-ANH DDS 2021 FFS RENDERING AGE 0-20 370 3,908 331 1,052 169 594 342 404
1215104690 NGUYEN, LINH DONG-ANH DDS 2021 FFS RENDERING AGE 21+ 178 1,341 102 201 119 602 140 140
1215108527 SHTURMAN INNA 2021 GMC RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1215117304 ESTRADA ELIZABETH M 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1215117304 ESTRADA ELIZABETH M 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1215119458 OMAR SAMAH I 2021 FFS RENDERING AGE 0-20 170 2,711 131 351 166 1,711 150 150
1215119458 OMAR SAMAH I 2021 FFS RENDERING AGE 21+ 17 161 14 23 17 98 12 12
1215120225 ALANIZ, ROBERTO R, DDS 2021 FFS RENDERING AGE 0-20 170 1,452 116 278 89 317 137 159
1215120225 ALANIZ, ROBERTO R, DDS 2021 FFS RENDERING AGE 21+ 335 2,103 75 146 254 953 220 220
1215124342 CHAN KEN S 2021 FFS RENDERING AGE 0-20 304 2,984 197 993 148 403 280 298
1215124342 CHAN KEN S 2021 FFS RENDERING AGE 21+ 955 7,293 400 813 601 2,697 772 772
1215129424 NGUYEN, KHAI Q T, DDS 2021 FFS RENDERING AGE 0-20 314 2,218 292 1,237 104 290 301 401
1215129424 NGUYEN, KHAI Q T, DDS 2021 FFS RENDERING AGE 21+ 318 1,577 186 368 151 499 280 280
1215129598 HALILI RAIMUNDO G 2021 FFS RENDERING AGE 0-20 58 258 45 80 18 35 38 38
1215129598 HALILI RAIMUNDO G 2021 FFS RENDERING AGE 21+ 157 643 94 94 74 138 101 101
1215131164 ARZU ROSA E 2021 PHP RENDERING AGE 0-20 11 63 1 1 11 36 1 1
1215131164 ARZU ROSA E 2021 PHP RENDERING AGE 21+ 18 90 0 0 18 63 0 0
1215136411 TRINIDAD ESTRELLA C 2021 FFS RENDERING AGE 0-20 133 1,280 113 347 71 242 116 133
1215136411 TRINIDAD ESTRELLA C 2021 FFS RENDERING AGE 21+ 276 2,534 181 361 180 590 199 217
1215147194 SHEN JULIE L 2021 FFS RENDERING AGE 0-20 896 5,964 777 2,096 499 1,294 744 746
1215152988 AMIR TALIA 2021 FFS RENDERING AGE 0-20 233 2,579 191 619 93 212 190 222
1215152988 AMIR TALIA 2021 FFS RENDERING AGE 21+ 158 1,233 80 158 86 220 89 89
1215156740 TRAN, ANDY M, DDS 2021 FFS RENDERING AGE 0-20 20 72 18 21 1 1 16 17
1215156740 TRAN, ANDY M, DDS 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 0 0
1215168554 KAMDAR RASHID 2021 FFS RENDERING AGE 0-20 1,467 3,517 1 1 299 940 0 0
1215168554 KAMDAR RASHID 2021 FFS RENDERING AGE 21+ 31 59 0 0 1 1 0 0
1215171343 ABRAMS, ELLIOTT NADER DDS 2021 FFS RENDERING AGE 0-20 61 821 56 266 39 186 58 62
1215171343 ABRAMS, ELLIOTT NADER DDS 2021 FFS RENDERING AGE 21+ 189 2,125 144 288 150 1,201 154 154
1215171343 ABRAMS, ELLIOTT NADER DDS 2021 PHP RENDERING AGE 0-20 13 135 13 65 1 2 13 13
1215171343 ABRAMS, ELLIOTT NADER DDS 2021 PHP RENDERING AGE 21+ 33 197 32 70 14 58 32 35
1215185467 POSSO CLAUDIA 2021 FFS RENDERING AGE 0-20 309 2,626 207 574 162 539 250 291
1215185467 POSSO CLAUDIA 2021 FFS RENDERING AGE 21+ 293 2,080 146 147 184 714 199 199
1215188552 RASULOVA NARMINA 2021 FFS RENDERING AGE 0-20 16 84 12 27 1 2 12 12
1215188552 RASULOVA NARMINA 2021 FFS RENDERING AGE 21+ 36 130 1 2 24 57 17 17
1215188552 RASULOVA NARMINA 2021 PHP RENDERING AGE 0-20 11 80 11 27 1 2 1 1
1215188552 RASULOVA NARMINA 2021 PHP RENDERING AGE 21+ 24 95 1 1 11 29 15 16
1215215041 SALEK, MAHDI DDS 2021 FFS RENDERING AGE 0-20 708 4,921 614 1,736 134 366 670 771
1215215041 SALEK, MAHDI DDS 2021 FFS RENDERING AGE 21+ 1,719 8,395 587 1,004 869 3,533 1,354 1,356
1215216056 KIM MIN A 2021 FFS RENDERING AGE 0-20 9,639 96,670 9,322 28,110 3,846 4,924 9,450 11,504
1215231212 LUCAR HERNAN E 2021 FFS RENDERING AGE 0-20 522 1,496 20 74 488 1,261 46 46
1215231212 LUCAR HERNAN E 2021 FFS RENDERING AGE 21+ 1,998 6,009 1 1 1,968 5,812 41 41
1215231212 LUCAR HERNAN E 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1215231949 MASHRUWALA SHAILEE S 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 2 1 1
1215244249 HAMA BRIANNE M 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 2 1 1
1215244249 HAMA BRIANNE M 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1215264098 KIM YOUNG K 2021 FFS RENDERING AGE 0-20 79 806 64 185 29 101 71 83
1215264098 KIM YOUNG K 2021 FFS RENDERING AGE 21+ 218 2,374 58 88 151 746 162 162
1215279997 HECHT RYAN S 2021 FFS RENDERING AGE 0-20 328 402 0 0 58 82 0 0
1215279997 HECHT RYAN S 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1215279997 HECHT RYAN S 2021 GMC RENDERING AGE 0-20 26 94 0 0 26 60 0 0
1215279997 HECHT RYAN S 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1215291059 LIM STEVE H 2021 FFS RENDERING AGE 0-20 775 4,078 0 0 764 3,949 1 1
1215291059 LIM STEVE H 2021 FFS RENDERING AGE 21+ 1,134 6,222 1 1 1,119 6,067 18 18
1215291059 LIM STEVE H 2021 GMC RENDERING AGE 0-20 93 284 0 0 90 226 1 1
1215291059 LIM STEVE H 2021 GMC RENDERING AGE 21+ 324 1,079 0 0 269 728 156 160
1215305719 DANG JIMMY 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1215305719 DANG JIMMY 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 2 0 0
1215307954 HOANG, TUAN M MD 2021 FFS RENDERING AGE 0-20 470 2,534 0 0 363 1,958 281 282
1215307954 HOANG, TUAN M MD 2021 FFS RENDERING AGE 21+ 652 2,995 1 1 440 1,879 470 470
1215318449 NEW III ROBERT F 2021 FFS RENDERING AGE 0-20 1 2 0 0 1 1 1 1
1215318449 NEW III ROBERT F 2021 FFS RENDERING AGE 21+ 11 22 1 1 1 1 1 1
1215369038 TOJARIEH FARZAD 2021 FFS RENDERING AGE 0-20 246 1,675 179 576 128 394 186 197
1215369038 TOJARIEH FARZAD 2021 FFS RENDERING AGE 21+ 266 1,002 52 64 151 429 168 170
1215369038 TOJARIEH FARZAD 2021 GMC RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1215369038 TOJARIEH FARZAD 2021 PHP RENDERING AGE 0-20 266 1,532 112 438 172 485 118 118
1215369038 TOJARIEH FARZAD 2021 PHP RENDERING AGE 21+ 316 1,185 31 49 215 423 110 112
1215381470 ZADEH NARGIZ I 2021 FFS RENDERING AGE 0-20 1 1 1 1 1 1 0 0
1215381470 ZADEH NARGIZ I 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1215386735 PATEL POOJA A 2021 FFS RENDERING AGE 0-20 188 1,666 164 450 73 142 169 171
1215386735 PATEL POOJA A 2021 FFS RENDERING AGE 21+ 185 1,280 93 179 92 312 121 121
1215424379 COWAN EVERT M 2021 FFS RENDERING AGE 0-20 547 4,194 345 836 224 1,039 437 466
1215424379 COWAN EVERT M 2021 FFS RENDERING AGE 21+ 840 4,093 189 199 491 1,873 535 535
1215435235 GUERRERO ONTIVEROS MANUEL 2021 FFS RENDERING AGE 21+ 32 51 1 1 27 42 1 1
1215450085 FATAHI, S, DENTAL GROUP INC 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1215450267 SHANG WYNN 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1215450770 NANDAGOPAL MUGUNTH N 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1215450770 NANDAGOPAL MUGUNTH N 2021 GMC RENDERING AGE 0-20 67 392 60 174 49 71 33 34
1215450770 NANDAGOPAL MUGUNTH N 2021 GMC RENDERING AGE 21+ 242 2,024 193 566 224 921 92 105
1215541826 DANOUSH JOSHUA 2021 FFS RENDERING AGE 0-20 137 1,489 96 228 70 257 96 96
1215541826 DANOUSH JOSHUA 2021 FFS RENDERING AGE 21+ 175 1,646 41 80 149 602 50 50
1215576699 NGUYEN KIM-YEN T 2021 FFS RENDERING AGE 0-20 155 631 87 186 59 144 99 99
1215576699 NGUYEN KIM-YEN T 2021 FFS RENDERING AGE 21+ 450 1,420 104 201 209 533 222 222
1215576699 NGUYEN KIM-YEN T 2021 GMC RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1215576699 NGUYEN KIM-YEN T 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1215577275 NAZIRI JUDITH Z 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 2 1 1
1215577275 NAZIRI JUDITH Z 2021 FFS RENDERING AGE 21+ 22 115 1 1 19 51 1 1
1215577697 TORRES BENITEZ MARTHA H 2021 FFS RENDERING AGE 0-20 97 1,770 87 431 76 408 93 119
1215577697 TORRES BENITEZ MARTHA H 2021 FFS RENDERING AGE 21+ 122 1,979 63 127 94 843 113 113
1215581640 SANTOS JOANNA MARIE T 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1215581640 SANTOS JOANNA MARIE T 2021 FFS RENDERING AGE 21+ 57 113 1 1 11 17 23 23
1215581640 SANTOS JOANNA MARIE T 2021 GMC RENDERING AGE 0-20 642 2,706 207 621 223 416 233 235
1215581640 SANTOS JOANNA MARIE T 2021 GMC RENDERING AGE 21+ 1,013 2,175 81 138 188 479 102 102
1215581640 SANTOS JOANNA MARIE T 2021 PHP RENDERING AGE 0-20 1 1 0 0 0 0 1 1
1215581640 SANTOS JOANNA MARIE T 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1215583570 MENDOZA HAM IGNACIO E 2021 FFS RENDERING AGE 0-20 350 2,725 254 971 180 729 286 309
1215583570 MENDOZA HAM IGNACIO E 2021 FFS RENDERING AGE 21+ 569 3,788 105 201 418 2,468 445 446
1215585062 ANNELLO JINA C 2021 FFS RENDERING AGE 0-20 91 145 1 1 1 1 0 0
1215585062 ANNELLO JINA C 2021 GMC RENDERING AGE 0-20 66 199 55 61 59 87 0 0
1215601539 PARK SANG J 2021 FFS RENDERING AGE 0-20 53 188 16 35 18 41 33 33
1215601539 PARK SANG J 2021 FFS RENDERING AGE 21+ 123 364 1 2 74 156 48 48
1215601539 PARK SANG J 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1215900733 AYSON PAUL F 2021 FFS RENDERING AGE 0-20 2,286 35,022 907 2,278 2,286 22,517 1,556 1,576
1215922760 RILEY IRVING N 2021 FFS RENDERING AGE 0-20 265 1,553 0 0 256 1,513 23 23
1215922760 RILEY IRVING N 2021 FFS RENDERING AGE 21+ 437 2,733 0 0 389 2,546 95 96
1215924287 HA, HIEN, DDS 2021 FFS RENDERING AGE 0-20 390 6,125 375 1,756 119 281 385 587
1215924287 HA, HIEN, DDS 2021 FFS RENDERING AGE 21+ 436 4,620 341 677 249 615 390 390
1215935564 MONCADA MARCELO G 2021 FFS RENDERING AGE 0-20 19 125 18 41 1 2 16 19
1215935564 MONCADA MARCELO G 2021 FFS RENDERING AGE 21+ 80 422 61 122 42 130 67 67
1215943162 GUNSELMAN JOSEPH G 2021 FFS RENDERING AGE 0-20 30 91 0 0 30 91 0 0
1215943162 GUNSELMAN JOSEPH G 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1215955299 MUNGO, RICHARD P DDS 2021 FFS RENDERING AGE 0-20 13 37 1 1 1 1 1 1
1215955299 MUNGO, RICHARD P, DDS 2021 FFS RENDERING AGE 0-20 13 37 1 1 1 1 1 1
1215957105 SMITH JEFFERY W 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1215957105 SMITH JEFFERY W 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 1 0 0
1215968441 DO MINH P 2021 FFS RENDERING AGE 0-20 94 694 79 186 47 114 79 94
1215968441 DO MINH P 2021 FFS RENDERING AGE 21+ 253 1,842 202 394 164 600 203 203
1215983994 DAVIDSON JEFFREY A 2021 FFS RENDERING AGE 0-20 134 443 73 178 92 245 1 1
1215983994 DAVIDSON JEFFREY A 2021 FFS RENDERING AGE 21+ 76 203 27 52 60 148 1 1
1225009673 UNKNOWN 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1225030612 SILVA, BRADLEY K, DDS 2021 FFS RENDERING AGE 0-20 87 718 69 122 31 78 61 68
1225030612 SILVA, BRADLEY K, DDS 2021 FFS RENDERING AGE 21+ 140 729 37 38 67 225 89 89
1225047764 QUEZADA, GUADALUPE DDS 2021 FFS RENDERING AGE 0-20 378 4,185 355 1,119 163 430 359 546
1225047764 QUEZADA, GUADALUPE DDS 2021 FFS RENDERING AGE 21+ 326 2,088 200 397 187 663 241 241
1225056856 WU MICHAEL H 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 2 0 0
1225097215 DEIRMENJIAN BAROUIR A 2021 FFS RENDERING AGE 0-20 1,416 8,828 436 1,053 264 702 525 573
1225097215 DEIRMENJIAN BAROUIR A 2021 FFS RENDERING AGE 21+ 1,592 5,823 161 233 605 1,365 681 686
1225097215 DEIRMENJIAN BAROUIR A 2021 PHP RENDERING AGE 0-20 254 1,784 210 664 81 203 195 224
1225097215 DEIRMENJIAN BAROUIR A 2021 PHP RENDERING AGE 21+ 549 3,115 393 670 243 806 382 392
1225103211 YANG, C W, DDS 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 2 1 1
1225103211 YANG, C W, DDS 2021 FFS RENDERING AGE 21+ 52 173 13 13 25 38 42 42
1225105547 FAN YUNFEI 2021 FFS RENDERING AGE 0-20 151 1,966 148 724 46 115 150 238
1225105547 FAN YUNFEI 2021 FFS RENDERING AGE 21+ 48 466 39 72 30 131 44 44
1225110117 WONG ANTHONY S 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1225113392 CASTRO JOSE M 2021 FFS RENDERING AGE 0-20 11 42 1 2 1 1 1 1
1225113392 CASTRO JOSE M 2021 FFS RENDERING AGE 21+ 21 78 1 1 1 2 14 14
1225113889 KIM DANIEL K 2021 FFS RENDERING AGE 0-20 242 2,125 173 626 159 593 178 201
1225113889 KIM DANIEL K 2021 FFS RENDERING AGE 21+ 281 2,180 71 135 235 1,241 167 167
1225131790 SHIROMA GUILLERMO R 2021 FFS RENDERING AGE 21+ 73 230 1 1 48 121 32 32
1225131840 HANNA SAMIA S 2021 FFS RENDERING AGE 0-20 119 926 78 176 54 147 71 72
1225131840 HANNA SAMIA S 2021 FFS RENDERING AGE 21+ 87 496 17 34 56 168 27 27
1225139520 HUANG TERRY T 2021 FFS RENDERING AGE 0-20 90 676 56 143 47 100 65 71
1225139520 HUANG TERRY T 2021 FFS RENDERING AGE 21+ 79 456 35 70 48 106 42 42
1225143829 CACHO WILNER C 2021 FFS RENDERING AGE 0-20 562 4,161 543 1,580 190 359 544 727
1225143829 CACHO WILNER C 2021 FFS RENDERING AGE 21+ 183 810 122 125 117 253 133 133
1225143829 CACHO, WILNER C, DDS 2021 FFS RENDERING AGE 0-20 562 4,161 543 1,580 190 359 544 727
1225143829 CACHO, WILNER C, DDS 2021 FFS RENDERING AGE 21+ 183 810 122 125 117 253 133 133
1225149446 MARQUEZ MONICA A 2021 FFS RENDERING AGE 0-20 69 523 35 75 39 129 38 40
1225149446 MARQUEZ MONICA A 2021 FFS RENDERING AGE 21+ 413 2,747 115 179 236 793 233 233
1225149446 MARQUEZ MONICA A 2021 GMC RENDERING AGE 0-20 14 65 1 1 13 60 0 0
1225149446 MARQUEZ MONICA A 2021 GMC RENDERING AGE 21+ 494 3,520 462 950 327 927 194 199
1225150543 HUANG MICHAEL 2021 PHP RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1225151541 KARAYAN, GEVORG GEORGE, DDS 2021 FFS RENDERING AGE 0-20 136 1,339 118 289 94 268 123 130
1225151541 KARAYAN, GEVORG GEORGE, DDS 2021 FFS RENDERING AGE 21+ 1,653 16,915 1,001 1,003 1,467 7,055 1,305 1,307
1225151541 KARAYAN, GEVORG GEORGE, DDS 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 2 0 0
1225154636 SCHNEEKLUTH CLARK E 2021 FFS RENDERING AGE 0-20 72 131 0 0 17 44 1 1
1225154636 SCHNEEKLUTH CLARK E 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1225155096 NGO HIEN T 2021 FFS RENDERING AGE 0-20 2,044 29,454 1,881 7,208 1,250 3,457 1,878 2,506
1225155096 NGO HIEN T 2021 FFS RENDERING AGE 21+ 129 957 26 47 81 218 75 77
1225156664 GARLAPATI SUNEETHA 2021 FFS RENDERING AGE 0-20 79 809 70 156 29 91 70 80
1225156664 GARLAPATI SUNEETHA 2021 FFS RENDERING AGE 21+ 95 477 34 58 53 113 56 56
1225160716 VILDERMAN ALEXANDER 2021 FFS RENDERING AGE 0-20 52 225 37 78 18 26 40 41
1225160716 VILDERMAN ALEXANDER 2021 FFS RENDERING AGE 21+ 387 1,647 112 203 280 787 178 178
1225161342 GELLAD SAMER 2021 FFS RENDERING AGE 0-20 703 1,960 1 2 1 1 682 715
1225161342 GELLAD SAMER 2021 FFS RENDERING AGE 21+ 2,241 5,138 1 1 70 152 2,080 2,080
1225163181 TRAN, MAI P L, DDS 2021 FFS RENDERING AGE 0-20 89 1,084 83 356 27 55 85 111
1225163181 TRAN, MAI P L, DDS 2021 FFS RENDERING AGE 21+ 354 2,778 274 545 244 777 71 71
1225165038 SHAHMANYAN TIGRAN 2021 FFS RENDERING AGE 0-20 67 468 51 69 30 93 56 57
1225165038 SHAHMANYAN TIGRAN 2021 FFS RENDERING AGE 21+ 210 1,578 44 44 150 478 163 163
1225168446 GUINN KAREN E 2021 FFS RENDERING AGE 0-20 412 1,873 84 258 218 581 72 73
1225168446 GUINN KAREN E 2021 FFS RENDERING AGE 21+ 572 2,647 141 276 369 817 179 179
1225168446 GUINN KAREN E 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1225168446 GUINN KAREN E 2021 PHP RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1225170186 PAKRAVAN FARID 2021 FFS RENDERING AGE 0-20 2,716 6,578 1,031 2,708 80 164 82 86
1225170186 PAKRAVAN FARID 2021 FFS RENDERING AGE 21+ 1,701 2,927 339 636 111 192 42 42
1225170186 PAKRAVAN FARID 2021 GMC RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1225170186 PAKRAVAN FARID 2021 PHP RENDERING AGE 0-20 740 2,294 148 346 32 57 72 72
1225170186 PAKRAVAN FARID 2021 PHP RENDERING AGE 21+ 1,154 2,525 78 141 58 129 74 76
1225170202 ATLI MURAT 2021 FFS RENDERING AGE 21+ 1 2 1 2 1 1 1 1
1225172745 MELLENTHIN, MICHAEL MD 2021 FFS RENDERING AGE 0-20 1,029 2,534 0 0 1,029 2,534 0 0
1225173479 BEHZADI-SHANNON NILOOFAR 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1225175003 MOHSENI AMIR SHAHAB 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1225176506 ANTHONY GIHAN G 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1225176506 ANTHONY GIHAN G 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1225182355 NUNEZ-OUJI, MARIA LUISA, DDS 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1225182355 NUNEZ-OUJI, MARIA LUISA, DDS 2021 GMC RENDERING AGE 0-20 1,181 12,692 988 5,777 975 2,516 878 1,003
1225182355 NUNEZ-OUJI, MARIA LUISA, DDS 2021 GMC RENDERING AGE 21+ 21 58 1 1 13 17 0 0
1225185861 MOAYEDI, MINA, DDS 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1225185861 MOAYEDI, MINA, DDS 2021 FFS RENDERING AGE 21+ 36 296 27 52 27 128 13 15
1225192040 MARKARIAN NORIK I 2021 FFS RENDERING AGE 0-20 54 618 41 46 40 175 28 28
1225192040 MARKARIAN NORIK I 2021 FFS RENDERING AGE 21+ 674 6,042 316 316 544 2,067 112 112
1225196165 LAZO ANTONIO M 2021 FFS RENDERING AGE 0-20 214 951 172 494 44 94 132 141
1225196165 LAZO ANTONIO M 2021 FFS RENDERING AGE 21+ 617 2,144 222 352 335 1,054 308 308
1225196165 LAZO ANTONIO M 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1225196165 LAZO ANTONIO M 2021 PHP RENDERING AGE 0-20 1 1 1 1 1 1 1 1
1225196165 LAZO ANTONIO M 2021 PHP RENDERING AGE 21+ 1 2 0 0 1 2 1 1
1225197734 WRITER MARTIN C 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1225210578 CHIEN CATHERINE Y 2021 FFS RENDERING AGE 0-20 246 1,595 223 730 121 272 205 256
1225220890 NGUYEN, VAN KIM DDS 2021 FFS RENDERING AGE 0-20 50 375 44 143 25 58 45 49
1225220890 NGUYEN, VAN KIM DDS 2021 FFS RENDERING AGE 21+ 110 679 75 149 85 333 78 78
1225225329 ALCALA-SY ARLENE M 2021 FFS RENDERING AGE 0-20 15 108 13 30 1 2 13 15
1225225329 ALCALA-SY ARLENE M 2021 FFS RENDERING AGE 21+ 54 361 35 64 38 152 30 30
1225226566 OH, SAEKYU, DMD DENTAL CORP 2021 FFS RENDERING AGE 0-20 1 1 1 1 1 1 0 0
1225226566 SAEKYU OH DMD DENTAL CORP 2021 FFS RENDERING AGE 0-20 1 1 1 1 1 1 0 0
1225228638 HSZIEH GARY C 2021 FFS RENDERING AGE 0-20 304 1,140 0 0 304 1,140 0 0
1225233125 KOO KAREN 2021 FFS RENDERING AGE 0-20 139 1,393 124 416 39 98 134 176
1225233125 KOO KAREN 2021 FFS RENDERING AGE 21+ 253 1,480 161 290 116 360 224 224
1225237357 SOHRAB SANAH A 2021 FFS RENDERING AGE 0-20 1,502 17,041 1,349 4,087 826 2,936 1,336 1,521
1225237357 SOHRAB SANAH A 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1225238462 SHULZHENKO LARYSA 2021 FFS RENDERING AGE 0-20 21 188 18 38 12 73 20 21
1225238462 SHULZHENKO LARYSA 2021 FFS RENDERING AGE 21+ 87 868 41 81 74 658 58 58
1225239585 FORTIER THUY T 2021 FFS RENDERING AGE 0-20 58 615 57 182 25 63 58 86
1225239585 FORTIER THUY T 2021 FFS RENDERING AGE 21+ 81 573 49 88 59 167 53 54
1225240708 LE THANH-HANG 2021 FFS RENDERING AGE 0-20 249 1,851 180 690 144 341 145 177
1225240708 LE THANH-HANG 2021 FFS RENDERING AGE 21+ 462 3,051 192 341 402 1,433 176 176
1225240823 SINAI ABOLGHASEM 2021 FFS RENDERING AGE 0-20 30 232 26 66 16 56 25 35
1225240823 SINAI ABOLGHASEM 2021 FFS RENDERING AGE 21+ 76 498 60 60 55 227 70 70
1225240823 SINAI ABOLGHASEM 2021 PHP RENDERING AGE 0-20 20 121 20 50 1 2 20 21
1225240823 SINAI ABOLGHASEM 2021 PHP RENDERING AGE 21+ 45 247 42 43 28 101 42 42
1225240823 SINAI, ABOLGHASEM, DDS 2021 FFS RENDERING AGE 0-20 30 232 26 66 16 56 25 35
1225240823 SINAI, ABOLGHASEM, DDS 2021 FFS RENDERING AGE 21+ 76 498 60 60 55 227 70 70
1225240823 SINAI, ABOLGHASEM, DDS 2021 PHP RENDERING AGE 0-20 20 121 20 50 1 2 20 21
1225240823 SINAI, ABOLGHASEM, DDS 2021 PHP RENDERING AGE 21+ 45 247 42 43 28 101 42 42
1225241458 MANSSOURIAN, ARMEN, DMD 2021 FFS RENDERING AGE 0-20 13 83 1 2 1 2 11 13
1225241458 MANSSOURIAN, ARMEN, DMD 2021 FFS RENDERING AGE 21+ 114 622 39 56 87 321 81 81
1225242084 KIM JEKYONG J 2021 FFS RENDERING AGE 21+ 1 1 1 1 1 1 0 0
1225249550 ACOPIAN ANAHID 2021 FFS RENDERING AGE 0-20 48 477 41 120 39 190 34 44
1225249550 ACOPIAN ANAHID 2021 FFS RENDERING AGE 21+ 39 298 23 43 31 138 22 22
1225250301 CHENG LILLIAN 2021 FFS RENDERING AGE 0-20 1 1 1 1 1 1 1 1
1225250301 CHENG LILLIAN 2021 FFS RENDERING AGE 21+ 60 204 34 48 35 62 27 27
1225257736 RICCIARDI, MARIO J, DDS 2021 FFS RENDERING AGE 0-20 78 130 0 0 19 64 0 0
1225258163 KIM, CHOON K, DDS 2021 FFS RENDERING AGE 0-20 71 1,220 69 556 32 174 71 158
1225258163 KIM, CHOON K, DDS 2021 FFS RENDERING AGE 21+ 123 2,034 96 192 102 970 105 210
1225277841 PORTILLO NOVOA PATRICIA E 2021 FFS RENDERING AGE 0-20 150 1,354 134 467 55 118 139 141
1225277841 PORTILLO NOVOA PATRICIA E 2021 FFS RENDERING AGE 21+ 375 2,312 180 356 184 563 326 327
1225285505 HONG, JUNG HEE, DDS 2021 FFS RENDERING AGE 0-20 281 2,176 259 723 135 361 262 336
1225285505 HONG, JUNG HEE, DDS 2021 FFS RENDERING AGE 21+ 21 112 15 30 1 2 15 15
1225286479 CHEN, JOHNNY C MD 2021 FFS RENDERING AGE 0-20 41 99 0 0 41 99 0 0
1225293053 SOHAIL AMAR 2021 FFS RENDERING AGE 0-20 873 11,937 777 2,357 460 2,390 839 1,064
1225293053 SOHAIL AMAR 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1225297211 YANG XIJIE 2021 FFS RENDERING AGE 0-20 1,006 11,067 819 3,250 423 1,611 814 869
1225297211 YANG XIJIE 2021 FFS RENDERING AGE 21+ 753 4,393 407 811 470 1,574 445 445
1225322019 COPPELSON KEVIN 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1225325723 HOANG PAUL H 2021 FFS RENDERING AGE 0-20 239 682 0 0 74 179 0 0
1225325723 HOANG PAUL H 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1225328164 GORMAN JACK G 2021 FFS RENDERING AGE 0-20 102 676 54 119 50 130 54 56
1225328164 GORMAN JACK G 2021 FFS RENDERING AGE 21+ 555 3,230 151 212 319 804 293 293
1225328164 GORMAN JACK G 2021 GMC RENDERING AGE 0-20 40 139 14 26 30 83 1 1
1225328164 GORMAN JACK G 2021 GMC RENDERING AGE 21+ 714 4,783 675 1,366 466 1,222 290 300
1225338031 GHARIBIAN DINO 2021 PHP RENDERING AGE 0-20 1 1 0 0 0 0 1 1
1225354343 ARIAEE DEAN F 2021 FFS RENDERING AGE 0-20 149 1,424 132 433 86 411 121 143
1225354343 ARIAEE DEAN F 2021 FFS RENDERING AGE 21+ 378 3,790 220 429 284 1,811 273 274
1225358161 BHOLAT NAZNIN S 2021 FFS RENDERING AGE 0-20 316 3,879 299 1,084 101 394 308 440
1225358161 BHOLAT NAZNIN S 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1225358195 CAO DANIELLE Q 2021 FFS RENDERING AGE 0-20 291 468 1 1 86 230 1 1
1225358195 CAO DANIELLE Q 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1225368962 KIM HUI J 2021 FFS RENDERING AGE 0-20 28 154 22 38 13 26 21 21
1225368962 KIM HUI J 2021 FFS RENDERING AGE 21+ 144 785 48 50 96 493 64 65
1225377377 GIN MARY AILEEN T 2021 FFS RENDERING AGE 0-20 33 102 1 2 1 1 25 25
1225377377 GIN MARY AILEEN T 2021 FFS RENDERING AGE 21+ 74 187 1 1 29 42 38 38
1225377377 GIN MARY AILEEN T 2021 PHP RENDERING AGE 0-20 12 36 1 2 1 1 1 1
1225377377 GIN MARY AILEEN T 2021 PHP RENDERING AGE 21+ 40 84 20 21 18 35 24 24
1225385297 CAO JASON T 2021 FFS RENDERING AGE 0-20 32 177 28 86 12 31 27 40
1225385297 CAO JASON T 2021 FFS RENDERING AGE 21+ 89 520 70 139 61 181 70 70
1225391865 EIDELSTEIN LIORA 2021 FFS RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1225407091 SARGENT CATHY 2021 FFS RENDERING AGE 0-20 1,134 9,838 669 1,980 692 2,310 663 704
1225407091 SARGENT CATHY 2021 FFS RENDERING AGE 21+ 183 1,336 85 172 112 315 87 87
1225418189 LENT, JASON DO 2021 FFS RENDERING AGE 0-20 56 129 0 0 56 129 0 0
1225428576 PANCHAL RUSHI Y 2021 FFS RENDERING AGE 0-20 31 144 16 24 15 28 14 14
1225428576 PANCHAL RUSHI Y 2021 FFS RENDERING AGE 21+ 37 108 1 1 32 71 1 1
1225430473 LEE, RYAN S C, DDS A PROF DE 2021 PHP RENDERING AGE 0-20 12 115 12 61 12 12 12 12
1225430473 LEE, RYAN S C, DDS A PROF DE 2021 PHP RENDERING AGE 21+ 15 51 0 0 14 49 1 1
1225447949 NGO HANH N 2021 FFS RENDERING AGE 0-20 42 272 12 27 31 105 1 2
1225447949 NGO HANH N 2021 FFS RENDERING AGE 21+ 67 372 11 22 61 175 11 11
1225479132 HONG YEUMIN 2021 FFS RENDERING AGE 0-20 157 210 0 0 29 38 0 0
1225479132 HONG YEUMIN 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1225480742 BAVAR BEROKH 2021 FFS RENDERING AGE 0-20 183 417 1 1 39 102 0 0
1225480742 BAVAR BEROKH 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1225480742 BAVAR BEROKH 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1225487622 MCMAHON ALEXANDER J 2021 FFS RENDERING AGE 0-20 55 155 1 1 44 126 12 12
1225487622 MCMAHON ALEXANDER J 2021 FFS RENDERING AGE 21+ 130 355 1 1 76 201 61 61
1225495815 WONG JIMIANN T 2021 FFS RENDERING AGE 0-20 1,150 10,014 884 2,544 772 2,557 801 856
1225495815 WONG JIMIANN T 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1225496763 CHAN WING H 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1225496763 CHAN WING H 2021 PHP RENDERING AGE 0-20 24 102 13 22 1 2 11 11
1225496763 CHAN WING H 2021 PHP RENDERING AGE 21+ 77 200 19 19 44 71 29 29
1225499072 CHAN JOAN L 2021 FFS RENDERING AGE 0-20 131 1,323 111 543 53 156 123 161
1225499072 CHAN JOAN L 2021 FFS RENDERING AGE 21+ 180 965 11 18 110 572 147 147
1225499072 CHAN JOAN L 2021 PHP RENDERING AGE 0-20 132 1,150 109 592 48 93 124 146
1225499072 CHAN JOAN L 2021 PHP RENDERING AGE 21+ 225 1,412 91 153 144 767 196 199
1225504574 GUEVARA-LARA SVETLANA N 2021 GMC RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1225506884 SINHA ASHITA 2021 FFS RENDERING AGE 0-20 116 514 72 158 65 159 52 52
1225506884 SINHA ASHITA 2021 FFS RENDERING AGE 21+ 185 596 54 90 87 224 96 96
1225514805 AULAKH NAVNEET K 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1225524028 CHEN GRACE 2021 FFS RENDERING AGE 0-20 273 1,504 222 533 161 349 208 208
1225524564 HONG MIN Y 2021 FFS RENDERING AGE 0-20 350 2,196 280 795 137 318 311 340
1225524564 HONG MIN Y 2021 FFS RENDERING AGE 21+ 430 1,651 173 337 185 395 318 318
1225551351 EDALATPAJOUH FARAZ 2021 FFS RENDERING AGE 0-20 372 727 0 0 66 162 0 0
1225551351 EDALATPAJOUH FARAZ 2021 FFS RENDERING AGE 21+ 34 59 0 0 1 2 0 0
1225551351 EDALATPAJOUH FARAZ 2021 PHP RENDERING AGE 0-20 1 2 0 0 1 2 0 0
1225553894 NAVARRO MARINA ROSE R 2021 FFS RENDERING AGE 0-20 69 507 58 162 25 78 56 68
1225553894 NAVARRO MARINA ROSE R 2021 FFS RENDERING AGE 21+ 188 819 88 150 121 327 95 95
1225554025 DALAL HEMA 2021 FFS RENDERING AGE 0-20 378 1,382 140 345 70 118 293 307
1225554025 DALAL HEMA 2021 FFS RENDERING AGE 21+ 610 1,517 79 142 142 284 415 415
1225571201 VASA RAMYA 2021 FFS RENDERING AGE 0-20 333 1,506 163 493 134 312 171 174
1225571201 VASA RAMYA 2021 FFS RENDERING AGE 21+ 310 952 53 100 166 371 145 145
1225600158 PENHASIAN ALEX D 2021 FFS RENDERING AGE 0-20 719 4,659 323 881 611 1,874 215 215
1225600158 PENHASIAN ALEX D 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1225600281 GHAVAMNASIRI AZADEH 2021 FFS RENDERING AGE 0-20 177 1,322 132 289 46 128 152 152
1225600281 GHAVAMNASIRI AZADEH 2021 FFS RENDERING AGE 21+ 211 1,127 56 109 144 355 130 130
1225624307 SANDHU HARSUMEEN K 2021 FFS RENDERING AGE 0-20 337 1,471 133 413 137 322 219 227
1225624307 SANDHU HARSUMEEN K 2021 FFS RENDERING AGE 21+ 629 2,153 123 189 405 1,070 268 268
1225635030 ASHERIAN CHANTAL H 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1225635600 HA TAE KYUN 2021 FFS RENDERING AGE 0-20 29 124 11 21 15 30 17 17
1225635600 HA TAE KYUN 2021 FFS RENDERING AGE 21+ 108 364 19 36 74 184 41 41
1225637382 SANDHU MANVEEN K 2021 FFS RENDERING AGE 0-20 31 170 19 56 1 2 22 22
1225637382 SANDHU MANVEEN K 2021 FFS RENDERING AGE 21+ 47 192 1 2 24 72 40 40
1225640774 LEE CHANG R 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1225642044 CHYU KIMBERLY 2021 FFS RENDERING AGE 0-20 13 50 1 2 1 2 11 13
1225642044 CHYU KIMBERLY 2021 FFS RENDERING AGE 21+ 87 458 50 94 52 203 63 63
1225649171 PHUONG PARRA 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1225675341 AL AMEEN OMAR 2021 FFS RENDERING AGE 0-20 103 508 55 175 45 80 85 85
1225675341 AL AMEEN OMAR 2021 FFS RENDERING AGE 21+ 460 1,452 82 154 234 406 316 316
1225681000 MOON JI MIN 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 1 1
1225681000 MOON JI MIN 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 2 0 0
1225685043 KHATWANI KAMIYA 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1225685043 KHATWANI KAMIYA 2021 FFS RENDERING AGE 21+ 26 74 1 1 1 2 24 24
1235118969 SAFAR OSSAMA M 2021 FFS RENDERING AGE 0-20 8,708 133,755 7,887 24,120 2,722 8,112 7,902 10,664
1235118969 SAFAR OSSAMA M 2021 FFS RENDERING AGE 21+ 1 2 1 1 0 0 1 1
1235118969 SAFAR OSSAMA M 2021 GMC RENDERING AGE 0-20 1 2 1 1 1 2 1 1
1235119512 LEON, GLADIS Z, DDS 2021 FFS RENDERING AGE 0-20 136 1,264 133 419 36 86 115 175
1235119512 LEON, GLADIS Z, DDS 2021 FFS RENDERING AGE 21+ 208 1,320 161 161 137 448 48 48
1235122391 HUTCHERSON, STEVEN DDS 2021 FFS RENDERING AGE 0-20 22 208 11 25 12 105 11 11
1235123753 DEMARS PATRICK D 2021 FFS RENDERING AGE 0-20 243 793 0 0 243 793 0 0
1235123753 DEMARS PATRICK D 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1235130600 NORTHEAST VALLEY HEALTH 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1235131368 TSUI CLAUDINE W 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 2 1 1
1235131368 TSUI CLAUDINE W 2021 FFS RENDERING AGE 21+ 38 111 16 16 11 25 31 31
1235132127 COMBS, WILLIAM S DDS 2021 FFS RENDERING AGE 21+ 22 132 21 42 1 1 21 21
1235147794 WAKE, RONALD Y, DDS 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1235147794 WAKE, RONALD Y, DDS 2021 FFS RENDERING AGE 21+ 1 2 1 1 0 0 1 1
1235149204 LICUP CHRISTINE T 2021 FFS RENDERING AGE 0-20 103 763 99 430 20 91 89 105
1235149204 LICUP CHRISTINE T 2021 FFS RENDERING AGE 21+ 248 1,710 205 403 132 696 200 201
1235150772 SINGH RAVINDER S 2021 FFS RENDERING AGE 0-20 64 819 54 134 26 130 58 70
1235150772 SINGH RAVINDER S 2021 FFS RENDERING AGE 21+ 263 2,930 110 208 180 1,016 178 178
1235211541 GRIGORYAN, VAHAN, DDS 2021 FFS RENDERING AGE 0-20 298 3,105 229 806 126 450 266 311
1235211541 GRIGORYAN, VAHAN, DDS 2021 FFS RENDERING AGE 21+ 586 3,522 146 259 350 1,675 492 492
1235212788 KWAK, MYUNG H, DDS 2021 FFS RENDERING AGE 0-20 82 500 58 119 41 103 71 74
1235212788 KWAK, MYUNG H, DDS 2021 FFS RENDERING AGE 21+ 197 1,017 105 105 114 343 121 121
1235214149 CHIU LISABETH S 2021 PHP RENDERING AGE 0-20 1 1 1 1 1 1 0 0
1235214149 CHIU LISABETH S 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1235221417 NEAL CHARLES K 2021 FFS RENDERING AGE 0-20 107 683 1 1 107 673 0 0
1235221417 NEAL CHARLES K 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1235228602 HAME HOMAYOON M 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 0 0
1235234857 URATA, MARK M MD 2021 FFS RENDERING AGE 0-20 1 2 1 1 0 0 1 1
1235234857 URATA, MARK M MD 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1235237330 MOCK ANTHONY G 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1235237330 MOCK ANTHONY G 2021 FFS RENDERING AGE 21+ 60 132 1 1 41 69 19 19
1235251844 TROUNG CHAU T DDS 2021 FFS RENDERING AGE 0-20 73 592 66 172 28 83 68 78
1235251844 TROUNG CHAU T DDS 2021 FFS RENDERING AGE 21+ 258 1,740 188 376 169 451 199 200
1235252685 NGUYEN STEVEN T 2021 FFS RENDERING AGE 0-20 172 2,171 168 738 96 337 167 233
1235252685 NGUYEN STEVEN T 2021 FFS RENDERING AGE 21+ 125 907 77 79 95 417 102 102
1235252867 TEMPLO MARISSA L 2021 FFS RENDERING AGE 0-20 347 5,099 335 1,274 145 437 332 437
1235252867 TEMPLO MARISSA L 2021 FFS RENDERING AGE 21+ 187 1,617 106 211 137 503 59 59
1235254715 EBRAMI IRAJ 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1235254715 EBRAMI IRAJ 2021 FFS RENDERING AGE 21+ 60 324 38 38 41 156 38 38
1235258310 NGUYEN DAI CHINH 2021 GMC RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1235268178 ELYSON MICHEL H 2021 FFS RENDERING AGE 0-20 1 1 0 0 0 0 1 1
1235268178 ELYSON MICHEL H 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1235268657 KWEIDER MOHAMAD H 2021 FFS RENDERING AGE 0-20 196 621 0 0 172 533 37 37
1235268657 KWEIDER MOHAMAD H 2021 FFS RENDERING AGE 21+ 156 457 1 1 121 349 41 41
1235268657 KWEIDER MOHAMAD H 2021 PHP RENDERING AGE 0-20 14 81 1 1 12 48 1 1
1235268657 KWEIDER MOHAMAD H 2021 PHP RENDERING AGE 21+ 70 470 1 1 55 249 56 59
1235271917 DALLOUL BASHAR 2021 FFS RENDERING AGE 0-20 303 2,702 254 632 138 440 282 320
1235271917 DALLOUL BASHAR 2021 FFS RENDERING AGE 21+ 935 6,167 659 1,314 635 2,339 787 787
1235272105 AMANJEE SUCHETA S 2021 FFS RENDERING AGE 0-20 550 6,037 431 1,639 261 1,652 504 682
1235272287 ASSILI-DAMAVAND RAMIN 2021 FFS RENDERING AGE 0-20 18 118 17 48 1 1 15 20
1235272287 ASSILI-DAMAVAND RAMIN 2021 FFS RENDERING AGE 21+ 56 316 41 77 25 64 42 42
1235273723 MIKALIAN MELINEH 2021 FFS RENDERING AGE 0-20 2,168 23,687 1,941 6,654 1,482 3,702 1,935 2,049
1235274754 SERAFICA REGINA P 2021 FFS RENDERING AGE 0-20 328 2,352 299 493 116 403 304 463
1235274754 SERAFICA REGINA P 2021 FFS RENDERING AGE 21+ 357 1,813 154 154 282 919 165 165
1235274820 NGO PHUONG M 2021 FFS RENDERING AGE 0-20 94 701 83 247 49 153 85 107
1235274820 NGO PHUONG M 2021 FFS RENDERING AGE 21+ 299 1,893 192 382 223 826 214 214
1235276403 SANATI ARDESHIR 2021 FFS RENDERING AGE 0-20 12 109 1 2 1 2 11 14
1235276403 SANATI ARDESHIR 2021 FFS RENDERING AGE 21+ 72 472 48 48 48 192 60 60
1235276403 SANATI, ARDESHIR, DDS 2021 FFS RENDERING AGE 0-20 12 109 1 2 1 2 11 14
1235276403 SANATI, ARDESHIR, DDS 2021 FFS RENDERING AGE 21+ 72 472 48 48 48 192 60 60
1235277526 FOSTER JR CHARLES L 2021 FFS RENDERING AGE 0-20 648 6,084 502 1,540 290 648 446 475
1235277526 FOSTER JR CHARLES L 2021 FFS RENDERING AGE 21+ 50 284 21 41 21 39 26 26
1235277963 PARK SANGHOON 2021 FFS RENDERING AGE 0-20 43 330 38 90 15 28 39 45
1235277963 PARK SANGHOON 2021 FFS RENDERING AGE 21+ 315 3,904 148 294 241 1,313 200 200
1235278599 BINAFARD, BEHZAD DANIEL, DDS 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 2 1 1
1235278599 BINAFARD, BEHZAD DANIEL, DDS 2021 PHP RENDERING AGE 21+ 1 2 1 1 0 0 1 1
1235280777 MENDOZA ANNA 2021 FFS RENDERING AGE 0-20 55 791 53 230 38 199 55 79
1235280777 MENDOZA ANNA 2021 FFS RENDERING AGE 21+ 183 2,237 128 239 153 1,134 151 151
1235283771 DACIO RUBY E 2021 FFS RENDERING AGE 0-20 500 4,451 401 1,096 316 821 395 488
1235283771 DACIO RUBY E 2021 FFS RENDERING AGE 21+ 221 1,368 128 254 147 402 139 139
1235284191 KIM, FRANK HYOUNGKYU DDS 2021 FFS RENDERING AGE 0-20 102 1,026 95 394 39 110 85 103
1235284191 KIM, FRANK HYOUNGKYU DDS 2021 FFS RENDERING AGE 21+ 143 1,100 106 212 85 306 106 106
1235284662 FIFE CAMERON GARY 2021 GMC RENDERING AGE 0-20 1 2 0 0 1 2 0 0
1235284662 FIFE CAMERON GARY 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1235287335 MATIAN FARIBORZ 2021 PHP RENDERING AGE 0-20 1 1 0 0 0 0 1 1
1235288432 TAMIKO ELAINE 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1235288432 TAMIKO ELAINE 2021 FFS RENDERING AGE 21+ 2,006 5,292 1 1 1,995 4,266 1,019 1,019
1235290941 HONG, JOSEPH K, DDS 2021 FFS RENDERING AGE 0-20 159 951 139 355 65 175 147 186
1235290941 HONG, JOSEPH K, DDS 2021 FFS RENDERING AGE 21+ 271 1,540 146 149 205 734 181 183
1235292095 COHEN ROBERT M 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1235302332 ALCANTARA MOSES L 2021 FFS RENDERING AGE 0-20 407 591 0 0 102 188 0 0
1235302332 ALCANTARA MOSES L 2021 FFS RENDERING AGE 21+ 31 31 0 0 0 0 0 0
1235302332 ALCANTARA MOSES L 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1235304668 PATEL, MUKESH B DDS 2021 FFS RENDERING AGE 0-20 158 1,743 133 515 80 324 149 194
1235304668 PATEL, MUKESH B DDS 2021 FFS RENDERING AGE 21+ 305 2,412 127 213 218 1,175 254 254
1235310442 PEREIRA GUADALUPE L 2021 FFS RENDERING AGE 0-20 86 775 83 272 39 119 79 90
1235310442 PEREIRA GUADALUPE L 2021 FFS RENDERING AGE 21+ 229 1,905 160 183 168 642 175 175
1235313701 PATEL NANCY R 2021 FFS RENDERING AGE 0-20 1,225 16,378 1,108 2,927 553 1,659 1,080 1,422
1235313701 PATEL NANCY R 2021 FFS RENDERING AGE 21+ 1,068 9,021 414 821 761 2,662 750 750
1235316951 BUCHMILLER RANDY E 2021 FFS RENDERING AGE 0-20 45 85 0 0 14 36 1 1
1235317744 MADDATU JONATHAN L 2021 FFS RENDERING AGE 0-20 173 1,605 162 509 87 299 160 209
1235317744 MADDATU JONATHAN L 2021 FFS RENDERING AGE 21+ 488 3,089 328 335 339 1,491 198 200
1235317744 MADDATU JONATHAN L 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1235319344 DY GRACE NOBLE DMD 2021 FFS RENDERING AGE 0-20 69 622 63 209 37 141 59 74
1235319344 DY GRACE NOBLE DMD 2021 FFS RENDERING AGE 21+ 169 1,126 91 95 133 615 122 124
1235319344 DY GRACE NOBLE DMD 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1235319344 DY GRACE NOBLE DMD 2021 PHP RENDERING AGE 21+ 1 2 1 2 1 1 1 1
1235319989 LEON, ARLETTE L, DDS 2021 FFS RENDERING AGE 0-20 448 2,187 270 815 137 331 356 361
1235319989 LEON, ARLETTE L, DDS 2021 FFS RENDERING AGE 21+ 758 2,100 146 258 251 621 533 535
1235319989 LEON, ARLETTE L, DDS 2021 PHP RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1235333451 MELO MONICA A 2021 PHP RENDERING AGE 0-20 173 2,120 164 890 167 331 141 152
1235333451 MELO MONICA A 2021 PHP RENDERING AGE 21+ 102 787 49 149 85 263 44 44
1235342239 TRAN THUY-DUONG H 2021 FFS RENDERING AGE 0-20 118 564 105 184 41 109 109 120
1235342239 TRAN THUY-DUONG H 2021 FFS RENDERING AGE 21+ 266 1,078 174 174 127 415 202 202
1235342932 SAADAT SHOHREH 2021 FFS RENDERING AGE 0-20 471 5,235 413 1,429 138 248 414 451
1235342932 SAADAT SHOHREH 2021 FFS RENDERING AGE 21+ 225 1,184 114 136 130 348 145 145
1235342932 SAADAT SHOHREH 2021 PHP RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1235342932 SAADAT SHOHREH 2021 PHP RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1235343203 TONG, BICHHUYEN, DDS 2021 FFS RENDERING AGE 0-20 79 799 73 147 25 80 64 75
1235343203 TONG, BICHHUYEN, DDS 2021 FFS RENDERING AGE 21+ 97 863 60 63 43 154 80 80
1235344474 KENYON BRIAN J 2021 FFS RENDERING AGE 0-20 100 545 62 92 92 309 68 72
1235344474 KENYON BRIAN J 2021 FFS RENDERING AGE 21+ 795 3,894 194 200 731 2,603 441 441
1235344748 WALNUT HILLS FAMILY DENTISTR 2021 PHP RENDERING AGE 0-20 1 1 1 1 1 1 1 1
1235344748 WALNUT HILLS FAMILY DENTISTR 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1235345646 VERDUGO FERNANDO 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1235345646 VERDUGO FERNANDO 2021 FFS RENDERING AGE 21+ 15 19 0 0 15 19 0 0
1235345646 VERDUGO FERNANDO 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1235345646 VERDUGO FERNANDO 2021 PHP RENDERING AGE 21+ 1 2 0 0 1 2 0 0
1235345877 PEZESHKIAN MISSAGH 2021 FFS RENDERING AGE 0-20 14 84 1 2 1 2 13 17
1235345877 PEZESHKIAN MISSAGH 2021 FFS RENDERING AGE 21+ 94 348 25 40 71 161 70 70
1235346750 SAHAWNEH SHOROUQ S 2021 FFS RENDERING AGE 0-20 266 2,353 230 1,099 60 253 251 321
1235346750 SAHAWNEH SHOROUQ S 2021 FFS RENDERING AGE 21+ 344 1,323 90 135 161 589 284 284
1235348871 KAW IRVIN H 2021 FFS RENDERING AGE 0-20 169 1,188 136 292 31 44 143 152
1235348871 KAW IRVIN H 2021 FFS RENDERING AGE 21+ 266 1,471 53 55 141 180 138 138
1235352071 LIM JOSEPH DAEKEUN 2021 PHP RENDERING AGE 21+ 1 1 1 1 1 1 0 0
1235353145 CHOI, DAVID A DDS 2021 FFS RENDERING AGE 0-20 747 6,959 708 2,824 403 1,140 709 831
1235353145 CHOI, DAVID A DDS 2021 FFS RENDERING AGE 21+ 867 7,088 596 1,172 601 2,923 713 713
1235354440 HIGGINS, JAMES B, DDS 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1235354440 HIGGINS, JAMES B, DDS 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1235355132 JOSHI BIJAL B 2021 FFS RENDERING AGE 0-20 111 942 88 262 69 238 104 114
1235355132 JOSHI BIJAL B 2021 FFS RENDERING AGE 21+ 401 2,378 142 204 248 1,182 350 352
1235356551 LOO KWOR C 2021 PHP RENDERING AGE 0-20 35 93 1 1 33 59 1 1
1235356551 LOO KWOR C 2021 PHP RENDERING AGE 21+ 355 939 34 34 221 300 332 342
1235361791 NAGEL JEFFREY N 2021 FFS RENDERING AGE 0-20 67 160 0 0 34 103 0 0
1235363722 MONTAZERI MEHRNOOSH M 2021 FFS RENDERING AGE 0-20 18 214 17 42 1 1 18 23
1235363722 MONTAZERI MEHRNOOSH M 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1235369786 NGUYEN DIEM-TRINH M 2021 FFS RENDERING AGE 0-20 158 959 128 285 46 101 132 134
1235369786 NGUYEN DIEM-TRINH M 2021 FFS RENDERING AGE 21+ 201 1,040 58 58 116 315 140 140
1235370966 SHETTY ARAVINDA K 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1235370966 SHETTY ARAVINDA K 2021 FFS RENDERING AGE 21+ 52 145 1 1 25 44 31 31
1235370966 SHETTY ARAVINDA K 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 1 1
1235370966 SHETTY ARAVINDA K 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1235378498 PRIBADI AGUNG 2021 FFS RENDERING AGE 0-20 96 725 87 339 43 100 88 117
1235378498 PRIBADI AGUNG 2021 FFS RENDERING AGE 21+ 112 722 64 128 63 302 98 98
1235388778 BABIAN AVO 2021 FFS RENDERING AGE 0-20 285 454 1 1 73 175 1 1
1235388778 BABIAN AVO 2021 FFS RENDERING AGE 21+ 26 27 0 0 26 27 0 0
1235388778 BABIAN AVO 2021 PHP RENDERING AGE 0-20 20 58 0 0 14 36 0 0
1235392317 HANASAB HOMAN 2021 FFS RENDERING AGE 0-20 1 2 0 0 1 1 1 1
1235392317 HANASAB HOMAN 2021 FFS RENDERING AGE 21+ 54 215 0 0 37 162 20 20
1235392317 HANASAB HOMAN 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 1 1
1235392317 HANASAB HOMAN 2021 PHP RENDERING AGE 21+ 12 25 0 0 1 1 12 12
1235434911 KHAKNEGAR MOHAMMAD 2021 FFS RENDERING AGE 0-20 662 5,477 417 1,134 493 1,883 358 361
1235434911 KHAKNEGAR MOHAMMAD 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 1 0 0
1235434911 KHAKNEGAR MOHAMMAD 2021 PHP RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1235435553 DELGADO CARLOS M 2021 GMC RENDERING AGE 21+ 1 1 1 1 0 0 0 0
1235447525 MAI ANH-THU 2021 FFS RENDERING AGE 0-20 693 4,464 602 2,048 219 401 632 643
1235447525 MAI ANH-THU 2021 FFS RENDERING AGE 21+ 600 2,178 100 169 312 911 397 397
1235447525 MAI ANH-THU 2021 GMC RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1235448036 PARIKH SHREYASI 2021 PHP RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1235448036 PARIKH SHREYASI 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1235452368 LIN-BURNS CHRISTAIN C 2021 FFS RENDERING AGE 0-20 3,655 36,879 2,846 9,067 2,369 10,566 2,591 2,833
1235452368 LIN-BURNS CHRISTAIN C 2021 FFS RENDERING AGE 21+ 19 74 1 2 1 2 1 1
1235471921 KABIRI, NAVID DMD 2021 FFS RENDERING AGE 0-20 219 2,044 170 482 41 78 201 201
1235471921 KABIRI, NAVID DMD 2021 FFS RENDERING AGE 21+ 278 1,234 50 83 127 300 163 163
1235471921 KABIRI, NAVID DMD 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1235471921 KABIRI, NAVID DMD 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1235481300 PHAN, HAI, DDS INC 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1235488958 GIANG AN T 2021 FFS RENDERING AGE 0-20 594 3,966 400 1,034 418 808 367 376
1235488958 GIANG AN T 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1235507393 PILIKYAN ANI A 2021 FFS RENDERING AGE 0-20 425 3,040 290 859 241 542 285 285
1235533142 FARHAT JENNIFER L 2021 FFS RENDERING AGE 0-20 3,471 37,591 2,774 7,133 1,189 3,477 2,975 3,548
1235533142 FARHAT JENNIFER L 2021 FFS RENDERING AGE 21+ 29 249 19 37 14 40 19 19
1235533605 KING WEI 2021 FFS RENDERING AGE 21+ 12 13 0 0 12 13 0 0
1235548033 MISMAR DINA 2021 PHP RENDERING AGE 0-20 30 196 20 57 1 1 20 20
1235548033 MISMAR DINA 2021 PHP RENDERING AGE 21+ 15 63 1 1 1 2 1 1
1235561713 MALEK HEDAYAT IMAN 2021 FFS RENDERING AGE 0-20 41 433 32 135 21 59 38 47
1235561713 MALEK HEDAYAT IMAN 2021 FFS RENDERING AGE 21+ 180 1,304 101 201 116 573 140 140
1235568874 IM ISAAC G 2021 FFS RENDERING AGE 0-20 4,674 59,225 4,311 14,185 2,985 9,760 4,350 5,621
1235570094 DASON ASH M 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1235571753 ALFROUKH RAMI S 2021 FFS RENDERING AGE 0-20 137 844 61 139 69 171 107 111
1235571753 ALFROUKH RAMI S 2021 FFS RENDERING AGE 21+ 537 2,742 78 149 379 1,144 344 348
1235576620 HAYASHI MASAMI 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 2 1 1
1235576620 HAYASHI MASAMI 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1235581349 MAKANJI BRIJESH 2021 FFS RENDERING AGE 0-20 158 1,288 126 386 81 219 119 121
1235581349 MAKANJI BRIJESH 2021 FFS RENDERING AGE 21+ 218 1,396 63 121 180 600 102 102
1235607169 SHAIKH ARIFA Y 2021 FFS RENDERING AGE 0-20 123 683 74 178 66 141 73 73
1235607169 SHAIKH ARIFA Y 2021 FFS RENDERING AGE 21+ 761 4,639 266 272 563 1,573 335 339
1235614801 LECLAIR SAFINA 2021 FFS RENDERING AGE 0-20 148 843 138 359 31 57 136 136
1235614801 LECLAIR SAFINA 2021 FFS RENDERING AGE 21+ 167 758 103 205 89 264 130 130
1235615956 NGUYEN TRANG H 2021 FFS RENDERING AGE 0-20 136 626 29 62 63 149 113 128
1235615956 NGUYEN TRANG H 2021 FFS RENDERING AGE 21+ 297 1,609 53 105 204 566 172 172
1235623190 KOHAN & RODEF DENTAL CORPORA 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1235625351 KANG ANDY 2021 FFS RENDERING AGE 0-20 2,926 23,661 2,359 6,685 1,706 4,550 2,154 2,327
1235625351 KANG ANDY 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1235625351 KANG ANDY 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 0 0
1235625542 NG THANHDUNG K 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1235651340 PERALTA ALDO A 2021 FFS RENDERING AGE 0-20 159 1,268 106 246 74 214 113 125
1235651340 PERALTA ALDO A 2021 FFS RENDERING AGE 21+ 449 2,820 161 315 335 1,130 222 222
1235652769 REGATIPALLI SWETHA 2021 FFS RENDERING AGE 0-20 375 1,987 235 489 120 340 336 362
1235652769 REGATIPALLI SWETHA 2021 FFS RENDERING AGE 21+ 1,008 3,549 162 300 295 875 778 778
1235660747 GARDNER DENTAL CORPORATION 2021 FFS RENDERING AGE 0-20 1 1 0 0 0 0 1 1
1235662545 ARKELAKYAN ARTUR 2021 FFS RENDERING AGE 0-20 34 147 1 2 23 84 24 25
1235662545 ARKELAKYAN ARTUR 2021 FFS RENDERING AGE 21+ 263 963 42 46 123 530 185 185
1235662842 ENGLAND ADDYSON 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1235663642 BARADARAN SAM 2021 FFS RENDERING AGE 0-20 168 1,287 121 452 69 217 144 152
1235663642 BARADARAN SAM 2021 FFS RENDERING AGE 21+ 345 2,265 91 171 228 782 263 264
1235663642 BARADARAN SAM 2021 PHP RENDERING AGE 0-20 35 262 28 116 15 63 31 31
1235663642 BARADARAN SAM 2021 PHP RENDERING AGE 21+ 58 225 20 28 27 109 47 47
1235697400 SOK JOSHUA 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1235697400 SOK JOSHUA 2021 FFS RENDERING AGE 21+ 19 52 1 1 1 1 13 13
1235710013 LACSON CHLOE C 2021 FFS RENDERING AGE 0-20 210 1,088 105 309 109 300 126 126
1235710013 LACSON CHLOE C 2021 FFS RENDERING AGE 21+ 210 697 1 2 108 286 99 99
1235746587 CHONG BEUM H 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1235746587 CHONG BEUM H 2021 GMC RENDERING AGE 0-20 600 3,372 419 997 168 353 446 496
1235746587 CHONG BEUM H 2021 GMC RENDERING AGE 21+ 926 5,294 456 904 603 1,981 569 572
1235748864 MIRZA KAZIM A 2021 FFS RENDERING AGE 0-20 75 102 0 0 72 92 1 1
1235748864 MIRZA KAZIM A 2021 FFS RENDERING AGE 21+ 251 290 0 0 251 290 0 0
1235748864 MIRZA KAZIM A 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1235748864 MIRZA KAZIM A 2021 PHP RENDERING AGE 21+ 11 23 0 0 11 23 0 0
1235782913 KING GALEN L 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1235782913 KING GALEN L 2021 GMC RENDERING AGE 0-20 243 2,019 187 870 187 323 166 192
1235782913 KING GALEN L 2021 GMC RENDERING AGE 21+ 682 3,080 207 225 547 1,497 297 300
1235782913 KING GALEN L 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1235789777 HAYEK EZABELLE B 2021 FFS RENDERING AGE 0-20 274 2,061 151 389 127 383 179 181
1235789777 HAYEK EZABELLE B 2021 FFS RENDERING AGE 21+ 181 1,106 35 46 116 282 103 103
1235790189 BEHSHADPOUR ANAHITA 2021 FFS RENDERING AGE 0-20 1 2 1 1 0 0 1 1
1235790189 BEHSHADPOUR ANAHITA 2021 FFS RENDERING AGE 21+ 33 153 24 42 1 2 27 27
1235804220 UM YIE LIN 2021 FFS RENDERING AGE 0-20 1,849 13,295 1,433 3,334 919 2,040 1,434 1,437
1245201201 BALLAGH, SUSAN A MD 2021 PHP RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1245201201 BALLAGH, SUSAN A MD 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1245212018 SOLIMAN WALEED S 2021 FFS RENDERING AGE 0-20 753 1,661 0 0 149 277 0 0
1245212018 SOLIMAN WALEED S 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1245212018 SOLIMAN WALEED S 2021 GMC RENDERING AGE 0-20 101 244 0 0 76 186 0 0
1245212018 SOLIMAN WALEED S 2021 GMC RENDERING AGE 21+ 16 55 0 0 16 45 0 0
1245247097 FADAVI SAYED M 2021 FFS RENDERING AGE 0-20 211 1,031 159 315 67 199 168 168
1245247097 FADAVI SAYED M 2021 FFS RENDERING AGE 21+ 515 1,904 120 224 269 840 357 357
1245247097 FADAVI SAYED M 2021 GMC RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1245254374 GREWAL, PRABHJOT DDS 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1245254374 GREWAL, PRABHJOT DDS 2021 GMC RENDERING AGE 0-20 257 1,719 183 577 106 178 184 198
1245254374 GREWAL, PRABHJOT DDS 2021 GMC RENDERING AGE 21+ 634 2,373 268 320 441 908 330 331
1245268465 MURNI, IRWAN, DMD 2021 FFS RENDERING AGE 0-20 202 3,532 179 958 95 522 172 384
1245268465 MURNI, IRWAN, DMD 2021 FFS RENDERING AGE 21+ 493 6,670 281 564 375 2,858 390 780
1245289107 SHARAFI SOUDABEH 2021 FFS RENDERING AGE 0-20 92 1,634 87 376 69 516 84 107
1245289107 SHARAFI SOUDABEH 2021 FFS RENDERING AGE 21+ 25 287 20 40 15 94 22 22
1245300318 NGUYEN TRANG M 2021 FFS RENDERING AGE 0-20 138 1,100 129 588 58 147 135 197
1245300318 NGUYEN TRANG M 2021 FFS RENDERING AGE 21+ 291 1,905 186 275 246 1,098 228 228
1245300318 NGUYEN, TRANG M, DDS 2021 FFS RENDERING AGE 0-20 138 1,100 129 588 58 147 135 197
1245300318 NGUYEN, TRANG M, DDS 2021 FFS RENDERING AGE 21+ 291 1,905 186 275 246 1,098 228 228
1245300458 LIU FENG 2021 FFS RENDERING AGE 0-20 76 573 61 136 52 284 62 63
1245300458 LIU FENG 2021 FFS RENDERING AGE 21+ 262 1,698 128 241 202 1,026 145 145
1245306208 SELEIT MOHAMED S 2021 FFS RENDERING AGE 0-20 203 1,118 114 460 59 102 169 175
1245306208 SELEIT MOHAMED S 2021 FFS RENDERING AGE 21+ 339 916 37 37 114 242 221 221
1245306208 SELEIT MOHAMED S 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1245306349 NGUYEN MINH TRI H 2021 FFS RENDERING AGE 0-20 485 4,596 463 1,437 282 656 433 532
1245306349 NGUYEN MINH TRI H 2021 FFS RENDERING AGE 21+ 219 1,650 178 350 98 215 179 179
1245307420 ALEXANDER RICHARD 2021 FFS RENDERING AGE 0-20 266 458 0 0 78 135 0 0
1245307420 ALEXANDER RICHARD 2021 FFS RENDERING AGE 21+ 22 22 0 0 0 0 0 0
1245308667 LEE KIWOONG 2021 FFS RENDERING AGE 0-20 258 1,520 171 665 160 490 64 64
1245308667 LEE KIWOONG 2021 FFS RENDERING AGE 21+ 499 2,186 165 293 390 1,247 126 126
1245317841 DO HUNG KY 2021 GMC RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1245317841 DO HUNG KY 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1245318195 KATBAMNA PRAKASH A 2021 FFS RENDERING AGE 0-20 12 97 1 2 1 2 1 1
1245318195 KATBAMNA PRAKASH A 2021 FFS RENDERING AGE 21+ 55 329 17 20 36 177 41 41
1245328970 SINGH TARLOCHAN 2021 FFS RENDERING AGE 0-20 462 3,626 123 415 414 1,696 151 179
1245328970 SINGH TARLOCHAN 2021 FFS RENDERING AGE 21+ 569 3,328 114 188 399 1,833 375 375
1245356674 SHINGLE SPRINGS RANCHERIA 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1245358472 GALANG, JANE S, DDS 2021 FFS RENDERING AGE 0-20 108 652 99 197 35 119 94 108
1245358472 GALANG, JANE S, DDS 2021 FFS RENDERING AGE 21+ 298 1,405 186 187 143 518 207 207
1245358811 TAKATA, RONALD T, DMD 2021 FFS RENDERING AGE 0-20 14 80 11 33 1 2 12 17
1245358811 TAKATA, RONALD T, DMD 2021 FFS RENDERING AGE 21+ 38 149 18 21 27 56 19 19
1245361856 LEE, ETHAN CHUNG AN DDS 2021 FFS RENDERING AGE 0-20 98 713 87 324 35 103 88 115
1245361856 LEE, ETHAN CHUNG AN DDS 2021 FFS RENDERING AGE 21+ 345 2,327 157 267 272 1,279 228 229
1245361856 LEE, ETHAN CHUNG AN DDS 2021 PHP RENDERING AGE 0-20 40 314 36 130 14 42 34 43
1245361856 LEE, ETHAN CHUNG AN DDS 2021 PHP RENDERING AGE 21+ 45 296 33 73 21 86 41 45
1245362201 ELREEDI AHMED R 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1245362201 ELREEDI AHMED R 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1245371582 MENDEZ RUBEN 2021 FFS RENDERING AGE 0-20 121 1,128 112 257 57 171 113 132
1245371582 MENDEZ RUBEN 2021 FFS RENDERING AGE 21+ 323 2,504 208 420 239 982 250 256
1245371988 VORPERIAN VAHE H 2021 FFS RENDERING AGE 0-20 133 1,329 112 275 76 316 109 121
1245371988 VORPERIAN VAHE H 2021 FFS RENDERING AGE 21+ 758 5,795 419 691 528 2,158 516 517
1245374933 BAGHDASARYAN ALENOUSH 2021 FFS RENDERING AGE 0-20 18 91 15 42 1 2 17 22
1245374933 BAGHDASARYAN ALENOUSH 2021 FFS RENDERING AGE 21+ 605 4,679 306 602 538 2,839 363 363
1245374933 BAGHDASARYAN ALENOUSH 2021 PHP RENDERING AGE 0-20 22 104 21 59 1 1 21 22
1245376979 SEHATI, FARID DDS 2021 FFS RENDERING AGE 0-20 89 395 20 72 62 149 58 61
1245376979 SEHATI, FARID DDS 2021 FFS RENDERING AGE 21+ 415 2,435 45 69 395 1,611 194 194
1245381003 TRUONG PHUONGTAM T 2021 FFS RENDERING AGE 0-20 68 523 64 240 28 78 62 75
1245381003 TRUONG PHUONGTAM T 2021 FFS RENDERING AGE 21+ 209 1,659 142 283 173 846 147 147
1245383280 SHAH GRISHMA R 2021 FFS RENDERING AGE 0-20 37 173 25 64 13 36 25 27
1245383280 SHAH GRISHMA R 2021 FFS RENDERING AGE 21+ 105 440 22 38 51 160 85 85
1245384023 VEGA MARIA AVA BE A 2021 FFS RENDERING AGE 0-20 12 74 11 22 1 2 1 2
1245384023 VEGA MARIA AVA BE A 2021 FFS RENDERING AGE 21+ 29 136 19 19 18 60 25 25
1245390244 MIN, MICHAEL J DDS 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1245396407 NGUYEN-TRAN, CINDY H DDS 2021 FFS RENDERING AGE 0-20 366 3,817 343 1,191 190 550 336 393
1245396407 NGUYEN-TRAN, CINDY H DDS 2021 FFS RENDERING AGE 21+ 142 1,146 129 256 58 155 133 133
1245397355 SOEGAARD ASTRID 2021 FFS RENDERING AGE 0-20 18 71 11 24 1 2 1 1
1245398999 INGHAM, GEORGE J, DDS 2021 GMC RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1245406479 RHA CHONG H 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 2 1 1
1245406479 RHA CHONG H 2021 FFS RENDERING AGE 21+ 57 867 40 75 39 495 43 43
1245408871 YU CHUNZHU 2021 FFS RENDERING AGE 0-20 91 521 73 203 35 116 76 80
1245408871 YU CHUNZHU 2021 FFS RENDERING AGE 21+ 109 381 38 72 25 68 92 92
1245419316 LY LINDA V 2021 FFS RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1245419449 LE HUAN CUA, RICHARD, DDS 2021 FFS RENDERING AGE 0-20 52 423 50 178 13 23 45 62
1245419449 LE HUAN CUA, RICHARD, DDS 2021 FFS RENDERING AGE 21+ 121 634 115 228 14 33 118 118
1245421049 TROIANO GONZALE JO-ANN M 2021 FFS RENDERING AGE 0-20 1,674 12,919 1,161 3,075 937 1,839 1,112 1,136
1245421049 TROIANO GONZALE JO-ANN M 2021 FFS RENDERING AGE 21+ 1 2 1 1 0 0 1 1
1245425255 WAHBA MAGED F 2021 FFS RENDERING AGE 0-20 355 2,645 235 568 113 323 320 374
1245425255 WAHBA MAGED F 2021 FFS RENDERING AGE 21+ 638 2,880 103 113 310 894 487 489
1245425255 WAHBA MAGED F 2021 PHP RENDERING AGE 0-20 90 475 59 136 21 60 78 91
1245425255 WAHBA MAGED F 2021 PHP RENDERING AGE 21+ 90 353 17 18 29 157 73 74
1245427582 CHENG LAWRENCE M 2021 FFS RENDERING AGE 0-20 142 1,080 127 362 43 131 125 140
1245427582 CHENG LAWRENCE M 2021 FFS RENDERING AGE 21+ 209 866 96 96 89 271 82 82
1245432566 FISHER JEFFREY P 2021 FFS RENDERING AGE 0-20 23 68 0 0 23 68 0 0
1245433283 THEODOROU, NIKOLAOS DDS 2021 FFS RENDERING AGE 0-20 52 366 41 106 24 66 41 50
1245433283 THEODOROU, NIKOLAOS DDS 2021 FFS RENDERING AGE 21+ 218 1,230 82 91 165 541 117 117
1245436880 UNDORF, YURI, DDS 2021 FFS RENDERING AGE 0-20 48 256 42 109 1 2 29 32
1245436880 UNDORF, YURI, DDS 2021 FFS RENDERING AGE 21+ 632 5,930 315 315 495 2,588 146 146
1245450105 CARDONA PATRICIA L 2021 FFS RENDERING AGE 0-20 15 36 1 1 1 1 12 14
1245450105 CARDONA PATRICIA L 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1245450105 CARDONA PATRICIA L 2021 GMC RENDERING AGE 0-20 1,512 6,357 183 640 888 1,857 715 737
1245450105 CARDONA PATRICIA L 2021 GMC RENDERING AGE 21+ 13 15 0 0 1 2 1 1
1245450105 CARDONA PATRICIA L 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1245450105 CARDONA PATRICIA L 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1245450576 TURNER RODNEY L 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1245457985 CHOI, SAMUEL S, DDS 2021 FFS RENDERING AGE 21+ 46 103 19 19 28 47 20 20
1245459379 KASHANCHI MASSOUD 2021 FFS RENDERING AGE 0-20 110 306 14 22 23 86 97 98
1245459379 KASHANCHI MASSOUD 2021 FFS RENDERING AGE 21+ 387 1,550 70 70 170 701 304 306
1245473875 GONZALEZ, PEDRO P, DDS INC 2021 PHP RENDERING AGE 0-20 1 2 1 1 0 0 1 1
1245477843 CAINE, TRACEY BETH, RDHAP 2021 FFS RENDERING AGE 21+ 705 5,622 686 2,835 705 2,787 0 0
1245482223 HELOU JOY M 2021 FFS RENDERING AGE 0-20 18 121 15 51 1 2 14 16
1245482223 HELOU JOY M 2021 FFS RENDERING AGE 21+ 57 287 36 38 34 105 44 44
1245482801 COOLEY HOLME T 2021 FFS RENDERING AGE 0-20 133 1,644 120 320 75 179 122 155
1245482801 COOLEY HOLME T 2021 FFS RENDERING AGE 21+ 167 1,727 108 109 113 446 135 135
1245490671 JAE YON CHUNG DMD DENTAL 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1245490671 JAE YON CHUNG DMD DENTAL 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1245498229 PAYDAR AZADEH 2021 FFS RENDERING AGE 0-20 136 1,498 126 368 74 254 129 150
1245498229 PAYDAR AZADEH 2021 FFS RENDERING AGE 21+ 576 4,993 430 672 436 2,152 425 430
1245501741 MILLER, STANLEY, DDS 2021 FFS RENDERING AGE 0-20 797 5,490 118 270 720 4,414 94 106
1245501741 MILLER, STANLEY, DDS 2021 FFS RENDERING AGE 21+ 83 310 1 2 52 139 36 36
1245504984 COSTANDI JOHN J 2021 FFS RENDERING AGE 0-20 1 2 0 0 1 2 0 0
1245504984 COSTANDI JOHN J 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 2 0 0
1245504984 COSTANDI JOHN J 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 1 1
1245504984 COSTANDI JOHN J 2021 PHP RENDERING AGE 21+ 1 2 0 0 1 2 1 1
1245507029 JAFARI RAMIN R 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1245507029 JAFARI RAMIN R 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1245545375 KIM AUGUSTINE 2021 FFS RENDERING AGE 0-20 161 260 0 0 18 59 0 0
1245545375 KIM AUGUSTINE 2021 FFS RENDERING AGE 21+ 11 12 0 0 1 1 0 0
1245545375 KIM AUGUSTINE 2021 PHP RENDERING AGE 0-20 1 1 1 1 1 1 1 1
1245545375 KIM AUGUSTINE 2021 PHP RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1245560481 HOSNY KAZEM F 2021 FFS RENDERING AGE 0-20 188 3,259 147 469 154 836 165 192
1245560481 HOSNY KAZEM F 2021 FFS RENDERING AGE 21+ 254 3,693 150 298 200 1,444 163 163
1245563147 HERRERA DAVID 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 2 1 1
1245563147 HERRERA DAVID 2021 FFS RENDERING AGE 21+ 14 62 1 1 12 24 1 1
1245570498 LOZANO ALEXIA ROXAN O 2021 FFS RENDERING AGE 0-20 1,111 10,401 925 2,835 630 2,483 950 1,195
1245570498 LOZANO ALEXIA ROXAN O 2021 FFS RENDERING AGE 21+ 30 129 1 2 22 56 11 11
1245570498 LOZANO ALEXIA ROXAN O 2021 GMC RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1245575364 LABIB ARSANY Y 2021 FFS RENDERING AGE 0-20 24 181 21 46 1 2 23 23
1245575364 LABIB ARSANY Y 2021 FFS RENDERING AGE 21+ 46 233 12 22 24 46 36 36
1245578483 KIM HYONG J 2021 FFS RENDERING AGE 0-20 1 1 0 0 0 0 1 1
1245578483 KIM HYONG J 2021 GMC RENDERING AGE 0-20 1,997 14,128 1,162 4,108 707 1,159 1,253 1,356
1245589126 BANARIA VIVIAN C 2021 FFS RENDERING AGE 0-20 170 1,693 138 369 70 214 142 161
1245589126 BANARIA VIVIAN C 2021 FFS RENDERING AGE 21+ 469 3,519 267 497 246 865 344 344
1245589126 BANARIA VIVIAN C 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1245589126 BANARIA VIVIAN C 2021 PHP RENDERING AGE 21+ 63 756 50 97 31 129 57 58
1245621416 AKHAVAN ROGHIYEH 2021 FFS RENDERING AGE 0-20 1 2 0 0 1 2 0 0
1245621416 AKHAVAN ROGHIYEH 2021 FFS RENDERING AGE 21+ 71 244 0 0 71 244 0 0
1245631191 LUU, PETER, DDS INC 2021 FFS RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1245637032 TORRES, ARIEL, DMD INC 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1245640408 LU, RONG D, DMD 2021 FFS RENDERING AGE 0-20 46 276 44 114 12 31 37 49
1245640408 LU, RONG D, DMD 2021 FFS RENDERING AGE 21+ 636 4,174 530 1,065 351 792 570 574
1245643154 PHAM MAI 2021 FFS RENDERING AGE 0-20 211 3,366 203 811 107 387 207 304
1245643154 PHAM MAI 2021 FFS RENDERING AGE 21+ 300 3,549 233 462 196 1,167 264 264
1245643154 PHAM MAI 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1245660919 ZHUJIANG ANNIE 2021 FFS RENDERING AGE 21+ 13 15 0 0 13 15 0 0
1245665124 BOCHORISHVILI GEORGE 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 1 1
1245671734 SING YENBA TO B 2021 FFS RENDERING AGE 0-20 172 1,086 132 280 65 183 131 136
1245671734 SING YENBA TO B 2021 FFS RENDERING AGE 21+ 372 2,219 207 413 230 655 217 217
1245683861 FURUKAWA DIANA K 2021 FFS RENDERING AGE 0-20 378 2,623 323 807 122 189 327 395
1245683861 FURUKAWA DIANA K 2021 FFS RENDERING AGE 21+ 760 3,341 218 404 508 1,109 397 398
1245683861 FURUKAWA DIANA K 2021 GMC RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1245687706 JUNG, WONIL EDWARD DDS 2021 FFS RENDERING AGE 0-20 1,259 2,776 0 0 1,259 2,776 0 0
1245697473 SIMUS RONALD ROY A 2021 FFS RENDERING AGE 0-20 87 114 0 0 1 2 0 0
1245699693 XIE DAN 2021 FFS RENDERING AGE 0-20 300 2,616 238 916 179 646 262 280
1245699693 XIE DAN 2021 FFS RENDERING AGE 21+ 353 1,842 64 112 175 756 253 255
1245716539 B. DEIRMENJIAN, DDS, INC 2021 FFS RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1245716539 DEIRMENJIAN, B, DDS INC 2021 FFS RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1245716950 BALINGHASAY ERIK P 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1245716950 BALINGHASAY ERIK P 2021 FFS RENDERING AGE 21+ 31 67 0 0 31 55 0 0
1245721349 RIAZI HALEH 2021 FFS RENDERING AGE 0-20 219 2,010 167 554 102 432 186 205
1245721349 RIAZI HALEH 2021 FFS RENDERING AGE 21+ 458 3,246 212 416 306 1,345 306 307
1245721349 RIAZI HALEH 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1245721349 RIAZI HALEH 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1245725381 KIM TIMOTHY 2021 FFS RENDERING AGE 0-20 565 2,792 377 1,024 165 390 435 437
1245725381 KIM TIMOTHY 2021 FFS RENDERING AGE 21+ 1,282 4,858 442 807 647 1,946 812 813
1245766542 CHIU VICTORIA 2021 FFS RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1245766542 CHIU VICTORIA 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1245766542 CHIU VICTORIA 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1245773514 TOZBIKIAN SYLVIA V 2021 FFS RENDERING AGE 0-20 288 2,529 192 523 141 284 244 249
1245773514 TOZBIKIAN SYLVIA V 2021 FFS RENDERING AGE 21+ 262 1,235 31 62 153 423 163 163
1245776053 MISNER, TRISHA ANN, RDHAP 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 0 0
1245787712 HARATI MAHSA 2021 FFS RENDERING AGE 0-20 16 48 1 1 1 2 12 12
1245787712 HARATI MAHSA 2021 FFS RENDERING AGE 21+ 32 68 1 1 17 24 17 17
1245795020 ALANIZ LILLIAM M 2021 FFS RENDERING AGE 0-20 117 930 94 216 40 86 108 112
1245795020 ALANIZ LILLIAM M 2021 FFS RENDERING AGE 21+ 121 549 32 62 64 211 82 82
1245801190 HAKAMI-TAFRESHI ROXAN 2021 FFS RENDERING AGE 0-20 155 1,496 126 453 100 347 144 144
1245801190 HAKAMI-TAFRESHI ROXAN 2021 FFS RENDERING AGE 21+ 260 2,101 101 199 190 901 231 233
1245825587 LAWRENCE, TERRI LYN, RDHAP 2021 FFS RENDERING AGE 21+ 77 225 71 76 77 149 0 0
1245833367 ALWARDI AYA H 2021 FFS RENDERING AGE 0-20 197 946 118 312 87 212 143 143
1245833367 ALWARDI AYA H 2021 FFS RENDERING AGE 21+ 494 1,448 101 185 289 736 194 194
1245833367 ALWARDI AYA H 2021 GMC RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1245833367 ALWARDI AYA H 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 2 1 1
1245833367 ALWARDI AYA H 2021 PHP RENDERING AGE 21+ 20 191 1 2 18 157 1 1
1245845825 CHO JAEHUN 2021 FFS RENDERING AGE 0-20 14 80 12 28 1 1 12 12
1245845825 CHO JAEHUN 2021 FFS RENDERING AGE 21+ 53 149 14 28 38 69 17 17
1245845825 CHO JAEHUN 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1245845825 CHO JAEHUN 2021 PHP RENDERING AGE 21+ 27 104 13 27 18 46 12 12
1245848332 TSOI HOWARD C 2021 FFS RENDERING AGE 0-20 1 1 1 1 1 1 0 0
1245848332 TSOI HOWARD C 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1245848332 TSOI HOWARD C 2021 GMC RENDERING AGE 0-20 675 3,276 519 912 359 565 345 380
1245848332 TSOI HOWARD C 2021 GMC RENDERING AGE 21+ 770 3,810 293 573 499 1,561 476 482
1245848332 TSOI HOWARD C 2021 PHP RENDERING AGE 0-20 41 164 41 41 41 41 0 0
1245848332 TSOI HOWARD C 2021 PHP RENDERING AGE 21+ 1 1 1 1 1 1 0 0
1245876051 KAUSHAL KARUN 2021 FFS RENDERING AGE 0-20 39 168 20 63 14 18 19 19
1245876051 KAUSHAL KARUN 2021 FFS RENDERING AGE 21+ 305 996 41 79 128 290 155 156
1245876051 KAUSHAL KARUN 2021 GMC RENDERING AGE 0-20 1 2 1 1 1 1 0 0
1245876051 KAUSHAL KARUN 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1245877992 REYES GARCIA & O'CONNOR DENT 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1245883495 BOYD BRENT C 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1245883495 BOYD BRENT C 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1245886894 LEE JU YONG 2021 FFS RENDERING AGE 0-20 6,100 44,928 4,860 12,211 3,515 6,737 4,851 4,964
1245886894 LEE JU YONG 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1245892488 NGUYEN KYLE 2021 FFS RENDERING AGE 0-20 318 2,493 241 558 186 483 251 288
1245892488 NGUYEN KYLE 2021 FFS RENDERING AGE 21+ 423 2,461 137 164 328 970 237 237
1245899095 CHO EUN JUNG 2021 FFS RENDERING AGE 0-20 360 3,132 304 927 294 599 328 331
1245908474 DEZA ANTHONY E 2021 FFS RENDERING AGE 0-20 21 214 17 48 12 47 16 16
1245908474 DEZA ANTHONY E 2021 FFS RENDERING AGE 21+ 37 211 1 1 24 78 14 14
1255004735 SINGH MANPREET 2021 FFS RENDERING AGE 0-20 23 90 1 1 11 21 13 13
1255004735 SINGH MANPREET 2021 FFS RENDERING AGE 21+ 38 114 0 0 26 39 12 12
1255305702 CALIXTO, LUIS 2021 FFS RENDERING AGE 0-20 237 1,388 79 174 188 493 92 96
1255305702 CALIXTO, LUIS 2021 FFS RENDERING AGE 21+ 887 5,233 196 378 754 2,084 340 341
1255330197 RANA VINOD G 2021 FFS RENDERING AGE 0-20 1 2 1 1 0 0 0 0
1255330197 RANA VINOD G 2021 FFS RENDERING AGE 21+ 17 140 1 2 1 2 0 0
1255343588 VU, HONG T DDS 2021 FFS RENDERING AGE 0-20 288 2,387 277 761 91 223 276 348
1255343588 VU, HONG T DDS 2021 FFS RENDERING AGE 21+ 317 1,659 249 252 186 603 262 262
1255343588 VU, HONG T DDS 2021 PHP RENDERING AGE 0-20 126 1,071 119 331 67 143 119 143
1255343588 VU, HONG T DDS 2021 PHP RENDERING AGE 21+ 26 117 20 20 11 29 22 23
1255351680 BUI UYEN KHANH V 2021 FFS RENDERING AGE 0-20 296 3,034 288 952 100 282 277 351
1255351680 BUI UYEN KHANH V 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1255359469 WEBB DAVID EVANS 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1255378329 AKRAA ILHAM Y 2021 FFS RENDERING AGE 0-20 97 593 86 238 33 91 86 113
1255378329 AKRAA ILHAM Y 2021 FFS RENDERING AGE 21+ 174 864 113 226 84 204 133 133
1255382032 VALENTINE RICARDO A 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1255382032 VALENTINE RICARDO A 2021 FFS RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1255401956 REIDY EDWARD T 2021 FFS RENDERING AGE 0-20 26 130 21 52 15 26 21 21
1255401956 REIDY EDWARD T 2021 FFS RENDERING AGE 21+ 81 412 29 29 38 141 65 65
1255405064 CHO, TINA DMD 2021 FFS RENDERING AGE 0-20 261 1,849 215 580 146 513 216 237
1255405064 CHO, TINA DMD 2021 FFS RENDERING AGE 21+ 486 2,507 182 358 400 1,384 244 244
1255405064 CHO, TINA DMD 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1255405064 CHO, TINA, DMD 2021 FFS RENDERING AGE 0-20 261 3,698 215 1,160 146 1,026 216 474
1255405064 CHO, TINA, DMD 2021 FFS RENDERING AGE 21+ 486 5,014 182 716 400 2,768 244 488
1255405064 CHO, TINA, DMD 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1255406831 WALKER III, NELSON DDS 2021 FFS RENDERING AGE 0-20 12 104 1 2 1 1 1 1
1255406831 WALKER III, NELSON DDS 2021 FFS RENDERING AGE 21+ 48 147 1 2 30 62 24 24
1255409421 ALTWAL IYAD W 2021 FFS RENDERING AGE 0-20 319 1,961 133 788 242 575 139 156
1255409421 ALTWAL IYAD W 2021 FFS RENDERING AGE 21+ 1,666 5,897 166 329 1,551 4,471 317 318
1255409421 ALTWAL IYAD W 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1255409421 ALTWAL IYAD W 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1255409488 PERFECTO JR EDMUNDO I 2021 FFS RENDERING AGE 0-20 149 1,236 116 377 55 187 133 154
1255409488 PERFECTO JR EDMUNDO I 2021 FFS RENDERING AGE 21+ 241 1,045 60 67 142 394 166 167
1255409488 PERFECTO JR EDMUNDO I 2021 PHP RENDERING AGE 0-20 122 1,076 108 420 34 79 111 132
1255409488 PERFECTO JR EDMUNDO I 2021 PHP RENDERING AGE 21+ 118 631 42 45 73 263 84 86
1255409694 NGUYEN MINH D 2021 FFS RENDERING AGE 0-20 18 140 15 17 1 2 17 19
1255409694 NGUYEN MINH D 2021 FFS RENDERING AGE 21+ 113 816 62 64 54 106 102 104
1255410585 MIZIN, IRINA K, DDS 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 1 1
1255410585 MIZIN, IRINA K, DDS 2021 FFS RENDERING AGE 21+ 20 132 1 2 14 86 14 14
1255411450 PARKHUR, JOHN, DMD 2021 FFS RENDERING AGE 0-20 27 154 25 69 1 2 25 30
1255411450 PARKHUR, JOHN, DMD 2021 FFS RENDERING AGE 21+ 105 486 60 116 58 198 73 75
1255425609 KISHIBAY JOHN S 2021 FFS RENDERING AGE 0-20 69 74 0 0 1 1 1 1
1255427373 TASH EDMOND M 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 2 1 1
1255427373 TASH EDMOND M 2021 FFS RENDERING AGE 21+ 30 139 12 21 15 55 20 20
1255428058 DO KY L 2021 FFS RENDERING AGE 0-20 167 1,600 118 251 93 285 132 140
1255428058 DO KY L 2021 FFS RENDERING AGE 21+ 320 2,768 139 278 262 1,196 178 178
1255428058 DO KY L 2021 PHP RENDERING AGE 0-20 50 377 44 96 19 76 46 46
1255428058 DO KY L 2021 PHP RENDERING AGE 21+ 12 88 1 1 12 45 11 11
1255430708 DE JESUS ANA LIZA E 2021 FFS RENDERING AGE 0-20 410 3,541 269 710 194 800 257 262
1255430708 DE JESUS ANA LIZA E 2021 FFS RENDERING AGE 21+ 160 819 29 56 102 288 77 77
1255430708 DE JESUS ANA LIZA E 2021 PHP RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1255430708 DE JESUS ANA LIZA E 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1255431342 CHU STEVE 2021 FFS RENDERING AGE 0-20 109 687 76 182 29 134 103 115
1255431342 CHU STEVE 2021 FFS RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1255431953 MARFATIA, RABIN A DDS 2021 FFS RENDERING AGE 0-20 2,228 30,312 2,173 8,190 1,273 3,371 2,181 3,143
1255431953 MARFATIA, RABIN A DDS 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1255431953 MARFATIA, RABIN A DDS 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1255432191 JACOB, HARI, DDS 2021 FFS RENDERING AGE 0-20 241 2,014 225 425 86 194 167 167
1255432191 JACOB, HARI, DDS 2021 FFS RENDERING AGE 21+ 104 554 67 70 46 84 63 63
1255433694 DO, CAROLINE H, DDS 2021 FFS RENDERING AGE 0-20 1 2 1 1 0 0 1 1
1255433694 DO, CAROLINE H, DDS 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1255448049 MAHDAVI KAMBIZ 2021 FFS RENDERING AGE 0-20 177 2,779 174 801 58 169 169 252
1255448049 MAHDAVI KAMBIZ 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1255455481 SHETH MADHAVI A 2021 FFS RENDERING AGE 0-20 493 4,264 354 1,051 273 1,520 361 385
1255455481 SHETH MADHAVI A 2021 FFS RENDERING AGE 21+ 569 3,279 169 339 364 1,646 324 324
1255460168 ZARGARIAN, ALBERT 2021 FFS RENDERING AGE 0-20 448 2,855 305 961 151 228 164 166
1255460168 ZARGARIAN, ALBERT 2021 FFS RENDERING AGE 21+ 434 1,466 44 76 282 677 51 51
1255460168 ZARGARIAN, ALBERT 2021 PHP RENDERING AGE 0-20 63 541 62 229 36 111 56 60
1255460168 ZARGARIAN, ALBERT 2021 PHP RENDERING AGE 21+ 75 352 18 34 48 196 41 41
1255461646 TRAN BACH T 2021 FFS RENDERING AGE 0-20 1,307 4,050 99 248 104 297 88 91
1255461646 TRAN BACH T 2021 FFS RENDERING AGE 21+ 282 849 1 1 1 2 1 1
1255462339 JHANG ALEXANDER K 2021 FFS RENDERING AGE 0-20 75 646 67 244 30 83 73 88
1255462339 JHANG ALEXANDER K 2021 FFS RENDERING AGE 21+ 179 888 67 129 101 329 144 144
1255463154 SHTULMAN-SOLOVEYCHIK, ISABEL 2021 FFS RENDERING AGE 0-20 49 325 35 104 24 83 37 37
1255463154 SHTULMAN-SOLOVEYCHIK, ISABEL 2021 FFS RENDERING AGE 21+ 102 464 45 86 76 205 48 48
1255463501 DINH HOAI T 2021 FFS RENDERING AGE 0-20 262 3,149 251 771 97 238 253 310
1255463501 DINH HOAI T 2021 FFS RENDERING AGE 21+ 698 7,297 544 1,086 480 1,751 556 556
1255465902 UCLA VENICE DENTAL CLINIC 2021 PHP RENDERING AGE 0-20 63 366 61 202 16 35 56 56
1255473781 PATEL, RAKESH N, DDS 2021 FFS RENDERING AGE 0-20 177 1,643 123 418 41 164 168 189
1255473781 PATEL, RAKESH N, DDS 2021 FFS RENDERING AGE 21+ 251 1,292 54 68 106 331 195 200
1255473781 PATEL, RAKESH N, DDS 2021 PHP RENDERING AGE 0-20 142 1,413 120 277 29 116 139 167
1255473781 PATEL, RAKESH N, DDS 2021 PHP RENDERING AGE 21+ 71 406 24 27 19 57 61 64
1255476172 PHAM, LIEN N, DDS 2021 FFS RENDERING AGE 0-20 110 1,860 104 504 45 210 89 210
1255476172 PHAM, LIEN N, DDS 2021 FFS RENDERING AGE 21+ 242 3,758 145 296 162 1,032 156 312
1255478418 MIKHAIL, MOURAD, DDS 2021 FFS RENDERING AGE 0-20 465 5,047 461 2,284 167 729 464 659
1255478418 MIKHAIL, MOURAD, DDS 2021 FFS RENDERING AGE 21+ 248 1,439 237 474 84 308 238 238
1255479556 JACOB LEENA M 2021 FFS RENDERING AGE 0-20 5,384 50,066 5,103 19,955 3,323 9,334 5,101 6,160
1255479556 JACOB LEENA M 2021 FFS RENDERING AGE 21+ 119 379 72 146 35 73 92 92
1255479721 BARIZO, DORIS A DMD 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1255479721 BARIZO, DORIS A DMD 2021 FFS RENDERING AGE 21+ 292 1,133 195 377 119 327 66 66
1255482527 FERDOWSMAKAN, ROBERT MD 2021 FFS RENDERING AGE 0-20 1 2 0 0 1 2 0 0
1255482527 FERDOWSMAKAN, ROBERT MD 2021 FFS RENDERING AGE 21+ 11 47 0 0 11 47 0 0
1255484598 CRUZ JULIO 2021 FFS RENDERING AGE 0-20 29 330 23 52 1 2 23 26
1255484598 CRUZ JULIO 2021 FFS RENDERING AGE 21+ 26 248 19 36 1 2 23 23
1255485736 BERMUDEZ, MARIA LUISA DMD 2021 FFS RENDERING AGE 0-20 49 351 47 94 15 56 47 48
1255485736 BERMUDEZ, MARIA LUISA DMD 2021 FFS RENDERING AGE 21+ 141 799 80 80 66 199 119 119
1255486676 SAMET DANA 2021 FFS RENDERING AGE 0-20 179 1,594 147 449 74 267 157 197
1255486676 SAMET DANA 2021 FFS RENDERING AGE 21+ 440 2,622 182 303 309 1,033 331 331
1255486700 MEHTA, NIRAV DDS 2021 FFS RENDERING AGE 21+ 1 2 1 1 0 0 1 1
1255487179 TOLSTUNOV LEONID 2021 FFS RENDERING AGE 0-20 36 179 0 0 33 133 23 23
1255487179 TOLSTUNOV LEONID 2021 FFS RENDERING AGE 21+ 149 664 0 0 125 430 43 43
1255487617 MEHRABIAN VAHAG 2021 FFS RENDERING AGE 0-20 410 4,022 314 889 197 718 318 384
1255487617 MEHRABIAN VAHAG 2021 FFS RENDERING AGE 21+ 733 4,329 195 338 467 1,715 438 447
1255487617 MEHRABIAN VAHAG 2021 PHP RENDERING AGE 0-20 133 889 88 230 71 204 122 143
1255487617 MEHRABIAN VAHAG 2021 PHP RENDERING AGE 21+ 186 1,030 37 53 109 501 152 155
1255490629 FIRMALINO, PIERRE F., DDS 2021 FFS RENDERING AGE 0-20 74 688 53 119 46 195 42 47
1255490629 FIRMALINO, PIERRE F., DDS 2021 FFS RENDERING AGE 21+ 124 893 58 61 92 420 67 67
1255491973 QURESHI AZEEM H 2021 FFS RENDERING AGE 0-20 242 1,833 205 792 70 184 219 219
1255491973 QURESHI AZEEM H 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 0 0
1255491973 QURESHI AZEEM H 2021 PHP RENDERING AGE 0-20 25 212 24 100 1 1 24 25
1255495347 AZOUZ DARRYL T 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1255495354 CASTILLO CARMEN B 2021 FFS RENDERING AGE 0-20 49 193 22 54 20 42 27 27
1255495354 CASTILLO CARMEN B 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1255496774 HWANG DAVID D 2021 FFS RENDERING AGE 0-20 11 18 0 0 11 18 0 0
1255496774 HWANG DAVID D 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1255496782 UNTALAN, CHARISE RUBY DDS 2021 FFS RENDERING AGE 0-20 100 1,300 100 359 28 45 100 112
1255496782 UNTALAN, CHARISE RUBY DDS 2021 FFS RENDERING AGE 21+ 16 111 1 2 1 2 1 1
1255499497 ZOKA, ROUZBEH, DDS 2021 FFS RENDERING AGE 0-20 151 315 0 0 62 170 16 16
1255499497 ZOKA, ROUZBEH, DDS 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1255511358 TRAC TRINH P 2021 FFS RENDERING AGE 0-20 174 1,491 173 507 57 157 173 232
1255511358 TRAC TRINH P 2021 FFS RENDERING AGE 21+ 31 218 21 26 23 79 23 23
1255515102 RAHIMZADEH PARVIZ 2021 FFS RENDERING AGE 0-20 269 1,715 197 694 135 350 187 189
1255515102 RAHIMZADEH PARVIZ 2021 FFS RENDERING AGE 21+ 381 1,372 102 196 222 604 202 202
1255521852 BURQUEZ FABRIEL D 2021 FFS RENDERING AGE 0-20 124 1,558 114 336 41 131 95 122
1255521852 BURQUEZ FABRIEL D 2021 FFS RENDERING AGE 21+ 166 1,099 112 205 74 218 116 116
1255522603 NGO, THAO THI, DDS 2021 GMC RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1255522603 NGO, THAO THI, DDS 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1255522603 NGO, THAO THI, DDS 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1255523593 TANG, SOPHEAP 2021 FFS RENDERING AGE 0-20 315 1,911 196 491 226 540 187 188
1255523593 TANG, SOPHEAP 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1255527081 LEE ESTHER E 2021 FFS RENDERING AGE 0-20 2,130 18,797 1,482 4,213 1,438 4,848 1,455 1,652
1255533972 LE MICHAEL K 2021 FFS RENDERING AGE 0-20 103 2,256 98 310 93 611 99 129
1255533972 LE MICHAEL K 2021 FFS RENDERING AGE 21+ 229 4,601 140 281 195 2,157 181 181
1255533972 LE MICHAEL K 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1255534293 THEODOROU, LARISA DDS 2021 FFS RENDERING AGE 0-20 158 1,599 147 441 83 262 149 181
1255534293 THEODOROU, LARISA DDS 2021 FFS RENDERING AGE 21+ 459 2,952 214 269 337 1,056 304 304
1255542601 ALTAMED MEDICAL & DENTAL 2021 PHP RENDERING AGE 0-20 86 3,940 61 1,595 77 710 50 270
1255542601 ALTAMED MEDICAL & DENTAL 2021 PHP RENDERING AGE 21+ 107 2,555 35 590 76 1,020 40 205
1255545976 BERSHADSKY, YURY, DDS INC. 2021 FFS RENDERING AGE 0-20 38 273 28 61 19 78 24 26
1255545976 BERSHADSKY, YURY, DDS INC. 2021 FFS RENDERING AGE 21+ 158 1,076 31 32 111 494 102 102
1255549853 NGUYEN DAN C 2021 FFS RENDERING AGE 0-20 274 487 0 0 98 236 0 0
1255549853 NGUYEN DAN C 2021 FFS RENDERING AGE 21+ 13 13 0 0 0 0 0 0
1255549853 NGUYEN DAN C 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1255571113 ZHURAVKOVA SVETLANA 2021 FFS RENDERING AGE 0-20 107 1,146 82 251 34 94 83 98
1255571113 ZHURAVKOVA SVETLANA 2021 FFS RENDERING AGE 21+ 48 382 27 46 27 71 36 36
1255583126 OBAIDI ANMAR M 2021 FFS RENDERING AGE 0-20 40 426 32 67 22 262 36 39
1255583126 OBAIDI ANMAR M 2021 FFS RENDERING AGE 21+ 133 1,428 81 130 90 933 107 107
1255583241 LEHNHOF MONICA C 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1255583241 LEHNHOF MONICA C 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1255583613 HASHEMI MEHDI 2021 FFS RENDERING AGE 0-20 1,031 6,881 848 2,048 338 914 780 782
1255583613 HASHEMI MEHDI 2021 GMC RENDERING AGE 0-20 1 1 1 1 1 1 1 1
1255588638 EL RAHEB ROSETTE M 2021 FFS RENDERING AGE 0-20 1 1 0 0 0 0 1 1
1255588638 EL RAHEB ROSETTE M 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1255588638 EL RAHEB ROSETTE M 2021 PHP RENDERING AGE 0-20 138 1,342 125 531 133 197 114 117
1255588638 EL RAHEB ROSETTE M 2021 PHP RENDERING AGE 21+ 159 940 60 143 120 301 59 59
1255589032 HOANG MARIE MY L 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1255589032 HOANG MARIE MY L 2021 FFS RENDERING AGE 21+ 13 52 1 1 12 32 1 1
1255593760 KIM JI EUN 2021 FFS RENDERING AGE 0-20 15 20 0 0 1 1 0 0
1255600888 HASSANZADEH ELNAZ 2021 FFS RENDERING AGE 0-20 1 2 0 0 1 2 1 1
1255600888 HASSANZADEH ELNAZ 2021 FFS RENDERING AGE 21+ 34 130 1 2 17 62 25 25
1255600888 HASSANZADEH ELNAZ 2021 PHP RENDERING AGE 21+ 11 33 1 1 1 1 1 1
1255601688 HUA LYNN A 2021 FFS RENDERING AGE 0-20 2,870 22,542 2,124 5,360 1,753 4,483 2,084 2,127
1255601688 HUA LYNN A 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1255623450 VELARDE MARIA CRISTI M 2021 FFS RENDERING AGE 0-20 31 240 23 49 11 49 22 22
1255623450 VELARDE MARIA CRISTI M 2021 FFS RENDERING AGE 21+ 112 528 46 82 73 257 29 29
1255625554 PUNG-YAMATO CHONG PEI N 2021 FFS RENDERING AGE 0-20 431 2,825 301 658 160 587 306 323
1255628368 BUI VU H 2021 FFS RENDERING AGE 0-20 168 2,380 164 497 108 449 165 201
1255628368 BUI VU H 2021 FFS RENDERING AGE 21+ 586 8,780 425 851 475 2,912 512 512
1255631131 ROKHSAR, GHAZAL, DDS 2021 FFS RENDERING AGE 0-20 47 342 40 110 14 30 47 47
1255631131 ROKHSAR, GHAZAL, DDS 2021 PHP RENDERING AGE 0-20 15 109 15 35 1 1 15 15
1255638284 OH, SAEKYU, DMD DENTAL CORP 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 0 0
1255638284 SAEKYU OH DMD DENTAL CORP 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 0 0
1255653598 FIELDS, DANTHANH DDS 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1255677530 CHO JOSEPH 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1255687612 YOON ANDY S 2021 FFS RENDERING AGE 0-20 281 3,204 238 719 117 351 239 251
1255687612 YOON ANDY S 2021 FFS RENDERING AGE 21+ 233 1,394 76 144 156 439 109 111
1255688214 LEE SOONKI 2021 FFS RENDERING AGE 0-20 49 438 35 85 31 103 40 44
1255688214 LEE SOONKI 2021 FFS RENDERING AGE 21+ 69 540 40 74 47 164 32 32
1255699955 HAKHAMJANI ASSAL 2021 FFS RENDERING AGE 0-20 2,191 22,362 1,878 6,188 1,394 4,861 1,837 2,102
1255699955 HAKHAMJANI ASSAL 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 0 0
1255699955 HAKHAMJANI ASSAL 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 2 1 1
1255709648 SPURGEON CHRISTOPHER 2021 FFS RENDERING AGE 0-20 262 1,384 136 377 91 215 222 256
1255709648 SPURGEON CHRISTOPHER 2021 FFS RENDERING AGE 21+ 377 1,431 40 68 184 508 234 234
1255709648 SPURGEON CHRISTOPHER 2021 PHP RENDERING AGE 0-20 130 554 62 178 35 75 123 140
1255709648 SPURGEON CHRISTOPHER 2021 PHP RENDERING AGE 21+ 166 571 27 37 73 239 129 139
1255716957 JORDAN YVONNE HOANG Y 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1255716957 JORDAN YVONNE HOANG Y 2021 FFS RENDERING AGE 21+ 14 33 1 1 12 28 1 1
1255729190 BARTOLOME NICOLE O 2021 FFS RENDERING AGE 0-20 657 5,190 591 1,534 190 667 589 694
1255737151 RHEEM STEPHEN S 2021 FFS RENDERING AGE 0-20 449 831 0 0 93 225 0 0
1255737151 RHEEM STEPHEN S 2021 FFS RENDERING AGE 21+ 20 20 0 0 0 0 0 0
1255737151 RHEEM STEPHEN S 2021 GMC RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1255737151 RHEEM STEPHEN S 2021 PHP RENDERING AGE 0-20 1 2 0 0 1 2 0 0
1255749016 HAREESH, HAREESH, DDS 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1255757522 HAN KWANG K 2021 FFS RENDERING AGE 0-20 59 448 29 75 35 92 32 33
1255757522 HAN KWANG K 2021 FFS RENDERING AGE 21+ 146 652 26 26 103 267 60 60
1255757647 DEBAZ LENA S 2021 FFS RENDERING AGE 0-20 124 904 91 293 77 249 81 81
1255757647 DEBAZ LENA S 2021 FFS RENDERING AGE 21+ 373 1,842 100 167 216 745 251 251
1255772182 KHORSHAD DANIEL S 2021 FFS RENDERING AGE 0-20 578 1,517 1 1 85 208 1 1
1255772182 KHORSHAD DANIEL S 2021 FFS RENDERING AGE 21+ 80 124 0 0 1 1 0 0
1255785408 MOMEN ROSHANAK 2021 FFS RENDERING AGE 0-20 1 2 0 0 1 1 0 0
1255785408 MOMEN ROSHANAK 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 0 0
1255803938 MORGAN, JESSICA NICOLE, RDHA 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 0 0
1255814364 DE LEON ANDREA P 2021 FFS RENDERING AGE 0-20 41 304 32 83 18 36 30 31
1255814364 DE LEON ANDREA P 2021 FFS RENDERING AGE 21+ 42 247 21 42 28 97 23 25
1255829370 HIRANO-KANUGA DENTAL GROUP 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1255830865 FIERROS ROCIO 2021 FFS RENDERING AGE 0-20 166 752 98 281 74 189 75 79
1255830865 FIERROS ROCIO 2021 FFS RENDERING AGE 21+ 272 820 58 113 147 374 107 107
1255830865 FIERROS ROCIO 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1255830865 FIERROS ROCIO 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1255841094 ELAMIR ZACHARY T 2021 FFS RENDERING AGE 0-20 130 1,106 84 185 46 114 108 108
1255841094 ELAMIR ZACHARY T 2021 FFS RENDERING AGE 21+ 87 493 1 2 49 101 40 40
1255841094 ELAMIR ZACHARY T 2021 PHP RENDERING AGE 0-20 1 1 0 0 0 0 1 1
1255841094 ELAMIR ZACHARY T 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1255845608 REYES ERIKA ANDREA 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 2 0 0
1255858049 MARTINEZ ERIKA A 2021 FFS RENDERING AGE 0-20 393 3,134 216 594 300 1,266 313 330
1255858049 MARTINEZ ERIKA A 2021 FFS RENDERING AGE 21+ 951 5,917 301 599 755 3,308 622 623
1255875944 MAZUCHOWSKI JR RAYMOND J 2021 FFS RENDERING AGE 0-20 73 658 59 137 22 72 60 61
1255875944 MAZUCHOWSKI JR RAYMOND J 2021 FFS RENDERING AGE 21+ 208 1,434 93 185 138 470 102 102
1255875944 MAZUCHOWSKI JR RAYMOND J 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1255902300 FRANGIEH AMEER A 2021 FFS RENDERING AGE 0-20 202 953 155 424 105 235 78 78
1255902300 FRANGIEH AMEER A 2021 FFS RENDERING AGE 21+ 277 1,014 83 153 205 628 61 61
1255937900 SANO REID K 2021 FFS RENDERING AGE 0-20 192 1,657 161 276 65 154 160 164
1255937900 SANO REID K 2021 FFS RENDERING AGE 21+ 247 2,143 143 143 152 492 161 161
1255948741 DU ANGELA 2021 FFS RENDERING AGE 0-20 444 2,698 299 656 193 527 277 286
1255948741 DU ANGELA 2021 GMC RENDERING AGE 0-20 2,620 24,649 2,168 7,549 2,079 5,150 1,910 2,287
1255948741 DU ANGELA 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1255964680 KIM HONG I 2021 FFS RENDERING AGE 0-20 76 107 0 0 11 18 0 0
1255964680 KIM HONG I 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1255964680 KIM HONG I 2021 PHP RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1255977617 MARSANO STEPHANIE 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 2 1 1
1255977617 MARSANO STEPHANIE 2021 FFS RENDERING AGE 21+ 12 73 1 2 1 2 1 1
1255980504 BERNALDO SAMANTHA 2021 FFS RENDERING AGE 21+ 1 1 1 1 1 1 0 0
1255983433 SHAAF PAYAM 2021 FFS RENDERING AGE 0-20 55 387 35 93 28 50 42 42
1255983433 SHAAF PAYAM 2021 FFS RENDERING AGE 21+ 118 482 12 23 88 255 46 46
1255984803 YAO PARNELL J 2021 FFS RENDERING AGE 0-20 384 2,295 220 801 153 311 339 356
1255984803 YAO PARNELL J 2021 FFS RENDERING AGE 21+ 408 1,294 18 35 141 370 270 270
1255993069 MAHBOOBIAN OMEED 2021 FFS RENDERING AGE 0-20 2,305 28,699 2,046 7,613 1,238 3,326 2,018 2,440
1255993069 MAHBOOBIAN OMEED 2021 FFS RENDERING AGE 21+ 378 2,304 141 284 233 553 191 192
1255993069 MAHBOOBIAN OMEED 2021 PHP RENDERING AGE 0-20 1 1 1 1 1 1 0 0
1255993754 LI CHARLES J 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1265002612 MAJDIPOUR TIFFANY 2021 FFS RENDERING AGE 0-20 213 1,103 164 481 46 83 177 177
1265002612 MAJDIPOUR TIFFANY 2021 FFS RENDERING AGE 21+ 269 761 50 58 99 214 156 156
1265002612 MAJDIPOUR TIFFANY 2021 PHP RENDERING AGE 0-20 49 198 38 81 1 2 42 43
1265002612 MAJDIPOUR TIFFANY 2021 PHP RENDERING AGE 21+ 55 157 15 19 18 34 42 42
1265002893 MEHTA PRARTHIT H 2021 FFS RENDERING AGE 0-20 243 1,147 149 408 111 250 133 133
1265002893 MEHTA PRARTHIT H 2021 FFS RENDERING AGE 21+ 332 1,239 104 182 213 600 127 127
1265039663 MCINTOSH JAMES A 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1265039663 MCINTOSH JAMES A 2021 FFS RENDERING AGE 21+ 48 63 0 0 47 58 1 1
1265047294 TRAN CALVIN 2021 FFS RENDERING AGE 0-20 124 1,127 87 297 60 158 81 81
1265047294 TRAN CALVIN 2021 FFS RENDERING AGE 21+ 335 2,343 78 156 246 710 146 146
1265048409 SIRAJ SARA 2021 FFS RENDERING AGE 0-20 3,240 25,766 2,365 5,515 1,124 3,283 2,309 2,398
1265048409 SIRAJ SARA 2021 FFS RENDERING AGE 21+ 154 624 43 87 74 173 83 83
1265088348 SRAN RAJWANT S 2021 FFS RENDERING AGE 0-20 539 3,491 337 801 310 1,001 436 463
1265088348 SRAN RAJWANT S 2021 FFS RENDERING AGE 21+ 806 3,934 271 501 463 1,645 538 538
1265088900 TAM SARAH W 2021 FFS RENDERING AGE 0-20 295 1,603 216 574 149 500 135 136
1265088900 TAM SARAH W 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1265088900 TAM SARAH W 2021 GMC RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1265407928 GHOREYSHI, KAMRAN DDS 2021 FFS RENDERING AGE 0-20 703 12,400 693 3,393 469 1,531 686 915
1265407928 GHOREYSHI, KAMRAN DDS 2021 FFS RENDERING AGE 21+ 897 11,463 664 1,321 711 4,883 735 737
1265412399 WEST SAMUEL A 2021 FFS RENDERING AGE 21+ 404 1,352 262 656 210 346 334 334
1265412399 WEST, S ARTHUR, DDS 2021 FFS RENDERING AGE 21+ 404 1,352 262 656 210 346 334 334
1265445878 LEE, FRANK H, DDS 2021 FFS RENDERING AGE 0-20 31 151 21 50 1 2 20 25
1265445878 LEE, FRANK H, DDS 2021 FFS RENDERING AGE 21+ 86 479 41 79 63 146 42 42
1265493746 BERI, LATA GATHWALA, DDS 2021 FFS RENDERING AGE 0-20 112 1,087 100 229 32 61 76 106
1265493746 BERI, LATA GATHWALA, DDS 2021 FFS RENDERING AGE 21+ 117 588 31 32 53 129 39 39
1265493746 BERI, LATA GATHWALA, DDS 2021 PHP RENDERING AGE 0-20 17 156 17 52 1 1 17 19
1265493746 BERI, LATA GATHWALA, DDS 2021 PHP RENDERING AGE 21+ 12 86 1 1 1 2 1 1
1265501415 CASTILLO, LUIS FERNANDO, DDS 2021 FFS RENDERING AGE 0-20 58 597 47 50 31 214 49 52
1265501415 CASTILLO, LUIS FERNANDO, DDS 2021 FFS RENDERING AGE 21+ 147 1,341 67 67 82 438 114 114
1265501415 UNKNOWN 2021 FFS RENDERING AGE 0-20 58 597 47 50 31 214 49 52
1265501415 UNKNOWN 2021 FFS RENDERING AGE 21+ 147 1,341 67 67 82 438 114 114
1265515654 JUNG CHARLES J 2021 FFS RENDERING AGE 0-20 183 1,890 181 564 132 475 181 281
1265515654 JUNG CHARLES J 2021 FFS RENDERING AGE 21+ 196 1,587 177 354 155 629 179 179
1265517361 LAMIN, TAYAR DDS 2021 FFS RENDERING AGE 0-20 102 1,302 96 434 66 199 91 118
1265517361 LAMIN, TAYAR DDS 2021 FFS RENDERING AGE 21+ 234 2,269 140 274 179 807 98 98
1265517361 LAMIN, TAYAR DDS 2021 PHP RENDERING AGE 0-20 17 212 17 73 1 2 17 24
1265517361 LAMIN, TAYAR DDS 2021 PHP RENDERING AGE 21+ 28 348 20 41 26 136 18 18
1265522577 GAROIAN, GARY DDS 2021 FFS RENDERING AGE 0-20 33 395 32 111 16 39 29 37
1265522577 GAROIAN, GARY DDS 2021 FFS RENDERING AGE 21+ 170 1,707 101 103 166 735 34 34
1265531180 YAMASHITA LESTER T 2021 FFS RENDERING AGE 0-20 38 219 33 90 11 31 35 45
1265531180 YAMASHITA LESTER T 2021 FFS RENDERING AGE 21+ 172 1,005 98 182 113 442 127 127
1265532519 SONG DAE H 2021 FFS RENDERING AGE 0-20 1,160 13,857 1,062 3,509 661 1,709 1,016 1,183
1265532519 SONG DAE H 2021 FFS RENDERING AGE 21+ 1,796 12,910 655 1,009 1,313 4,416 1,110 1,110
1265532519 SONG DAE H 2021 PHP RENDERING AGE 0-20 33 320 31 108 20 53 32 45
1265532519 SONG DAE H 2021 PHP RENDERING AGE 21+ 65 384 30 39 31 103 57 60
1265541478 HU WEI C 2021 FFS RENDERING AGE 0-20 762 7,530 742 3,315 258 556 670 948
1265541478 HU WEI C 2021 FFS RENDERING AGE 21+ 356 1,463 130 256 132 353 261 261
1265543920 SOUCHITSKI SR, ANDREI 2021 FFS RENDERING AGE 0-20 345 1,473 218 445 240 366 149 154
1265543920 SOUCHITSKI SR, ANDREI 2021 FFS RENDERING AGE 21+ 330 1,143 75 147 272 644 87 88
1265543920 SOUCHITSKI SR, ANDREI 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1265543920 SOUCHITSKI SR, ANDREI 2021 PHP RENDERING AGE 0-20 39 485 37 113 14 72 35 42
1265543920 SOUCHITSKI SR, ANDREI 2021 PHP RENDERING AGE 21+ 35 323 27 53 24 96 29 29
1265549943 SEVILLA LAURA B 2021 FFS RENDERING AGE 0-20 120 1,289 102 259 73 276 101 130
1265549943 SEVILLA LAURA B 2021 FFS RENDERING AGE 21+ 482 4,062 149 150 357 1,629 373 373
1265550016 GOLDENBERG, IOVANNA DDS 2021 FFS RENDERING AGE 0-20 42 345 27 95 22 87 29 31
1265550016 GOLDENBERG, IOVANNA DDS 2021 FFS RENDERING AGE 21+ 262 1,743 120 324 224 925 125 125
1265552376 PALYAN, LEVON, DDS 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 2 1 1
1265552376 PALYAN, LEVON, DDS 2021 FFS RENDERING AGE 21+ 190 1,964 55 110 146 1,118 79 158
1265558076 NGUYEN, KHOI B, DDS 2021 FFS RENDERING AGE 0-20 91 880 87 300 34 108 83 108
1265558076 NGUYEN, KHOI B, DDS 2021 FFS RENDERING AGE 21+ 265 1,891 153 296 180 785 201 201
1265558332 ELLOWAY, NORMAN IVAN DDS 2021 FFS RENDERING AGE 0-20 141 408 97 103 23 38 109 109
1265558332 ELLOWAY, NORMAN IVAN DDS 2021 FFS RENDERING AGE 21+ 760 2,901 235 235 361 982 478 479
1265558944 CASTANEDA, ELIZABETH P, DMD 2021 FFS RENDERING AGE 0-20 43 180 39 90 12 16 42 55
1265558944 CASTANEDA, ELIZABETH P, DMD 2021 FFS RENDERING AGE 21+ 79 290 55 55 42 91 64 64
1265560890 QUANG NGOC HAO T 2021 FFS RENDERING AGE 0-20 25 111 24 66 1 2 24 32
1265560890 QUANG NGOC HAO T 2021 FFS RENDERING AGE 21+ 77 393 44 84 64 262 47 47
1265568620 WADIA, JUNIA P DDS 2021 FFS RENDERING AGE 0-20 159 1,821 145 600 99 377 151 214
1265568620 WADIA, JUNIA P DDS 2021 FFS RENDERING AGE 21+ 465 4,669 281 562 346 1,696 376 376
1265571350 RASSIBI, EDMOND DMD 2021 FFS RENDERING AGE 0-20 72 491 58 89 28 100 39 43
1265571350 RASSIBI, EDMOND DMD 2021 FFS RENDERING AGE 21+ 124 663 67 67 74 256 85 85
1265571350 RASSIBI, EDMOND DMD 2021 PHP RENDERING AGE 0-20 135 727 103 169 47 127 125 139
1265571350 RASSIBI, EDMOND DMD 2021 PHP RENDERING AGE 21+ 242 971 96 99 82 275 221 232
1265575948 VAFA BRUCE 2021 FFS RENDERING AGE 0-20 220 2,143 209 677 71 240 210 301
1265575948 VAFA BRUCE 2021 FFS RENDERING AGE 21+ 19 86 12 14 1 2 12 12
1265576854 PHAN DIEU T 2021 FFS RENDERING AGE 0-20 1,269 12,515 993 2,718 817 2,907 904 946
1265576854 PHAN DIEU T 2021 FFS RENDERING AGE 21+ 172 708 61 122 117 240 71 71
1265576896 NGUYEN TAM T 2021 FFS RENDERING AGE 0-20 35 355 31 122 23 118 29 48
1265576896 NGUYEN TAM T 2021 FFS RENDERING AGE 21+ 28 215 20 30 17 95 21 21
1265576896 NGUYEN, TAM THI, DDS 2021 FFS RENDERING AGE 0-20 35 355 31 122 23 118 29 48
1265576896 NGUYEN, TAM THI, DDS 2021 FFS RENDERING AGE 21+ 28 215 20 30 17 95 21 21
1265577332 LAUTT ADAM G 2021 FFS RENDERING AGE 0-20 14 31 0 0 14 28 0 0
1265582258 MORENO IVAN R 2021 FFS RENDERING AGE 0-20 116 518 73 235 37 107 57 57
1265582258 MORENO IVAN R 2021 FFS RENDERING AGE 21+ 670 2,265 199 362 364 1,032 330 330
1265582894 GHAEMMAGHAMI, SARA DDS 2021 FFS RENDERING AGE 0-20 2,670 43,228 2,264 9,070 2,114 12,977 1,990 2,464
1265582894 GHAEMMAGHAMI, SARA DDS 2021 FFS RENDERING AGE 21+ 1 2 1 1 0 0 1 1
1265588412 LASKA, MARK S, DDS INC 2021 FFS RENDERING AGE 21+ 13 65 1 1 1 2 1 1
1265589527 RIVERA YVETTE 2021 FFS RENDERING AGE 0-20 387 3,758 341 929 125 344 349 359
1265589527 RIVERA YVETTE 2021 FFS RENDERING AGE 21+ 254 2,057 145 290 143 462 159 159
1265590327 NGUYEN CANAI T 2021 FFS RENDERING AGE 0-20 75 743 71 320 42 155 70 97
1265590327 NGUYEN CANAI T 2021 FFS RENDERING AGE 21+ 166 936 142 142 101 411 143 143
1265590327 NGUYEN CANAI T 2021 PHP RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1265590327 NGUYEN CANAI T 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1265591176 NOUHAD, SAMI Y, DDS 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 2 1 1
1265591176 NOUHAD, SAMI Y, DDS 2021 FFS RENDERING AGE 21+ 51 439 26 26 46 317 30 31
1265591176 NOUHAD, SAMI Y, DDS 2021 PHP RENDERING AGE 21+ 1 1 1 1 0 0 0 0
1265594808 SINGH PARAMJIT 2021 FFS RENDERING AGE 0-20 369 3,806 343 1,537 105 244 355 472
1265594808 SINGH PARAMJIT 2021 FFS RENDERING AGE 21+ 665 4,741 437 466 398 1,376 544 544
1265594881 HEO-KIM MI S 2021 FFS RENDERING AGE 0-20 150 1,901 131 196 84 261 120 159
1265594881 HEO-KIM MI S 2021 FFS RENDERING AGE 21+ 205 1,351 82 82 130 472 132 132
1265598213 MUSSER, JAMES R, DDS INC 2021 GMC RENDERING AGE 0-20 37 286 34 66 34 133 34 35
1265615637 SANTOS ESCALANT CLAVER P 2021 FFS RENDERING AGE 21+ 34 81 0 0 25 47 1 1
1265616270 TOLOOEI KHATEREH 2021 FFS RENDERING AGE 0-20 81 402 52 143 24 36 71 73
1265616270 TOLOOEI KHATEREH 2021 FFS RENDERING AGE 21+ 348 1,091 25 44 156 387 243 243
1265616270 TOLOOEI KHATEREH 2021 GMC RENDERING AGE 0-20 645 4,782 396 1,005 475 2,168 459 506
1265616270 TOLOOEI KHATEREH 2021 GMC RENDERING AGE 21+ 618 3,735 50 96 480 2,514 450 456
1265616270 TOLOOEI KHATEREH 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1265616270 TOLOOEI KHATEREH 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1265618508 POWER, DAWN Z, DENTAL INC 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1265618771 MERCADO MARIA LUISA A 2021 PHP RENDERING AGE 0-20 38 354 31 143 23 42 31 35
1265618771 MERCADO MARIA LUISA A 2021 PHP RENDERING AGE 21+ 104 637 55 125 80 274 63 63
1265620009 BILBAO JO DEVENNE E S 2021 FFS RENDERING AGE 0-20 85 739 75 294 34 128 81 119
1265620009 BILBAO JO DEVENNE E S 2021 FFS RENDERING AGE 21+ 183 1,493 87 138 133 810 146 146
1265620009 BILBAO JO DEVENNE E S 2021 PHP RENDERING AGE 0-20 34 311 31 140 17 40 34 49
1265620009 BILBAO JO DEVENNE E S 2021 PHP RENDERING AGE 21+ 48 475 41 93 38 271 41 42
1265624191 TRAN LINDA L 2021 FFS RENDERING AGE 0-20 425 3,489 301 842 288 1,104 286 300
1265626329 GEBRI NASHWA NOIL A 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1265627913 PARK JAEIN 2021 FFS RENDERING AGE 0-20 30 168 24 63 13 35 26 26
1265627913 PARK JAEIN 2021 FFS RENDERING AGE 21+ 76 274 33 55 50 93 42 42
1265627988 BURQUEZ RODOLFO R 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1265627988 BURQUEZ RODOLFO R 2021 FFS RENDERING AGE 21+ 20 122 1 1 1 2 15 15
1265629646 ABARCA DANIEL V 2021 FFS RENDERING AGE 0-20 510 5,016 499 2,069 339 995 502 706
1265629646 ABARCA DANIEL V 2021 FFS RENDERING AGE 21+ 230 1,287 160 344 115 330 198 214
1265630065 TERZIAN EDWARD C 2021 FFS RENDERING AGE 0-20 423 1,208 0 0 417 1,142 13 13
1265630065 TERZIAN EDWARD C 2021 FFS RENDERING AGE 21+ 1,155 3,142 0 0 1,122 2,878 46 46
1265630065 TERZIAN EDWARD C 2021 PHP RENDERING AGE 0-20 56 156 0 0 53 144 1 1
1265630065 TERZIAN EDWARD C 2021 PHP RENDERING AGE 21+ 289 829 0 0 212 606 180 180
1265630354 XIANG, XILIN, DDS 2021 FFS RENDERING AGE 0-20 26 67 0 0 24 64 1 1
1265630354 XIANG, XILIN, DDS 2021 FFS RENDERING AGE 21+ 139 323 0 0 138 321 1 1
1265630990 DAVID CHOU DDS AMERICA DENTAL CARE 2021 PHP RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1265630990 DAVID CHOU DDS AMERICA DENTAL CARE 2021 PHP RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1265632145 SALEHRABI, SHAY 2021 FFS RENDERING AGE 0-20 89 990 72 252 23 83 84 91
1265632145 SALEHRABI, SHAY 2021 FFS RENDERING AGE 21+ 163 1,420 62 123 65 308 131 131
1265637342 SOLIMAN, AMANI M, DDS 2021 FFS RENDERING AGE 0-20 163 976 148 358 49 120 140 188
1265637342 SOLIMAN, AMANI M, DDS 2021 FFS RENDERING AGE 21+ 179 923 95 95 127 334 93 93
1265640379 RANDHAWA GURJIT S 2021 FFS RENDERING AGE 0-20 121 717 97 259 55 193 99 101
1265640379 RANDHAWA GURJIT S 2021 FFS RENDERING AGE 21+ 503 2,371 320 595 263 885 346 346
1265640635 TARTAKOW GREGG A 2021 FFS RENDERING AGE 0-20 99 108 0 0 1 1 0 0
1265653141 FARZAM, FARSHAD, DDS 2021 FFS RENDERING AGE 0-20 233 1,606 222 674 64 129 227 284
1265653141 FARZAM, FARSHAD, DDS 2021 FFS RENDERING AGE 21+ 454 2,447 343 683 272 762 366 368
1265653141 FARZAM, FARSHAD, DDS 2021 PHP RENDERING AGE 0-20 169 1,464 166 597 48 96 167 207
1265653141 FARZAM, FARSHAD, DDS 2021 PHP RENDERING AGE 21+ 136 1,063 124 341 80 262 122 132
1265653414 MILLER ELIZABETH ANN 2021 PHP RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1265657100 BLENDE DAVID M. 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1265659122 LIAO CHUN YAO 2021 FFS RENDERING AGE 0-20 14 99 14 27 1 1 14 14
1265659122 LIAO CHUN YAO 2021 FFS RENDERING AGE 21+ 48 312 33 33 32 56 34 34
1265659593 ROYTMAN EUGENE 2021 FFS RENDERING AGE 0-20 207 942 56 171 197 550 60 69
1265659593 ROYTMAN EUGENE 2021 FFS RENDERING AGE 21+ 1,140 6,312 163 319 1,107 5,184 205 206
1265660211 LE AN P 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1265660948 KOMMINENI PADMALATHA 2021 FFS RENDERING AGE 0-20 64 386 33 97 31 70 45 45
1265660948 KOMMINENI PADMALATHA 2021 FFS RENDERING AGE 21+ 107 581 30 59 75 329 56 56
1265664262 KHATER, ROGER, DDS 2021 FFS RENDERING AGE 0-20 1 2 1 1 0 0 1 1
1265664262 KHATER, ROGER, DDS 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1265670558 TSAI JENNY S 2021 FFS RENDERING AGE 0-20 53 435 47 175 16 44 48 63
1265670558 TSAI JENNY S 2021 FFS RENDERING AGE 21+ 119 1,091 86 167 101 510 95 95
1265671176 PANDYA PROF DENTAL CORP 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1265671176 PANDYA PROFESSIONAL DENTAL C 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1265681266 LIEM SUSAN M 2021 GMC RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1265686448 PARK DAVID H 2021 PHP RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1265692800 ISHIBASHI NAOMI J 2021 PHP RENDERING AGE 0-20 16 73 11 21 1 1 13 13
1265692800 ISHIBASHI NAOMI J 2021 PHP RENDERING AGE 21+ 22 75 1 1 17 32 1 1
1265693147 NGO MY L 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 1 1
1265721112 LEOU PETER H 2021 FFS RENDERING AGE 0-20 139 378 136 152 1 1 124 139
1265721112 LEOU PETER H 2021 FFS RENDERING AGE 21+ 12 32 12 12 0 0 1 1
1265723357 WILSON, LILA P DDS 2021 FFS RENDERING AGE 0-20 1,304 10,982 1,254 4,617 545 1,506 1,247 1,660
1265723357 WILSON, LILA P DDS 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1265735591 TO TRAN B 2021 FFS RENDERING AGE 0-20 645 4,196 253 585 608 1,434 213 218
1265756027 MOJAB PAYAM 2021 FFS RENDERING AGE 0-20 31 270 23 36 23 104 26 27
1265756027 MOJAB PAYAM 2021 FFS RENDERING AGE 21+ 46 229 1 1 31 94 30 30
1265756027 MOJAB PAYAM 2021 PHP RENDERING AGE 0-20 1 1 0 0 0 0 1 1
1265756027 MOJAB PAYAM 2021 PHP RENDERING AGE 21+ 1 2 0 0 1 1 1 1
1265771893 FARZAM RAMIN 2021 FFS RENDERING AGE 0-20 15 99 12 49 1 2 15 18
1265771893 FARZAM RAMIN 2021 FFS RENDERING AGE 21+ 149 1,089 32 55 101 675 125 125
1265771893 FARZAM RAMIN 2021 PHP RENDERING AGE 0-20 13 90 13 54 1 1 13 15
1265771893 FARZAM RAMIN 2021 PHP RENDERING AGE 21+ 42 274 19 38 23 129 40 45
1265784003 KIM BYUNGWOOK 2021 FFS RENDERING AGE 0-20 13 74 1 2 1 2 1 1
1265784003 KIM BYUNGWOOK 2021 FFS RENDERING AGE 21+ 243 865 34 64 183 379 103 104
1265784003 KIM BYUNGWOOK 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1265809065 GERONIMO, JORGE L, DDS PROF 2021 FFS RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1265809065 JORGE L. GERONIMO, DDS PROF. DENTAL CORP. 2021 FFS RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1265813265 PUVVULA APARNA R 2021 FFS RENDERING AGE 0-20 198 1,254 148 597 38 105 178 193
1265813265 PUVVULA APARNA R 2021 FFS RENDERING AGE 21+ 497 1,703 144 278 166 469 362 364
1265813265 PUVVULA APARNA R 2021 PHP RENDERING AGE 0-20 73 572 53 145 50 212 62 72
1265813265 PUVVULA APARNA R 2021 PHP RENDERING AGE 21+ 199 1,157 82 156 143 655 132 132
1265815682 FAZELI AFSOON 2021 FFS RENDERING AGE 0-20 1,631 12,248 1,186 3,393 972 2,608 1,098 1,102
1265815682 FAZELI AFSOON 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1265821128 FARHAT FARZAD 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1265832786 KALYANI HARSH J 2021 FFS RENDERING AGE 0-20 207 3,413 193 762 83 282 197 277
1265832786 KALYANI HARSH J 2021 FFS RENDERING AGE 21+ 387 5,070 279 551 265 1,152 304 304
1265832992 SARMAST NIMA D 2021 PHP RENDERING AGE 21+ 12 26 0 0 1 1 1 1
1265865216 AHN DAVID Y 2021 GMC RENDERING AGE 0-20 1 2 1 1 1 2 0 0
1265865216 AHN DAVID Y 2021 GMC RENDERING AGE 21+ 1 2 0 0 1 1 1 1
1265882963 PASHA FARHEEN S 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1265883706 COHEN MAHYAR 2021 FFS RENDERING AGE 0-20 270 1,569 165 356 92 281 223 237
1265883706 COHEN MAHYAR 2021 FFS RENDERING AGE 21+ 586 3,210 112 216 400 1,128 282 289
1265904114 KIM MICHAEL J 2021 FFS RENDERING AGE 0-20 315 1,456 210 502 119 272 214 214
1265904114 KIM MICHAEL J 2021 FFS RENDERING AGE 21+ 524 1,752 142 269 238 672 322 322
1265939110 VO TRAVIS N 2021 FFS RENDERING AGE 0-20 202 1,759 115 443 97 415 169 184
1265939110 VO TRAVIS N 2021 FFS RENDERING AGE 21+ 404 2,331 45 73 268 1,052 268 268
1265951024 SARTORIUS THI AN V 2021 FFS RENDERING AGE 0-20 21 41 0 0 21 41 0 0
1265954184 SOHI, GUNCHA, DDS PC 2021 GMC RENDERING AGE 0-20 17 100 11 40 13 14 12 13
1265954184 SOHI, GUNCHA, DDS PC 2021 GMC RENDERING AGE 21+ 20 42 1 1 16 19 1 1
1265972756 VELAZQUEZ LUIS A 2021 FFS RENDERING AGE 0-20 74 985 66 229 37 166 71 91
1265972756 VELAZQUEZ LUIS A 2021 FFS RENDERING AGE 21+ 153 1,414 74 138 124 665 138 139
1275004228 ALAYEV ILYA 2021 FFS RENDERING AGE 0-20 246 3,641 237 1,042 170 490 236 356
1275004228 ALAYEV ILYA 2021 FFS RENDERING AGE 21+ 249 2,478 178 349 223 1,381 204 204
1275019143 KIM EUNICE G 2021 FFS RENDERING AGE 0-20 2,598 57,447 2,530 12,558 2,220 12,436 2,575 4,121
1275019143 KIM EUNICE G 2021 FFS RENDERING AGE 21+ 163 1,656 127 263 89 418 143 143
1275040909 BANSI HARJOT S 2021 FFS RENDERING AGE 0-20 592 3,817 469 1,052 256 879 468 512
1275040909 BANSI HARJOT S 2021 FFS RENDERING AGE 21+ 876 4,347 322 635 566 1,701 528 529
1275048449 HILO II, ELMER E, DMD INC 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1275054066 SOUMEEH SARA E 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1275080376 NG DEREK K 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1275080376 NG DEREK K 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1275089567 EJRAI, NADIA DMD 2021 FFS RENDERING AGE 0-20 395 3,085 250 657 208 541 242 262
1275089567 EJRAI, NADIA DMD 2021 FFS RENDERING AGE 21+ 555 3,644 218 253 364 1,512 334 336
1275089567 EJRAI, NADIA DMD 2021 GMC RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1275089567 EJRAI, NADIA DMD 2021 PHP RENDERING AGE 0-20 11 88 1 2 1 2 1 2
1275089567 EJRAI, NADIA DMD 2021 PHP RENDERING AGE 21+ 43 290 28 30 26 160 33 34
1275096133 ISMAIL NADIA M 2021 FFS RENDERING AGE 0-20 235 1,013 111 263 93 206 158 161
1275096133 ISMAIL NADIA M 2021 FFS RENDERING AGE 21+ 571 1,843 97 179 287 628 319 319
1275101750 LEE DONG GEUN 2021 FFS RENDERING AGE 0-20 19 22 0 0 1 1 0 0
1275101750 LEE DONG GEUN 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1275102246 YASHCHUK ELENA V 2021 FFS RENDERING AGE 0-20 26 112 12 30 22 48 0 0
1275105207 NGUYEN TIFFANY 2021 FFS RENDERING AGE 0-20 786 8,727 717 1,881 515 1,160 730 737
1275105207 NGUYEN TIFFANY 2021 FFS RENDERING AGE 21+ 25 179 13 26 11 34 20 20
1275151235 VEGA-SALAS NATASHA R 2021 FFS RENDERING AGE 0-20 965 10,420 886 3,346 563 1,910 894 1,131
1275151235 VEGA-SALAS NATASHA R 2021 FFS RENDERING AGE 21+ 981 9,149 556 1,030 700 3,662 680 690
1275159550 NGUYEN TRANG 2021 FFS RENDERING AGE 0-20 29 109 11 22 18 45 17 17
1275159550 NGUYEN TRANG 2021 FFS RENDERING AGE 21+ 77 256 1 2 51 118 35 35
1275169815 NGUYEN MICHAEL SITAI 2021 GMC RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1275180036 JACOBSON CONOR F 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1275186702 YILDIRIM CEMAL 2021 FFS RENDERING AGE 0-20 1,550 15,594 559 2,725 838 1,462 1,359 1,581
1275186702 YILDIRIM CEMAL 2021 FFS RENDERING AGE 21+ 2,605 17,928 184 366 1,467 3,585 2,082 2,085
1275188641 SINGH SURBHI 2021 FFS RENDERING AGE 0-20 519 2,762 332 1,128 165 311 418 418
1275188641 SINGH SURBHI 2021 FFS RENDERING AGE 21+ 1,181 3,319 171 288 411 1,006 736 739
1275195398 ZHOU DAOSHUN 2021 FFS RENDERING AGE 0-20 119 888 75 223 64 135 85 85
1275195398 ZHOU DAOSHUN 2021 FFS RENDERING AGE 21+ 131 647 40 74 93 251 64 64
1275207235 YOO LENA J 2021 FFS RENDERING AGE 0-20 289 4,270 271 810 186 1,262 274 285
1275207235 YOO LENA J 2021 FFS RENDERING AGE 21+ 66 630 37 74 51 349 49 55
1275515280 MAC KAY BRENT C 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1275515280 MAC KAY BRENT C 2021 FFS RENDERING AGE 21+ 14 26 14 14 0 0 12 12
1275517518 CAPULONG LOURDES B 2021 FFS RENDERING AGE 0-20 12 54 12 24 1 1 11 13
1275517518 CAPULONG LOURDES B 2021 FFS RENDERING AGE 21+ 110 490 77 77 46 108 86 86
1275517518 CAPULONG, LOURDES B, DDS 2021 FFS RENDERING AGE 0-20 12 54 12 24 1 1 11 13
1275517518 CAPULONG, LOURDES B, DDS 2021 FFS RENDERING AGE 21+ 110 490 77 77 46 108 86 86
1275521072 LIN MARIAN T 2021 FFS RENDERING AGE 0-20 1,443 7,813 1,343 3,396 656 731 1,160 1,170
1275521072 LIN MARIAN T 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1275535684 BAZZY, ABDUL 2021 FFS RENDERING AGE 0-20 86 483 70 173 37 108 81 104
1275535684 BAZZY, ABDUL 2021 FFS RENDERING AGE 21+ 578 2,751 92 94 439 1,539 436 436
1275535684 BAZZY, ABDUL H, DDS 2021 FFS RENDERING AGE 0-20 86 483 70 173 37 108 81 104
1275535684 BAZZY, ABDUL H, DDS 2021 FFS RENDERING AGE 21+ 578 2,751 92 94 439 1,539 436 436
1275547580 IZADI MAZIAR 2021 FFS RENDERING AGE 0-20 128 964 113 440 31 98 79 86
1275547580 IZADI MAZIAR 2021 FFS RENDERING AGE 21+ 146 985 100 101 60 326 84 84
1275556045 ROBINSON, LARRY V, DDS INC 2021 FFS RENDERING AGE 0-20 189 1,505 128 330 68 116 129 132
1275556045 ROBINSON, LARRY V, DDS INC 2021 FFS RENDERING AGE 21+ 308 953 57 102 211 295 123 123
1275570079 LIN BENJAMIN J 2021 PHP RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1275594558 OLAES, IRENE S, DMD 2021 FFS RENDERING AGE 0-20 64 562 57 165 30 87 59 81
1275594558 OLAES, IRENE S, DMD 2021 FFS RENDERING AGE 21+ 167 920 98 180 89 259 123 125
1275601114 VADECHA NEIL V 2021 FFS RENDERING AGE 0-20 276 790 0 0 80 296 0 0
1275601114 VADECHA NEIL V 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1275605289 CELEBRADO, MARIBEL A, DDS 2021 FFS RENDERING AGE 0-20 348 3,329 326 1,421 102 390 338 511
1275605289 CELEBRADO, MARIBEL A, DDS 2021 FFS RENDERING AGE 21+ 257 1,915 179 213 170 979 217 217
1275613580 DIZON MARIA C 2021 FFS RENDERING AGE 0-20 110 287 15 15 39 60 95 95
1275613580 DIZON MARIA C 2021 FFS RENDERING AGE 21+ 708 2,103 63 63 365 648 581 581
1275614828 NEVILLE BRAD WESLEY 2021 GMC RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1275614828 NEVILLE BRAD WESLEY 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1275621401 DO, NGA LE, DDS 2021 FFS RENDERING AGE 0-20 34 224 32 117 1 2 33 45
1275621401 DO, NGA LE, DDS 2021 FFS RENDERING AGE 21+ 268 1,531 178 333 182 540 227 227
1275621831 ALSAMAAN, TARIQ H, DDS INC 2021 FFS RENDERING AGE 0-20 83 652 62 170 41 196 69 76
1275621831 ALSAMAAN, TARIQ H, DDS INC 2021 FFS RENDERING AGE 21+ 303 1,909 83 131 233 979 164 168
1275622235 THANOS CHRISTOS E 2021 FFS RENDERING AGE 0-20 585 6,143 511 1,730 344 1,219 502 625
1275622235 THANOS CHRISTOS E 2021 FFS RENDERING AGE 21+ 1 2 1 1 0 0 1 1
1275622235 THANOS, CHRIS E, DDS 2021 FFS RENDERING AGE 0-20 585 6,143 511 1,730 344 1,219 502 625
1275622235 THANOS, CHRIS E, DDS 2021 FFS RENDERING AGE 21+ 1 2 1 1 0 0 1 1
1275633570 LUTHER MICHAEL L 2021 FFS RENDERING AGE 0-20 801 2,387 0 0 329 1,065 0 0
1275633570 LUTHER MICHAEL L 2021 FFS RENDERING AGE 21+ 40 40 0 0 1 1 0 0
1275636870 MEZA CRESPO, MAXIMO-DANIEL, 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1275639528 OLIVER-BADILLO, FLORABEL F, 2021 FFS RENDERING AGE 0-20 80 665 76 264 28 111 78 103
1275639528 OLIVER-BADILLO, FLORABEL F, 2021 FFS RENDERING AGE 21+ 261 2,261 214 428 171 919 227 227
1275649600 CALILUNG XERXEZ M 2021 PHP RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1275654741 PENALOSA PINKY D 2021 FFS RENDERING AGE 0-20 43 465 37 140 19 95 40 54
1275654741 PENALOSA PINKY D 2021 FFS RENDERING AGE 21+ 66 408 32 44 33 136 55 57
1275655748 PHAM HIEN N 2021 FFS RENDERING AGE 0-20 333 4,514 290 727 175 775 321 393
1275655748 PHAM HIEN N 2021 FFS RENDERING AGE 21+ 571 4,255 281 557 340 1,177 477 477
1275665556 KAZANGIAN MARIANA L 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 0 0
1275665556 KAZANGIAN MARIANA L 2021 FFS RENDERING AGE 21+ 56 221 23 23 36 105 14 14
1275666943 TABIBI, FARIBA 2021 FFS RENDERING AGE 0-20 510 5,269 408 1,188 96 226 278 308
1275666943 TABIBI, FARIBA 2021 FFS RENDERING AGE 21+ 958 5,357 317 618 403 1,111 337 338
1275668717 TRUONG, THUYDUONG, DMD MMSC 2021 FFS RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1275671828 AUSUBEL, MARC DDS 2021 FFS RENDERING AGE 0-20 246 645 1 1 160 486 1 1
1275671828 AUSUBEL, MARC, DDS 2021 FFS RENDERING AGE 0-20 246 1,290 1 1 160 972 1 1
1275675902 ISSUED IN ERROR 2021 FFS RENDERING AGE 0-20 1,056 8,889 1,033 3,742 611 1,703 981 1,553
1275681652 MAZLOMI, FARSHAD, DDS 2021 FFS RENDERING AGE 0-20 11 79 11 18 1 1 1 1
1275681652 MAZLOMI, FARSHAD, DDS 2021 FFS RENDERING AGE 21+ 79 504 51 51 48 168 47 47
1275681868 NGUYEN THIEN-LAN V 2021 FFS RENDERING AGE 0-20 57 460 36 96 43 173 31 31
1275688202 YUNG, SAMMY, DDS INC 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1275688202 YUNG, SAMMY, DDS INC 2021 FFS RENDERING AGE 21+ 1 1 1 1 1 1 0 0
1275690349 HAHN HWI 2021 FFS RENDERING AGE 0-20 751 4,764 709 1,784 206 411 697 820
1275690349 HAHN HWI 2021 FFS RENDERING AGE 21+ 364 1,820 248 492 147 273 294 294
1275693426 FINN GREGORY B 2021 FFS RENDERING AGE 0-20 3,128 43,896 2,811 10,977 1,954 5,838 2,782 3,904
1275693426 FINN GREGORY B 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1275694051 MAHASUCON THIDA 2021 FFS RENDERING AGE 0-20 1,384 11,758 1,296 3,694 358 670 1,229 1,588
1275694051 MAHASUCON THIDA 2021 FFS RENDERING AGE 21+ 1,122 8,454 660 672 673 1,294 706 707
1275695553 SATYARAHARDJA YINTAWATI A 2021 FFS RENDERING AGE 0-20 29 199 24 65 16 60 15 15
1275695553 SATYARAHARDJA YINTAWATI A 2021 FFS RENDERING AGE 21+ 139 934 60 119 106 540 67 67
1275695553 SATYARAHARDJA YINTAWATI A 2021 GMC RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1275700510 ABUL-FIELAT MOHAMMAD G 2021 FFS RENDERING AGE 0-20 3,657 48,420 2,752 8,448 2,498 19,559 2,289 2,743
1275700510 ABUL-FIELAT MOHAMMAD G 2021 FFS RENDERING AGE 21+ 20 128 1 2 1 2 11 11
1275700510 ABUL-FIELAT MOHAMMAD G 2021 PHP RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1275707747 MOSS MARK L 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1275709115 TRAN JOANNE T 2021 FFS RENDERING AGE 0-20 60 787 38 68 54 554 38 38
1275709115 TRAN JOANNE T 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1275714552 SHAYAN OMID 2021 FFS RENDERING AGE 0-20 1 2 1 1 0 0 1 1
1275714552 SHAYAN OMID 2021 FFS RENDERING AGE 21+ 46 191 12 13 18 41 40 40
1275721649 RAJBANSHI RANJAN 2021 FFS RENDERING AGE 0-20 147 1,376 114 414 73 275 124 140
1275721649 RAJBANSHI RANJAN 2021 FFS RENDERING AGE 21+ 352 2,995 135 264 255 1,294 248 250
1275723983 DANG THUY THANH 2021 FFS RENDERING AGE 0-20 53 379 48 117 24 73 51 62
1275723983 DANG THUY THANH 2021 FFS RENDERING AGE 21+ 203 1,446 158 158 156 758 177 177
1275727513 BARAK ANDREW SEAN 2021 FFS RENDERING AGE 0-20 1 1 0 0 0 0 1 1
1275727513 BARAK ANDREW SEAN 2021 GMC RENDERING AGE 0-20 36 91 0 0 35 62 1 1
1275727513 BARAK ANDREW SEAN 2021 GMC RENDERING AGE 21+ 115 289 1 1 81 97 79 81
1275733172 CHOROOMI AARON 2021 FFS RENDERING AGE 0-20 115 415 90 191 18 73 59 61
1275733172 CHOROOMI AARON 2021 FFS RENDERING AGE 21+ 204 703 58 69 99 316 126 126
1275734386 NGUYEN LOAN KIM 2021 GMC RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1275735821 BACHOUR MOUNZER 2021 FFS RENDERING AGE 0-20 1,478 12,265 1,340 3,849 528 980 1,340 1,816
1275738353 SOLIMAN ASHRAF L 2021 FFS RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1275738353 SOLIMAN ASHRAF L 2021 GMC RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1275739633 LEE, JAMES T, DDS 2021 FFS RENDERING AGE 0-20 32 76 0 0 1 2 0 0
1275740722 SARMIENTO SANDRA J 2021 PHP RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1275740722 SARMIENTO SANDRA J 2021 PHP RENDERING AGE 21+ 11 33 1 1 1 2 1 1
1275742694 ROMAN LUZMINDA C 2021 FFS RENDERING AGE 0-20 29 266 29 108 1 2 25 32
1275742694 ROMAN LUZMINDA C 2021 FFS RENDERING AGE 21+ 113 878 87 171 67 398 97 97
1275742694 ROMAN LUZMINDA C 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1275746273 WIENBERG, MARK DDS 2021 FFS RENDERING AGE 0-20 24 106 17 40 13 24 17 17
1275746273 WIENBERG, MARK DDS 2021 FFS RENDERING AGE 21+ 219 1,134 94 178 147 579 163 163
1275747180 SATTER, MOHAMMED DDS 2021 FFS RENDERING AGE 0-20 11 48 1 2 1 1 1 2
1275747180 SATTER, MOHAMMED DDS 2021 FFS RENDERING AGE 21+ 85 471 70 138 54 180 72 72
1275749160 GUSAK, ZOYA, DDS 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 1 1
1275749160 GUSAK, ZOYA, DDS 2021 FFS RENDERING AGE 21+ 88 607 72 72 74 268 73 73
1275755225 ARAKELIAN, AIRAPET 2021 FFS RENDERING AGE 0-20 13 83 1 2 1 2 1 1
1275755225 ARAKELIAN, AIRAPET 2021 FFS RENDERING AGE 21+ 207 1,957 96 189 181 910 89 90
1275761124 SO PATRICK T 2021 FFS RENDERING AGE 0-20 54 352 28 86 23 130 45 62
1275761124 SO PATRICK T 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1275765869 ARORA NAVPREET K 2021 FFS RENDERING AGE 0-20 399 2,494 246 729 100 271 347 379
1275765869 ARORA NAVPREET K 2021 FFS RENDERING AGE 21+ 693 2,520 142 248 337 856 469 471
1275769283 DE LA NUEZ MARITZA 2021 FFS RENDERING AGE 0-20 585 8,040 529 1,891 246 891 547 699
1275769283 DE LA NUEZ MARITZA 2021 FFS RENDERING AGE 21+ 502 4,233 250 481 268 992 340 340
1275780264 HASSANIZADEH, YASAMAN 2021 FFS RENDERING AGE 0-20 6,824 82,161 6,378 21,520 4,927 19,909 6,444 7,979
1275780264 HASSANIZADEH, YASAMAN 2021 PHP RENDERING AGE 0-20 140 1,724 87 265 132 916 40 43
1275780264 HASSANIZADEH, YASAMAN 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1275782641 SCHLANG, ELLIOT PAUL, DDS PR 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1275783508 THANG, LAL LAWM DDS 2021 FFS RENDERING AGE 0-20 353 3,065 313 827 121 364 317 368
1275783508 THANG, LAL LAWM DDS 2021 FFS RENDERING AGE 21+ 422 2,801 225 348 301 1,251 280 280
1275783508 THANG, LAL LAWM DDS 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1275783508 THANG, LAL LAWM DDS 2021 PHP RENDERING AGE 21+ 16 85 1 2 1 2 1 1
1275783813 PARK JUNG S 2021 GMC RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1275786733 VU, KIM TRAN DDS 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1275790164 BAHADORI MARYAM 2021 FFS RENDERING AGE 0-20 144 894 108 365 55 116 117 117
1275790164 BAHADORI MARYAM 2021 FFS RENDERING AGE 21+ 175 542 21 39 70 137 118 118
1275790164 BAHADORI MARYAM 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 0 0
1275798001 TRINH MAGGIE H 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1275812356 HOSSEINI SEYED AMIR M 2021 FFS RENDERING AGE 0-20 48 141 0 0 33 67 0 0
1275812356 HOSSEINI SEYED AMIR M 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1275814402 HO LY T 2021 FFS RENDERING AGE 0-20 86 822 82 196 30 103 83 86
1275814402 HO LY T 2021 FFS RENDERING AGE 21+ 140 925 73 145 117 431 81 82
1275817074 SARKISIAN ARMOND 2021 FFS RENDERING AGE 0-20 81 325 30 78 44 113 51 51
1275817074 SARKISIAN ARMOND 2021 FFS RENDERING AGE 21+ 360 2,072 130 247 267 1,183 176 176
1275833204 LIM, DANIEL 2021 FFS RENDERING AGE 0-20 4,192 54,250 3,859 13,626 2,213 5,769 3,812 4,275
1275833204 LIM, DANIEL 2021 FFS RENDERING AGE 21+ 191 1,374 78 154 54 167 159 159
1275833204 LIM, DANIEL 2021 PHP RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1275833386 YAHOODAIN VAHID 2021 FFS RENDERING AGE 0-20 108 1,242 92 266 81 404 104 144
1275833386 YAHOODAIN VAHID 2021 FFS RENDERING AGE 21+ 358 3,863 153 184 316 2,196 273 276
1275833386 YAHOODAIN VAHID 2021 PHP RENDERING AGE 0-20 1 2 1 2 1 1 1 2
1275833386 YAHOODAIN VAHID 2021 PHP RENDERING AGE 21+ 1 2 1 2 1 1 1 1
1275834871 MIRZOYAN LILIT 2021 FFS RENDERING AGE 0-20 72 592 63 155 36 170 69 82
1275834871 MIRZOYAN LILIT 2021 FFS RENDERING AGE 21+ 445 2,710 256 510 241 1,154 400 404
1275840837 KERMANSHAHI-MON PARISA 2021 FFS RENDERING AGE 0-20 1,069 11,740 873 2,412 640 2,300 840 969
1275858003 GARIBYAN SHAKEH 2021 FFS RENDERING AGE 0-20 1,684 16,047 1,377 4,150 1,020 4,414 1,282 1,489
1275858003 GARIBYAN SHAKEH 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1275858003 GARIBYAN SHAKEH 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 2 0 0
1275860538 YOUN EUN J 2021 FFS RENDERING AGE 0-20 54 170 1 1 30 79 30 30
1275860538 YOUN EUN J 2021 FFS RENDERING AGE 21+ 122 355 1 1 59 163 63 63
1275862997 BROOKINS JENNIFER 2021 GMC RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1275862997 BROOKINS JENNIFER 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1275875619 MAI VICTOR V 2021 FFS RENDERING AGE 0-20 350 6,095 328 1,181 183 590 329 457
1275875619 MAI VICTOR V 2021 FFS RENDERING AGE 21+ 244 2,835 166 331 180 721 167 167
1275879827 COX CHRISTINA MARIA 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1275884314 KOHAN BITA 2021 FFS RENDERING AGE 0-20 1,811 29,584 1,618 6,294 1,277 10,315 1,651 2,090
1275884314 KOHAN BITA 2021 FFS RENDERING AGE 21+ 123 778 60 122 75 308 80 80
1275894909 KARNIK ANISHA N 2021 FFS RENDERING AGE 0-20 1,763 16,429 1,580 5,142 1,255 5,051 1,610 1,721
1275895351 SAMOHA DDS INC 2021 FFS RENDERING AGE 0-20 1 1 1 1 1 1 0 0
1275904005 SARMICANIC RAMINA 2021 FFS RENDERING AGE 0-20 94 409 39 102 59 183 69 72
1275904005 SARMICANIC RAMINA 2021 FFS RENDERING AGE 21+ 195 1,055 21 37 154 804 89 89
1275904005 SARMICANIC RAMINA 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 2 1 1
1275904005 SARMICANIC RAMINA 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1275906422 BORUKHIM SHIVA H 2021 FFS RENDERING AGE 0-20 1,609 11,466 1,305 3,395 909 2,017 1,257 1,363
1275906422 BORUKHIM SHIVA H 2021 PHP RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1275915480 KAUR HARSIMRAN 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1275915480 KAUR HARSIMRAN 2021 FFS RENDERING AGE 21+ 66 255 1 2 47 91 27 28
1275915480 KAUR HARSIMRAN 2021 GMC RENDERING AGE 0-20 896 6,821 760 2,897 416 636 743 830
1275915480 KAUR HARSIMRAN 2021 GMC RENDERING AGE 21+ 1,210 6,079 586 1,218 786 1,666 678 703
1275916686 NG NOAH 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1275917007 SAMI TONI 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1275920332 COHEN, JOHN, DDS DENTAL CORP 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1275920332 JOHN COHEN, DDS DENTAL CORP 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1275921058 SCOTT LEE DDS DENTAL CORP 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1275922320 SAFAI SHADY C 2021 FFS RENDERING AGE 0-20 832 11,774 741 2,832 703 3,229 750 857
1275922320 SAFAI SHADY C 2021 FFS RENDERING AGE 21+ 464 4,601 292 665 362 2,199 296 298
1275932188 CASTILLO JOSE C 2021 FFS RENDERING AGE 0-20 34 67 0 0 1 1 0 0
1275932188 CASTILLO JOSE C 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1275933343 JOKIC EDA 2021 FFS RENDERING AGE 0-20 114 804 93 304 48 175 99 104
1275933343 JOKIC EDA 2021 FFS RENDERING AGE 21+ 141 626 40 46 106 346 80 80
1275938789 SAGMAN ASEEL A 2021 FFS RENDERING AGE 0-20 133 1,628 88 253 98 392 111 134
1275938789 SAGMAN ASEEL A 2021 FFS RENDERING AGE 21+ 340 2,584 181 294 266 1,232 259 259
1275947509 JACOBSON MICHAEL Y 2021 PHP RENDERING AGE 0-20 12 52 1 2 1 1 1 1
1275947509 JACOBSON MICHAEL Y 2021 PHP RENDERING AGE 21+ 31 140 19 39 21 39 17 17
1275950818 D S PARK DENTAL CORP 2021 PHP RENDERING AGE 0-20 251 1,875 196 757 131 203 188 191
1275950818 D S PARK DENTAL CORP 2021 PHP RENDERING AGE 21+ 178 866 88 197 115 324 79 81
1275957037 FURMANEK KEVIN M 2021 FFS RENDERING AGE 0-20 83 415 0 0 79 349 1 1
1275957037 FURMANEK KEVIN M 2021 FFS RENDERING AGE 21+ 212 872 0 0 210 691 1 1
1275957037 FURMANEK KEVIN M 2021 GMC RENDERING AGE 0-20 442 1,761 1 1 428 1,367 60 60
1275957037 FURMANEK KEVIN M 2021 GMC RENDERING AGE 21+ 1,183 5,175 0 0 769 3,007 1,065 1,086
1275967267 TAVAKOLI SARAH 2021 FFS RENDERING AGE 0-20 340 1,577 254 581 113 245 269 281
1275967267 TAVAKOLI SARAH 2021 FFS RENDERING AGE 21+ 454 1,344 111 138 212 464 263 265
1275967267 TAVAKOLI SARAH 2021 PHP RENDERING AGE 0-20 13 65 12 38 1 1 11 11
1275967267 TAVAKOLI SARAH 2021 PHP RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1275969156 SALEK MIRHAMID 2021 FFS RENDERING AGE 0-20 162 872 21 57 115 345 142 153
1275969156 SALEK MIRHAMID 2021 FFS RENDERING AGE 21+ 630 3,188 27 30 515 1,580 417 417
1275973190 TOBAKYAN ZAVEN 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 0 0
1275991721 PIVNIK DMITRIY 2021 FFS RENDERING AGE 0-20 592 4,100 525 1,190 103 325 375 397
1275991721 PIVNIK DMITRIY 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 1 1 1
1275991721 PIVNIK DMITRIY 2021 GMC RENDERING AGE 0-20 966 10,475 279 669 863 5,712 160 164
1275991721 PIVNIK DMITRIY 2021 GMC RENDERING AGE 21+ 1 2 0 0 1 1 1 1
1285002345 BESHAI RAMI J 2021 FFS RENDERING AGE 0-20 1 2 0 0 1 2 0 0
1285002345 BESHAI RAMI J 2021 FFS RENDERING AGE 21+ 50 107 0 0 50 106 0 0
1285008169 NAKATSUCHI THOMAS 2021 FFS RENDERING AGE 0-20 2,389 20,159 2,196 5,681 666 1,456 2,121 2,504
1285012344 AMIRI ROJIN 2021 FFS RENDERING AGE 0-20 3,134 36,805 2,967 11,000 2,212 7,354 2,966 3,443
1285026492 HAIDAR HASSAN M 2021 FFS RENDERING AGE 0-20 1,416 4,459 1 1 1,412 4,370 52 52
1285026492 HAIDAR HASSAN M 2021 FFS RENDERING AGE 21+ 1,739 4,760 0 0 1,734 4,683 1 1
1285026492 HAIDAR HASSAN M 2021 PHP RENDERING AGE 0-20 11 44 0 0 11 44 0 0
1285026492 HAIDAR HASSAN M 2021 PHP RENDERING AGE 21+ 25 64 0 0 17 46 12 12
1285041475 KHODADADZADEH SHAGHAYEGH 2021 FFS RENDERING AGE 21+ 200 775 60 97 192 247 94 94
1285041475 KHODADADZADEH SHAGHAYEGH 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1285043893 KEIHANI KOUROSH 2021 FFS RENDERING AGE 0-20 397 2,710 252 623 199 685 301 368
1285043893 KEIHANI KOUROSH 2021 FFS RENDERING AGE 21+ 936 4,688 174 293 702 2,417 420 422
1285063206 NOLAN, SEAN J, DDS 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1285063206 NOLAN, SEAN J, DDS 2021 FFS RENDERING AGE 21+ 87 561 0 0 65 498 22 22
1285066548 FADAEI, BEHZAD, DDS 2021 FFS RENDERING AGE 0-20 271 2,939 248 1,371 34 68 251 289
1285066548 FADAEI, BEHZAD, DDS 2021 FFS RENDERING AGE 21+ 245 1,589 131 256 153 442 153 153
1285067728 MOORE DEREK 2021 GMC RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1285067728 MOORE DEREK 2021 GMC RENDERING AGE 21+ 1 2 1 1 1 1 0 0
1285075895 ANAND NIKHIL 2021 GMC RENDERING AGE 0-20 12 23 0 0 1 2 0 0
1285075895 ANAND NIKHIL 2021 GMC RENDERING AGE 21+ 15 58 0 0 15 55 1 1
1285084020 SINGH SONAL 2021 FFS RENDERING AGE 0-20 496 2,366 248 544 270 700 278 289
1285084020 SINGH SONAL 2021 FFS RENDERING AGE 21+ 1,040 3,928 216 337 663 2,005 458 458
1285086785 KAUR MANJOT 2021 FFS RENDERING AGE 0-20 35 261 30 88 22 39 28 32
1285086785 KAUR MANJOT 2021 FFS RENDERING AGE 21+ 22 98 1 1 19 44 1 1
1285103085 KIM BO K 2021 FFS RENDERING AGE 0-20 2,061 40,298 2,012 8,763 1,561 6,828 2,038 2,983
1285103085 KIM BO K 2021 FFS RENDERING AGE 21+ 531 5,433 427 860 294 1,100 488 488
1285103085 KIM BO K 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1285119826 PARK RAPHAEL S 2021 FFS RENDERING AGE 0-20 21 140 14 26 1 1 16 16
1285119826 PARK RAPHAEL S 2021 FFS RENDERING AGE 21+ 63 275 15 17 31 73 40 45
1285119826 PARK RAPHAEL S 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1285144980 GARG PRERNA 2021 FFS RENDERING AGE 0-20 2,727 16,687 2,266 6,211 1,325 2,598 2,271 2,339
1285144980 GARG PRERNA 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1285144980 GARG PRERNA 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1285157487 KIM ROSY M 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1285160077 BUDIMAN AMANDA 2021 FFS RENDERING AGE 0-20 19 34 1 1 1 1 0 0
1285160077 BUDIMAN AMANDA 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 0 0
1285161323 TIN DENTAL SPECIALTY GROUP A 2021 FFS RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1285161323 TIN DENTAL SPECIALTY GROUP A 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1285171389 VARGAS FRAILE ELIZABETH 2021 FFS RENDERING AGE 0-20 722 7,443 457 1,301 471 1,532 546 567
1285171389 VARGAS FRAILE ELIZABETH 2021 FFS RENDERING AGE 21+ 441 2,814 26 50 307 1,095 232 234
1285174904 VO HA N 2021 FFS RENDERING AGE 0-20 144 933 95 292 27 85 129 154
1285174904 VO HA N 2021 FFS RENDERING AGE 21+ 411 2,146 206 405 169 478 303 303
1285199125 KIM HYUNG K 2021 FFS RENDERING AGE 0-20 262 3,188 226 667 147 431 228 284
1285199125 KIM HYUNG K 2021 FFS RENDERING AGE 21+ 302 2,747 137 137 245 930 170 170
1285203166 CRUZ NATHAN EDUAR O 2021 FFS RENDERING AGE 0-20 579 4,423 398 983 316 579 429 432
1285203166 CRUZ NATHAN EDUAR O 2021 FFS RENDERING AGE 21+ 65 302 1 2 42 84 36 36
1285218123 HANNA JAMES 2021 FFS RENDERING AGE 0-20 270 415 0 0 244 344 0 0
1285248682 KHERA GAGANJOT K 2021 FFS RENDERING AGE 0-20 223 1,125 115 273 149 494 71 71
1285248682 KHERA GAGANJOT K 2021 FFS RENDERING AGE 21+ 320 1,253 97 190 242 717 59 59
1285260869 DUDEK KAROLINA M 2021 FFS RENDERING AGE 0-20 1 1 1 1 1 1 1 1
1285260869 DUDEK KAROLINA M 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1285272120 ROMAN MANUEL S 2021 FFS RENDERING AGE 0-20 41 598 37 99 24 141 37 42
1285272120 ROMAN MANUEL S 2021 FFS RENDERING AGE 21+ 100 1,498 36 69 87 844 75 76
1285272120 ROMAN MANUEL S 2021 PHP RENDERING AGE 0-20 50 456 39 146 47 62 34 34
1285272120 ROMAN MANUEL S 2021 PHP RENDERING AGE 21+ 86 435 13 40 71 228 28 28
1285280131 OH SEO KYUNG 2021 FFS RENDERING AGE 0-20 1 1 1 1 1 1 1 1
1285280131 OH SEO KYUNG 2021 FFS RENDERING AGE 21+ 11 66 1 2 1 2 1 1
1285287110 KIM JAE EUN 2021 FFS RENDERING AGE 0-20 295 1,479 187 538 100 190 243 243
1285287110 KIM JAE EUN 2021 FFS RENDERING AGE 21+ 574 1,771 128 213 240 502 324 327
1285287110 KIM JAE EUN 2021 PHP RENDERING AGE 0-20 42 183 28 82 1 2 35 35
1285287110 KIM JAE EUN 2021 PHP RENDERING AGE 21+ 94 279 30 38 44 100 65 65
1285300020 MUSTAFA ETHAR S 2021 FFS RENDERING AGE 0-20 99 560 57 200 61 111 66 66
1285300020 MUSTAFA ETHAR S 2021 FFS RENDERING AGE 21+ 111 502 43 87 83 197 52 59
1285309377 CHAU NHU Q 2021 FFS RENDERING AGE 0-20 261 842 193 393 125 277 18 18
1285309377 CHAU NHU Q 2021 FFS RENDERING AGE 21+ 277 748 107 211 204 402 19 19
1285627737 RUFF MELISSA L 2021 FFS RENDERING AGE 0-20 44 54 0 0 44 52 0 0
1285627737 RUFF MELISSA L 2021 FFS RENDERING AGE 21+ 97 119 0 0 97 118 0 0
1285627737 RUFF MELISSA L 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1285635821 LE, KHANH DIEM, DDS 2021 FFS RENDERING AGE 0-20 157 927 154 475 26 45 155 235
1285645309 WILSON, WILLIAM G, DDS 2021 FFS RENDERING AGE 0-20 43 227 35 87 20 59 29 29
1285645309 WILSON, WILLIAM G, DDS 2021 FFS RENDERING AGE 21+ 158 849 106 107 108 410 109 109
1285645978 AFAN, MARIA ELENA P, DDS 2021 FFS RENDERING AGE 0-20 25 810 21 297 13 138 22 87
1285645978 AFAN, MARIA ELENA P, DDS 2021 FFS RENDERING AGE 21+ 53 1,404 24 132 38 792 35 105
1285650275 KIM, KU HONG DR DDS 2021 FFS RENDERING AGE 0-20 693 8,541 596 2,049 423 1,041 579 697
1285650275 KIM, KU HONG DR DDS 2021 FFS RENDERING AGE 21+ 156 1,041 67 135 101 297 115 117
1285650275 KIM, KU HONG DR DDS 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1285670133 OGANYAN, ALINA DDS 2021 FFS RENDERING AGE 0-20 57 570 46 109 50 269 36 40
1285670133 OGANYAN, ALINA DDS 2021 FFS RENDERING AGE 21+ 247 2,438 117 199 216 1,197 109 109
1285675850 LOWE, LESTER K, DDS 2021 FFS RENDERING AGE 0-20 95 1,049 90 436 35 76 90 138
1285675850 LOWE, LESTER K, DDS 2021 FFS RENDERING AGE 21+ 161 1,258 115 115 115 381 121 121
1285683995 WYNN, MICHAEL M, DDS 2021 FFS RENDERING AGE 0-20 92 674 88 143 27 87 90 114
1285683995 WYNN, MICHAEL M, DDS 2021 FFS RENDERING AGE 21+ 177 1,024 110 110 109 349 146 146
1285687715 GENOBAGA, JAMES EARL 2021 FFS RENDERING AGE 0-20 219 1,939 122 336 122 295 161 213
1285687715 GENOBAGA, JAMES EARL 2021 FFS RENDERING AGE 21+ 579 4,250 50 99 428 1,923 424 424
1285691907 PHEN JOSEPH 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1285691907 PHEN JOSEPH 2021 GMC RENDERING AGE 0-20 65 172 1 2 49 59 1 1
1285691907 PHEN JOSEPH 2021 GMC RENDERING AGE 21+ 161 232 1 1 132 166 1 1
1285693168 MORA NOE 2021 FFS RENDERING AGE 21+ 215 1,472 1 1 139 1,032 197 202
1285694695 ARAM MASOUD 2021 FFS RENDERING AGE 0-20 80 848 77 250 46 213 80 110
1285694695 ARAM MASOUD 2021 FFS RENDERING AGE 21+ 137 1,204 101 201 104 517 113 113
1285700294 MASCOLA LOUIS F 2021 FFS RENDERING AGE 0-20 70 146 0 0 27 79 31 31
1285700849 CHEN ISAAC J 2021 FFS RENDERING AGE 0-20 305 3,073 241 627 156 689 261 309
1285700849 CHEN ISAAC J 2021 FFS RENDERING AGE 21+ 421 2,810 115 223 298 1,299 282 284
1285700849 CHEN ISAAC J 2021 GMC RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1285700849 CHEN ISAAC J 2021 PHP RENDERING AGE 0-20 62 619 56 266 26 82 58 71
1285700849 CHEN ISAAC J 2021 PHP RENDERING AGE 21+ 60 301 21 45 24 81 52 54
1285705475 MONTOYA, MAIA M DDS 2021 FFS RENDERING AGE 0-20 227 2,533 219 941 143 494 223 323
1285705475 MONTOYA, MAIA M DDS 2021 FFS RENDERING AGE 21+ 703 7,274 541 1,079 591 3,576 588 588
1285711556 LEE, SHAUNA DDS 2021 FFS RENDERING AGE 0-20 404 4,751 383 1,535 287 1,099 390 594
1285711556 LEE, SHAUNA DDS 2021 FFS RENDERING AGE 21+ 351 4,150 210 368 284 2,022 220 220
1285711556 LEE, SHAUNA DDS 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1285716431 ATAKHANIAN, CLARISSE, DDS 2021 FFS RENDERING AGE 0-20 20 172 17 28 1 2 19 21
1285716431 ATAKHANIAN, CLARISSE, DDS 2021 FFS RENDERING AGE 21+ 328 2,432 150 151 248 1,132 253 253
1285716431 ATAKHANIAN, CLARISSE, DDS 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1285732396 MANAK DAVINDER S 2021 FFS RENDERING AGE 0-20 301 2,467 277 392 144 443 278 368
1285732396 MANAK DAVINDER S 2021 FFS RENDERING AGE 21+ 464 3,380 223 223 360 1,170 293 293
1285734244 YANG PETER T 2021 FFS RENDERING AGE 0-20 405 2,785 385 759 65 114 314 335
1285734244 YANG PETER T 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1285737825 SHAHEEDY HALEH 2021 FFS RENDERING AGE 0-20 2,226 29,117 2,122 8,738 1,449 6,644 2,137 3,186
1285737825 SHAHEEDY HALEH 2021 FFS RENDERING AGE 21+ 37 183 17 18 17 73 28 28
1285737825 SHAHEEDY HALEH 2021 PHP RENDERING AGE 0-20 1 1 0 0 0 0 1 1
1285737825 SHAHEEDY, HALEH, DMD 2021 FFS RENDERING AGE 0-20 2,226 29,117 2,122 8,738 1,449 6,644 2,137 3,186
1285737825 SHAHEEDY, HALEH, DMD 2021 FFS RENDERING AGE 21+ 37 183 17 18 17 73 28 28
1285737825 SHAHEEDY, HALEH, DMD 2021 PHP RENDERING AGE 0-20 1 1 0 0 0 0 1 1
1285744557 HA, TUONGTHUY PHU, DDS 2021 FFS RENDERING AGE 0-20 365 3,449 331 1,250 142 423 331 392
1285744557 HA, TUONGTHUY PHU, DDS 2021 FFS RENDERING AGE 21+ 514 3,578 319 614 335 1,097 360 361
1285744557 HA, TUONGTHUY PHU, DDS 2021 PHP RENDERING AGE 0-20 1 2 1 1 0 0 1 1
1285751057 KOHANOFF, SHARONA, DDS 2021 FFS RENDERING AGE 0-20 223 2,547 182 653 147 830 200 230
1285751057 KOHANOFF, SHARONA, DDS 2021 FFS RENDERING AGE 21+ 350 3,179 116 230 296 2,086 286 287
1285751057 KOHANOFF, SHARONA, DDS 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1285751057 KOHANOFF, SHARONA, DDS 2021 PHP RENDERING AGE 0-20 436 3,121 334 1,197 224 616 379 413
1285751057 KOHANOFF, SHARONA, DDS 2021 PHP RENDERING AGE 21+ 560 3,251 154 260 416 1,841 386 399
1285752618 WU WILLIAM 2021 FFS RENDERING AGE 0-20 681 3,280 344 739 442 1,357 357 368
1285752618 WU WILLIAM 2021 FFS RENDERING AGE 21+ 1,196 4,660 349 697 911 2,137 437 437
1285760876 BARTELL, FRANCESCA ANN, RDHA 2021 FFS RENDERING AGE 21+ 58 252 47 134 58 118 0 0
1285765362 WAGNER KRISTI 2021 FFS RENDERING AGE 0-20 164 248 0 0 30 62 0 0
1285765362 WAGNER KRISTI 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1285769778 DUNN, JOHN T, DDS 2021 FFS RENDERING AGE 0-20 25 98 19 41 1 2 20 29
1285769778 DUNN, JOHN T, DDS 2021 FFS RENDERING AGE 21+ 132 718 68 68 96 269 65 65
1285771238 VOROBCHEVICI, IULIA S, DDS 2021 FFS RENDERING AGE 0-20 133 3,322 127 584 122 793 123 204
1285771238 VOROBCHEVICI, IULIA S, DDS 2021 FFS RENDERING AGE 21+ 264 5,513 203 327 248 2,883 221 221
1285776245 PETROSYAN ARMAN 2021 FFS RENDERING AGE 0-20 184 2,417 177 535 82 275 182 253
1285776245 PETROSYAN ARMAN 2021 FFS RENDERING AGE 21+ 292 2,304 177 336 182 737 244 244
1285776245 PETROSYAN ARMAN 2021 PHP RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1285776245 PETROSYAN ARMAN 2021 PHP RENDERING AGE 21+ 18 128 11 17 14 52 15 16
1285790220 KIM, JOOWON DDS 2021 FFS RENDERING AGE 0-20 44 419 39 50 14 55 39 43
1285790220 KIM, JOOWON DDS 2021 FFS RENDERING AGE 21+ 178 1,301 77 77 118 395 124 124
1285790261 FYFE, KENT JERROLD DDS 2021 FFS RENDERING AGE 0-20 178 1,097 171 350 64 259 174 190
1285790261 FYFE, KENT JERROLD DDS 2021 FFS RENDERING AGE 21+ 313 1,683 211 211 184 701 263 263
1285790451 DIAZ, GEORGE, DDS 2021 FFS RENDERING AGE 0-20 29 199 25 54 17 50 20 23
1285790451 DIAZ, GEORGE, DDS 2021 FFS RENDERING AGE 21+ 73 578 53 104 48 182 53 53
1285795518 SARGSYAN, NADEZHDA DDS INC. 2021 FFS RENDERING AGE 0-20 7,198 89,329 6,794 28,474 5,293 34,980 7,055 9,818
1285795518 SARGSYAN, NADEZHDA DDS INC. 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1285796532 ELVIA JUAREZ, A DENTAL CORPORATION 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 0 0
1285796532 JUAREZ, ELVIA, A DENTAL CORP 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 0 0
1285797092 AUNG, THEIN HTUT DDS 2021 FFS RENDERING AGE 0-20 667 5,625 568 1,949 261 667 586 672
1285797092 AUNG, THEIN HTUT DDS 2021 FFS RENDERING AGE 21+ 459 3,020 247 481 294 992 340 340
1285797951 JUNG EUN S 2021 FFS RENDERING AGE 0-20 14 38 12 18 1 2 1 1
1285797951 JUNG EUN S 2021 FFS RENDERING AGE 21+ 308 806 191 191 189 359 41 41
1285803809 LE COLIN T 2021 FFS RENDERING AGE 0-20 296 1,365 70 142 238 543 69 70
1285803809 LE COLIN T 2021 FFS RENDERING AGE 21+ 501 1,605 33 62 445 1,005 68 68
1285805317 LIM JI I 2021 FFS RENDERING AGE 0-20 2,791 25,455 2,027 4,681 1,100 3,154 2,072 2,311
1285805317 LIM JI I 2021 FFS RENDERING AGE 21+ 18 117 1 2 1 2 1 1
1285809335 HABU CHRISTOPHER P 2021 FFS RENDERING AGE 0-20 46 186 43 96 14 16 31 31
1285809335 HABU CHRISTOPHER P 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1285809830 MARKARIAN ROLAND 2021 FFS RENDERING AGE 0-20 14 83 12 30 0 0 1 1
1285809830 MARKARIAN ROLAND 2021 FFS RENDERING AGE 21+ 1 1 1 1 1 1 0 0
1285809830 MARKARIAN ROLAND 2021 PHP RENDERING AGE 0-20 89 596 79 174 27 34 87 99
1285818666 LU JASON S 2021 FFS RENDERING AGE 0-20 31 218 27 58 17 68 25 25
1285818666 LU JASON S 2021 FFS RENDERING AGE 21+ 54 185 16 28 28 61 40 40
1285819243 PETERS OVE A 2021 FFS RENDERING AGE 0-20 39 49 0 0 39 49 0 0
1285819243 PETERS OVE A 2021 FFS RENDERING AGE 21+ 188 234 0 0 186 229 0 0
1285825307 CRUM ERIC R 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1285825307 CRUM ERIC R 2021 GMC RENDERING AGE 0-20 209 747 113 126 204 592 11 13
1285825307 CRUM ERIC R 2021 GMC RENDERING AGE 21+ 1,285 5,535 626 683 1,067 4,098 628 642
1285827709 SALDARRIAGA JOSE M 2021 FFS RENDERING AGE 0-20 1,036 9,202 853 2,676 518 1,254 777 840
1285827709 SALDARRIAGA JOSE M 2021 FFS RENDERING AGE 21+ 1,163 7,918 529 806 726 2,174 758 758
1285828657 SALIB MARLENE K 2021 FFS RENDERING AGE 0-20 1,943 13,460 1,518 6,081 1,006 1,430 1,908 2,398
1285828657 SALIB MARLENE K 2021 PHP RENDERING AGE 0-20 1 1 1 1 1 1 1 1
1285832907 GARCIA JAVIER 2021 FFS RENDERING AGE 0-20 60 464 53 96 13 37 24 30
1285832907 GARCIA JAVIER 2021 FFS RENDERING AGE 21+ 74 562 11 11 37 177 1 1
1285834796 KERI, NAZLI DDS A PROF CORP 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1285838730 ANTANESIAN VAHE 2021 FFS RENDERING AGE 0-20 352 3,162 299 771 131 412 317 401
1285838730 ANTANESIAN VAHE 2021 FFS RENDERING AGE 21+ 463 2,532 118 153 295 878 333 341
1285838730 ANTANESIAN VAHE 2021 PHP RENDERING AGE 0-20 234 1,863 208 592 55 168 220 291
1285838730 ANTANESIAN VAHE 2021 PHP RENDERING AGE 21+ 162 842 87 154 92 310 127 132
1285841643 TRAN LAN T 2021 FFS RENDERING AGE 0-20 166 1,144 143 445 73 170 140 150
1285841643 TRAN LAN T 2021 FFS RENDERING AGE 21+ 760 4,213 367 728 566 2,000 420 420
1285843086 BANDYOPADHYAY SUNANDA 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1285843086 BANDYOPADHYAY SUNANDA 2021 GMC RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1285844332 WESTERMEYER JOHN ROLAND 2021 PHP RENDERING AGE 0-20 1 1 0 0 0 0 1 1
1285844332 WESTERMEYER JOHN ROLAND 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1285848820 WONG JAMES T 2021 FFS RENDERING AGE 0-20 100 841 94 159 48 136 89 108
1285848820 WONG JAMES T 2021 FFS RENDERING AGE 21+ 58 433 22 22 23 52 42 42
1285849679 CHAU, TERESA M, DDS 2021 FFS RENDERING AGE 0-20 40 252 40 149 1 1 35 55
1285849679 CHAU, TERESA M, DDS 2021 FFS RENDERING AGE 21+ 40 116 34 34 15 26 1 1
1285854711 PARHIZKARI, ALIREZA, DDS 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1285854711 PARHIZKARI, ALIREZA, DDS 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1285862904 POIDMORE PAOLO A 2021 GMC RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1285866905 RAMOS DANIEL M 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 1 1
1285866905 RAMOS DANIEL M 2021 FFS RENDERING AGE 21+ 19 24 0 0 1 1 14 14
1285874826 ST JOHN'S WELL CHILD AND 2021 PHP RENDERING AGE 21+ 1 2 1 2 1 2 1 2
1285877910 PALAFOX ERBE RALPH R 2021 FFS RENDERING AGE 0-20 17 101 14 29 1 2 11 11
1285877910 PALAFOX ERBE RALPH R 2021 FFS RENDERING AGE 21+ 66 345 26 40 42 128 37 37
1285890251 ARABO ZINA D 2021 FFS RENDERING AGE 0-20 15 169 15 49 1 2 14 17
1285890251 ARABO ZINA D 2021 FFS RENDERING AGE 21+ 69 745 65 128 46 283 67 67
1285890368 PATEL, NEILESH S DDS 2021 FFS RENDERING AGE 0-20 1,305 15,791 1,239 5,202 603 1,210 1,166 1,451
1285890368 PATEL, NEILESH S DDS 2021 FFS RENDERING AGE 21+ 1,184 7,299 928 1,673 580 1,436 966 966
1285896241 CONTRERAS MARIA X 2021 FFS RENDERING AGE 0-20 359 2,869 244 514 161 303 249 254
1285896241 CONTRERAS MARIA X 2021 FFS RENDERING AGE 21+ 322 1,855 92 169 205 404 134 134
1285899443 GOMEZ, UBLESTER, DDS INC 2021 PHP RENDERING AGE 0-20 1 2 1 1 0 0 1 1
1285899443 GOMEZ, UBLESTER, DDS INC 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1285922583 ROZEN MICHAEL S 2021 FFS RENDERING AGE 21+ 36 108 1 1 25 60 17 17
1285927962 CASTELLANOS JR MARIO J 2021 FFS RENDERING AGE 0-20 1,015 10,020 921 3,608 486 1,984 964 1,093
1285927962 CASTELLANOS JR MARIO J 2021 FFS RENDERING AGE 21+ 667 3,529 209 417 404 1,435 517 519
1285930479 HIZON MARIA TERESA I 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1285933119 UTUDJIAN GAREN 2021 FFS RENDERING AGE 0-20 441 936 0 0 180 495 0 0
1285933119 UTUDJIAN GAREN 2021 FFS RENDERING AGE 21+ 12 12 0 0 0 0 0 0
1285933119 UTUDJIAN GAREN 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1285934125 PRESTON DREW A 2021 FFS RENDERING AGE 0-20 92 231 0 0 92 231 0 0
1285934125 PRESTON DREW A 2021 FFS RENDERING AGE 21+ 17 39 0 0 17 39 0 0
1285941260 NGOV MELANIE 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 2 1 1
1285942243 JACKSON, CHRISTA L, RDHAP 2021 FFS RENDERING AGE 21+ 148 526 146 223 148 303 0 0
1285952234 VAHEDI SAMAN 2021 FFS RENDERING AGE 0-20 113 573 0 0 68 388 91 91
1285952234 VAHEDI SAMAN 2021 FFS RENDERING AGE 21+ 124 645 0 0 93 451 99 99
1285954263 TOKUZA THOMAS T 2021 FFS RENDERING AGE 0-20 20 154 15 35 1 2 15 18
1285954263 TOKUZA THOMAS T 2021 FFS RENDERING AGE 21+ 36 169 1 1 26 50 19 19
1285954263 TOKUZA THOMAS T 2021 PHP RENDERING AGE 0-20 13 87 13 31 1 1 11 11
1285954263 TOKUZA THOMAS T 2021 PHP RENDERING AGE 21+ 53 310 53 82 28 77 28 28
1285954354 ALANI WESAM 2021 FFS RENDERING AGE 0-20 120 1,334 95 282 57 156 99 141
1285954354 ALANI WESAM 2021 FFS RENDERING AGE 21+ 339 2,911 169 247 246 1,042 230 230
1285959320 KAUR RUBINA 2021 FFS RENDERING AGE 0-20 742 2,975 309 685 102 193 705 759
1285959320 KAUR RUBINA 2021 FFS RENDERING AGE 21+ 1,199 3,381 112 222 228 550 1,041 1,042
1285972240 ZUNIGA-BERNARDE MIRIAM 2021 FFS RENDERING AGE 0-20 214 3,783 206 720 127 763 206 269
1285972240 ZUNIGA-BERNARDE MIRIAM 2021 FFS RENDERING AGE 21+ 360 5,806 210 415 308 2,790 299 299
1285973602 RANDHAWA KUSHWANTJIT S 2021 FFS RENDERING AGE 0-20 127 848 101 361 34 132 101 112
1285973602 RANDHAWA KUSHWANTJIT S 2021 FFS RENDERING AGE 21+ 360 1,323 105 200 174 514 254 254
1285976795 SAGISI RANDALL A 2021 FFS RENDERING AGE 0-20 192 3,034 180 738 125 514 183 260
1285976795 SAGISI RANDALL A 2021 FFS RENDERING AGE 21+ 277 2,849 196 391 174 910 231 231
1285987123 NGUYEN CHRISTINE TH M 2021 FFS RENDERING AGE 0-20 60 491 49 110 17 62 51 58
1285987123 NGUYEN CHRISTINE TH M 2021 FFS RENDERING AGE 21+ 204 1,740 68 105 138 528 134 137
1285989509 NAJEEB FIRAS F 2021 FFS RENDERING AGE 0-20 38 77 0 0 0 0 1 1
1285989509 NAJEEB FIRAS F 2021 FFS RENDERING AGE 21+ 11 14 0 0 1 1 0 0
1285989996 HARRIS MATTHEW W 2021 GMC RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1285989996 HARRIS MATTHEW W 2021 GMC RENDERING AGE 21+ 1 2 0 0 1 1 1 1
1295025898 WESTERN DENTAL SERVICES INC 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1295025898 WESTERN DENTAL SERVICES, INC 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1295026433 YANG ROGER R 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 2 1 1
1295026433 YANG ROGER R 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1295034692 KORANDO NOLAN W 2021 GMC RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1295034692 KORANDO NOLAN W 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1295036382 URIARTE, MARICELA, DDS 2021 FFS RENDERING AGE 0-20 141 1,081 124 357 70 352 121 154
1295036382 URIARTE, MARICELA, DDS 2021 FFS RENDERING AGE 21+ 208 1,495 138 142 172 1,030 107 107
1295037638 JAIN RUSHINA 2021 FFS RENDERING AGE 0-20 1 1 1 1 1 1 0 0
1295037638 JAIN RUSHINA 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1295039782 KARIMYAN ALTINA 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1295039782 KARIMYAN ALTINA 2021 PHP RENDERING AGE 0-20 15 89 11 25 1 2 15 16
1295039782 KARIMYAN ALTINA 2021 PHP RENDERING AGE 21+ 71 321 25 26 26 87 60 60
1295050789 CHEUNG JASON M 2021 FFS RENDERING AGE 0-20 3,775 35,452 3,191 10,498 2,360 6,354 3,083 3,530
1295050789 CHEUNG JASON M 2021 FFS RENDERING AGE 21+ 19 108 1 2 1 2 1 1
1295061984 PIRIAN JOSEPH J 2021 FFS RENDERING AGE 0-20 410 5,351 348 1,336 266 1,064 397 465
1295061984 PIRIAN JOSEPH J 2021 FFS RENDERING AGE 21+ 1,154 6,719 558 1,119 677 2,299 913 914
1295061984 PIRIAN JOSEPH J 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 2 1 1
1295061984 PIRIAN JOSEPH J 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1295072403 GUTIERREZ QUEVE MARIA J 2021 FFS RENDERING AGE 0-20 150 598 72 137 38 97 112 112
1295072403 GUTIERREZ QUEVE MARIA J 2021 FFS RENDERING AGE 21+ 282 729 35 45 104 206 139 141
1295072403 GUTIERREZ QUEVE MARIA J 2021 PHP RENDERING AGE 0-20 36 96 19 35 12 29 28 28
1295072403 GUTIERREZ QUEVE MARIA J 2021 PHP RENDERING AGE 21+ 47 81 11 16 19 34 25 25
1295072734 OHEBSION, TANIA S DDS 2021 FFS RENDERING AGE 0-20 1 2 0 0 0 0 0 0
1295072734 OHEBSION, TANIA S DDS 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1295076131 RUSEN RARES D 2021 FFS RENDERING AGE 0-20 74 1,320 57 319 39 144 66 70
1295076131 RUSEN RARES D 2021 FFS RENDERING AGE 21+ 103 1,899 25 49 84 521 95 104
1295081404 VU KHOA D 2021 FFS RENDERING AGE 0-20 72 239 25 64 29 39 47 47
1295081404 VU KHOA D 2021 FFS RENDERING AGE 21+ 119 259 12 24 48 74 63 63
1295085645 TRAN, PHUONGTHAO DDS 2021 FFS RENDERING AGE 0-20 659 6,071 628 2,412 319 570 625 786
1295085645 TRAN, PHUONGTHAO DDS 2021 FFS RENDERING AGE 21+ 280 1,474 142 284 178 420 173 174
1295092526 TRAN, ANTHONY D MD 2021 FFS RENDERING AGE 0-20 24 94 0 0 24 94 0 0
1295095677 JARDOSH ROSHAN R 2021 FFS RENDERING AGE 0-20 119 1,681 112 367 88 364 117 117
1295095677 JARDOSH ROSHAN R 2021 FFS RENDERING AGE 21+ 74 733 40 64 51 187 61 61
1295096543 CASTELLON SONIA A 2021 FFS RENDERING AGE 0-20 45 424 39 49 19 74 32 43
1295096543 CASTELLON SONIA A 2021 FFS RENDERING AGE 21+ 149 1,061 87 87 97 350 89 89
1295098846 PHAN DAVID Q 2021 FFS RENDERING AGE 0-20 312 1,753 0 0 215 1,478 142 142
1295098846 PHAN DAVID Q 2021 FFS RENDERING AGE 21+ 320 1,851 0 0 209 1,560 152 152
1295102317 PARK KEVIN C 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 1 1
1295102317 PARK KEVIN C 2021 FFS RENDERING AGE 21+ 11 54 1 1 1 2 1 1
1295102879 PATEL ANUJ H 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1295102879 PATEL ANUJ H 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 1 1 1
1295104453 PARK MI HYEON 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 1 1
1295105245 PARK YEUN-JOUNG 2021 FFS RENDERING AGE 0-20 1,353 24,669 1,248 5,853 978 3,861 1,245 1,960
1295110567 PADMANI TARUN L 2021 FFS RENDERING AGE 0-20 3,391 60,099 3,148 12,035 2,091 17,115 3,144 4,479
1295110567 PADMANI TARUN L 2021 FFS RENDERING AGE 21+ 1 2 1 1 0 0 1 1
1295136570 XIE JUNYI 2021 FFS RENDERING AGE 0-20 347 597 0 0 26 49 0 0
1295136570 XIE JUNYI 2021 FFS RENDERING AGE 21+ 33 33 0 0 0 0 0 0
1295136570 XIE JUNYI 2021 PHP RENDERING AGE 0-20 22 69 0 0 21 55 0 0
1295136570 XIE JUNYI 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1295145548 KIM HEIVI M 2021 FFS RENDERING AGE 0-20 1,703 19,178 1,476 5,146 1,057 4,157 1,459 1,548
1295149946 THONGKHAM, JAYLONG W MD 2021 FFS RENDERING AGE 0-20 39 117 0 0 39 117 0 0
1295160638 KOHAN FARNAZ 2021 FFS RENDERING AGE 0-20 1,580 18,201 1,243 4,464 1,133 5,493 1,170 1,384
1295160638 KOHAN FARNAZ 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 0 0
1295170306 ZAMORA PEREZ CESAR E 2021 FFS RENDERING AGE 0-20 233 1,992 215 699 91 405 217 302
1295170306 ZAMORA PEREZ CESAR E 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1295175859 JEON BOM SEOK 2021 FFS RENDERING AGE 0-20 119 632 91 242 45 137 90 117
1295175859 JEON BOM SEOK 2021 FFS RENDERING AGE 21+ 779 3,444 337 673 467 1,302 496 496
1295176709 ASKARZOI KHAN W 2021 FFS RENDERING AGE 0-20 143 970 105 361 67 144 108 121
1295176709 ASKARZOI KHAN W 2021 FFS RENDERING AGE 21+ 392 2,177 130 241 270 1,026 247 247
1295176865 PATEL PARAG S 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1295184489 CHARKHEZARRIN SAMILA 2021 FFS RENDERING AGE 0-20 730 3,391 560 1,660 261 470 367 375
1295184489 CHARKHEZARRIN SAMILA 2021 FFS RENDERING AGE 21+ 1,040 3,564 226 447 613 1,715 452 452
1295184489 CHARKHEZARRIN SAMILA 2021 GMC RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1295184489 CHARKHEZARRIN SAMILA 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1295184489 CHARKHEZARRIN SAMILA 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1295184489 CHARKHEZARRIN SAMILA 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1295220879 THOMPSON PATRICIA JANE 2021 GMC RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1295230225 SHAPIRO JONATHAN H 2021 FFS RENDERING AGE 0-20 76 506 51 79 29 80 63 65
1295230225 SHAPIRO JONATHAN H 2021 FFS RENDERING AGE 21+ 76 324 20 22 32 55 68 72
1295246676 SIMANIAN EMIL J 2021 FFS RENDERING AGE 21+ 15 82 0 0 15 82 0 0
1295246676 SIMANIAN EMIL J 2021 PHP RENDERING AGE 0-20 36 245 25 74 12 26 32 39
1295246676 SIMANIAN EMIL J 2021 PHP RENDERING AGE 21+ 41 243 14 19 22 119 38 42
1295250686 NGUYEN DAVID 2021 FFS RENDERING AGE 0-20 1 1 1 1 1 1 0 0
1295250686 NGUYEN DAVID 2021 FFS RENDERING AGE 21+ 140 509 1 1 140 507 1 1
1295262012 MOGHADAM AFROOZ 2021 FFS RENDERING AGE 0-20 1,454 9,766 1,039 2,888 990 2,487 1,024 1,115
1295275642 BENLULU MIKAELA B 2021 FFS RENDERING AGE 0-20 303 3,046 238 511 134 322 248 249
1295275642 BENLULU MIKAELA B 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1295278844 CHANG, CHEE, DDS A PROFESSIO 2021 GMC RENDERING AGE 0-20 164 1,254 101 418 34 146 150 300
1295278844 CHANG, CHEE, DDS A PROFESSIO 2021 GMC RENDERING AGE 21+ 183 1,624 96 384 100 448 137 274
1295291516 NOLASCO RUSSEL R 2021 FFS RENDERING AGE 0-20 443 4,396 371 1,185 212 460 390 457
1295291516 NOLASCO RUSSEL R 2021 FFS RENDERING AGE 21+ 568 3,060 208 227 300 665 393 395
1295291516 NOLASCO RUSSEL R 2021 PHP RENDERING AGE 0-20 62 158 28 60 1 2 48 53
1295291516 NOLASCO RUSSEL R 2021 PHP RENDERING AGE 21+ 97 216 42 47 36 69 63 63
1295293645 ABDULLAH, MINA, DDS INC 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1295341394 COX KELLY Y 2021 FFS RENDERING AGE 0-20 451 3,200 334 734 267 775 373 387
1295341394 COX KELLY Y 2021 FFS RENDERING AGE 21+ 800 5,178 261 508 561 2,077 564 570
1295397719 ABTAHI KIMIYA 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 0 0
1295402600 OKWUOSA BRIDGET U 2021 FFS RENDERING AGE 0-20 43 469 32 130 23 95 37 37
1295402600 OKWUOSA BRIDGET U 2021 FFS RENDERING AGE 21+ 53 429 15 29 31 159 37 37
1295402600 OKWUOSA BRIDGET U 2021 PHP RENDERING AGE 21+ 1 2 0 0 1 1 1 1
1295713923 DAMARGI SARKIS A 2021 FFS RENDERING AGE 0-20 22 175 19 65 12 38 21 33
1295713923 DAMARGI SARKIS A 2021 FFS RENDERING AGE 21+ 618 6,437 336 630 578 4,239 549 549
1295722833 MORRIS, SIMON P, DDS 2021 FFS RENDERING AGE 0-20 52 137 22 39 1 2 45 50
1295722833 MORRIS, SIMON P, DDS 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1295737880 THAI, QUANG Q, DDS 2021 FFS RENDERING AGE 0-20 69 372 62 176 29 80 25 29
1295737880 THAI, QUANG Q, DDS 2021 FFS RENDERING AGE 21+ 287 1,561 194 388 215 721 84 84
1295765147 BROWN, DIANE K, RDHAP 2021 FFS RENDERING AGE 21+ 195 1,469 195 979 195 490 0 0
1295787943 KATZ, RICHARD L MD 2021 FFS RENDERING AGE 0-20 105 214 0 0 105 214 0 0
1295789063 TRAN, LYNN PHUONGLINH DDS 2021 FFS RENDERING AGE 0-20 127 1,426 117 448 60 133 125 152
1295789063 TRAN, LYNN PHUONGLINH DDS 2021 FFS RENDERING AGE 21+ 170 1,344 116 236 119 448 131 132
1295802288 KHUU BERRY N 2021 FFS RENDERING AGE 0-20 250 1,800 128 293 151 662 125 125
1295803914 ZIRAKZADEH SARAH 2021 FFS RENDERING AGE 0-20 19 82 1 2 1 2 1 1
1295803914 ZIRAKZADEH SARAH 2021 FFS RENDERING AGE 21+ 53 169 1 1 36 60 15 15
1295804078 GACIAS EMMALINE D 2021 PHP RENDERING AGE 0-20 21 153 21 56 20 37 19 23
1295808731 LENA DAVID A 2021 FFS RENDERING AGE 0-20 177 1,391 137 317 27 52 154 192
1295808731 LENA DAVID A 2021 FFS RENDERING AGE 21+ 390 1,695 45 58 182 653 292 294
1295808731 LENA DAVID A 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1295811438 VU FREDERICK HI T 2021 FFS RENDERING AGE 0-20 45 314 41 181 15 23 39 48
1295811438 VU FREDERICK HI T 2021 FFS RENDERING AGE 21+ 119 563 88 89 70 216 92 92
1295815447 LUM GARRETT L 2021 FFS RENDERING AGE 0-20 10,166 120,461 8,477 23,586 3,318 13,724 8,069 9,507
1295815447 LUM GARRETT L 2021 FFS RENDERING AGE 21+ 1 2 1 2 1 1 1 1
1295815447 LUM GARRETT L 2021 GMC RENDERING AGE 0-20 162 1,680 60 95 161 1,184 1 1
1295816742 MILE SQUARE DENTISTRY 2021 FFS RENDERING AGE 0-20 42 327 40 89 34 143 34 44
1295816742 MILE SQUARE DENTISTRY 2021 FFS RENDERING AGE 21+ 169 1,392 140 150 149 819 118 118
1295819464 NIRUYI SAM 2021 PHP RENDERING AGE 0-20 1 2 1 2 1 2 1 1
1295819464 NIRUYI SAM 2021 PHP RENDERING AGE 21+ 236 1,701 194 626 208 415 97 102
1295825065 VAYNER JACOB J 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 2 1 1
1295825065 VAYNER JACOB J 2021 FFS RENDERING AGE 21+ 37 202 21 40 19 79 28 28
1295833978 HERNANDEZ DINO C 2021 FFS RENDERING AGE 0-20 1 1 1 1 1 1 1 1
1295833978 HERNANDEZ DINO C 2021 FFS RENDERING AGE 21+ 14 63 1 1 1 1 11 11
1295842441 DANG DAVID DUNG T 2021 FFS RENDERING AGE 0-20 190 1,764 165 332 61 189 181 202
1295842441 DANG DAVID DUNG T 2021 FFS RENDERING AGE 21+ 202 1,680 128 128 115 399 144 144
1295842557 BADIHIAN HOMA 2021 FFS RENDERING AGE 0-20 113 941 100 217 75 350 99 136
1295842557 BADIHIAN HOMA 2021 FFS RENDERING AGE 21+ 247 2,204 108 109 224 1,481 164 164
1295842557 BADIHIAN, HOMA, DDS 2021 FFS RENDERING AGE 0-20 113 941 100 217 75 350 99 136
1295842557 BADIHIAN, HOMA, DDS 2021 FFS RENDERING AGE 21+ 247 2,204 108 109 224 1,481 164 164
1295843324 CHOI JOHN H 2021 FFS RENDERING AGE 0-20 252 1,289 0 0 251 1,279 0 0
1295843324 CHOI JOHN H 2021 FFS RENDERING AGE 21+ 541 2,357 0 0 538 2,318 1 1
1295843324 CHOI JOHN H 2021 PHP RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1295856862 GAMA ANA M 2021 FFS RENDERING AGE 0-20 198 2,524 161 524 109 425 170 199
1295856862 GAMA ANA M 2021 FFS RENDERING AGE 21+ 195 1,320 73 145 110 477 160 160
1295858504 ELYASPOOR SEVAK 2021 FFS RENDERING AGE 0-20 146 1,537 129 567 54 240 135 152
1295858504 ELYASPOOR SEVAK 2021 FFS RENDERING AGE 21+ 641 4,288 196 385 422 1,580 510 510
1295858504 ELYASPOOR SEVAK 2021 PHP RENDERING AGE 0-20 20 217 19 99 1 2 19 27
1295858504 ELYASPOOR SEVAK 2021 PHP RENDERING AGE 21+ 67 394 38 73 25 71 60 61
1295858637 CHADHA HARSIMRAN S 2021 FFS RENDERING AGE 0-20 47 312 40 127 25 66 39 48
1295858637 CHADHA HARSIMRAN S 2021 FFS RENDERING AGE 21+ 162 800 104 206 101 304 111 111
1295859452 NGUYEN GIANG T 2021 FFS RENDERING AGE 0-20 27 399 26 131 1 1 26 36
1295859452 NGUYEN GIANG T 2021 FFS RENDERING AGE 21+ 96 1,047 72 144 65 245 71 71
1295860013 HOANG BIET-HUONG T 2021 FFS RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1295862902 YUNG SAMMY CHIU W 2021 FFS RENDERING AGE 0-20 198 1,668 119 372 120 246 123 131
1295862902 YUNG SAMMY CHIU W 2021 FFS RENDERING AGE 21+ 1,248 10,881 545 1,097 1,004 3,070 633 634
1295863231 HAYRAPETIAN DENTAL CORP 2021 FFS RENDERING AGE 0-20 284 3,010 76 262 216 890 237 247
1295863231 HAYRAPETIAN DENTAL CORP 2021 FFS RENDERING AGE 21+ 419 4,322 246 248 326 1,729 315 315
1295868636 KIM BRIAN S 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1295868636 KIM BRIAN S 2021 FFS RENDERING AGE 21+ 41 99 1 1 34 55 1 1
1295871515 HULL DONALD F 2021 FFS RENDERING AGE 0-20 259 318 0 0 35 58 0 0
1295871515 HULL DONALD F 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1295871515 HULL DONALD F 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1295871515 HULL DONALD F 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1295872497 MARTIN, VICTOR ALBANO DDS 2021 FFS RENDERING AGE 0-20 25 104 22 47 1 2 14 14
1295872497 MARTIN, VICTOR ALBANO DDS 2021 FFS RENDERING AGE 21+ 37 144 17 17 16 64 22 22
1295872497 MARTIN, VICTOR ALBANO DDS 2021 PHP RENDERING AGE 0-20 17 108 15 51 1 1 11 12
1295872497 MARTIN, VICTOR ALBANO DDS 2021 PHP RENDERING AGE 21+ 14 55 1 1 1 2 1 1
1295874303 NGUYEN NGOCDUNG T 2021 FFS RENDERING AGE 0-20 1 1 1 1 1 1 1 1
1295874303 NGUYEN NGOCDUNG T 2021 FFS RENDERING AGE 21+ 3,594 21,455 2,209 7,255 3,594 11,309 2,805 2,805
1295880946 WESTERN DENTAL SERVICES INC 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1295880946 WESTERN DENTAL SERVICES INC 2021 PHP RENDERING AGE 21+ 1 2 0 0 1 1 1 1
1295880946 WESTERN DENTAL SERVICES, INC. 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1295880946 WESTERN DENTAL SERVICES, INC. 2021 PHP RENDERING AGE 21+ 1 2 0 0 1 1 1 1
1295884062 HO, MAI N, DDS 2021 FFS RENDERING AGE 0-20 59 475 55 213 17 32 56 74
1295884062 HO, MAI N, DDS 2021 FFS RENDERING AGE 21+ 98 593 64 127 60 196 78 78
1295888386 MAGALANG CHRISTINE R 2021 FFS RENDERING AGE 0-20 6,368 78,208 6,174 16,188 1,862 2,566 6,262 7,771
1295888386 MAGALANG CHRISTINE R 2021 FFS RENDERING AGE 21+ 1 2 1 1 0 0 1 1
1295888386 MAGALANG CHRISTINE R 2021 PHP RENDERING AGE 0-20 1 1 1 1 1 1 1 1
1295896850 TAN SANTOSA 2021 FFS RENDERING AGE 0-20 375 3,114 352 1,751 97 277 352 379
1295896850 TAN SANTOSA 2021 FFS RENDERING AGE 21+ 1,134 4,664 806 1,603 387 1,543 583 583
1295896850 TAN SANTOSA 2021 PHP RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1295896850 TAN SANTOSA 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1295899581 EKMEKCHYAN, HAKOB DDS 2021 FFS RENDERING AGE 0-20 208 3,050 199 697 155 733 195 240
1295899581 EKMEKCHYAN, HAKOB DDS 2021 FFS RENDERING AGE 21+ 244 2,777 140 279 216 1,126 160 160
1295899623 HO, KELLY L, DDS 2021 FFS RENDERING AGE 0-20 163 450 0 0 57 175 1 1
1295899623 HO, KELLY L, DDS 2021 FFS RENDERING AGE 21+ 12 21 0 0 1 1 1 1
1295899623 HO, KELLY L, DDS 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1295899623 HO, KELLY LY, DDS MDS 2021 FFS RENDERING AGE 0-20 163 450 0 0 57 175 1 1
1295899623 HO, KELLY LY, DDS MDS 2021 FFS RENDERING AGE 21+ 12 21 0 0 1 1 1 1
1295899623 HO, KELLY LY, DDS MDS 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1295901015 GHAHREMANI REZA M 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1295903557 LARDIZABAL CHONA S 2021 FFS RENDERING AGE 0-20 170 3,400 164 799 50 185 165 261
1295903557 LARDIZABAL CHONA S 2021 FFS RENDERING AGE 21+ 88 877 80 160 18 74 86 86
1295914240 MOYA MARK M 2021 FFS RENDERING AGE 0-20 35 229 23 78 1 1 28 28
1295914240 MOYA MARK M 2021 FFS RENDERING AGE 21+ 46 183 1 1 23 56 21 23
1295914240 MOYA MARK M 2021 PHP RENDERING AGE 0-20 16 61 1 2 1 1 1 1
1295914240 MOYA MARK M 2021 PHP RENDERING AGE 21+ 24 70 1 1 1 2 14 14
1295915023 SHAH SHITAL 2021 FFS RENDERING AGE 0-20 83 444 78 174 26 39 77 79
1295915023 SHAH SHITAL 2021 FFS RENDERING AGE 21+ 161 887 89 174 69 136 128 128
1295915239 DU ALYSSA N 2021 FFS RENDERING AGE 0-20 343 4,396 310 1,182 168 476 313 382
1295915239 DU ALYSSA N 2021 FFS RENDERING AGE 21+ 607 6,142 390 722 417 1,311 419 419
1295918951 GHAZARIAN ANAHIT T 2021 FFS RENDERING AGE 0-20 20 138 14 52 11 51 16 17
1295918951 GHAZARIAN ANAHIT T 2021 FFS RENDERING AGE 21+ 46 280 26 50 38 160 29 29
1295925261 LAI, HAI, A PROFESSIONAL DEN 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1295936631 QIAO BINGSHENG 2021 FFS RENDERING AGE 0-20 536 7,474 515 2,034 253 626 459 617
1295936631 QIAO BINGSHENG 2021 FFS RENDERING AGE 21+ 414 3,558 322 635 190 631 327 327
1295940047 CHU GENE T 2021 FFS RENDERING AGE 0-20 192 1,283 170 399 60 120 167 173
1295940047 CHU GENE T 2021 FFS RENDERING AGE 21+ 211 897 73 135 103 211 149 149
1295942985 KANG, SEUNG M DDS 2021 FFS RENDERING AGE 0-20 483 5,197 410 1,096 185 727 405 503
1295942985 KANG, SEUNG M DDS 2021 FFS RENDERING AGE 21+ 474 3,350 247 369 286 1,212 326 326
1295947760 HAGHSHENAS ROSHANAK 2021 FFS RENDERING AGE 0-20 1,572 16,174 1,293 4,160 1,020 3,067 1,267 1,306
1295947760 HAGHSHENAS ROSHANAK 2021 FFS RENDERING AGE 21+ 239 1,478 79 159 165 466 102 102
1295947760 HAGHSHENAS ROSHANAK 2021 PHP RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1295947760 HAGHSHENAS ROSHANAK 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1295949469 SPEED JOELLE C 2021 GMC RENDERING AGE 0-20 1 2 0 0 1 2 1 1
1295953925 KHATIBZADEH MORTEZA 2021 FFS RENDERING AGE 0-20 11 43 1 2 1 1 1 1
1295953925 KHATIBZADEH MORTEZA 2021 FFS RENDERING AGE 21+ 61 208 1 2 44 102 17 17
1295957603 BYON ROSA T 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1295958353 JAVID HOSSEIN H 2021 FFS RENDERING AGE 0-20 142 1,654 121 380 99 544 122 140
1295958353 JAVID HOSSEIN H 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1295960870 TORRES EDWIN P 2021 FFS RENDERING AGE 0-20 1 1 1 1 1 1 1 1
1295960870 TORRES EDWIN P 2021 GMC RENDERING AGE 0-20 1,063 11,639 996 4,691 747 1,984 992 1,190
1295969517 SOTTO, MARITES DDS 2021 FFS RENDERING AGE 0-20 91 658 86 237 43 175 72 85
1295969517 SOTTO, MARITES DDS 2021 FFS RENDERING AGE 21+ 279 1,808 256 510 172 694 270 270
1295973162 BUENAVENTURA CHRISTINE D 2021 FFS RENDERING AGE 0-20 231 1,242 85 242 183 592 46 47
1295973162 BUENAVENTURA CHRISTINE D 2021 FFS RENDERING AGE 21+ 114 521 34 68 94 268 23 23
1295973386 RILEY-OWENS, PATRICIA, RDHAP 2021 FFS RENDERING AGE 21+ 119 347 119 261 40 86 0 0
1295981959 KORDVANI ARIA 2021 FFS RENDERING AGE 0-20 403 1,772 363 734 21 47 275 285
1295981959 KORDVANI ARIA 2021 FFS RENDERING AGE 21+ 465 1,308 254 254 160 543 153 153
1295984276 HOLLAND ROSARIO I 2021 FFS RENDERING AGE 0-20 729 10,715 686 2,264 369 1,803 689 895
1295984276 HOLLAND ROSARIO I 2021 FFS RENDERING AGE 21+ 436 3,691 158 288 350 1,860 269 269
1295991131 MOSES, MARK ANTHONY DDS 2021 FFS RENDERING AGE 0-20 353 3,977 276 920 203 541 269 289
1295991131 MOSES, MARK ANTHONY DDS 2021 FFS RENDERING AGE 21+ 372 2,756 142 239 270 771 187 187
1295998250 HUSSAIN SALMAN R 2021 FFS RENDERING AGE 0-20 254 1,172 0 0 254 1,172 0 0
1295998250 HUSSAIN SALMAN R 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 2 0 0
1306002332 PALAGANAS ALELI A 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1306002332 PALAGANAS ALELI A 2021 FFS RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1306008305 PARK, DAVID, DDS INC 2021 GMC RENDERING AGE 0-20 26 48 1 1 19 26 1 1
1306008305 PARK, DAVID, DDS INC 2021 GMC RENDERING AGE 21+ 15 26 0 0 13 16 1 1
1306012786 VAZQUEZ NORMA C 2021 FFS RENDERING AGE 0-20 83 1,106 78 257 20 48 82 116
1306012786 VAZQUEZ NORMA C 2021 FFS RENDERING AGE 21+ 116 900 58 105 56 256 102 102
1306015425 ALTAMED HEALTH SERVICES CORP 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 2 1 1
1306028949 TRAN HAO T 2021 FFS RENDERING AGE 0-20 315 3,578 262 857 148 399 253 283
1306028949 TRAN HAO T 2021 FFS RENDERING AGE 21+ 446 4,476 317 318 288 1,145 312 313
1306030465 LEE, JEAN 2021 FFS RENDERING AGE 0-20 288 2,750 284 964 80 165 284 413
1306030465 LEE, JEAN 2021 FFS RENDERING AGE 21+ 42 228 32 64 22 48 36 36
1306030770 CHEN HARVEY H 2021 PHP RENDERING AGE 21+ 17 31 0 0 17 31 0 0
1306035746 KWAK, KYOUNG W DDS 2021 FFS RENDERING AGE 0-20 87 508 77 192 38 91 82 103
1306035746 KWAK, KYOUNG W DDS 2021 FFS RENDERING AGE 21+ 436 2,165 272 540 217 591 360 360
1306035746 KWAK, KYOUNG W DDS 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1306039169 LU, SHELDON XIAOCHEN, DMD 2021 FFS RENDERING AGE 0-20 57 289 22 52 40 156 37 37
1306039169 LU, SHELDON XIAOCHEN, DMD 2021 FFS RENDERING AGE 21+ 609 4,920 86 168 485 3,488 296 296
1306040597 EDWARD LOPEZ AMERICA DENTAL 2021 PHP RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1306040597 EDWARD LOPEZ AMERICA DENTAL 2021 PHP RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1306040597 LOPEZ, EDWARD, DDS 2021 PHP RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1306040597 LOPEZ, EDWARD, DDS 2021 PHP RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1306049093 JUAREZ JOSE V 2021 FFS RENDERING AGE 0-20 553 5,365 514 1,871 336 1,172 403 570
1306049093 JUAREZ JOSE V 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1306049093 JUAREZ JOSE V 2021 GMC RENDERING AGE 0-20 1 2 1 2 1 2 1 1
1306056494 ALVARADO, LUIS ARTURO 2021 FFS RENDERING AGE 0-20 261 2,186 222 560 151 362 233 287
1306056494 ALVARADO, LUIS ARTURO 2021 FFS RENDERING AGE 21+ 404 3,034 218 430 301 1,040 258 258
1306063615 COHEN SEDGH, SOL, DDS INC 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1306063615 COHEN SEDGH, SOL, DDS INC 2021 PHP RENDERING AGE 0-20 36 139 16 34 1 1 11 11
1306063615 COHEN SEDGH, SOL, DDS INC 2021 PHP RENDERING AGE 21+ 81 270 23 32 1 2 18 20
1306066451 WU THOMAS H 2021 FFS RENDERING AGE 0-20 28 201 26 83 12 32 25 41
1306066451 WU THOMAS H 2021 FFS RENDERING AGE 21+ 97 542 58 94 69 231 61 61
1306066451 WU, THOMAS H, DDS 2021 FFS RENDERING AGE 0-20 28 201 26 83 12 32 25 41
1306066451 WU, THOMAS H, DDS 2021 FFS RENDERING AGE 21+ 97 542 58 94 69 231 61 61
1306066501 BERHANU, JALE DDS 2021 FFS RENDERING AGE 0-20 222 1,706 176 444 100 271 191 238
1306066501 BERHANU, JALE DDS 2021 FFS RENDERING AGE 21+ 343 2,096 162 324 273 828 194 194
1306069133 NGUYEN TRI M 2021 FFS RENDERING AGE 0-20 61 444 57 149 18 28 55 63
1306069133 NGUYEN TRI M 2021 FFS RENDERING AGE 21+ 59 348 46 50 19 36 45 45
1306069505 HASOUN, BASSAM 2021 FFS RENDERING AGE 0-20 342 3,920 315 913 136 511 319 375
1306069505 HASOUN, BASSAM 2021 FFS RENDERING AGE 21+ 429 3,114 264 532 276 1,027 301 301
1306070727 TSAI MATTHEW CHIE C 2021 FFS RENDERING AGE 0-20 16 129 1 2 1 2 12 12
1306070727 TSAI MATTHEW CHIE C 2021 FFS RENDERING AGE 21+ 35 125 1 1 24 64 16 16
1306071758 LANDIS, C RANDY, DDS INC 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1306075825 MAZAR-ATABAKI, CIMA DMD 2021 FFS RENDERING AGE 0-20 1,105 14,733 1,075 4,804 826 2,848 1,072 1,715
1306075825 MAZAR-ATABAKI, CIMA DMD 2021 FFS RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1306084223 GRIGORIAN RAYMOND 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1306084223 GRIGORIAN RAYMOND 2021 FFS RENDERING AGE 21+ 34 46 0 0 34 44 0 0
1306084223 GRIGORIAN RAYMOND 2021 PHP RENDERING AGE 0-20 1 2 0 0 1 1 1 1
1306084223 GRIGORIAN RAYMOND 2021 PHP RENDERING AGE 21+ 19 46 0 0 19 26 14 14
1306087465 MALAGA FIGUEROA EDMUNDO J 2021 FFS RENDERING AGE 0-20 24 191 18 27 12 46 18 20
1306087465 MALAGA FIGUEROA EDMUNDO J 2021 FFS RENDERING AGE 21+ 199 1,180 102 125 139 600 117 117
1306087465 MALAGA FIGUEROA EDMUNDO J 2021 PHP RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1306087465 MALAGA FIGUEROA EDMUNDO J 2021 PHP RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1306098645 HUANG FRANK 2021 FFS RENDERING AGE 0-20 89 668 71 172 53 144 48 54
1306098645 HUANG FRANK 2021 FFS RENDERING AGE 21+ 249 1,445 103 206 164 444 151 151
1306108410 PARK JONAH J 2021 FFS RENDERING AGE 0-20 1 2 0 0 1 2 0 0
1306108410 PARK JONAH J 2021 FFS RENDERING AGE 21+ 50 182 0 0 50 182 0 0
1306123369 ABDELNABY BRIGIDA M 2021 FFS RENDERING AGE 0-20 322 3,529 315 1,003 222 782 315 520
1306133053 COHEN SEDGH MANAVI & PAKRAVA 2021 PHP RENDERING AGE 0-20 38 89 1 1 0 0 1 1
1306133053 COHEN SEDGH MANAVI & PAKRAVA 2021 PHP RENDERING AGE 21+ 30 73 1 1 1 1 1 2
1306133053 COHEN SEDGH, MANAVI & PAKRAVAN DENTAL CORPORATION 2021 PHP RENDERING AGE 0-20 38 89 1 1 0 0 1 1
1306133053 COHEN SEDGH, MANAVI & PAKRAVAN DENTAL CORPORATION 2021 PHP RENDERING AGE 21+ 30 73 1 1 1 1 1 2
1306152145 TRAN JULIE 2021 FFS RENDERING AGE 0-20 128 1,134 121 419 63 182 118 155
1306152145 TRAN JULIE 2021 FFS RENDERING AGE 21+ 233 1,527 163 325 165 608 125 125
1306157094 VIET, CHI T MD 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 1 1
1306157094 VIET, CHI T MD 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1306170196 PATEL PAYAL J 2021 PHP RENDERING AGE 0-20 16 76 1 2 1 1 1 1
1306170196 PATEL PAYAL J 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1306173158 KALEEL RANA R 2021 FFS RENDERING AGE 0-20 2,044 16,236 1,866 5,970 1,224 3,650 1,809 1,980
1306173158 KALEEL RANA R 2021 PHP RENDERING AGE 0-20 14 79 1 2 1 2 1 1
1306180708 LE KY T 2021 FFS RENDERING AGE 0-20 21 98 1 1 21 66 0 0
1306180708 LE KY T 2021 FFS RENDERING AGE 21+ 30 117 1 2 25 67 1 1
1306181474 SANDERSON & ZARGARIAN DENTAL 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1306193396 LEFTWICH KELLY T 2021 FFS RENDERING AGE 0-20 60 448 40 106 32 71 46 46
1306193396 LEFTWICH KELLY T 2021 FFS RENDERING AGE 21+ 86 721 14 20 44 181 72 72
1306193396 LEFTWICH KELLY T 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1306193560 RENK HAWTHORNE, EMILY, DDS 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1306216544 SHABANI ELENA 2021 FFS RENDERING AGE 0-20 67 420 34 100 47 140 39 48
1306216544 SHABANI ELENA 2021 FFS RENDERING AGE 21+ 185 1,288 51 80 149 753 114 114
1306216882 KANSAGRA KRISHNA P 2021 FFS RENDERING AGE 0-20 426 4,521 354 1,057 280 1,016 372 384
1306221783 HOANG LANA T 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1306221783 HOANG LANA T 2021 GMC RENDERING AGE 0-20 262 1,338 176 367 97 141 176 176
1306221783 HOANG LANA T 2021 GMC RENDERING AGE 21+ 425 2,038 141 284 294 589 202 204
1306234760 KIM SUNG KOO 2021 FFS RENDERING AGE 0-20 54 328 48 107 15 35 52 59
1306234760 KIM SUNG KOO 2021 FFS RENDERING AGE 21+ 152 655 77 153 52 125 114 114
1306239702 LAVIAN ALAN 2021 FFS RENDERING AGE 0-20 64 479 36 99 35 102 37 37
1306239702 LAVIAN ALAN 2021 FFS RENDERING AGE 21+ 73 302 1 2 54 134 26 26
1306239702 LAVIAN ALAN 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1306241369 TRAN ANDY N 2021 FFS RENDERING AGE 0-20 126 2,134 119 359 84 366 122 173
1306241369 TRAN ANDY N 2021 FFS RENDERING AGE 21+ 278 3,431 221 438 231 1,509 235 235
1306241591 GONZALEZ ROBERTO 2021 FFS RENDERING AGE 0-20 345 2,873 341 1,080 177 503 310 417
1306241591 GONZALEZ ROBERTO 2021 FFS RENDERING AGE 21+ 232 1,093 187 187 92 356 214 214
1306248893 HERAVI MONA 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1306250964 PARRA EILEEN P 2021 FFS RENDERING AGE 0-20 497 5,492 418 1,255 228 662 408 421
1306250964 PARRA EILEEN P 2021 FFS RENDERING AGE 21+ 373 2,900 146 280 248 775 203 203
1306252051 OPEN DOOR COMMUNITY HEALTH 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1306258967 SADEGHEIN NEGAR 2021 FFS RENDERING AGE 0-20 2,659 21,104 2,298 6,811 1,620 4,730 2,092 2,228
1306271515 SINGH NAVPREET 2021 FFS RENDERING AGE 0-20 2,903 29,806 2,174 7,367 2,133 5,488 2,156 2,405
1306271515 SINGH NAVPREET 2021 FFS RENDERING AGE 21+ 14 42 1 1 1 1 1 1
1306272190 HOANG TEA H 2021 FFS RENDERING AGE 0-20 211 2,310 167 414 117 417 176 208
1306272190 HOANG TEA H 2021 FFS RENDERING AGE 21+ 517 3,535 165 333 400 1,532 299 300
1306295654 LAM ANGELA 2021 PHP RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1306295928 GOCHEZ JR OSCAR A 2021 FFS RENDERING AGE 0-20 140 952 81 180 65 119 99 101
1306295928 GOCHEZ JR OSCAR A 2021 FFS RENDERING AGE 21+ 281 1,468 84 86 177 405 154 154
1306299086 CHOWDHARY ANSHUJA 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1306305875 GUZMAN MELISSA 2021 FFS RENDERING AGE 0-20 1,635 15,207 1,348 3,910 714 1,758 1,266 1,318
1306305875 GUZMAN MELISSA 2021 FFS RENDERING AGE 21+ 400 2,158 94 183 169 321 251 251
1306305875 GUZMAN MELISSA 2021 PHP RENDERING AGE 0-20 11 70 1 2 1 2 1 1
1306305875 GUZMAN MELISSA 2021 PHP RENDERING AGE 21+ 13 47 1 1 1 1 12 12
1306323324 CURY ROSA PRISCILLA A 2021 FFS RENDERING AGE 0-20 36 406 27 102 20 75 33 39
1306323324 CURY ROSA PRISCILLA A 2021 FFS RENDERING AGE 21+ 48 319 1 2 32 142 38 38
1306328315 NISHIMURA GRANT H 2021 FFS RENDERING AGE 0-20 42 127 0 0 42 123 0 0
1306328315 NISHIMURA GRANT H 2021 FFS RENDERING AGE 21+ 93 261 0 0 89 239 1 1
1306339098 RAJOUB LIN 2021 FFS RENDERING AGE 0-20 355 2,567 332 1,078 184 319 334 356
1306339098 RAJOUB LIN 2021 FFS RENDERING AGE 21+ 116 543 50 101 72 230 59 59
1306343264 CHOUDHARY SHOBHITA 2021 FFS RENDERING AGE 0-20 267 2,296 162 463 132 368 220 228
1306343264 CHOUDHARY SHOBHITA 2021 FFS RENDERING AGE 21+ 566 2,922 23 35 284 744 408 410
1306343264 CHOUDHARY SHOBHITA 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1306343264 CHOUDHARY SHOBHITA 2021 PHP RENDERING AGE 21+ 1 2 0 0 1 1 1 1
1306361845 KIM EUGENE Y 2021 FFS RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1306365259 KIM JOHN Y 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1306367792 FREER ZACHARY L 2021 FFS RENDERING AGE 21+ 27 71 0 0 26 37 0 0
1306370796 YUN STEVEN 2021 FFS RENDERING AGE 0-20 3,952 77,018 3,867 17,000 3,086 13,153 3,879 6,057
1306370796 YUN STEVEN 2021 FFS RENDERING AGE 21+ 279 3,026 222 452 176 676 243 243
1306370929 NGUYEN STEPHANIE G Q 2021 FFS RENDERING AGE 0-20 22 175 21 46 16 53 20 22
1306370929 NGUYEN STEPHANIE G Q 2021 FFS RENDERING AGE 21+ 84 537 70 122 50 126 69 69
1306373626 MOTANABBEH ALI 2021 FFS RENDERING AGE 0-20 124 885 39 72 82 240 96 98
1306373626 MOTANABBEH ALI 2021 FFS RENDERING AGE 21+ 859 5,768 194 202 641 2,583 575 575
1306393004 TATHGUR MANJOT K 2021 FFS RENDERING AGE 0-20 132 683 86 334 93 231 1 1
1306393004 TATHGUR MANJOT K 2021 FFS RENDERING AGE 21+ 144 469 52 99 117 282 1 1
1306399910 HAROUNIAN, ANGEL DDS 2021 FFS RENDERING AGE 0-20 61 632 49 210 39 114 57 81
1306399910 HAROUNIAN, ANGEL DDS 2021 FFS RENDERING AGE 21+ 247 1,887 121 220 189 1,039 179 179
1306399910 HAROUNIAN, ANGEL DDS 2021 PHP RENDERING AGE 0-20 63 587 55 195 23 97 56 78
1306399910 HAROUNIAN, ANGEL DDS 2021 PHP RENDERING AGE 21+ 201 1,380 138 271 146 674 161 162
1306417860 LY KIM M 2021 PHP RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1306418348 WONG NICHOLAS A 2021 FFS RENDERING AGE 0-20 67 428 38 77 25 56 53 53
1306418348 WONG NICHOLAS A 2021 FFS RENDERING AGE 21+ 179 963 61 121 121 250 89 89
1306432752 NGUYEN HUY T 2021 FFS RENDERING AGE 0-20 2,664 20,137 1,937 5,440 1,684 4,263 1,818 1,836
1306432752 NGUYEN HUY T 2021 FFS RENDERING AGE 21+ 12 56 1 1 1 1 1 1
1306445689 TRAN VU A 2021 FFS RENDERING AGE 0-20 46 369 38 65 15 28 38 40
1306445689 TRAN VU A 2021 FFS RENDERING AGE 21+ 91 752 56 56 56 181 64 64
1306445689 TRAN VU A 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1306458443 NARRA HARIKA 2021 FFS RENDERING AGE 0-20 387 2,129 277 701 204 515 254 254
1306458443 NARRA HARIKA 2021 FFS RENDERING AGE 21+ 477 1,646 101 177 249 749 220 221
1306458443 NARRA HARIKA 2021 GMC RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1306458443 NARRA HARIKA 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1306470711 VAN SICKLEN, ANDREW, DDS INC 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1306480793 GOSHAYESHI AZADEH 2021 FFS RENDERING AGE 0-20 228 928 126 330 100 220 110 110
1306480793 GOSHAYESHI AZADEH 2021 FFS RENDERING AGE 21+ 224 651 26 47 118 269 100 100
1306480793 GOSHAYESHI AZADEH 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 2 0 0
1306480793 GOSHAYESHI AZADEH 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1306494000 SONG YAE S 2021 FFS RENDERING AGE 0-20 1,081 12,846 816 2,584 711 2,367 791 893
1306494000 SONG YAE S 2021 FFS RENDERING AGE 21+ 899 6,276 40 77 663 1,901 443 443
1306800685 HUANG, STANLEY, DDS 2021 FFS RENDERING AGE 21+ 165 1,116 83 146 116 351 119 119
1306839162 ST MARY MEDICAL CENTER 2021 FFS RENDERING AGE 21+ 257 2,303 173 194 214 1,090 168 171
1306864210 PURDY DANIEL C 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 2 0 0
1306878467 NGUYEN HUONG T 2021 FFS RENDERING AGE 0-20 108 881 104 369 36 106 105 145
1306878467 NGUYEN HUONG T 2021 FFS RENDERING AGE 21+ 235 1,484 199 399 99 212 206 206
1306896022 LAPARRA FREDDY E 2021 FFS RENDERING AGE 0-20 164 1,123 96 301 89 306 107 114
1306896022 LAPARRA FREDDY E 2021 FFS RENDERING AGE 21+ 437 2,330 135 265 292 1,261 242 242
1306904891 RABADI, IBRAHIM A, DDS 2021 FFS RENDERING AGE 0-20 44 312 44 173 14 51 25 42
1306904891 RABADI, IBRAHIM A, DDS 2021 FFS RENDERING AGE 21+ 95 669 56 56 81 420 65 65
1306904891 RABADI, IBRAHIM A, DDS 2021 PHP RENDERING AGE 0-20 79 757 77 417 33 116 77 117
1306904891 RABADI, IBRAHIM A, DDS 2021 PHP RENDERING AGE 21+ 64 447 43 94 38 180 57 67
1306914650 OWJI, MOHAMMAD 2021 FFS RENDERING AGE 0-20 887 10,509 806 2,993 400 1,806 833 1,089
1306914650 OWJI, MOHAMMAD 2021 FFS RENDERING AGE 21+ 746 6,514 466 932 532 2,315 591 593
1306920970 GRADY ANN MARIE 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1306920970 GRADY ANN MARIE 2021 FFS RENDERING AGE 21+ 42 247 0 0 37 221 0 0
1306920970 GRADY ANN MARIE 2021 GMC RENDERING AGE 0-20 29 90 0 0 27 73 1 1
1306920970 GRADY ANN MARIE 2021 GMC RENDERING AGE 21+ 65 258 0 0 31 178 41 41
1306923545 BUGHAO, RODNEY J, DDS 2021 FFS RENDERING AGE 0-20 69 957 64 187 68 486 66 67
1306923545 BUGHAO, RODNEY J, DDS 2021 FFS RENDERING AGE 21+ 317 3,710 276 284 317 2,344 198 198
1306923545 BUGHAO, RODNEY J, DDS 2021 GMC RENDERING AGE 0-20 19 389 18 78 19 128 16 16
1306923545 BUGHAO, RODNEY J, DDS 2021 GMC RENDERING AGE 21+ 22 480 17 18 21 269 19 19
1306924980 LIBERTY DONALD R. 2021 GMC RENDERING AGE 0-20 1 1 0 0 1 1 1 1
1306924980 LIBERTY DONALD R. 2021 GMC RENDERING AGE 21+ 1 2 0 0 1 2 1 1
1306935234 BISBAS ANTON J 2021 FFS RENDERING AGE 0-20 169 311 0 0 55 150 0 0
1306935234 BISBAS ANTON J 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1306960893 TORRES JOSE R 2021 FFS RENDERING AGE 0-20 60 516 55 121 17 50 49 53
1306960893 TORRES JOSE R 2021 FFS RENDERING AGE 21+ 88 534 64 65 47 147 70 70
1306964366 ALZATE, JUAN JOSE, DDS 2021 FFS RENDERING AGE 0-20 662 2,558 0 0 517 1,362 539 539
1306964366 ALZATE, JUAN JOSE, DDS 2021 FFS RENDERING AGE 21+ 2,657 11,725 0 0 2,142 6,110 2,079 2,084
1306964366 ALZATE, JUAN JOSE, DDS 2021 GMC RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1306966148 BAYSA, ROCKY C, DMD 2021 FFS RENDERING AGE 0-20 116 742 79 241 63 187 57 59
1306966148 BAYSA, ROCKY C, DMD 2021 FFS RENDERING AGE 21+ 403 1,431 86 167 266 736 112 113
1306971205 UM KARAM 2021 FFS RENDERING AGE 0-20 208 1,567 161 415 135 499 124 133
1306971205 UM KARAM 2021 FFS RENDERING AGE 21+ 289 2,069 113 209 221 1,069 125 125
1306976121 NGUYEN, HUNG DDS 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1306976121 NGUYEN, HUNG DDS 2021 FFS RENDERING AGE 21+ 68 418 40 40 56 167 25 25
1306976618 OH SAEKYU 2021 FFS RENDERING AGE 0-20 698 2,881 312 645 63 135 116 116
1306976618 OH SAEKYU 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1306979182 ARAGON DAVID CHARLES DDS 2021 FFS RENDERING AGE 0-20 282 3,718 275 1,036 66 145 273 374
1306979182 ARAGON DAVID CHARLES DDS 2021 FFS RENDERING AGE 21+ 283 3,033 168 334 221 683 178 178
1306979638 PARK, JOOYOEL 2021 FFS RENDERING AGE 0-20 158 1,374 99 153 111 360 125 133
1306979638 PARK, JOOYOEL 2021 FFS RENDERING AGE 21+ 337 2,121 53 53 293 1,058 185 185
1306979638 PARK, JOOYOEL 2021 PHP RENDERING AGE 0-20 64 532 44 67 38 120 53 65
1306979638 PARK, JOOYOEL 2021 PHP RENDERING AGE 21+ 94 577 19 20 62 282 67 68
1306982335 VAHEDI SOHEIL 2021 FFS RENDERING AGE 0-20 154 1,312 108 322 51 151 134 140
1306982335 VAHEDI SOHEIL 2021 FFS RENDERING AGE 21+ 488 2,639 112 206 308 1,023 292 292
1306982335 VAHEDI SOHEIL 2021 PHP RENDERING AGE 0-20 1 2 1 2 1 2 1 1
1306982335 VAHEDI SOHEIL 2021 PHP RENDERING AGE 21+ 15 127 1 1 1 2 15 19
1306982483 DOAN TRUNG K 2021 FFS RENDERING AGE 0-20 209 2,015 198 701 111 312 192 252
1306982483 DOAN TRUNG K 2021 FFS RENDERING AGE 21+ 171 1,057 101 201 116 424 119 119
1306982723 ASWANI POOJA 2021 FFS RENDERING AGE 0-20 36 227 27 87 1 2 27 29
1306982723 ASWANI POOJA 2021 FFS RENDERING AGE 21+ 63 233 17 21 35 90 35 35
1306982723 ASWANI POOJA 2021 PHP RENDERING AGE 0-20 55 446 44 156 28 82 44 51
1306982723 ASWANI POOJA 2021 PHP RENDERING AGE 21+ 141 601 58 67 59 225 109 110
1306984596 ABARO RONALD C 2021 FFS RENDERING AGE 0-20 4,212 48,433 3,016 10,090 2,153 8,146 3,751 4,615
1306984596 ABARO RONALD C 2021 FFS RENDERING AGE 21+ 4,873 36,284 1,580 2,781 3,303 13,593 3,572 3,595
1306984596 ABARO RONALD C 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 2 1 1
1306984596 ABARO RONALD C 2021 PHP RENDERING AGE 21+ 1 2 0 0 1 2 1 1
1306986096 NGUYEN-VU, THANH Q, DDS 2021 FFS RENDERING AGE 0-20 35 247 32 57 11 30 35 51
1306986096 NGUYEN-VU, THANH Q, DDS 2021 FFS RENDERING AGE 21+ 86 424 79 79 34 87 82 82
1306987342 FIDEL, JOSE T, DDS 2021 FFS RENDERING AGE 0-20 36 168 28 55 11 22 28 34
1306987342 FIDEL, JOSE T, DDS 2021 FFS RENDERING AGE 21+ 63 261 33 33 37 83 41 41
1306988118 MASSOUMI, SAFOURA, PROF DENT 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1306993050 YELIAZYAN, ARAM, DDS 2021 FFS RENDERING AGE 0-20 53 624 41 192 29 174 45 90
1306993050 YELIAZYAN, ARAM, DDS 2021 FFS RENDERING AGE 21+ 545 8,456 337 1,278 464 5,120 419 838
1306993969 ZHONG BETTY Y 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1306995345 CHEUNG PATRICK H 2021 FFS RENDERING AGE 0-20 129 909 123 302 42 74 112 139
1306995345 CHEUNG PATRICK H 2021 FFS RENDERING AGE 21+ 341 2,268 239 477 156 252 215 215
1316009517 WESTERN DENTAL SERVICES INC 2021 PHP RENDERING AGE 0-20 16 115 1 2 1 1 15 15
1316009517 WESTERN DENTAL SERVICES INC 2021 PHP RENDERING AGE 21+ 35 175 13 27 12 23 31 31
1316009517 WESTERN DENTAL SERVICES, INC. 2021 PHP RENDERING AGE 0-20 16 115 1 2 1 1 15 15
1316009517 WESTERN DENTAL SERVICES, INC. 2021 PHP RENDERING AGE 21+ 35 175 13 27 12 23 31 31
1316009921 WESTERN DENTAL SERVICES INC 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1316009921 WESTERN DENTAL SERVICES, INC. 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1316010309 MARTINEZ, MIGUEL A CHOY, DDS 2021 FFS RENDERING AGE 0-20 124 918 108 115 52 184 89 91
1316010309 MARTINEZ, MIGUEL A CHOY, DDS 2021 FFS RENDERING AGE 21+ 312 2,202 161 161 196 804 199 199
1316014376 HALLER EARL L 2021 FFS RENDERING AGE 0-20 84 113 0 0 27 39 0 0
1316014376 HALLER EARL L 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1316034168 TRUONG, THANH 2021 FFS RENDERING AGE 0-20 313 2,766 271 1,092 195 657 271 322
1316034168 TRUONG, THANH 2021 FFS RENDERING AGE 21+ 657 5,784 374 746 570 3,132 431 444
1316034168 TRUONG, THANH, DDS 2021 FFS RENDERING AGE 0-20 313 2,766 271 1,092 195 657 271 322
1316034168 TRUONG, THANH, DDS 2021 FFS RENDERING AGE 21+ 657 5,784 374 746 570 3,132 431 444
1316035181 SAIDARA KAMRAN R 2021 FFS RENDERING AGE 0-20 226 2,475 207 910 92 270 198 254
1316035181 SAIDARA KAMRAN R 2021 FFS RENDERING AGE 21+ 384 2,484 276 276 190 622 311 311
1316035181 SAIDARA KAMRAN R 2021 PHP RENDERING AGE 0-20 120 1,214 116 543 46 121 117 153
1316035181 SAIDARA KAMRAN R 2021 PHP RENDERING AGE 21+ 153 1,048 137 403 81 259 127 128
1316044019 SIRON JUNE C 2021 FFS RENDERING AGE 0-20 2,068 20,443 1,930 5,626 1,199 4,353 1,928 2,311
1316044019 SIRON JUNE C 2021 FFS RENDERING AGE 21+ 127 200 43 44 28 38 93 93
1316044522 EISNER PEDIATRIC & 2021 PHP RENDERING AGE 21+ 1 1 1 1 1 1 0 0
1316046196 HUDSON ARTHUR LEROY 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1316050099 GUO PEIRONG 2021 FFS RENDERING AGE 0-20 29 179 18 41 19 42 17 17
1316050099 GUO PEIRONG 2021 FFS RENDERING AGE 21+ 17 103 1 2 17 53 0 0
1316054240 MARFATIA RIKIM A 2021 FFS RENDERING AGE 0-20 31 276 22 49 16 36 22 24
1316054240 MARFATIA RIKIM A 2021 FFS RENDERING AGE 21+ 107 645 37 73 68 180 50 50
1316068869 PETROSIAN NARINE 2021 FFS RENDERING AGE 0-20 4,618 41,935 4,232 15,818 2,277 6,066 4,170 5,294
1316073851 HAZRATI-SARSHAR FAYE 2021 FFS RENDERING AGE 0-20 22 145 20 46 1 2 22 22
1316073851 HAZRATI-SARSHAR FAYE 2021 FFS RENDERING AGE 21+ 103 553 41 82 54 253 85 86
1316076672 JOSEPH DAVID B 2021 FFS RENDERING AGE 0-20 168 2,061 144 195 65 200 159 208
1316076672 JOSEPH DAVID B 2021 FFS RENDERING AGE 21+ 525 5,630 294 294 379 1,783 131 131
1316077555 MEKMANEE LALLANA 2021 PHP RENDERING AGE 21+ 1 2 0 0 1 1 0 0
1316078686 LAI, HAI DDS 2021 FFS RENDERING AGE 0-20 630 10,982 606 2,756 273 835 609 852
1316078686 LAI, HAI DDS 2021 FFS RENDERING AGE 21+ 422 4,970 334 675 272 925 365 368
1316079809 DOAN DUC M 2021 FFS RENDERING AGE 0-20 190 1,494 165 438 91 299 174 202
1316079809 DOAN DUC M 2021 FFS RENDERING AGE 21+ 216 1,063 125 125 113 334 182 182
1316079809 DOAN DUC M 2021 PHP RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1316086069 NEI, DICK-CHONG J, DDS 2021 FFS RENDERING AGE 21+ 17 182 1 1 17 67 1 1
1316089584 ROBERT JR RICHARD C 2021 FFS RENDERING AGE 0-20 28 105 0 0 14 80 14 14
1316089584 ROBERT JR RICHARD C 2021 FFS RENDERING AGE 21+ 18 89 0 0 17 82 1 1
1316093727 WESTERN DENTAL SERVICES INC 2021 GMC RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1316093727 WESTERN DENTAL SERVICES, INC. 2021 GMC RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1316095417 SWE, THET DDS 2021 FFS RENDERING AGE 0-20 60 782 59 233 31 116 57 57
1316095417 SWE, THET DDS 2021 FFS RENDERING AGE 21+ 41 286 18 35 29 59 21 21
1316097546 REIHANI, KUROSH H DDS 2021 FFS RENDERING AGE 0-20 40 357 36 144 18 38 38 47
1316097546 REIHANI, KUROSH H DDS 2021 FFS RENDERING AGE 21+ 335 3,023 232 463 213 929 327 329
1316121221 TAM IRENE W 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 1 1 1
1316121221 TAM IRENE W 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1316131980 TREYSTMAN MARK 2021 FFS RENDERING AGE 0-20 50 427 28 89 44 166 29 31
1316131980 TREYSTMAN MARK 2021 FFS RENDERING AGE 21+ 181 2,012 92 181 166 1,059 107 108
1316132673 ZAPANTA CRISTINE 2021 FFS RENDERING AGE 0-20 47 365 30 58 32 135 31 34
1316132673 ZAPANTA CRISTINE 2021 FFS RENDERING AGE 21+ 86 440 24 34 56 176 49 61
1316134893 SHANABO SHAZA 2021 FFS RENDERING AGE 0-20 170 4,415 148 342 152 1,743 159 220
1316134893 SHANABO SHAZA 2021 FFS RENDERING AGE 21+ 222 4,618 111 124 211 2,762 152 156
1316134893 SHANABO SHAZA 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1316134893 SHANABO SHAZA 2021 PHP RENDERING AGE 21+ 1 2 0 0 1 2 1 1
1316137870 MUBARAKA NUJOUD 2021 FFS RENDERING AGE 0-20 34 232 30 74 22 75 22 22
1316137870 MUBARAKA NUJOUD 2021 FFS RENDERING AGE 21+ 83 671 55 55 60 353 55 55
1316141666 AUSKER, YURI, DDS 2021 FFS RENDERING AGE 0-20 29 65 1 1 27 42 1 1
1316141666 AUSKER, YURI, DDS 2021 FFS RENDERING AGE 21+ 540 875 1 2 523 810 1 1
1316149370 MEHTA ASHOKKUMAR S 2021 FFS RENDERING AGE 0-20 422 5,856 387 1,434 250 940 390 553
1316149370 MEHTA ASHOKKUMAR S 2021 FFS RENDERING AGE 21+ 792 6,886 286 418 604 2,799 564 566
1316149370 MEHTA ASHOKKUMAR S 2021 PHP RENDERING AGE 0-20 17 111 14 52 1 1 14 20
1316149370 MEHTA ASHOKKUMAR S 2021 PHP RENDERING AGE 21+ 33 242 11 18 24 116 27 28
1316150964 ABUL-FIELAT, MOHAMMAD, DDS I 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1316150964 MOHAMMAD A FIELAT DDS INC 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1316156839 MOORE-PIMENTAL, CAROLINE DMD 2021 FFS RENDERING AGE 0-20 73 532 63 98 37 143 65 72
1316156839 MOORE-PIMENTAL, CAROLINE DMD 2021 FFS RENDERING AGE 21+ 125 840 95 101 76 248 95 95
1316159130 TRAN, KRISTINE NGA HOANG DMD 2021 FFS RENDERING AGE 0-20 135 1,826 126 643 34 86 126 167
1316159130 TRAN, KRISTINE NGA HOANG DMD 2021 FFS RENDERING AGE 21+ 500 4,325 276 278 451 2,227 360 360
1316176639 CHOI CHRISTOPHER C 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1316181969 LAI CHRISTOPHER T 2021 FFS RENDERING AGE 0-20 168 248 0 0 34 72 0 0
1316181969 LAI CHRISTOPHER T 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1316186562 MAROON-LOPEZ, CARMEN DENISE, 2021 FFS RENDERING AGE 0-20 53 524 40 52 26 98 53 61
1316186562 MAROON-LOPEZ, CARMEN DENISE, 2021 FFS RENDERING AGE 21+ 352 2,763 99 99 240 1,077 287 287
1316188030 PHAM MARY R 2021 FFS RENDERING AGE 0-20 1,977 16,014 1,404 4,089 1,495 3,040 1,248 1,334
1316188030 PHAM MARY R 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 1 0 0
1316193154 KAZEMINY MARCY 2021 FFS RENDERING AGE 0-20 594 11,055 538 2,004 327 1,333 530 680
1316193154 KAZEMINY MARCY 2021 FFS RENDERING AGE 21+ 728 14,150 554 1,042 635 2,566 567 567
1316226335 KANG, PEGGY Y 2021 FFS RENDERING AGE 0-20 628 10,395 577 2,546 450 1,970 564 747
1316226335 KANG, PEGGY Y 2021 FFS RENDERING AGE 21+ 239 2,510 143 282 146 608 163 163
1316226335 KANG, PEGGY Y 2021 PHP RENDERING AGE 0-20 44 387 38 143 20 41 37 51
1316226335 KANG, PEGGY Y 2021 PHP RENDERING AGE 21+ 44 257 15 23 17 53 29 30
1316241367 ASLANI ASHKAN 2021 FFS RENDERING AGE 0-20 5,558 66,517 4,857 17,503 3,570 12,262 4,822 5,728
1316241367 ASLANI ASHKAN 2021 FFS RENDERING AGE 21+ 30 223 12 23 24 83 15 15
1316253669 BHANDARI, MANRAJ DDS 2021 FFS RENDERING AGE 0-20 50 348 42 86 1 2 43 43
1316253669 BHANDARI, MANRAJ DDS 2021 FFS RENDERING AGE 21+ 14 54 1 1 1 2 1 1
1316254121 BAINS BALJOT 2021 FFS RENDERING AGE 0-20 50 351 44 122 28 31 38 38
1316257371 CHUANG REX G 2021 FFS RENDERING AGE 0-20 796 11,454 780 3,516 431 1,190 776 1,284
1316274111 TSAI, COLLIN G DDS 2021 FFS RENDERING AGE 0-20 2,554 7,815 1 1 897 2,684 1 1
1316274111 TSAI, COLLIN G DDS 2021 FFS RENDERING AGE 21+ 109 187 0 0 32 32 0 0
1316274111 TSAI, COLLIN G DDS 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1316274111 TSAI, COLLIN G DDS 2021 PHP RENDERING AGE 0-20 16 85 0 0 14 75 1 1
1316274111 TSAI, COLLIN G DDS 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1316274749 SAADATMANDI MAHTAB 2021 FFS RENDERING AGE 0-20 29 151 16 30 1 2 20 20
1316274749 SAADATMANDI MAHTAB 2021 FFS RENDERING AGE 21+ 93 292 12 15 41 86 43 43
1316275407 NGUYEN MIRNA 2021 FFS RENDERING AGE 0-20 1 2 0 0 1 2 0 0
1316275407 NGUYEN MIRNA 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1316280076 LANE KACY R 2021 FFS RENDERING AGE 0-20 1,482 24,965 1,391 6,587 1,039 2,978 1,413 1,974
1316280076 LANE KACY R 2021 FFS RENDERING AGE 21+ 1 2 1 1 0 0 1 1
1316280076 LANE KACY R 2021 GMC RENDERING AGE 0-20 1 2 1 2 1 2 1 1
1316282981 ARNOUK REEMA M 2021 FFS RENDERING AGE 0-20 88 527 32 89 37 101 62 65
1316282981 ARNOUK REEMA M 2021 FFS RENDERING AGE 21+ 264 1,376 45 76 137 271 142 142
1316294515 CHO MARTIN P 2021 FFS RENDERING AGE 0-20 126 997 89 205 70 273 91 110
1316294515 CHO MARTIN P 2021 FFS RENDERING AGE 21+ 214 1,314 61 81 153 618 122 122
1316295322 KESCHANI ANAHITA 2021 FFS RENDERING AGE 0-20 507 4,136 300 1,088 250 707 314 314
1316295322 KESCHANI ANAHITA 2021 FFS RENDERING AGE 21+ 807 3,336 85 166 544 1,460 309 313
1316295322 KESCHANI ANAHITA 2021 PHP RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1316295322 KESCHANI ANAHITA 2021 PHP RENDERING AGE 21+ 50 175 11 24 30 77 25 25
1316305048 LEE SUNG K 2021 FFS RENDERING AGE 0-20 35 120 25 58 1 1 32 33
1316305048 LEE SUNG K 2021 FFS RENDERING AGE 21+ 71 306 46 86 35 109 54 54
1316313778 YU, ZHICHUN, DMD 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 2 1 2
1316313778 YU, ZHICHUN, DMD 2021 FFS RENDERING AGE 21+ 55 306 39 75 28 102 47 47
1316314263 HAMRAZ LEILA 2021 FFS RENDERING AGE 0-20 356 1,919 271 766 101 269 253 275
1316314263 HAMRAZ LEILA 2021 FFS RENDERING AGE 21+ 865 3,183 194 345 382 1,208 621 623
1316320336 MODY RAKHEE P 2021 FFS RENDERING AGE 0-20 2,449 21,189 2,022 6,212 1,690 3,087 1,844 2,108
1316329436 LAM ANDREW M 2021 FFS RENDERING AGE 0-20 557 3,825 431 1,307 464 1,144 230 239
1316340342 BAYAT, SHAYAN M, DDS INC 2021 FFS RENDERING AGE 21+ 1 2 1 1 0 0 0 0
1316348972 KIRBY STEVEN A 2021 FFS RENDERING AGE 0-20 526 5,274 491 1,957 358 1,048 505 759
1316348972 KIRBY STEVEN A 2021 FFS RENDERING AGE 21+ 1 2 1 1 0 0 1 1
1316394257 SALEM ROXANA A 2021 FFS RENDERING AGE 0-20 140 1,393 138 471 43 95 134 175
1316394257 SALEM ROXANA A 2021 FFS RENDERING AGE 21+ 150 971 114 220 87 302 124 124
1316402027 GEBRAIL SARAH 2021 FFS RENDERING AGE 0-20 1,437 9,013 696 1,790 1,301 6,042 258 258
1316402027 GEBRAIL SARAH 2021 FFS RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1316419351 FOUAD MINA 2021 FFS RENDERING AGE 0-20 4,632 43,327 3,539 10,707 3,001 8,958 3,569 3,985
1316419351 FOUAD MINA 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1316433758 PARHIZKAR REZA 2021 FFS RENDERING AGE 0-20 55 431 39 85 21 54 40 40
1316433758 PARHIZKAR REZA 2021 FFS RENDERING AGE 21+ 131 733 50 87 90 219 64 64
1316441306 PARTI DENTAL CORPORATION 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1316454986 OH, SAEKYU, DMD DENTAL CORP 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1316454986 SAEKYU OH DMD DENTAL CORP 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1316469844 ALDABE ALI M 2021 FFS RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1316469844 ALDABE ALI M 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1316471741 NGUYEN CHRISTIAN Q 2021 FFS RENDERING AGE 0-20 68 413 29 59 54 213 35 35
1316471741 NGUYEN CHRISTIAN Q 2021 FFS RENDERING AGE 21+ 120 660 53 104 93 321 57 57
1316476922 MCGIVERN SEAN D 2021 PHP RENDERING AGE 0-20 22 194 17 80 22 39 17 17
1316476922 MCGIVERN SEAN D 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1316490519 JAHANBAKHSH ARASH 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1316490519 JAHANBAKHSH ARASH 2021 FFS RENDERING AGE 21+ 36 41 0 0 36 41 0 0
1316490519 JAHANBAKHSH ARASH 2021 PHP RENDERING AGE 0-20 58 129 0 0 55 115 0 0
1316490519 JAHANBAKHSH ARASH 2021 PHP RENDERING AGE 21+ 166 367 0 0 157 336 1 1
1316519440 HASOON GHADAH S 2021 FFS RENDERING AGE 0-20 306 1,473 202 488 117 232 180 180
1316519440 HASOON GHADAH S 2021 FFS RENDERING AGE 21+ 182 579 41 74 105 203 57 57
1316535065 WONG, MELANIE, RDHAP 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1316542798 ESFANDI NAVID 2021 FFS RENDERING AGE 0-20 27 131 1 2 17 48 17 17
1316542798 ESFANDI NAVID 2021 FFS RENDERING AGE 21+ 49 223 1 2 38 132 18 18
1316555261 STITZINGER RYAN A 2021 FFS RENDERING AGE 0-20 299 1,684 264 740 102 209 291 317
1316555261 STITZINGER RYAN A 2021 FFS RENDERING AGE 21+ 613 2,929 252 253 419 1,421 462 462
1316911662 AHMAD MAHMOUD A 2021 FFS RENDERING AGE 0-20 480 3,804 371 999 154 618 376 436
1316911662 AHMAD MAHMOUD A 2021 FFS RENDERING AGE 21+ 807 4,412 139 273 525 2,019 528 534
1316914518 NGUYEN SUSAN T 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 2 1 1
1316915382 EFTEKHARI ABBAS 2021 FFS RENDERING AGE 0-20 488 7,799 461 1,963 340 1,159 433 601
1316915382 EFTEKHARI ABBAS 2021 FFS RENDERING AGE 21+ 386 2,294 157 311 256 986 289 289
1316949902 WRIGHT JR RAYMOND L 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 1 1
1316949902 WRIGHT JR RAYMOND L 2021 FFS RENDERING AGE 21+ 16 24 0 0 1 1 1 1
1316949902 WRIGHT JR RAYMOND L 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1326034521 SANTOYO, KEITH MD 2021 FFS RENDERING AGE 0-20 63 142 0 0 63 142 0 0
1326067489 AHN, SUNG MIN 2021 FFS RENDERING AGE 0-20 229 2,711 187 653 129 430 210 235
1326067489 AHN, SUNG MIN 2021 FFS RENDERING AGE 21+ 571 4,686 221 451 419 1,750 442 458
1326069451 GITTINGS III, SAMUEL E, DDS 2021 FFS RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1326073958 PANDYA SUNEN G 2021 FFS RENDERING AGE 0-20 154 1,871 125 502 59 206 140 177
1326073958 PANDYA SUNEN G 2021 FFS RENDERING AGE 21+ 367 2,976 148 297 165 636 312 314
1326082363 FLEMING KEVIN L 2021 FFS RENDERING AGE 0-20 1,876 32,970 1,789 5,844 742 2,035 1,789 2,888
1326082363 FLEMING KEVIN L 2021 FFS RENDERING AGE 21+ 14 124 1 2 1 2 1 1
1326082363 FLEMING, KEVIN, DDS 2021 FFS RENDERING AGE 0-20 1,876 32,970 1,789 5,844 742 2,035 1,789 2,888
1326082363 FLEMING, KEVIN, DDS 2021 FFS RENDERING AGE 21+ 14 124 1 2 1 2 1 1
1326103359 NOLAN, DANIEL G, DDS 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1326103474 MALDONADO CHRISTINA M 2021 FFS RENDERING AGE 0-20 172 3,663 100 305 171 1,927 47 49
1326105461 JONES, MICHAEL R 2021 FFS RENDERING AGE 0-20 511 3,192 500 1,897 136 308 497 592
1326105461 JONES, MICHAEL R 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1326109646 WESTERN DENTAL SERVICES INC 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1326109646 WESTERN DENTAL SERVICES, INC. 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1326117763 TSURUDOME TIFFANY L 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1326119892 DUONG, THONG M, DDS 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 2 1 1
1326119892 DUONG, THONG M, DDS 2021 FFS RENDERING AGE 21+ 26 117 18 35 15 40 21 21
1326131210 GAERLAN LOURDES R 2021 FFS RENDERING AGE 0-20 149 892 142 327 39 59 140 169
1326131210 GAERLAN LOURDES R 2021 FFS RENDERING AGE 21+ 39 202 26 29 22 49 26 26
1326133141 NGUYEN HOANG T 2021 FFS RENDERING AGE 0-20 304 3,383 285 403 152 560 215 276
1326133141 NGUYEN HOANG T 2021 FFS RENDERING AGE 21+ 101 783 79 79 58 244 78 78
1326147117 AKHONDZADEH VIOLET 2021 FFS RENDERING AGE 0-20 21 174 20 64 1 2 20 26
1326147117 AKHONDZADEH VIOLET 2021 FFS RENDERING AGE 21+ 31 236 15 23 23 127 23 23
1326149568 RICE MICHAEL B 2021 GMC RENDERING AGE 0-20 361 1,717 185 416 121 184 242 259
1326149568 RICE MICHAEL B 2021 GMC RENDERING AGE 21+ 755 3,650 249 497 455 1,036 424 424
1326151218 GOCHEZ, JAIME M, DDS 2021 FFS RENDERING AGE 0-20 174 1,875 125 424 77 202 147 177
1326151218 GOCHEZ, JAIME M, DDS 2021 FFS RENDERING AGE 21+ 258 1,646 55 61 190 648 154 154
1326151218 GOCHEZ, JAIME M, DDS 2021 PHP RENDERING AGE 0-20 149 1,092 134 449 54 128 133 156
1326151218 GOCHEZ, JAIME M, DDS 2021 PHP RENDERING AGE 21+ 103 526 67 107 66 203 66 67
1326151606 PHAN NANCY D 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1326160250 LOTFY, LILIAN 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 2 1 2
1326160250 LOTFY, LILIAN 2021 FFS RENDERING AGE 21+ 44 591 23 44 36 320 24 24
1326160250 LOTFY, LILIAN 2021 PHP RENDERING AGE 0-20 1 2 1 2 1 2 1 1
1326160250 LOTFY, LILIAN 2021 PHP RENDERING AGE 21+ 1 2 0 0 1 1 1 1
1326161183 MAUNG MAUNG 2021 FFS RENDERING AGE 0-20 80 490 54 102 31 75 51 53
1326161183 MAUNG MAUNG 2021 FFS RENDERING AGE 21+ 90 548 37 37 49 96 52 52
1326166901 CHOI, KYUNG H, DDS SHEN LING 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1326166984 NORDEEN JEANINE E 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1326166984 NORDEEN JEANINE E 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1326168444 NOURI, ABBAS, DDS 2021 FFS RENDERING AGE 0-20 39 266 35 180 1 1 27 27
1326168444 NOURI, ABBAS, DDS 2021 FFS RENDERING AGE 21+ 142 613 89 182 44 141 111 112
1326174236 BEHJOU, SHAHRIYAR DDS, MSC 2021 FFS RENDERING AGE 0-20 272 2,576 251 1,067 134 479 246 308
1326174236 BEHJOU, SHAHRIYAR DDS, MSC 2021 FFS RENDERING AGE 21+ 304 1,987 177 325 221 875 214 220
1326174236 BEHJOU, SHAHRIYAR DDS, MSC 2021 PHP RENDERING AGE 0-20 69 720 68 367 25 70 66 80
1326174236 BEHJOU, SHAHRIYAR DDS, MSC 2021 PHP RENDERING AGE 21+ 74 575 58 142 41 149 66 76
1326174970 ROSALES, VICTOR M, DDS 2021 FFS RENDERING AGE 0-20 59 417 49 102 24 75 44 52
1326174970 ROSALES, VICTOR M, DDS 2021 FFS RENDERING AGE 21+ 141 731 109 182 57 189 96 96
1326183682 CASTRO JAIRO 2021 FFS RENDERING AGE 0-20 178 1,785 146 400 81 256 173 205
1326183682 CASTRO JAIRO 2021 FFS RENDERING AGE 21+ 477 4,519 263 524 383 1,920 352 353
1326189416 SHOKER, DEVINDER S, DDS INC. 2021 FFS RENDERING AGE 0-20 183 966 118 247 76 171 118 119
1326189416 SHOKER, DEVINDER S, DDS INC. 2021 FFS RENDERING AGE 21+ 1,237 6,577 295 304 891 2,500 522 523
1326190620 RAMOS SR, JOHN FERNANDO DDS 2021 FFS RENDERING AGE 0-20 127 2,780 119 450 79 695 124 178
1326190620 RAMOS SR, JOHN FERNANDO DDS 2021 FFS RENDERING AGE 21+ 154 2,751 127 247 119 1,202 131 131
1326193681 HENNEBERRY JOSEPH PAUL 2021 GMC RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1326194721 WESTERN DENTAL SERVICES INC 2021 PHP RENDERING AGE 0-20 33 309 23 90 1 2 32 32
1326194721 WESTERN DENTAL SERVICES INC 2021 PHP RENDERING AGE 21+ 34 108 1 1 12 14 24 24
1326194721 WESTERN DENTAL SERVICES, INC. 2021 PHP RENDERING AGE 0-20 33 309 23 90 1 2 32 32
1326194721 WESTERN DENTAL SERVICES, INC. 2021 PHP RENDERING AGE 21+ 34 108 1 1 12 14 24 24
1326195561 MARTINEZ ALFONSO E 2021 FFS RENDERING AGE 0-20 16 122 1 2 1 2 1 1
1326195561 MARTINEZ ALFONSO E 2021 FFS RENDERING AGE 21+ 32 178 18 30 18 53 16 16
1326203571 MOBILIA ADRIAN 2021 FFS RENDERING AGE 0-20 78 633 68 221 32 88 66 82
1326203571 MOBILIA ADRIAN 2021 FFS RENDERING AGE 21+ 177 1,235 50 87 149 608 107 113
1326206533 MOHSENZADEH MARYAM 2021 FFS RENDERING AGE 0-20 638 3,813 515 1,200 205 341 506 532
1326206533 MOHSENZADEH MARYAM 2021 FFS RENDERING AGE 21+ 11 51 1 2 1 1 1 1
1326206608 KURIKI, GERALDINE YEE-JING 2021 FFS RENDERING AGE 0-20 1,506 14,174 1,402 4,556 1,066 3,403 1,376 1,601
1326206608 KURIKI, GERALDINE YEE-JING 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1326211871 DE JESUS, ROLANDO DDS 2021 FFS RENDERING AGE 0-20 469 4,705 447 1,524 221 637 451 640
1326211871 DE JESUS, ROLANDO DDS 2021 FFS RENDERING AGE 21+ 415 3,988 299 589 309 1,079 322 322
1326221615 FIROUZBAKHT MEHRZAD 2021 FFS RENDERING AGE 0-20 44 233 24 27 25 57 39 41
1326221615 FIROUZBAKHT MEHRZAD 2021 FFS RENDERING AGE 21+ 241 1,316 31 31 152 562 171 171
1326221615 FIROUZBAKHT MEHRZAD 2021 PHP RENDERING AGE 0-20 11 50 1 1 1 2 1 1
1326221615 FIROUZBAKHT MEHRZAD 2021 PHP RENDERING AGE 21+ 14 78 0 0 1 2 12 13
1326224924 SEKHON GURSIMRAT K 2021 FFS RENDERING AGE 0-20 75 416 49 148 34 81 45 50
1326224924 SEKHON GURSIMRAT K 2021 FFS RENDERING AGE 21+ 180 610 14 14 139 378 52 52
1326226440 MEDELLIN, JOE, DDS 2021 FFS RENDERING AGE 0-20 121 1,162 107 339 60 294 102 133
1326226440 MEDELLIN, JOE, DDS 2021 FFS RENDERING AGE 21+ 145 1,039 87 164 100 496 104 104
1326229907 ADOURIAN EDWARD A 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1326234659 KIESSELBACH AMY M 2021 GMC RENDERING AGE 21+ 1 2 0 0 1 2 0 0
1326236290 URRUTIA ALCIRA 2021 FFS RENDERING AGE 0-20 14 103 13 55 1 2 11 11
1326236290 URRUTIA ALCIRA 2021 FFS RENDERING AGE 21+ 13 103 1 1 12 67 1 1
1326237496 SNIPES DANIEL T 2021 FFS RENDERING AGE 0-20 1,226 19,123 1,116 4,566 869 3,263 1,141 1,606
1326237496 SNIPES DANIEL T 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1326239773 DERMAWAN JASMINE L 2021 GMC RENDERING AGE 0-20 285 1,357 130 405 72 89 131 131
1326244500 PACE DAVID H 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1326244500 PACE DAVID H 2021 FFS RENDERING AGE 21+ 15 114 1 1 11 62 1 1
1326245671 HO, STANLEY DDS 2021 FFS RENDERING AGE 0-20 30 229 17 43 20 44 19 19
1326245671 HO, STANLEY DDS 2021 FFS RENDERING AGE 21+ 51 465 27 58 36 103 30 30
1326247396 DEHKORDI KAMIAR H 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1326247396 DEHKORDI KAMIAR H 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1326249822 CHANG MAXIMILIAN Y 2021 FFS RENDERING AGE 0-20 457 4,295 390 1,018 183 475 380 444
1326249822 CHANG MAXIMILIAN Y 2021 FFS RENDERING AGE 21+ 424 3,093 207 414 305 981 270 272
1326254400 ANGUIANO, ARMANDO Q DDS 2021 FFS RENDERING AGE 0-20 517 3,754 434 1,207 300 798 461 627
1326254400 ANGUIANO, ARMANDO Q DDS 2021 FFS RENDERING AGE 21+ 477 4,615 118 234 418 1,792 301 304
1326255316 FOROUTAN, JOHN, DDS INC 2021 PHP RENDERING AGE 0-20 73 476 69 187 20 31 71 71
1326255316 FOROUTAN, JOHN, DDS INC 2021 PHP RENDERING AGE 21+ 34 119 1 2 11 24 30 30
1326258708 VASA JITENDRA M 2021 FFS RENDERING AGE 0-20 66 670 47 146 36 116 53 58
1326258708 VASA JITENDRA M 2021 FFS RENDERING AGE 21+ 125 1,360 31 62 95 408 84 85
1326258708 VASA JITENDRA M 2021 PHP RENDERING AGE 0-20 237 2,239 177 801 123 349 202 222
1326258708 VASA JITENDRA M 2021 PHP RENDERING AGE 21+ 265 2,907 115 285 199 1,020 188 199
1326260597 HOMAYUN MICHAEL 2021 FFS RENDERING AGE 0-20 58 188 1 2 34 73 25 27
1326260597 HOMAYUN MICHAEL 2021 FFS RENDERING AGE 21+ 517 2,369 25 38 337 1,317 245 245
1326261470 LOZANO, IVAN R, DDS 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1326261470 LOZANO, IVAN R, DDS 2021 FFS RENDERING AGE 21+ 14 104 11 11 13 47 1 1
1326262544 VELLOZE MARY J 2021 FFS RENDERING AGE 0-20 96 1,047 65 218 49 129 71 79
1326262544 VELLOZE MARY J 2021 FFS RENDERING AGE 21+ 174 1,395 57 113 135 447 75 75
1326271297 KIM JOSEPH C 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1326271297 KIM JOSEPH C 2021 PHP RENDERING AGE 0-20 11 24 0 0 11 20 1 1
1326271297 KIM JOSEPH C 2021 PHP RENDERING AGE 21+ 178 351 0 0 119 159 120 125
1326282377 TON HUYEN-NGA N 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1326282377 TON HUYEN-NGA N 2021 FFS RENDERING AGE 21+ 16 92 1 2 1 2 11 11
1326294125 FARSHIDPOUR MARY M 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1326294125 FARSHIDPOUR MARY M 2021 FFS RENDERING AGE 21+ 25 103 1 1 1 2 22 22
1326299066 LEE SUNG H 2021 FFS RENDERING AGE 0-20 98 717 84 208 43 116 91 113
1326299066 LEE SUNG H 2021 FFS RENDERING AGE 21+ 256 1,484 141 274 136 424 205 205
1326309329 MARY REGINA PHAM DDS MS ADC 2021 FFS RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1326319534 HAZANY SUSAN 2021 FFS RENDERING AGE 0-20 124 961 89 193 41 73 98 106
1326319534 HAZANY SUSAN 2021 FFS RENDERING AGE 21+ 256 1,458 48 94 139 264 133 133
1326319534 HAZANY SUSAN 2021 PHP RENDERING AGE 0-20 1 2 1 1 0 0 1 1
1326319534 HAZANY SUSAN 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1326321647 LUONG VIVIAN Q 2021 FFS RENDERING AGE 0-20 77 167 0 0 1 1 0 0
1326321647 LUONG VIVIAN Q 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1326350851 AFZALI, PAYAM MD 2021 FFS RENDERING AGE 0-20 426 1,460 0 0 415 1,437 1 1
1326350851 AFZALI, PAYAM MD 2021 FFS RENDERING AGE 21+ 1,915 4,348 0 0 1,903 4,274 1 1
1326350851 AFZALI, PAYAM MD 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1326354994 HANS CANDY 2021 FFS RENDERING AGE 0-20 123 809 87 221 71 147 90 101
1326354994 HANS CANDY 2021 FFS RENDERING AGE 21+ 157 733 55 108 105 249 78 78
1326355991 HA ANH T 2021 GMC RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1326358847 HABIBZADEH MOHAMMAD 2021 FFS RENDERING AGE 0-20 3,458 26,303 2,875 8,929 1,766 5,537 2,731 2,937
1326358847 HABIBZADEH MOHAMMAD 2021 FFS RENDERING AGE 21+ 1 1 1 1 1 1 0 0
1326367384 CALAPIS, YSABEL, RDHAP 2021 FFS RENDERING AGE 21+ 77 321 60 71 77 250 0 0
1326391871 NGUYEN STEVEN J 2021 FFS RENDERING AGE 0-20 53 466 47 147 17 65 46 54
1326391871 NGUYEN STEVEN J 2021 FFS RENDERING AGE 21+ 121 796 79 153 77 255 91 91
1326418930 SERKIN PAULINE M 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1326418930 SERKIN PAULINE M 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1326424136 HUGHES GRACE 2021 FFS RENDERING AGE 0-20 116 183 0 0 24 58 0 0
1326424136 HUGHES GRACE 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1326425380 D AND A LEE DDS INC 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1326426040 MURILLO ESTELA 2021 FFS RENDERING AGE 0-20 114 909 71 259 81 273 98 111
1326426040 MURILLO ESTELA 2021 FFS RENDERING AGE 21+ 303 2,134 30 40 254 1,297 184 186
1326437666 DAVID PARK DENTAL CORP 2021 GMC RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1326437666 DAVID PARK DENTAL CORP 2021 GMC RENDERING AGE 21+ 11 32 1 1 1 1 1 1
1326446774 NGUYEN SHAELEE THUY L 2021 FFS RENDERING AGE 0-20 88 853 80 185 31 95 73 84
1326446774 NGUYEN SHAELEE THUY L 2021 FFS RENDERING AGE 21+ 151 1,774 120 236 88 435 117 117
1326449984 ALKORDY HAMZAH T 2021 GMC RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1326462573 LIU DENISE G 2021 FFS RENDERING AGE 0-20 402 3,100 352 895 255 401 321 322
1326462573 LIU DENISE G 2021 FFS RENDERING AGE 21+ 392 2,413 201 403 257 1,039 223 225
1326462573 LIU DENISE G 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1326462573 LIU DENISE G 2021 PHP RENDERING AGE 21+ 1 2 0 0 1 1 1 1
1326463126 VERGARA EDEGAR 2021 FFS RENDERING AGE 0-20 159 1,438 131 488 71 190 134 172
1326463126 VERGARA EDEGAR 2021 FFS RENDERING AGE 21+ 504 3,868 309 647 390 1,321 330 333
1326503962 BASTIEN CABRERA GUSTAVO C 2021 FFS RENDERING AGE 0-20 409 632 20 31 394 595 0 0
1326503962 BASTIEN CABRERA GUSTAVO C 2021 FFS RENDERING AGE 21+ 1,400 2,592 22 22 1,383 2,550 1 1
1326520735 NGUYEN TRUMAN K 2021 FFS RENDERING AGE 0-20 262 2,522 185 501 136 374 183 186
1326520735 NGUYEN TRUMAN K 2021 FFS RENDERING AGE 21+ 169 1,074 51 72 112 283 65 65
1326524364 NGUYEN PATRICIA T 2021 FFS RENDERING AGE 0-20 25 70 12 24 1 2 20 22
1326524364 NGUYEN PATRICIA T 2021 FFS RENDERING AGE 21+ 157 523 38 67 85 225 107 107
1326535949 KANG HAEJIN 2021 FFS RENDERING AGE 0-20 278 3,099 233 714 214 986 240 267
1326535949 KANG HAEJIN 2021 FFS RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1326535949 KANG HAEJIN 2021 PHP RENDERING AGE 0-20 29 276 23 58 29 147 1 1
1326541996 NGUYEN CATHERINE N 2021 FFS RENDERING AGE 0-20 33 326 31 66 1 1 30 30
1326541996 NGUYEN CATHERINE N 2021 FFS RENDERING AGE 21+ 16 53 1 1 13 24 1 1
1326562752 VARGAS FERNANDO LOPEZ 2021 GMC RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1326576745 KING KAREN J 2021 FFS RENDERING AGE 0-20 382 3,298 328 1,115 208 1,002 303 303
1326576745 KING KAREN J 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 1 1 1
1326584582 LE, STEVEN HAN, DMD 2021 FFS RENDERING AGE 0-20 64 630 55 136 13 39 60 67
1326584582 LE, STEVEN HAN, DMD 2021 FFS RENDERING AGE 21+ 173 1,574 122 241 48 119 173 173
1326590217 ZAGHI NATHAN 2021 FFS RENDERING AGE 0-20 333 4,147 288 1,089 160 446 299 373
1326590217 ZAGHI NATHAN 2021 FFS RENDERING AGE 21+ 383 3,949 237 468 268 995 269 269
1326590217 ZAGHI NATHAN 2021 PHP RENDERING AGE 0-20 128 694 55 196 73 151 63 63
1326590217 ZAGHI NATHAN 2021 PHP RENDERING AGE 21+ 114 434 1 1 68 131 20 20
1326591223 ISSAC SAIF 2021 FFS RENDERING AGE 21+ 30 73 0 0 17 29 15 15
1326591389 HERNANDEZ INFAN ILIANA 2021 FFS RENDERING AGE 0-20 303 1,821 246 819 102 211 243 258
1326591389 HERNANDEZ INFAN ILIANA 2021 FFS RENDERING AGE 21+ 300 1,675 164 295 208 747 228 231
1326601667 NNODIM SANDRA O 2021 FFS RENDERING AGE 0-20 158 639 120 279 54 106 61 61
1326601667 NNODIM SANDRA O 2021 FFS RENDERING AGE 21+ 241 693 62 97 131 359 75 75
1326601667 NNODIM SANDRA O 2021 PHP RENDERING AGE 0-20 1 2 1 2 1 2 1 1
1326601667 NNODIM SANDRA O 2021 PHP RENDERING AGE 21+ 16 47 1 1 13 27 1 1
1326639287 PATEL NILESH G 2021 FFS RENDERING AGE 0-20 57 222 22 57 23 73 32 33
1326639287 PATEL NILESH G 2021 FFS RENDERING AGE 21+ 205 593 1 2 109 256 118 118
1326639287 PATEL NILESH G 2021 GMC RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1326658519 PHAM DERIK Q 2021 FFS RENDERING AGE 21+ 11 39 1 1 1 2 1 1
1326667171 EL JANDALI EL R ZENA A 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1326684499 MINASSIAN SIUNEH 2021 FFS RENDERING AGE 0-20 557 5,531 469 1,600 257 635 460 464
1326684499 MINASSIAN SIUNEH 2021 FFS RENDERING AGE 21+ 170 1,442 116 226 76 149 121 121
1326685785 SOLANO JR CESAR A 2021 FFS RENDERING AGE 0-20 138 794 44 127 69 327 80 81
1326685785 SOLANO JR CESAR A 2021 FFS RENDERING AGE 21+ 314 1,354 22 37 184 711 170 170
1326696055 EFTEKHARI ZOHREH 2021 FFS RENDERING AGE 0-20 2,603 24,611 1,811 5,386 1,801 5,018 1,830 1,947
1326696055 EFTEKHARI ZOHREH 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1326696055 EFTEKHARI ZOHREH 2021 GMC RENDERING AGE 0-20 1 1 0 0 0 0 1 1
1326697699 BOTTONI JEANINE A 2021 FFS RENDERING AGE 0-20 561 5,283 396 1,254 360 1,172 412 475
1326697699 BOTTONI JEANINE A 2021 FFS RENDERING AGE 21+ 556 3,000 180 317 434 1,548 310 311
1336103431 TRAN, MICHAEL, DMD 2021 FFS RENDERING AGE 0-20 32 267 28 63 20 118 28 38
1336103431 TRAN, MICHAEL, DMD 2021 FFS RENDERING AGE 21+ 72 467 35 35 49 291 45 45
1336125913 VERNY TIMOTHY D 2021 FFS RENDERING AGE 0-20 561 4,115 372 1,556 120 341 489 494
1336125913 VERNY TIMOTHY D 2021 FFS RENDERING AGE 21+ 208 890 100 189 44 103 175 175
1336125913 VERNY TIMOTHY D 2021 PHP RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1336127257 NOURANIFAR-SIMO RASHIN 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1336146976 KARNA HARRY A 2021 FFS RENDERING AGE 0-20 119 725 88 125 36 77 103 121
1336146976 KARNA HARRY A 2021 FFS RENDERING AGE 21+ 222 1,040 31 31 124 312 175 175
1336169085 COHEN STEVEN L 2021 FFS RENDERING AGE 0-20 136 172 0 0 72 89 0 0
1336169085 COHEN STEVEN L 2021 GMC RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1336169085 COHEN STEVEN L 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1336186618 DE LA OSA DDS INC 2021 FFS RENDERING AGE 0-20 189 1,500 133 320 88 351 141 145
1336186618 DE LA OSA DDS INC 2021 FFS RENDERING AGE 21+ 505 3,462 201 381 349 1,584 356 356
1336200237 FRANCO, PACITA DDS 2021 FFS RENDERING AGE 0-20 159 1,230 135 424 49 188 145 157
1336200237 FRANCO, PACITA DDS 2021 FFS RENDERING AGE 21+ 213 1,315 93 163 125 376 156 156
1336200237 FRANCO, PACITA DDS 2021 PHP RENDERING AGE 0-20 89 495 71 178 27 49 75 85
1336200237 FRANCO, PACITA DDS 2021 PHP RENDERING AGE 21+ 112 510 37 59 78 266 61 62
1336200468 MARCOS FATEN KAMAL G 2021 FFS RENDERING AGE 0-20 21 154 13 40 1 2 15 17
1336200468 MARCOS FATEN KAMAL G 2021 FFS RENDERING AGE 21+ 35 119 11 18 13 26 17 17
1336200468 MARCOS FATEN KAMAL G 2021 PHP RENDERING AGE 0-20 1 1 0 0 0 0 1 1
1336200468 MARCOS FATEN KAMAL G 2021 PHP RENDERING AGE 21+ 1 1 1 1 1 1 0 0
1336200963 SEMRIEN ZIAD M 2021 FFS RENDERING AGE 0-20 98 942 85 231 61 219 84 90
1336200963 SEMRIEN ZIAD M 2021 FFS RENDERING AGE 21+ 223 1,654 131 204 150 558 169 169
1336201326 TRAN VU G 2021 FFS RENDERING AGE 0-20 125 1,174 119 347 47 140 113 154
1336201326 TRAN VU G 2021 FFS RENDERING AGE 21+ 161 860 122 171 71 249 142 142
1336203421 FIOL, MIGUEL I, DDS 2021 FFS RENDERING AGE 0-20 32 593 31 88 19 138 29 43
1336203421 FIOL, MIGUEL I, DDS 2021 FFS RENDERING AGE 21+ 30 426 27 28 25 200 27 27
1336204866 REDOBLADO, RONALD, DDS 2021 PHP RENDERING AGE 0-20 20 101 13 24 1 2 1 1
1336204866 REDOBLADO, RONALD, DDS 2021 PHP RENDERING AGE 21+ 58 313 27 29 41 130 36 36
1336207646 HASHEM AYMAN A 2021 FFS RENDERING AGE 0-20 915 8,636 733 2,853 315 820 867 955
1336207646 HASHEM AYMAN A 2021 FFS RENDERING AGE 21+ 838 4,612 374 750 332 1,199 660 660
1336207646 HASHEM AYMAN A 2021 GMC RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1336207646 HASHEM AYMAN A 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1336209212 KWON, JIN O, DDS 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1336209212 KWON, JIN O, DDS 2021 FFS RENDERING AGE 21+ 174 786 81 160 78 203 148 152
1336209212 KWON, JIN O, DDS 2021 GMC RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1336209212 KWON, JIN O, DDS 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 2 1 1
1336209212 KWON, JIN O, DDS 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1336211309 MEDINA MARILOU P 2021 FFS RENDERING AGE 0-20 49 433 45 121 25 80 44 57
1336211309 MEDINA MARILOU P 2021 FFS RENDERING AGE 21+ 97 620 64 127 46 159 87 87
1336215219 DAVTIAN, PARGEV DDS 2021 FFS RENDERING AGE 0-20 181 2,827 167 864 55 246 168 279
1336215219 DAVTIAN, PARGEV DDS 2021 FFS RENDERING AGE 21+ 356 3,220 269 537 205 808 303 303
1336215219 DAVTIAN, PARGEV DDS 2021 PHP RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1336219047 NGUYEN JASON K 2021 FFS RENDERING AGE 0-20 162 790 130 206 123 204 46 47
1336219047 NGUYEN JASON K 2021 FFS RENDERING AGE 21+ 61 379 41 64 28 101 30 30
1336225937 DINICA DANA I 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1336225937 DINICA DANA I 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 2 1 1
1336233063 PARTOVI ELHAM 2021 FFS RENDERING AGE 0-20 77 542 71 185 23 82 49 53
1336233063 PARTOVI ELHAM 2021 FFS RENDERING AGE 21+ 131 859 52 76 89 349 80 80
1336233063 PARTOVI ELHAM 2021 PHP RENDERING AGE 0-20 38 185 28 77 12 27 29 29
1336233063 PARTOVI ELHAM 2021 PHP RENDERING AGE 21+ 14 62 1 1 1 2 1 1
1336234384 TON HUYEN-TRANG N 2021 FFS RENDERING AGE 0-20 190 1,817 184 699 56 145 181 254
1336234384 TON HUYEN-TRANG N 2021 FFS RENDERING AGE 21+ 233 1,634 126 251 166 652 185 185
1336235464 LEDDA M ALEGRIA L 2021 FFS RENDERING AGE 0-20 204 2,466 168 467 74 244 163 202
1336235464 LEDDA M ALEGRIA L 2021 FFS RENDERING AGE 21+ 448 4,052 205 403 298 1,020 285 285
1336238823 SOUTHERS, ERIK LEROY, DDS 2021 FFS RENDERING AGE 0-20 477 2,194 0 0 246 1,290 0 0
1336238823 SOUTHERS, ERIK LEROY, DDS 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1336245364 CHEN, RANDY L DDS 2021 FFS RENDERING AGE 0-20 179 2,340 172 870 105 293 171 203
1336245364 CHEN, RANDY L DDS 2021 FFS RENDERING AGE 21+ 145 1,411 110 228 85 282 115 115
1336246016 DESAI, SANDIP DDS 2021 FFS RENDERING AGE 0-20 152 1,687 139 479 54 193 120 135
1336246016 DESAI, SANDIP DDS 2021 FFS RENDERING AGE 21+ 143 1,132 65 87 74 260 95 96
1336250216 FLEMING DONALD R 2021 FFS RENDERING AGE 0-20 68 486 66 231 25 48 66 99
1336250216 FLEMING DONALD R 2021 FFS RENDERING AGE 21+ 213 1,117 157 159 151 422 172 175
1336255041 TRAN, LILY TU LAN DDS 2021 FFS RENDERING AGE 0-20 160 1,335 155 438 61 165 131 177
1336255041 TRAN, LILY TU LAN DDS 2021 FFS RENDERING AGE 21+ 14 79 1 2 1 2 1 1
1336257955 BOTROS, NADER FAWZY DDS 2021 FFS RENDERING AGE 0-20 509 7,521 405 1,226 324 1,177 447 518
1336257955 BOTROS, NADER FAWZY DDS 2021 FFS RENDERING AGE 21+ 665 8,887 290 565 585 2,687 300 307
1336261304 NGO HUGH Q 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1336261304 NGO HUGH Q 2021 FFS RENDERING AGE 21+ 57 69 0 0 57 68 0 0
1336262708 CLUSSERATH GARY P 2021 GMC RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1336264639 DAO, NINH ANH DDS 2021 FFS RENDERING AGE 0-20 120 1,072 108 487 48 207 103 117
1336264639 DAO, NINH ANH DDS 2021 FFS RENDERING AGE 21+ 253 1,509 146 146 172 630 149 149
1336268531 SHAHINYAN IRINA 2021 FFS RENDERING AGE 0-20 110 1,707 102 409 75 264 108 145
1336268531 SHAHINYAN IRINA 2021 FFS RENDERING AGE 21+ 107 900 44 83 76 282 87 87
1336273630 CHEN JUNG-WEI 2021 FFS RENDERING AGE 0-20 1,172 9,015 892 2,441 704 3,116 405 443
1336273630 CHEN JUNG-WEI 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1336275338 KIM, JANGSOOK, DDS 2021 FFS RENDERING AGE 0-20 35 288 23 63 19 59 27 28
1336275338 KIM, JANGSOOK, DDS 2021 FFS RENDERING AGE 21+ 154 869 58 103 116 368 72 72
1336277748 ABANTE, VIVENCIO B, DDS 2021 FFS RENDERING AGE 0-20 104 767 91 208 52 154 96 107
1336277748 ABANTE, VIVENCIO B, DDS 2021 FFS RENDERING AGE 21+ 231 1,303 173 214 124 357 215 215
1336279710 DE LEON, MARK M, DDS 2021 FFS RENDERING AGE 0-20 19 165 19 50 1 2 14 19
1336279710 DE LEON, MARK M, DDS 2021 FFS RENDERING AGE 21+ 41 185 21 28 24 61 28 28
1336279710 DE LEON, MARK M, DDS 2021 PHP RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1336279710 DE LEON, MARK M, DDS 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1336279843 CARAG-FRANCISCO, MARY DEBBIE 2021 FFS RENDERING AGE 0-20 20 111 20 50 1 2 14 16
1336279843 CARAG-FRANCISCO, MARY DEBBIE 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1336281872 DESAI RAJIV N 2021 FFS RENDERING AGE 0-20 279 3,615 252 679 197 745 208 246
1336281872 DESAI RAJIV N 2021 FFS RENDERING AGE 21+ 187 1,901 77 148 150 902 126 126
1336281872 UNKNOWN 2021 FFS RENDERING AGE 0-20 279 3,615 252 679 197 745 208 246
1336281872 UNKNOWN 2021 FFS RENDERING AGE 21+ 187 1,901 77 148 150 902 126 126
1336282789 WALTERS MELVIN W 2021 FFS RENDERING AGE 0-20 258 925 0 0 143 507 0 0
1336282789 WALTERS MELVIN W 2021 GMC RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1336285147 MAPARA, M N, DMD INC 2021 FFS RENDERING AGE 0-20 33 214 26 62 16 51 22 22
1336285147 MAPARA, M N, DMD INC 2021 FFS RENDERING AGE 21+ 171 1,107 41 73 125 589 100 100
1336285675 GHATNEKAR NEELA J 2021 FFS RENDERING AGE 0-20 76 915 74 297 40 131 66 89
1336285675 GHATNEKAR NEELA J 2021 FFS RENDERING AGE 21+ 149 1,081 92 175 83 307 107 107
1336285675 GHATNEKAR NEELA J 2021 PHP RENDERING AGE 21+ 1 2 0 0 1 1 1 1
1336288893 KIM KATIE Y 2021 FFS RENDERING AGE 21+ 125 539 1 1 74 294 45 45
1336289669 NGUYEN, THO B, DDS 2021 FFS RENDERING AGE 0-20 24 226 17 43 12 39 17 19
1336289669 NGUYEN, THO B, DDS 2021 FFS RENDERING AGE 21+ 375 3,036 191 376 272 821 237 237
1336294156 JONARIS JOSEPH 2021 FFS RENDERING AGE 0-20 331 3,910 244 763 197 614 221 237
1336294156 JONARIS JOSEPH 2021 FFS RENDERING AGE 21+ 467 3,692 118 210 377 1,650 194 194
1336294974 ANGELES-AVILES CARMENCITA A 2021 FFS RENDERING AGE 0-20 2,321 34,943 1,976 6,759 1,814 8,201 1,905 2,347
1336295773 PATEL, DIPTI M, DDS 2021 FFS RENDERING AGE 0-20 338 2,895 332 1,334 132 287 335 424
1336295773 PATEL, DIPTI M, DDS 2021 FFS RENDERING AGE 21+ 295 1,628 181 182 167 651 244 244
1336296508 PARK WON H 2021 FFS RENDERING AGE 0-20 142 1,602 129 473 54 180 135 172
1336296508 PARK WON H 2021 FFS RENDERING AGE 21+ 287 1,994 207 412 173 578 240 240
1336297654 NGUYEN GEORGE K 2021 FFS RENDERING AGE 0-20 1 2 0 0 1 1 1 1
1336297654 NGUYEN GEORGE K 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1336297654 NGUYEN GEORGE K 2021 GMC RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1336298744 RATINER ANNA M 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 0 0
1336298959 PATINO, NICOLAS, DDS 2021 FFS RENDERING AGE 0-20 67 545 53 120 23 87 56 57
1336298959 PATINO, NICOLAS, DDS 2021 FFS RENDERING AGE 21+ 162 1,007 70 126 94 326 103 103
1336302009 CHEUNG ERIC K 2021 FFS RENDERING AGE 0-20 1 2 1 1 0 0 1 1
1336325786 HSU JENNY C 2021 FFS RENDERING AGE 0-20 866 4,512 642 1,515 516 1,186 546 551
1336326651 GERONIMO JORGE L DDS PROF DN 2021 FFS RENDERING AGE 21+ 1 1 1 1 1 1 0 0
1336326651 UNKNOWN 2021 FFS RENDERING AGE 21+ 1 1 1 1 1 1 0 0
1336330984 LAM XUAN T 2021 FFS RENDERING AGE 0-20 1,960 16,973 1,426 3,277 842 3,875 1,269 1,308
1336330984 LAM XUAN T 2021 FFS RENDERING AGE 21+ 89 330 30 54 52 145 53 53
1336334382 SHAH AARTI 2021 FFS RENDERING AGE 0-20 42 362 33 119 17 50 33 43
1336334382 SHAH AARTI 2021 FFS RENDERING AGE 21+ 102 539 56 73 76 197 67 67
1336334978 GAO YUHAO 2021 FFS RENDERING AGE 0-20 215 1,872 207 1,049 53 116 210 304
1336334978 GAO YUHAO 2021 FFS RENDERING AGE 21+ 410 2,333 281 567 265 901 352 355
1336345909 HANNA ROMANY B 2021 FFS RENDERING AGE 0-20 14 136 12 24 1 1 12 12
1336345909 HANNA ROMANY B 2021 FFS RENDERING AGE 21+ 29 189 16 16 19 37 18 18
1336349562 LE VAN MINH B 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1336349562 LE VAN MINH B 2021 FFS RENDERING AGE 21+ 15 85 1 1 1 2 15 15
1336349646 MARTINEZ, NORMA, DDS 2021 FFS RENDERING AGE 0-20 28 310 22 72 14 81 25 33
1336349646 MARTINEZ, NORMA, DDS 2021 FFS RENDERING AGE 21+ 199 1,470 61 61 171 859 110 110
1336352830 KIM KENNY 2021 FFS RENDERING AGE 0-20 65 1,094 61 209 38 145 61 84
1336352830 KIM KENNY 2021 FFS RENDERING AGE 21+ 181 2,003 124 248 119 511 136 136
1336355361 ESKANDER, ESKANDER Y, DDS 2021 FFS RENDERING AGE 0-20 116 1,477 67 83 77 482 106 122
1336355361 ESKANDER, ESKANDER Y, DDS 2021 FFS RENDERING AGE 21+ 269 2,594 57 57 186 1,102 130 130
1336359405 NAMVAR NAMI, TANDIS, DDS 2021 FFS RENDERING AGE 0-20 45 435 40 133 15 30 41 42
1336359405 NAMVAR NAMI, TANDIS, DDS 2021 FFS RENDERING AGE 21+ 81 480 18 27 52 125 52 52
1336359496 SAVEDRA MANUEL A 2021 PHP RENDERING AGE 0-20 21 207 20 105 1 2 19 20
1336359496 SAVEDRA MANUEL A 2021 PHP RENDERING AGE 21+ 37 195 30 57 16 36 29 29
1336360510 GINZBURG, BILL E, DDS 2021 FFS RENDERING AGE 0-20 35 494 23 142 19 160 32 70
1336360510 GINZBURG, BILL E, DDS 2021 FFS RENDERING AGE 21+ 300 4,104 96 300 220 2,396 225 450
1336360510 GINZBURG, BILL E, DDS 2021 PHP RENDERING AGE 0-20 27 294 18 78 1 2 23 50
1336360510 GINZBURG, BILL E, DDS 2021 PHP RENDERING AGE 21+ 197 1,918 54 176 113 946 142 318
1336364603 RIEL JOCELYN D 2021 FFS RENDERING AGE 0-20 2,016 15,627 1,475 3,391 907 2,467 1,334 1,359
1336366418 ABRIOL JR NICASIO M 2021 FFS RENDERING AGE 0-20 1,147 12,724 1,064 5,110 479 1,265 1,096 1,559
1336366418 ABRIOL JR NICASIO M 2021 FFS RENDERING AGE 21+ 674 4,830 435 870 468 1,198 566 566
1336368091 ALLURI SANTISREE 2021 FFS RENDERING AGE 0-20 126 646 85 242 35 82 94 99
1336368091 ALLURI SANTISREE 2021 FFS RENDERING AGE 21+ 182 501 21 24 75 135 86 86
1336368091 ALLURI SANTISREE 2021 PHP RENDERING AGE 0-20 66 269 46 114 14 24 54 58
1336368091 ALLURI SANTISREE 2021 PHP RENDERING AGE 21+ 77 180 27 31 37 69 43 43
1336371947 XIE HONG 2021 FFS RENDERING AGE 0-20 384 3,538 353 1,511 218 642 362 526
1336371947 XIE HONG 2021 FFS RENDERING AGE 21+ 612 3,913 382 760 381 1,200 449 453
1336372242 PHAN MINH N 2021 FFS RENDERING AGE 0-20 234 1,768 106 215 164 566 127 133
1336372242 PHAN MINH N 2021 FFS RENDERING AGE 21+ 710 5,631 180 191 587 2,774 328 328
1336384619 DENNIS R HARDIN DDS INC 2021 FFS RENDERING AGE 21+ 117 409 1 1 117 312 32 32
1336384619 DENNIS R HARDIN DDS INC 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1336384619 HARDIN, DENNIS R, DDS INC 2021 FFS RENDERING AGE 21+ 117 409 1 1 117 312 32 32
1336384619 HARDIN, DENNIS R, DDS INC 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1336388727 MARQUEZ FRANCISCO J 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1336388727 MARQUEZ FRANCISCO J 2021 FFS RENDERING AGE 21+ 26 129 1 1 1 2 23 23
1336388727 MARQUEZ FRANCISCO J 2021 PHP RENDERING AGE 0-20 1 2 1 1 0 0 1 1
1336388727 MARQUEZ FRANCISCO J 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1336391994 MORGAN DANIEL 2021 FFS RENDERING AGE 0-20 2,636 41,036 2,496 11,418 2,161 9,677 2,464 3,765
1336391994 MORGAN DANIEL 2021 FFS RENDERING AGE 21+ 1 2 1 2 1 2 1 1
1336391994 MORGAN DANIEL 2021 PHP RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1336422427 KAUR SIMRAN 2021 GMC RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1336428275 GUTENBERG LAUREN L 2021 FFS RENDERING AGE 0-20 388 3,559 369 1,436 357 818 362 461
1336454925 SWE, THET, DDS A PROFESSIONA 2021 PHP RENDERING AGE 0-20 1 2 1 2 0 0 1 1
1336461284 LEE TIM YEN TING 2021 FFS RENDERING AGE 0-20 452 2,337 0 0 451 2,309 0 0
1336461284 LEE TIM YEN TING 2021 FFS RENDERING AGE 21+ 665 3,506 1 1 663 3,467 1 1
1336461284 LEE TIM YEN TING 2021 GMC RENDERING AGE 0-20 1 2 0 0 1 2 1 1
1336461284 LEE TIM YEN TING 2021 GMC RENDERING AGE 21+ 12 53 0 0 1 2 1 1
1336461789 FLORES JORGE A 2021 FFS RENDERING AGE 0-20 374 1,384 74 216 309 842 96 105
1336461789 FLORES JORGE A 2021 FFS RENDERING AGE 21+ 881 3,136 74 104 786 2,404 195 195
1336461789 FLORES JORGE A 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1336461789 FLORES, JORGE A, DDS 2021 FFS RENDERING AGE 0-20 374 1,384 74 216 309 842 96 105
1336461789 FLORES, JORGE A, DDS 2021 FFS RENDERING AGE 21+ 881 3,136 74 104 786 2,404 195 195
1336461789 FLORES, JORGE A, DDS 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1336492891 LEE CHARLES J 2021 FFS RENDERING AGE 0-20 244 1,845 0 0 244 1,845 0 0
1336494392 ROSHANZAMIR ROSHANAK 2021 FFS RENDERING AGE 0-20 13 246 1 2 13 207 1 1
1336495795 MESCHI LEYLA 2021 FFS RENDERING AGE 0-20 4,855 36,183 3,619 10,731 3,022 6,937 3,398 3,526
1336495795 MESCHI LEYLA 2021 FFS RENDERING AGE 21+ 28 111 11 20 11 20 13 13
1336511906 DONGA DISHA 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 2 1 1
1336511906 DONGA DISHA 2021 FFS RENDERING AGE 21+ 15 59 1 1 1 2 11 11
1336544048 VO TIFFANY T 2021 FFS RENDERING AGE 0-20 770 6,911 587 1,556 414 1,079 555 588
1336544048 VO TIFFANY T 2021 FFS RENDERING AGE 21+ 236 1,049 78 149 147 335 113 113
1336571140 RASHIDI, AZIN 2021 FFS RENDERING AGE 0-20 3,650 34,302 3,244 10,062 2,248 9,998 3,139 3,604
1336573476 LALA SANJAY 2021 FFS RENDERING AGE 0-20 14 105 13 30 1 1 13 14
1336573476 LALA SANJAY 2021 FFS RENDERING AGE 21+ 143 407 30 42 33 84 129 129
1336573476 LALA SANJAY 2021 PHP RENDERING AGE 0-20 37 200 35 79 12 18 32 36
1336573476 LALA SANJAY 2021 PHP RENDERING AGE 21+ 136 588 109 186 46 108 91 118
1336574557 YADAV KALPANA 2021 FFS RENDERING AGE 0-20 2,711 25,553 2,052 5,569 1,728 4,714 1,965 2,044
1336585793 LEE ANDREW K 2021 FFS RENDERING AGE 0-20 49 108 0 0 17 51 0 0
1336585793 LEE ANDREW K 2021 FFS RENDERING AGE 21+ 1 2 0 0 0 0 0 0
1336592682 AJAYI ADEKUNLE 2021 FFS RENDERING AGE 0-20 79 374 49 94 24 42 46 46
1336592682 AJAYI ADEKUNLE 2021 FFS RENDERING AGE 21+ 274 1,036 20 28 147 331 137 137
1336592682 AJAYI ADEKUNLE 2021 GMC RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1336592682 AJAYI ADEKUNLE 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1336592682 AJAYI ADEKUNLE 2021 PHP RENDERING AGE 21+ 15 86 11 14 11 44 1 1
1336592906 LEONG JESSICA LIM 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1336607241 NASAFI ZAINAB 2021 FFS RENDERING AGE 0-20 82 299 53 159 42 86 21 21
1336607241 NASAFI ZAINAB 2021 FFS RENDERING AGE 21+ 280 899 52 88 197 531 126 126
1336607241 NASAFI ZAINAB 2021 GMC RENDERING AGE 0-20 52 389 40 138 34 81 40 40
1336607241 NASAFI ZAINAB 2021 GMC RENDERING AGE 21+ 91 415 17 36 64 228 48 49
1336620459 TON LAN N 2021 FFS RENDERING AGE 0-20 2,311 20,522 1,245 2,897 1,997 6,484 1,111 1,143
1336620459 TON LAN N 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1336621945 BRAR POONAMPREET K 2021 FFS RENDERING AGE 0-20 29 99 15 30 1 2 18 18
1336621945 BRAR POONAMPREET K 2021 FFS RENDERING AGE 21+ 49 132 1 1 20 50 26 26
1336630177 MAHMOODI ROYA 2021 FFS RENDERING AGE 0-20 154 1,495 146 532 116 388 151 203
1336630177 MAHMOODI ROYA 2021 FFS RENDERING AGE 21+ 1 2 1 1 0 0 1 1
1336633809 KANG JIN K 2021 FFS RENDERING AGE 0-20 1,170 11,626 1,024 2,819 760 1,892 927 929
1336633809 KANG JIN K 2021 FFS RENDERING AGE 21+ 167 974 65 117 118 320 86 86
1336637909 FONG JOEL A 2021 GMC RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1336637909 FONG JOEL A 2021 GMC RENDERING AGE 21+ 1 2 0 0 1 1 1 1
1336637909 FONG JOEL A 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1336661867 ABUL-FIELAT, MOHAMMAD, DDS I 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1336661867 MOHAMMAD ABUL FIELAT DDS INC 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1336669381 BAKKE ANDREA M 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1336669381 BAKKE ANDREA M 2021 FFS RENDERING AGE 21+ 42 179 14 27 29 113 19 19
1336670645 INGRAM ASHLEY S 2021 FFS RENDERING AGE 0-20 41 241 13 26 31 72 13 13
1336670645 INGRAM ASHLEY S 2021 FFS RENDERING AGE 21+ 227 1,305 52 103 173 395 77 77
1336684091 YANG, JUN YOUNG, DDS 2021 FFS RENDERING AGE 0-20 131 881 106 240 63 413 119 136
1336684091 YANG, JUN YOUNG, DDS 2021 FFS RENDERING AGE 21+ 382 2,987 251 510 241 1,830 316 316
1336696426 PIVNIK, DMITRIY, DDS INC 2021 GMC RENDERING AGE 0-20 208 2,920 68 332 110 1,468 160 320
1336707462 SHAFIK ADAM O 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1336707462 SHAFIK ADAM O 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1336709104 JI MINHYUNG 2021 FFS RENDERING AGE 0-20 13 60 1 2 1 1 1 1
1336709104 JI MINHYUNG 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1336711415 GIAO PHUONG T 2021 FFS RENDERING AGE 0-20 438 1,873 199 705 138 342 266 266
1336711415 GIAO PHUONG T 2021 FFS RENDERING AGE 21+ 317 925 116 225 269 562 1 1
1336712074 VAN DEBORAH L 2021 FFS RENDERING AGE 0-20 1 1 1 1 1 1 1 1
1336712074 VAN DEBORAH L 2021 FFS RENDERING AGE 21+ 1,312 4,238 428 619 1,276 1,905 833 833
1336751098 VO DIEU X 2021 FFS RENDERING AGE 0-20 2,384 21,908 2,161 5,533 791 3,110 2,093 2,434
1336791466 SAINI JASPREET K 2021 FFS RENDERING AGE 0-20 219 1,478 184 418 79 246 201 226
1336791466 SAINI JASPREET K 2021 FFS RENDERING AGE 21+ 290 1,100 53 83 109 334 227 227
1336792068 BUI NAM G 2021 FFS RENDERING AGE 0-20 19 77 15 30 1 2 14 14
1336792068 BUI NAM G 2021 FFS RENDERING AGE 21+ 81 331 14 28 43 147 55 55
1336793728 MINOVI MITRA 2021 FFS RENDERING AGE 0-20 247 1,396 169 465 124 284 181 187
1336793728 MINOVI MITRA 2021 FFS RENDERING AGE 21+ 125 428 13 25 68 192 61 61
1336793728 MINOVI MITRA 2021 PHP RENDERING AGE 0-20 194 647 26 63 164 390 25 25
1336793728 MINOVI MITRA 2021 PHP RENDERING AGE 21+ 120 389 1 1 86 198 24 25
1336812403 ILIUTA ELIZABETH 2021 FFS RENDERING AGE 0-20 29 92 25 56 11 14 1 1
1336812403 ILIUTA ELIZABETH 2021 FFS RENDERING AGE 21+ 14 44 1 1 1 2 1 1
1346219110 CRAFT STEPHEN A 2021 FFS RENDERING AGE 0-20 48 352 18 36 41 150 26 26
1346219110 CRAFT STEPHEN A 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1346243896 CALAYAG LIBRADA T 2021 FFS RENDERING AGE 0-20 53 271 33 44 11 22 52 54
1346243896 CALAYAG LIBRADA T 2021 FFS RENDERING AGE 21+ 281 1,618 124 125 114 252 242 242
1346250818 PI BENJAMIN Y 2021 FFS RENDERING AGE 0-20 13 90 13 16 1 1 12 13
1346250818 PI BENJAMIN Y 2021 FFS RENDERING AGE 21+ 76 472 55 57 42 82 57 58
1346250818 PI BENJAMIN Y 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1346251535 GAMEZ, YADIRA L DDS 2021 FFS RENDERING AGE 0-20 263 2,783 208 480 162 708 245 290
1346251535 GAMEZ, YADIRA L DDS 2021 FFS RENDERING AGE 21+ 615 4,285 282 287 455 2,310 468 468
1346303112 DAVID RABIZADEH DDS 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1346303112 DAVID RABIZADEH DDS 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1346305414 KUMAR, DEVINDER 2021 FFS RENDERING AGE 0-20 19 31 0 0 19 29 1 1
1346305414 KUMAR, DEVINDER 2021 FFS RENDERING AGE 21+ 152 305 0 0 150 299 1 1
1346305414 KUMAR, DEVINDER, DDS 2021 FFS RENDERING AGE 0-20 19 31 0 0 19 29 1 1
1346305414 KUMAR, DEVINDER, DDS 2021 FFS RENDERING AGE 21+ 152 305 0 0 150 299 1 1
1346306396 CHUNG JAE Y 2021 FFS RENDERING AGE 0-20 613 4,415 527 2,192 148 277 518 585
1346306396 CHUNG JAE Y 2021 FFS RENDERING AGE 21+ 306 1,389 201 400 101 192 227 227
1346306396 CHUNG JAE Y 2021 PHP RENDERING AGE 0-20 94 1,027 87 236 36 86 93 119
1346306396 CHUNG JAE Y 2021 PHP RENDERING AGE 21+ 122 951 97 198 61 145 108 111
1346311263 MOTAKEF MOJDEH 2021 FFS RENDERING AGE 0-20 14 122 14 53 1 2 1 2
1346311263 MOTAKEF MOJDEH 2021 FFS RENDERING AGE 21+ 1 2 1 2 1 1 1 1
1346319803 BYUN CHUL Y 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 2 1 1
1346319803 BYUN CHUL Y 2021 FFS RENDERING AGE 21+ 90 453 30 57 70 241 38 38
1346320975 CHANGIZI SUSSAN 2021 FFS RENDERING AGE 0-20 1,480 24,299 1,430 6,601 1,081 3,563 1,443 2,004
1346320975 CHANGIZI SUSSAN 2021 FFS RENDERING AGE 21+ 652 5,223 459 923 429 1,413 545 545
1346333861 POBLETE EDITHA P 2021 FFS RENDERING AGE 0-20 28 514 28 130 18 71 28 40
1346333861 POBLETE EDITHA P 2021 FFS RENDERING AGE 21+ 96 1,323 66 132 81 635 76 76
1346336708 CHUNG JOHN W 2021 FFS RENDERING AGE 0-20 203 1,896 175 613 156 461 176 257
1346336708 CHUNG JOHN W 2021 FFS RENDERING AGE 21+ 129 700 65 117 78 285 93 93
1346339868 YOON, KYUNG OK, DDS 2021 FFS RENDERING AGE 0-20 54 642 46 192 17 122 46 116
1346339868 YOON, KYUNG OK, DDS 2021 FFS RENDERING AGE 21+ 111 1,152 47 96 56 518 80 160
1346339868 YOON, KYUNG OK, DDS 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 2 1 2
1346341740 NGUYEN THINH T 2021 FFS RENDERING AGE 0-20 334 3,071 229 590 142 418 250 274
1346341740 NGUYEN THINH T 2021 FFS RENDERING AGE 21+ 528 2,813 172 316 283 742 358 358
1346359031 MANSOUR RAYMOND N 2021 FFS RENDERING AGE 0-20 48 347 39 133 21 73 30 33
1346359031 MANSOUR RAYMOND N 2021 FFS RENDERING AGE 21+ 213 1,233 122 173 149 504 119 136
1346370509 CHEN HAI-SOU 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1346370509 CHEN HAI-SOU 2021 FFS RENDERING AGE 21+ 37 172 21 21 24 97 19 19
1346370897 NGUYEN JANINE HUONG L 2021 FFS RENDERING AGE 0-20 99 151 0 0 19 46 0 0
1346370897 NGUYEN JANINE HUONG L 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1346374840 KAPILA YVONNE L 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1346374840 KAPILA YVONNE L 2021 FFS RENDERING AGE 21+ 23 26 0 0 21 24 1 1
1346377470 LOE KIMBAL WAYNE 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1346379666 SO ARMANDO P 2021 FFS RENDERING AGE 0-20 146 1,011 100 376 87 234 100 111
1346379666 SO ARMANDO P 2021 FFS RENDERING AGE 21+ 199 1,168 70 139 170 751 72 72
1346383213 MOVAHHEDI, IRAJ DDS 2021 FFS RENDERING AGE 0-20 35 311 24 71 18 79 31 32
1346383213 MOVAHHEDI, IRAJ DDS 2021 FFS RENDERING AGE 21+ 86 534 29 29 49 295 51 51
1346383866 ANDREWS, LUIS, DDS 2021 FFS RENDERING AGE 0-20 1,377 12,620 1,326 1,548 319 862 1,265 1,471
1346383866 ANDREWS, LUIS, DDS 2021 FFS RENDERING AGE 21+ 47 439 38 38 20 43 41 41
1346387479 WEBBER FONDA C 2021 GMC RENDERING AGE 0-20 712 7,903 667 2,528 466 750 666 791
1346387479 WEBBER FONDA C 2021 GMC RENDERING AGE 21+ 567 3,928 252 482 375 981 364 369
1346393634 DAL PORTO, MARK W, DDS 2021 FFS RENDERING AGE 0-20 1 2 1 1 0 0 1 1
1346393634 DAL PORTO, MARK W, DDS 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 0 0
1346397221 MASSOOMI NIMA SAYED 2021 FFS RENDERING AGE 21+ 21 147 0 0 21 122 0 0
1346413747 TRUONG, HOA V, DDS 2021 FFS RENDERING AGE 0-20 54 756 51 219 20 57 51 65
1346413747 TRUONG, HOA V, DDS 2021 FFS RENDERING AGE 21+ 85 1,146 61 124 66 702 65 66
1346420213 KORHANI TAHEREH 2021 FFS RENDERING AGE 0-20 235 1,798 208 712 156 374 204 204
1346422771 ABED GEORGE S 2021 FFS RENDERING AGE 0-20 34 113 0 0 34 105 0 0
1346446960 AMADOR ANN ROSELLE A 2021 FFS RENDERING AGE 0-20 31 283 28 61 1 2 14 14
1346446960 AMADOR ANN ROSELLE A 2021 FFS RENDERING AGE 21+ 94 673 50 50 61 292 38 38
1346450889 PHAN TUYET MAI T 2021 FFS RENDERING AGE 0-20 18 87 17 46 0 0 1 1
1346450889 PHAN TUYET MAI T 2021 FFS RENDERING AGE 21+ 47 104 22 31 26 61 0 0
1346450889 PHAN TUYET MAI T 2021 PHP RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1346450889 PHAN TUYET MAI T 2021 PHP RENDERING AGE 21+ 1 1 1 1 0 0 0 0
1346451812 PETROS DHAFIR J 2021 FFS RENDERING AGE 0-20 129 960 98 242 72 199 101 112
1346451812 PETROS DHAFIR J 2021 FFS RENDERING AGE 21+ 464 2,761 199 359 319 1,232 343 343
1346453321 VAUGHAN LEONARD S 2021 FFS RENDERING AGE 0-20 116 691 0 0 85 528 80 80
1346453321 VAUGHAN LEONARD S 2021 FFS RENDERING AGE 21+ 188 959 0 0 139 654 148 150
1346453883 KARIMIAN, EDWARD, DDS 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1346453883 KARIMIAN, EDWARD, DDS 2021 FFS RENDERING AGE 21+ 229 1,172 67 67 203 644 53 53
1346455896 SHAFAGH KATAYOON 2021 FFS RENDERING AGE 0-20 67 159 1 1 17 44 1 1
1346455896 SHAFAGH KATAYOON 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 2 1 1
1346458718 LEMOS LUIS F 2021 FFS RENDERING AGE 0-20 13 147 11 34 1 2 12 12
1346458718 LEMOS LUIS F 2021 FFS RENDERING AGE 21+ 22 107 13 23 13 30 11 11
1346461407 SHIRAZI-ARDESTA BEHZAD 2021 FFS RENDERING AGE 0-20 69 766 57 236 28 185 65 82
1346461407 SHIRAZI-ARDESTA BEHZAD 2021 FFS RENDERING AGE 21+ 127 1,338 62 118 100 816 104 109
1346461407 SHIRAZI-ARDESTA BEHZAD 2021 PHP RENDERING AGE 0-20 12 110 1 2 1 2 1 1
1346461407 SHIRAZI-ARDESTA BEHZAD 2021 PHP RENDERING AGE 21+ 26 162 1 1 17 122 1 1
1346461977 CHENG VINCENT C 2021 FFS RENDERING AGE 0-20 37 277 31 78 1 2 28 33
1346461977 CHENG VINCENT C 2021 FFS RENDERING AGE 21+ 87 844 52 102 64 256 55 55
1346462231 FATOURACHI HOURI 2021 FFS RENDERING AGE 0-20 545 7,118 531 2,735 318 1,011 526 873
1346466679 BABAYAN ERIC L 2021 FFS RENDERING AGE 0-20 619 1,874 1 1 210 681 1 1
1346466679 BABAYAN ERIC L 2021 FFS RENDERING AGE 21+ 78 151 0 0 0 0 0 0
1346466679 BABAYAN ERIC L 2021 PHP RENDERING AGE 0-20 12 44 0 0 12 32 0 0
1346466679 BABAYAN ERIC L 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1346469889 BARGA JAMES B 2021 FFS RENDERING AGE 21+ 141 571 72 72 51 132 109 109
1346481496 ADAMS, DANIEL ROBERT DMD MS 2021 FFS RENDERING AGE 0-20 56 111 0 0 17 28 0 0
1346481496 ADAMS, DANIEL ROBERT DMD MS 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1346485752 NGUYEN THUY-ANH P 2021 FFS RENDERING AGE 0-20 59 338 48 107 18 46 53 56
1346485752 NGUYEN THUY-ANH P 2021 FFS RENDERING AGE 21+ 147 689 83 161 51 201 117 117
1346490034 DURVASULA MADHAVI K 2021 FFS RENDERING AGE 0-20 244 1,068 102 337 84 160 183 187
1346490034 DURVASULA MADHAVI K 2021 FFS RENDERING AGE 21+ 550 1,531 65 117 266 566 293 294
1346508355 POTDAR SANDEEP P 2021 FFS RENDERING AGE 0-20 901 3,496 219 936 66 198 831 865
1346508355 POTDAR SANDEEP P 2021 FFS RENDERING AGE 21+ 1,996 4,287 74 143 134 256 1,669 1,669
1346508355 POTDAR SANDEEP P 2021 PHP RENDERING AGE 0-20 1 1 0 0 0 0 1 1
1346508355 POTDAR SANDEEP P 2021 PHP RENDERING AGE 21+ 1 1 1 1 1 1 0 0
1346514106 ANDALON DARRELL O 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1346514106 ANDALON DARRELL O 2021 PHP RENDERING AGE 0-20 144 1,258 107 455 134 231 91 92
1346514106 ANDALON DARRELL O 2021 PHP RENDERING AGE 21+ 150 634 32 72 112 242 52 53
1346519782 ARIZMENDI, MARCELA AYALA DDS 2021 FFS RENDERING AGE 0-20 713 8,377 648 2,409 472 1,840 650 866
1346519782 ARIZMENDI, MARCELA AYALA DDS 2021 FFS RENDERING AGE 21+ 586 3,937 312 616 442 1,751 346 348
1346528676 LOPEZ DEL AGUIL VICTOR 2021 FFS RENDERING AGE 0-20 748 9,233 699 4,014 406 1,102 691 813
1346528676 LOPEZ DEL AGUIL VICTOR 2021 FFS RENDERING AGE 21+ 1,058 8,602 766 1,518 722 3,789 836 836
1346549599 CUCINELLA, JULIA, RDHAP 2021 FFS RENDERING AGE 0-20 1 2 1 2 0 0 0 0
1346549599 CUCINELLA, JULIA, RDHAP 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 0 0
1346550258 MAKAR MARY Y 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1346550258 MAKAR MARY Y 2021 FFS RENDERING AGE 21+ 49 198 1 1 45 157 12 12
1346568326 MORSHED NAZY 2021 FFS RENDERING AGE 0-20 1,431 9,745 1,238 3,625 428 654 1,322 1,520
1346568326 MORSHED NAZY 2021 FFS RENDERING AGE 21+ 900 3,529 323 582 334 973 507 507
1346568326 MORSHED NAZY 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1346571791 AVENDANO, PEDRO A, DDS 2021 FFS RENDERING AGE 0-20 39 212 22 44 21 55 22 22
1346571791 AVENDANO, PEDRO A, DDS 2021 FFS RENDERING AGE 21+ 204 927 76 150 152 398 76 76
1346572906 NGUYEN MYLOC T 2021 FFS RENDERING AGE 0-20 202 2,900 192 735 39 88 175 219
1346572906 NGUYEN MYLOC T 2021 FFS RENDERING AGE 21+ 294 2,802 174 348 184 560 172 172
1346584166 LU, XIAOYU, DDS INC 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 0 0
1346584166 LUKE DENTAL CORPORATION 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 0 0
1346595113 CHANG JUNG Y 2021 FFS RENDERING AGE 0-20 3,846 71,640 3,724 16,369 2,785 12,592 3,740 5,587
1346595113 CHANG JUNG Y 2021 FFS RENDERING AGE 21+ 12 106 1 2 1 2 1 1
1346595626 RAWSON TAYLOR H 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 2 0 0
1346609260 FARES SAMIRA 2021 FFS RENDERING AGE 0-20 49 450 40 120 13 31 39 41
1346609260 FARES SAMIRA 2021 FFS RENDERING AGE 21+ 56 276 23 46 26 42 36 36
1346615572 CESARIO JOHN J 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1346615572 CESARIO JOHN J 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1346615572 CESARIO, JOHN J, DDS INC 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1346615572 CESARIO, JOHN J, DDS INC 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1346621315 HOTHI AMRIT 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1346625696 ELIZONDO LAURA K 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 2 1 1
1346625696 ELIZONDO LAURA K 2021 FFS RENDERING AGE 21+ 171 680 13 13 143 554 45 45
1346626777 NAYAK NISHA P 2021 FFS RENDERING AGE 0-20 1,767 19,315 1,677 6,517 337 679 1,674 2,266
1346626983 MCGINLEY KRISTINA K 2021 FFS RENDERING AGE 0-20 11 117 1 2 11 64 1 1
1346626983 MCGINLEY KRISTINA K 2021 FFS RENDERING AGE 21+ 23 314 21 21 23 210 21 21
1346656600 PATEL PRAGNESH J 2021 FFS RENDERING AGE 0-20 535 2,625 391 1,062 94 161 470 504
1346656600 PATEL PRAGNESH J 2021 FFS RENDERING AGE 21+ 598 1,958 153 300 247 582 427 429
1346656600 PATEL PRAGNESH J 2021 PHP RENDERING AGE 21+ 1 2 0 0 1 2 1 1
1346658622 DONG JIN KIM DDS INC 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1346658622 DONG JIN KIM DDS INC 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1346665833 DUONG FRANK 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1346704681 ASKARI VANDAD F 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1346704681 ASKARI VANDAD F 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1346722873 ABRAHAMIAN ARIGA 2021 FFS RENDERING AGE 0-20 30 221 27 84 14 61 29 33
1346722873 ABRAHAMIAN ARIGA 2021 FFS RENDERING AGE 21+ 140 1,186 83 134 103 681 100 100
1346725082 LEE JI YOUN 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1346725082 LEE JI YOUN 2021 FFS RENDERING AGE 21+ 51 243 21 21 28 65 32 33
1346735909 DANG AVALPREET SINGH 2021 GMC RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1346741352 HASSANTASH SEYEDEH Z 2021 FFS RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1346762002 VARTAK MANJIRI 2021 FFS RENDERING AGE 0-20 2,780 22,983 2,530 8,373 1,627 4,641 2,530 3,077
1346765070 SAPINOSO MARIECHRIS A 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1346765070 SAPINOSO MARIECHRIS A 2021 FFS RENDERING AGE 21+ 1,061 5,057 606 947 1,020 2,183 794 808
1346766979 MOSTAJABIAN SAMAN 2021 FFS RENDERING AGE 0-20 114 637 27 33 49 115 81 88
1346766979 MOSTAJABIAN SAMAN 2021 FFS RENDERING AGE 21+ 541 2,987 53 53 312 818 387 403
1346772878 LEE ALEXANDER 2021 PHP RENDERING AGE 0-20 1 1 1 1 1 1 0 0
1346772878 LEE ALEXANDER 2021 PHP RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1346773629 ASHMORE, G C, DENTAL CORP 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1346780715 SHAYEFAR JOSHUA B 2021 FFS RENDERING AGE 0-20 24 108 1 2 1 2 18 18
1346780715 SHAYEFAR JOSHUA B 2021 FFS RENDERING AGE 21+ 95 233 1 1 55 76 44 44
1346825023 PATEL NIRAJ R 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1346825023 PATEL NIRAJ R 2021 FFS RENDERING AGE 21+ 24 31 0 0 24 31 0 0
1346826443 HANNA ELIZABETH M 2021 FFS RENDERING AGE 0-20 1 2 0 0 1 1 0 0
1346826443 HANNA ELIZABETH M 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1346836558 FARUK TANZIM 2021 FFS RENDERING AGE 0-20 313 1,542 82 196 141 392 246 253
1346836558 FARUK TANZIM 2021 FFS RENDERING AGE 21+ 445 1,321 16 29 169 419 315 315
1346847258 KWAK-LEE DAISY B 2021 FFS RENDERING AGE 0-20 1,102 13,211 844 3,767 984 5,772 822 953
1346847258 KWAK-LEE DAISY B 2021 FFS RENDERING AGE 21+ 263 2,316 115 324 239 1,250 114 114
1346847258 KWAK-LEE DAISY B 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1346862166 SUM TIFFANY L 2021 FFS RENDERING AGE 0-20 30 95 0 0 30 47 1 1
1346862166 SUM TIFFANY L 2021 FFS RENDERING AGE 21+ 467 1,511 17 18 454 723 52 52
1346892221 ESKANDAR BESHOY 2021 FFS RENDERING AGE 0-20 40 202 24 112 1 1 30 30
1346892221 ESKANDAR BESHOY 2021 FFS RENDERING AGE 21+ 70 169 14 20 21 31 40 40
1346892221 ESKANDAR BESHOY 2021 PHP RENDERING AGE 0-20 17 74 15 45 0 0 17 17
1346892221 ESKANDAR BESHOY 2021 PHP RENDERING AGE 21+ 22 46 14 19 11 12 13 13
1346898020 CHAN JAMES T 2021 FFS RENDERING AGE 0-20 423 2,264 221 710 148 389 340 340
1346898020 CHAN JAMES T 2021 FFS RENDERING AGE 21+ 531 1,687 129 241 177 389 328 328
1346913803 ABRAHAM SHARON R 2021 FFS RENDERING AGE 0-20 88 668 74 209 53 120 78 78
1346913803 ABRAHAM SHARON R 2021 FFS RENDERING AGE 21+ 99 493 47 72 73 267 58 58
1346913803 ABRAHAM SHARON R 2021 PHP RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1346913803 ABRAHAM SHARON R 2021 PHP RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1346914827 YBARRA ALYSSA C 2021 FFS RENDERING AGE 0-20 364 2,775 277 708 222 649 280 280
1346914827 YBARRA ALYSSA C 2021 FFS RENDERING AGE 21+ 387 2,784 194 359 273 1,013 249 249
1356349500 NASSER ANWAR Z 2021 FFS RENDERING AGE 0-20 47 362 42 92 21 54 37 41
1356349500 NASSER ANWAR Z 2021 FFS RENDERING AGE 21+ 103 497 33 36 79 182 49 49
1356354518 CHEN RU 2021 FFS RENDERING AGE 0-20 40 164 18 77 1 1 23 23
1356354518 CHEN RU 2021 FFS RENDERING AGE 21+ 194 500 1 2 50 132 117 117
1356354518 CHEN RU 2021 GMC RENDERING AGE 0-20 57 246 15 60 23 46 23 23
1356354518 CHEN RU 2021 GMC RENDERING AGE 21+ 133 491 22 29 81 305 51 51
1356355689 GRISWOLD JR, E RAY, DDS 2021 FFS RENDERING AGE 21+ 94 277 0 0 74 161 62 62
1356362743 COMPREHENSIVE COMMUNITY 2021 PHP RENDERING AGE 0-20 11 164 1 2 1 2 1 2
1356362743 COMPREHENSIVE COMMUNITY 2021 PHP RENDERING AGE 21+ 30 282 16 82 19 70 16 32
1356364301 PATEL VIJAYKUMAR B 2021 FFS RENDERING AGE 0-20 359 3,433 335 932 152 560 326 355
1356364301 PATEL VIJAYKUMAR B 2021 FFS RENDERING AGE 21+ 173 1,153 79 155 128 456 105 105
1356364301 PATEL VIJAYKUMAR B 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1356364301 PATEL, VIJAY B, DDS 2021 FFS RENDERING AGE 0-20 359 3,433 335 932 152 560 326 355
1356364301 PATEL, VIJAY B, DDS 2021 FFS RENDERING AGE 21+ 173 1,153 79 155 128 456 105 105
1356364301 PATEL, VIJAY B, DDS 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1356376396 KIANI KIA 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1356376396 KIANI KIA 2021 FFS RENDERING AGE 21+ 15 27 0 0 12 20 0 0
1356389522 MC AULIFF STEPHEN J 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1356390520 ANARAKI HENGAMEH 2021 FFS RENDERING AGE 0-20 288 3,525 271 869 207 849 273 334
1356390520 ANARAKI HENGAMEH 2021 FFS RENDERING AGE 21+ 533 4,900 305 588 454 2,367 365 367
1356403513 CERVANTES RIGOBERTO 2021 FFS RENDERING AGE 0-20 168 1,444 160 448 95 318 150 183
1356403513 CERVANTES RIGOBERTO 2021 FFS RENDERING AGE 21+ 356 2,212 227 448 242 895 282 282
1356404073 SINGH HARDEV M 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1356404073 SINGH HARDEV M 2021 FFS RENDERING AGE 21+ 39 71 0 0 39 55 0 0
1356404073 SINGH HARDEV M 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1356414320 SANCHEZ, GUILLERMO, DDS 2021 FFS RENDERING AGE 0-20 163 3,708 151 1,030 104 542 156 458
1356414320 SANCHEZ, GUILLERMO, DDS 2021 FFS RENDERING AGE 21+ 208 4,220 97 378 190 1,882 73 146
1356414411 SHU RODRIGUEZ YVONNE 2021 FFS RENDERING AGE 0-20 257 4,112 236 816 133 598 245 316
1356414411 SHU RODRIGUEZ YVONNE 2021 FFS RENDERING AGE 21+ 292 3,390 193 383 201 856 242 242
1356415103 SHAHANGIAN, AIDA, DDS 2021 FFS RENDERING AGE 0-20 186 2,143 159 528 57 134 158 200
1356415103 SHAHANGIAN, AIDA, DDS 2021 FFS RENDERING AGE 21+ 292 1,731 117 176 174 466 200 202
1356418065 ZIADEH FAHER C 2021 FFS RENDERING AGE 0-20 1,696 9,643 985 4,225 127 241 1,622 1,908
1356418065 ZIADEH FAHER C 2021 FFS RENDERING AGE 21+ 1,622 5,354 765 1,513 418 926 695 695
1356418065 ZIADEH FAHER C 2021 GMC RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1356427488 KIM PAUL HYUNGIL 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1356439343 UGARTE, VICTOR A, DDS 2021 FFS RENDERING AGE 0-20 122 1,091 118 378 46 176 117 169
1356439343 UGARTE, VICTOR A, DDS 2021 FFS RENDERING AGE 21+ 54 333 35 70 31 126 40 40
1356441927 KING CARLOS J 2021 FFS RENDERING AGE 0-20 22 71 17 17 1 2 1 1
1356441927 KING CARLOS J 2021 FFS RENDERING AGE 21+ 116 513 50 50 65 201 63 63
1356450159 JOHNSON PHILLIP RANDOLPH 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1356453898 CATAQUIZ III EUGENE D 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1356454946 TRAN, LAWRENCE L DDS 2021 FFS RENDERING AGE 0-20 139 922 124 256 33 69 130 153
1356454946 TRAN, LAWRENCE L DDS 2021 FFS RENDERING AGE 21+ 76 321 49 49 32 51 52 52
1356456966 LEE, SEONG SUK, DDS 2021 FFS RENDERING AGE 0-20 154 1,043 147 424 48 145 149 160
1356456966 LEE, SEONG SUK, DDS 2021 FFS RENDERING AGE 21+ 187 1,111 118 244 116 419 141 145
1356462774 HAJJAR GEORGE P 2021 FFS RENDERING AGE 0-20 42 344 34 92 19 57 34 46
1356462774 HAJJAR GEORGE P 2021 FFS RENDERING AGE 21+ 111 688 52 53 82 330 33 33
1356472278 ZIERHUT EILEEN C 2021 FFS RENDERING AGE 0-20 20 20 0 0 1 1 0 0
1356472278 ZIERHUT EILEEN C 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1356480461 BAUMSTEIN, HAROLD L, DDS 2021 FFS RENDERING AGE 0-20 39 279 34 109 15 51 38 51
1356480461 BAUMSTEIN, HAROLD L, DDS 2021 FFS RENDERING AGE 21+ 540 3,450 428 800 308 1,067 466 466
1356484927 RABIE AHMED M 2021 FFS RENDERING AGE 0-20 92 438 17 40 51 94 75 79
1356484927 RABIE AHMED M 2021 FFS RENDERING AGE 21+ 675 1,982 20 36 496 1,116 336 336
1356486856 PERRY, DAVID M., DDS, INC. 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1356494082 NGUYEN LINDA T 2021 FFS RENDERING AGE 0-20 34 291 24 64 20 138 22 24
1356494082 NGUYEN LINDA T 2021 FFS RENDERING AGE 21+ 59 385 45 45 50 193 23 23
1356499693 KOSHKERIAN HOVSEP 2021 FFS RENDERING AGE 0-20 371 3,807 342 1,280 190 591 342 443
1356499693 KOSHKERIAN HOVSEP 2021 FFS RENDERING AGE 21+ 559 4,549 321 641 468 2,096 375 382
1356499693 KOSHKERIAN HOVSEP 2021 PHP RENDERING AGE 0-20 21 198 18 53 1 2 19 25
1356499693 KOSHKERIAN HOVSEP 2021 PHP RENDERING AGE 21+ 46 216 13 23 42 115 13 13
1356503890 NGUYEN, DANNY DDS 2021 FFS RENDERING AGE 0-20 1,418 14,337 1,229 4,921 996 4,310 1,218 1,528
1356503890 NGUYEN, DANNY DDS 2021 FFS RENDERING AGE 21+ 1 2 1 2 1 1 1 1
1356503890 NGUYEN, DANNY DDS 2021 PHP RENDERING AGE 0-20 12 67 1 2 1 2 1 1
1356507818 MORETTA CARLOS M 2021 FFS RENDERING AGE 0-20 1 2 0 0 1 2 0 0
1356507818 MORETTA CARLOS M 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 2 0 0
1356508337 ENRIQUEZ MIRIAM A 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1356509087 LEE LINDA H 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1356509087 LEE LINDA H 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1356516397 AVANESS ARMOUND 2021 FFS RENDERING AGE 0-20 52 163 12 24 39 92 16 16
1356516397 AVANESS ARMOUND 2021 FFS RENDERING AGE 21+ 247 696 21 42 217 557 21 21
1356521264 WIN, NYI NYI DDS 2021 FFS RENDERING AGE 0-20 25 174 22 61 1 2 22 22
1356521264 WIN, NYI NYI DDS 2021 FFS RENDERING AGE 21+ 24 85 1 2 17 32 1 1
1356521264 WIN, NYI NYI DDS 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1356521264 WIN, NYI NYI DDS 2021 PHP RENDERING AGE 0-20 15 104 13 46 1 2 12 12
1356521264 WIN, NYI NYI DDS 2021 PHP RENDERING AGE 21+ 39 204 1 1 32 132 18 18
1356522742 LIN YANG 2021 FFS RENDERING AGE 0-20 21 148 16 59 1 2 21 21
1356522742 LIN YANG 2021 FFS RENDERING AGE 21+ 50 226 36 71 16 48 49 49
1356525299 PATEL, BHAVNABEN K DDS 2021 FFS RENDERING AGE 0-20 94 1,508 92 391 30 74 91 127
1356525299 PATEL, BHAVNABEN K DDS 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1356527980 NEWHART SCOTT G 2021 FFS RENDERING AGE 0-20 17 58 0 0 15 48 0 0
1356530646 SHAH AMI S 2021 FFS RENDERING AGE 0-20 56 575 42 128 27 93 45 53
1356530646 SHAH AMI S 2021 FFS RENDERING AGE 21+ 155 1,249 42 69 120 436 109 109
1356532014 KIM JAMES Y 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1356537849 BEEMAN SYLVIA O 2021 FFS RENDERING AGE 0-20 53 285 44 108 24 41 33 35
1356537849 BEEMAN SYLVIA O 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1356541080 CHO GRACE H 2021 FFS RENDERING AGE 0-20 109 1,018 106 416 57 209 106 134
1356541080 CHO GRACE H 2021 FFS RENDERING AGE 21+ 157 1,178 93 181 112 646 128 128
1356541080 CHO GRACE H 2021 PHP RENDERING AGE 0-20 18 152 18 73 1 2 18 24
1356541080 CHO GRACE H 2021 PHP RENDERING AGE 21+ 28 227 21 47 19 132 25 26
1356545883 SHANG CHUN-TING 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 2 1 1
1356545974 SISON MARIA AGNES T 2021 FFS RENDERING AGE 0-20 46 253 44 120 16 44 44 60
1356545974 SISON MARIA AGNES T 2021 FFS RENDERING AGE 21+ 160 822 109 212 96 315 107 107
1356546410 SCOTT NYASHA M 2021 FFS RENDERING AGE 0-20 340 3,182 306 980 173 507 247 293
1356558159 TAVALLAEI MONICA 2021 GMC RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1356559827 GALVAN ROMARICO N 2021 FFS RENDERING AGE 0-20 83 751 68 212 38 102 76 89
1356559827 GALVAN ROMARICO N 2021 FFS RENDERING AGE 21+ 237 2,091 128 131 175 817 179 179
1356559827 UNKNOWN 2021 FFS RENDERING AGE 0-20 83 751 68 212 38 102 76 89
1356559827 UNKNOWN 2021 FFS RENDERING AGE 21+ 237 2,091 128 131 175 817 179 179
1356560494 B DEIRMENJIAN DDS INC 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 2 0 0
1356565758 MANAVI, FARHAD, PROFESSIONAL 2021 PHP RENDERING AGE 0-20 1 2 1 1 0 0 1 1
1356565758 MANAVI, FARHAD, PROFESSIONAL 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1356565923 TIRADOR JOEY S 2021 FFS RENDERING AGE 0-20 471 5,770 418 1,185 261 1,034 399 489
1356565923 TIRADOR JOEY S 2021 FFS RENDERING AGE 21+ 569 4,219 296 298 433 1,829 365 366
1356565923 TIRADOR, JOEY SORIANO, DDS 2021 FFS RENDERING AGE 0-20 471 5,770 418 1,185 261 1,034 399 489
1356565923 TIRADOR, JOEY SORIANO, DDS 2021 FFS RENDERING AGE 21+ 569 4,219 296 298 433 1,829 365 366
1356566921 HEWITT, LORI SMITH, DDS 2021 FFS RENDERING AGE 0-20 61 470 55 147 16 33 55 75
1356566921 HEWITT, LORI SMITH, DDS 2021 FFS RENDERING AGE 21+ 52 307 46 81 28 53 41 41
1356568091 DUHAY MARIFLOR S 2021 FFS RENDERING AGE 0-20 1 1 1 1 1 1 1 1
1356568091 DUHAY MARIFLOR S 2021 FFS RENDERING AGE 21+ 22 97 17 17 1 2 18 18
1356573935 TREDINNICK SILVANA 2021 PHP RENDERING AGE 0-20 121 1,297 90 397 111 200 85 89
1356573935 TREDINNICK SILVANA 2021 PHP RENDERING AGE 21+ 122 840 61 159 93 303 49 50
1356584957 KOPEL HOWARD R 2021 FFS RENDERING AGE 0-20 98 120 1 1 22 22 81 84
1356584957 KOPEL HOWARD R 2021 FFS RENDERING AGE 21+ 203 209 0 0 28 30 175 177
1356584957 KOPEL HOWARD R 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1356584957 KOPEL HOWARD R 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1356593347 KIM, JOANNE S, DDS MS 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1356609267 KO ANNIE G 2021 FFS RENDERING AGE 0-20 462 2,861 396 1,198 274 559 364 425
1356609267 KO ANNIE G 2021 FFS RENDERING AGE 21+ 12 43 1 1 1 2 1 1
1356609267 KO ANNIE G 2021 PHP RENDERING AGE 0-20 56 371 49 153 38 81 38 42
1356609267 KO ANNIE G 2021 PHP RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1356619324 BELGARDE-DURU CARLA S 2021 PHP RENDERING AGE 0-20 132 994 126 269 122 233 26 26
1356619324 BELGARDE-DURU CARLA S 2021 PHP RENDERING AGE 21+ 50 420 50 98 50 111 0 0
1356639876 DO DAVIS 2021 FFS RENDERING AGE 0-20 232 1,713 196 427 63 154 209 230
1356639876 DO DAVIS 2021 FFS RENDERING AGE 21+ 432 2,930 265 512 170 541 321 322
1356640882 NELSON ZACHARY D 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1356641922 KIM GRACE M 2021 FFS RENDERING AGE 0-20 92 1,066 91 331 54 148 81 113
1356641922 KIM GRACE M 2021 FFS RENDERING AGE 21+ 113 918 70 136 81 338 82 82
1356645303 TADROS SAMEEH G 2021 FFS RENDERING AGE 0-20 97 970 91 446 44 101 91 113
1356645303 TADROS SAMEEH G 2021 FFS RENDERING AGE 21+ 358 2,309 223 433 237 988 300 300
1356649198 SIDHU GAGANDEEP S 2021 FFS RENDERING AGE 0-20 84 517 74 200 28 48 80 91
1356649198 SIDHU GAGANDEEP S 2021 FFS RENDERING AGE 21+ 163 640 68 69 73 197 136 136
1356675474 MASSIH KARMEN 2021 FFS RENDERING AGE 0-20 35 89 1 1 1 2 1 1
1356675474 MASSIH KARMEN 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1356686679 COHEN SEDGH MANAVI & PAKRAVA 2021 GMC RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1356686679 COHEN SEDGH MANAVI & PAKRAVA 2021 PHP RENDERING AGE 0-20 22 80 12 25 1 1 1 1
1356686679 COHEN SEDGH MANAVI & PAKRAVA 2021 PHP RENDERING AGE 21+ 20 47 0 0 1 1 1 1
1356686679 COHEN SEDGH, MANAVI & PAKRAVAN DENTAL CORPORATION 2021 GMC RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1356686679 COHEN SEDGH, MANAVI & PAKRAVAN DENTAL CORPORATION 2021 PHP RENDERING AGE 0-20 22 80 12 25 1 1 1 1
1356686679 COHEN SEDGH, MANAVI & PAKRAVAN DENTAL CORPORATION 2021 PHP RENDERING AGE 21+ 20 47 0 0 1 1 1 1
1356694061 GHULARYAN MARIANNA 2021 FFS RENDERING AGE 0-20 144 703 118 272 34 77 113 121
1356694061 GHULARYAN MARIANNA 2021 FFS RENDERING AGE 21+ 732 2,699 308 581 301 774 460 460
1356694061 GHULARYAN MARIANNA 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1356694061 GHULARYAN MARIANNA 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1356697718 RUBIO, EDGARDO S, DDS 2021 FFS RENDERING AGE 0-20 231 2,755 205 1,083 130 432 209 240
1356697718 RUBIO, EDGARDO S, DDS 2021 FFS RENDERING AGE 21+ 390 3,390 123 237 301 1,481 211 212
1356711196 SOHI GUNCHA 2021 GMC RENDERING AGE 0-20 54 295 45 98 50 57 45 46
1356711196 SOHI GUNCHA 2021 GMC RENDERING AGE 21+ 36 76 1 1 33 51 1 1
1356718217 WEITZEL, JENNIFER, RDHAP 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 2 0 0
1356718217 WEITZEL, JENNIFER, RDHAP 2021 FFS RENDERING AGE 21+ 317 1,612 291 678 317 934 0 0
1356721302 MILLER MEAGAN 2021 FFS RENDERING AGE 0-20 71 247 0 0 70 235 0 0
1356721302 MILLER MEAGAN 2021 FFS RENDERING AGE 21+ 186 647 0 0 186 616 0 0
1356721302 MILLER MEAGAN 2021 GMC RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1356721302 MILLER MEAGAN 2021 GMC RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1356721302 MILLER MEAGAN 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1356721302 MILLER MEAGAN 2021 PHP RENDERING AGE 21+ 1 2 0 0 1 2 1 1
1356749840 PINALES SANTO G 2021 FFS RENDERING AGE 0-20 427 7,363 410 1,668 321 1,285 389 523
1356749840 PINALES SANTO G 2021 FFS RENDERING AGE 21+ 367 4,372 259 510 316 1,788 252 252
1356762934 BUCKINS APRIL T 2021 FFS RENDERING AGE 0-20 270 1,921 215 647 126 470 220 238
1356762934 BUCKINS APRIL T 2021 FFS RENDERING AGE 21+ 190 844 35 59 133 406 116 116
1356762934 BUCKINS APRIL T 2021 PHP RENDERING AGE 0-20 212 1,469 121 398 121 335 122 122
1356762934 BUCKINS APRIL T 2021 PHP RENDERING AGE 21+ 170 684 16 33 117 235 71 71
1356766141 ARJANG, RAYMOND DDS 2021 FFS RENDERING AGE 0-20 481 1,582 0 0 100 335 1 1
1356766141 ARJANG, RAYMOND DDS 2021 FFS RENDERING AGE 21+ 38 107 0 0 0 0 36 36
1356766141 ARJANG, RAYMOND DDS 2021 PHP RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1356782080 PEDDIREDDY DIVYA R 2021 FFS RENDERING AGE 0-20 42 215 26 117 11 24 37 43
1356782080 PEDDIREDDY DIVYA R 2021 FFS RENDERING AGE 21+ 120 323 1 1 54 119 86 86
1356782486 PANIGRAHI SANJUKTA 2021 FFS RENDERING AGE 0-20 705 3,760 508 1,227 171 292 648 700
1356782486 PANIGRAHI SANJUKTA 2021 FFS RENDERING AGE 21+ 1,048 3,350 155 280 327 925 792 792
1356804074 ZHUANG JIEYI 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1356804074 ZHUANG JIEYI 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1356810600 ZALA DENTAL INC 2021 FFS RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1356820880 KIM YEJIN 2021 FFS RENDERING AGE 0-20 597 7,662 463 1,785 437 1,842 414 503
1356820880 KIM YEJIN 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1356823017 SETAREH DENTAL GROUP DDS INC 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1356827737 KIM DAEUK D 2021 FFS RENDERING AGE 0-20 2,274 33,192 2,177 8,303 1,809 8,754 2,203 2,605
1356827737 KIM DAEUK D 2021 FFS RENDERING AGE 21+ 91 748 77 154 58 245 83 86
1356828693 SOLANKI, S S, DDS INC 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1356831325 SHANDLER GRANT 2021 FFS RENDERING AGE 0-20 182 1,424 149 410 97 216 148 155
1356854681 SARGSYAN LUSINE 2021 FFS RENDERING AGE 0-20 228 1,064 157 383 64 140 189 192
1356854681 SARGSYAN LUSINE 2021 FFS RENDERING AGE 21+ 410 1,418 83 149 213 601 245 245
1356854681 SARGSYAN LUSINE 2021 PHP RENDERING AGE 0-20 51 264 30 91 15 42 38 38
1356854681 SARGSYAN LUSINE 2021 PHP RENDERING AGE 21+ 72 290 16 28 42 146 35 38
1356865802 FAREID NEIKKA M 2021 FFS RENDERING AGE 0-20 176 1,912 165 740 95 182 174 283
1356865802 FAREID NEIKKA M 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1356868335 CHO PETER K 2021 FFS RENDERING AGE 0-20 904 7,995 492 1,180 735 4,366 372 380
1356868335 CHO PETER K 2021 FFS RENDERING AGE 21+ 186 1,012 38 72 82 293 116 116
1356881163 MARSHALL BRADY S 2021 FFS RENDERING AGE 0-20 203 1,370 172 403 101 340 114 114
1356881163 MARSHALL BRADY S 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1356899033 KIM SALLY M 2021 FFS RENDERING AGE 0-20 1,319 10,209 276 718 1,302 7,663 432 439
1356934251 SHAYESTEHKHOU SHERVIN 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1356950232 YURCHAK VALERIYA 2021 FFS RENDERING AGE 0-20 111 850 78 215 70 330 82 92
1356950232 YURCHAK VALERIYA 2021 FFS RENDERING AGE 21+ 387 2,066 146 273 299 1,045 200 200
1356953517 ENVERGA FRANCISCO S 2021 FFS RENDERING AGE 0-20 133 584 11 23 90 323 61 61
1356953517 ENVERGA FRANCISCO S 2021 FFS RENDERING AGE 21+ 314 1,245 1 2 219 845 114 114
1356953517 ENVERGA FRANCISCO S 2021 PHP RENDERING AGE 21+ 1 2 0 0 1 2 1 1
1356958458 CHUN ELLEN K 2021 FFS RENDERING AGE 0-20 1,421 17,791 1,113 3,441 1,083 4,116 1,133 1,201
1356989016 CAZALI ROLANDO J 2021 FFS RENDERING AGE 0-20 97 682 61 127 53 110 61 61
1356989016 CAZALI ROLANDO J 2021 FFS RENDERING AGE 21+ 119 653 1 2 88 243 52 52
1356992069 STUARDO DANIEL LUIS 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1356994081 NGUYEN DAVID L 2021 FFS RENDERING AGE 0-20 70 536 48 123 30 111 65 65
1356994081 NGUYEN DAVID L 2021 FFS RENDERING AGE 21+ 103 518 37 73 57 157 87 87
1356994644 GOULTAS NICHOLAS G 2021 FFS RENDERING AGE 0-20 24 150 17 34 11 34 17 17
1356994644 GOULTAS NICHOLAS G 2021 FFS RENDERING AGE 21+ 60 259 29 57 29 51 32 32
1356996961 AHLERS REBECCA S 2021 FFS RENDERING AGE 0-20 14 182 14 44 13 74 11 13
1356996961 AHLERS REBECCA S 2021 FFS RENDERING AGE 21+ 45 474 24 44 37 275 23 23
1356997670 DAHITALEGHANI AFSANEH 2021 FFS RENDERING AGE 0-20 361 1,507 199 515 175 348 174 174
1356997670 DAHITALEGHANI AFSANEH 2021 FFS RENDERING AGE 21+ 473 1,241 72 123 314 650 135 137
1356997670 DAHITALEGHANI AFSANEH 2021 PHP RENDERING AGE 0-20 11 35 1 2 1 1 1 1
1356997670 DAHITALEGHANI AFSANEH 2021 PHP RENDERING AGE 21+ 25 60 1 1 17 34 1 1
1366008450 CASTILLO BLESYL I 2021 FFS RENDERING AGE 0-20 603 5,559 324 1,266 277 709 519 604
1366008450 CASTILLO BLESYL I 2021 FFS RENDERING AGE 21+ 578 2,704 39 70 319 771 373 375
1366013393 RAJA SWETHA 2021 FFS RENDERING AGE 0-20 904 5,514 465 1,287 721 1,379 391 393
1366040412 ANWAR MOHAMMAD M 2021 FFS RENDERING AGE 0-20 68 251 31 88 38 65 32 32
1366040412 ANWAR MOHAMMAD M 2021 FFS RENDERING AGE 21+ 108 254 11 18 82 134 26 26
1366040412 ANWAR MOHAMMAD M 2021 GMC RENDERING AGE 21+ 1 2 1 1 1 1 0 0
1366052540 LIN JENNIFER C 2021 FFS RENDERING AGE 0-20 19 123 16 51 13 24 13 17
1366052540 LIN JENNIFER C 2021 FFS RENDERING AGE 21+ 68 334 16 30 61 219 15 15
1366054348 AL-WAZEER ETHAR R 2021 FFS RENDERING AGE 0-20 449 2,150 265 540 243 664 253 255
1366054348 AL-WAZEER ETHAR R 2021 FFS RENDERING AGE 21+ 594 2,099 144 260 382 1,125 201 201
1366064347 TRAN HUNG D 2021 FFS RENDERING AGE 0-20 157 825 115 322 99 243 93 93
1366064347 TRAN HUNG D 2021 FFS RENDERING AGE 21+ 189 803 61 108 143 518 70 70
1366064347 TRAN HUNG D 2021 PHP RENDERING AGE 21+ 1 1 1 1 1 1 0 0
1366081747 ABDELSAYED GEORGE GAMIL M 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1366081747 ABDELSAYED GEORGE GAMIL M 2021 FFS RENDERING AGE 21+ 31 159 14 28 23 62 11 11
1366095143 JEGEDE AKINLOLU T 2021 FFS RENDERING AGE 0-20 14 63 1 2 1 2 1 1
1366095143 JEGEDE AKINLOLU T 2021 FFS RENDERING AGE 21+ 58 228 16 25 49 117 16 16
1366095598 KAUR DILAWARJIT 2021 FFS RENDERING AGE 0-20 978 3,879 547 1,289 201 363 753 761
1366095598 KAUR DILAWARJIT 2021 FFS RENDERING AGE 21+ 1,329 3,994 162 275 689 1,377 781 786
1366117293 LI JINGYUAN 2021 FFS RENDERING AGE 0-20 25 66 13 29 12 22 15 15
1366117293 LI JINGYUAN 2021 FFS RENDERING AGE 21+ 42 92 16 16 25 56 20 20
1366417859 USITA VILLAMOR R 2021 FFS RENDERING AGE 0-20 107 1,314 99 331 57 299 94 126
1366417859 USITA VILLAMOR R 2021 FFS RENDERING AGE 21+ 283 2,434 146 215 208 1,148 202 207
1366420671 LEE ALBERT S 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1366420671 LEE ALBERT S 2021 FFS RENDERING AGE 21+ 103 1,044 69 133 77 614 83 83
1366451833 PEREIRA JOAN M 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1366457731 KAGAN, INNA, DDS, A PROF DEN 2021 PHP RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1366457798 TU, WEI MIN DDS 2021 FFS RENDERING AGE 0-20 54 548 52 137 23 89 52 70
1366457798 TU, WEI MIN DDS 2021 FFS RENDERING AGE 21+ 90 1,114 68 123 73 418 78 78
1366466716 DE JESUS AFRICA, JOANN CAROL 2021 FFS RENDERING AGE 0-20 121 977 101 206 34 131 99 99
1366466716 DE JESUS AFRICA, JOANN CAROL 2021 FFS RENDERING AGE 21+ 124 543 39 78 86 201 60 60
1366476327 MAKADIA,PRAVINCHANDRA DDS 2021 FFS RENDERING AGE 0-20 184 1,581 175 713 31 72 174 232
1366476327 MAKADIA,PRAVINCHANDRA DDS 2021 FFS RENDERING AGE 21+ 252 1,577 195 389 122 299 178 178
1366487225 BUTLER, DERRICK L MD 2021 PHP RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1366500670 NGUYEN ALLAN D 2021 FFS RENDERING AGE 0-20 157 245 0 0 35 96 0 0
1366500670 NGUYEN ALLAN D 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1366500670 NGUYEN ALLAN D 2021 PHP RENDERING AGE 21+ 1 2 0 0 1 1 1 1
1366508020 ISAQI, RANA 2021 FFS RENDERING AGE 0-20 135 2,455 134 646 94 334 134 198
1366508020 ISAQI, RANA 2021 FFS RENDERING AGE 21+ 101 1,332 73 154 73 287 79 80
1366510562 SUMBAD, MARIA ANGELINA FRANC 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1366510562 SUMBAD, MARIA ANGELINA FRANC 2021 FFS RENDERING AGE 21+ 15 51 1 1 1 2 1 1
1366513061 COUNTY OF SACRAMENTO 2021 GMC RENDERING AGE 0-20 1 2 1 2 0 0 0 0
1366526576 RELUCIO JR, ANTONIO DY, DDS 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1366529133 GENTILE, RICHARD D, DDS 2021 FFS RENDERING AGE 0-20 26 238 25 110 11 20 25 33
1366529133 GENTILE, RICHARD D, DDS 2021 FFS RENDERING AGE 21+ 88 532 51 99 57 194 56 56
1366537599 DESAI NAUSHIL G 2021 FFS RENDERING AGE 0-20 141 1,670 128 401 138 394 133 186
1366537599 DESAI NAUSHIL G 2021 FFS RENDERING AGE 21+ 222 1,864 115 115 220 980 148 148
1366537599 DESAI NAUSHIL G 2021 PHP RENDERING AGE 0-20 1 1 1 1 1 1 1 1
1366540825 METIAS NAGWA G 2021 FFS RENDERING AGE 0-20 74 443 67 257 18 57 68 82
1366540825 METIAS NAGWA G 2021 FFS RENDERING AGE 21+ 203 1,063 41 80 145 701 129 129
1366540825 METIAS NAGWA G 2021 PHP RENDERING AGE 0-20 102 755 87 409 32 91 91 109
1366542102 SINANIAN RONALD STEVEN 2021 PHP RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1366553760 CLARKE JENNIFER PHI P 2021 FFS RENDERING AGE 0-20 307 2,323 139 457 102 357 247 287
1366553760 CLARKE JENNIFER PHI P 2021 FFS RENDERING AGE 21+ 496 2,365 65 122 232 619 279 280
1366553836 NGO, CHRISTOPHER H T, DDS 2021 FFS RENDERING AGE 0-20 47 199 35 70 1 2 39 40
1366553836 NGO, CHRISTOPHER H T, DDS 2021 FFS RENDERING AGE 21+ 270 958 162 162 117 275 78 78
1366567430 DERBOGHOSSIANS NATALIE 2021 FFS RENDERING AGE 0-20 184 1,940 173 587 110 283 176 265
1366567430 DERBOGHOSSIANS NATALIE 2021 FFS RENDERING AGE 21+ 214 1,730 138 248 156 577 153 153
1366567976 NGUYEN ALAN L 2021 FFS RENDERING AGE 0-20 36 319 35 95 1 2 33 44
1366567976 NGUYEN ALAN L 2021 FFS RENDERING AGE 21+ 133 991 115 222 61 133 111 111
1366568859 RUSSELL ELISA 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1366568859 RUSSELL ELISA 2021 GMC RENDERING AGE 0-20 1 1 0 0 1 1 1 1
1366568859 RUSSELL ELISA 2021 GMC RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1366571234 ADAMS, BRIAN S DDS 2021 FFS RENDERING AGE 0-20 482 9,526 272 606 481 6,487 437 439
1366575920 CHAN STEPHEN L 2021 FFS RENDERING AGE 0-20 121 940 81 175 48 129 109 137
1366575920 CHAN STEPHEN L 2021 FFS RENDERING AGE 21+ 327 1,641 124 124 196 674 250 250
1366575920 CHAN, STEPHEN L, DMD INC 2021 FFS RENDERING AGE 0-20 121 940 81 175 48 129 109 137
1366575920 CHAN, STEPHEN L, DMD INC 2021 FFS RENDERING AGE 21+ 327 1,641 124 124 196 674 250 250
1366578890 KARAMANUKYAN, GEVORK, DDS 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 2 1 1
1366578890 KARAMANUKYAN, GEVORK, DDS 2021 FFS RENDERING AGE 21+ 216 1,191 97 97 195 739 63 63
1366581464 VESHKINI SIAMAK 2021 FFS RENDERING AGE 0-20 188 561 0 0 46 132 0 0
1366581464 VESHKINI SIAMAK 2021 FFS RENDERING AGE 21+ 20 38 0 0 0 0 1 1
1366582017 LATT HLA M 2021 FFS RENDERING AGE 0-20 477 3,959 302 1,068 303 936 315 322
1366582017 LATT HLA M 2021 FFS RENDERING AGE 21+ 601 3,583 224 432 448 1,547 339 340
1366584799 JARJOUR GEORGE 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1366584799 JARJOUR GEORGE 2021 PHP RENDERING AGE 21+ 127 524 66 144 109 175 43 43
1366592842 KIM, JI-HYUN DDS 2021 FFS RENDERING AGE 0-20 617 4,610 557 1,834 249 729 566 627
1366592842 KIM, JI-HYUN DDS 2021 FFS RENDERING AGE 21+ 287 1,352 179 182 154 420 235 235
1366596413 ZAPANTA, JOSEPH JETT F, DDS 2021 FFS RENDERING AGE 0-20 40 264 36 69 12 42 35 35
1366596413 ZAPANTA, JOSEPH JETT F, DDS 2021 FFS RENDERING AGE 21+ 94 535 79 79 33 106 65 65
1366598708 RECIO, ASTER C., DMD 2021 FFS RENDERING AGE 0-20 12 80 12 24 1 1 12 17
1366598708 RECIO, ASTER C., DMD 2021 FFS RENDERING AGE 21+ 25 101 19 19 1 2 20 20
1366602922 DINH VIET T 2021 FFS RENDERING AGE 0-20 143 1,433 124 539 45 121 131 157
1366602922 DINH VIET T 2021 FFS RENDERING AGE 21+ 274 1,583 98 157 147 534 210 211
1366603425 NIKJOO, EBI, DDS 2021 FFS RENDERING AGE 0-20 137 841 71 189 70 298 106 110
1366603425 NIKJOO, EBI, DDS 2021 FFS RENDERING AGE 21+ 560 2,942 129 216 320 1,517 380 382
1366603425 NIKJOO, EBI, DDS 2021 PHP RENDERING AGE 0-20 145 835 85 200 60 179 126 133
1366603425 NIKJOO, EBI, DDS 2021 PHP RENDERING AGE 21+ 328 1,428 87 124 137 455 267 275
1366620593 GUPTA SHIKA 2021 FFS RENDERING AGE 0-20 90 486 60 106 84 251 55 57
1366620593 GUPTA SHIKA 2021 FFS RENDERING AGE 21+ 689 3,788 212 227 646 2,317 435 435
1366622532 MILSTEIN MARINA V 2021 FFS RENDERING AGE 0-20 17 66 0 0 1 2 0 0
1366626764 WEST JEREMY T 2021 FFS RENDERING AGE 0-20 57 58 0 0 1 1 0 0
1366632614 REFOA JANET 2021 FFS RENDERING AGE 0-20 47 421 32 70 19 88 45 47
1366632614 REFOA JANET 2021 FFS RENDERING AGE 21+ 318 3,780 199 278 243 1,413 255 255
1366634297 DANIER VANESSA P 2021 FFS RENDERING AGE 0-20 1,307 16,744 1,251 5,150 941 2,810 1,260 1,725
1366642027 PARK JIN S 2021 FFS RENDERING AGE 0-20 97 135 0 0 16 45 0 0
1366642027 PARK JIN S 2021 PHP RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1366645236 OBLEA PORTIA DELA V 2021 FFS RENDERING AGE 0-20 62 814 59 174 31 208 60 78
1366645236 OBLEA PORTIA DELA V 2021 FFS RENDERING AGE 21+ 51 352 32 38 33 144 40 40
1366652331 PUNJABI, BINDOO 2021 FFS RENDERING AGE 0-20 235 1,358 39 141 235 1,085 0 0
1366652331 PUNJABI, BINDOO 2021 FFS RENDERING AGE 21+ 510 2,980 95 117 510 2,441 0 0
1366652752 SHAH TANVI M 2021 FFS RENDERING AGE 0-20 425 8,521 419 1,093 425 5,442 417 417
1366652752 SHAH TANVI M 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1366653149 PENG SAIJAI 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1366653164 FAKHERI, MEHRAN, DMD A PROF 2021 PHP RENDERING AGE 0-20 1 2 1 1 0 0 1 1
1366653164 FAKHERI, MEHRAN, DMD A PROF 2021 PHP RENDERING AGE 21+ 1 2 1 1 0 0 1 1
1366655235 MIRANDA, NOEL S, DDS 2021 FFS RENDERING AGE 0-20 578 6,071 559 2,358 243 856 553 726
1366655235 MIRANDA, NOEL S, DDS 2021 FFS RENDERING AGE 21+ 1,110 9,734 802 856 835 4,949 908 909
1366655524 DAO LOAN P 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1366655524 DAO LOAN P 2021 FFS RENDERING AGE 21+ 13 92 1 1 1 2 1 1
1366655599 DABALUS ISABELITA V 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1366655599 DABALUS ISABELITA V 2021 FFS RENDERING AGE 21+ 31 269 23 23 15 75 1 1
1366655987 TETTEH-MARTEY WILLIAM H 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 2 0 0
1366671109 SAINI RINKU 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1366686214 COHEN, JOHN, DDS DENTAL CORP 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1366696262 JOHNSON RACHEL R 2021 FFS RENDERING AGE 0-20 85 1,080 76 178 50 136 81 92
1366696262 JOHNSON RACHEL R 2021 FFS RENDERING AGE 21+ 168 1,460 97 166 133 521 121 121
1366700569 MARTINEZ DAVID R 2021 FFS RENDERING AGE 0-20 2,344 23,807 1,798 4,606 926 5,673 2,007 2,256
1366708166 ZARBAKHSH AFSHIN 2021 FFS RENDERING AGE 0-20 267 2,590 197 679 122 341 247 254
1366708166 ZARBAKHSH AFSHIN 2021 FFS RENDERING AGE 21+ 324 2,441 62 113 208 1,086 267 271
1366715062 HURTADO RUBEN 2021 FFS RENDERING AGE 0-20 354 3,931 339 1,349 133 331 299 412
1366715062 HURTADO RUBEN 2021 FFS RENDERING AGE 21+ 486 3,268 345 669 297 1,027 348 349
1366721862 KIM FRANCISCO L 2021 FFS RENDERING AGE 0-20 54 446 43 105 28 94 43 55
1366721862 KIM FRANCISCO L 2021 FFS RENDERING AGE 21+ 124 1,059 43 67 93 458 69 69
1366751364 KHALATBARI MANDANA 2021 FFS RENDERING AGE 0-20 1,174 6,132 775 2,077 802 2,288 473 500
1366751364 KHALATBARI MANDANA 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1366751364 KHALATBARI MANDANA 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1366751364 KHALATBARI MANDANA 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1366755001 HWANG ALEXIS L 2021 PHP RENDERING AGE 21+ 12 45 1 1 11 31 1 1
1366756991 SAN AGUSTIN JEFFREY J 2021 FFS RENDERING AGE 0-20 77 618 62 205 19 40 69 74
1366756991 SAN AGUSTIN JEFFREY J 2021 FFS RENDERING AGE 21+ 186 865 49 91 97 308 123 123
1366758005 BAE & JANG DDS INC 2021 FFS RENDERING AGE 0-20 1 1 1 1 1 1 0 0
1366782740 CHAMBI YANINA E 2021 FFS RENDERING AGE 0-20 133 690 75 230 78 163 78 78
1366782740 CHAMBI YANINA E 2021 FFS RENDERING AGE 21+ 116 438 47 92 82 147 53 54
1366799793 GELLAD MARYSE 2021 FFS RENDERING AGE 0-20 369 2,645 287 1,273 141 253 335 355
1366799793 GELLAD MARYSE 2021 FFS RENDERING AGE 21+ 615 2,791 196 342 359 991 399 399
1366799793 GELLAD MARYSE 2021 GMC RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1366799793 GELLAD MARYSE 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1366801516 ADAB LEILA 2021 FFS RENDERING AGE 0-20 280 2,586 196 486 147 625 231 244
1366801516 ADAB LEILA 2021 FFS RENDERING AGE 21+ 293 1,875 81 146 171 564 188 188
1366812026 LEE GUNDONG 2021 FFS RENDERING AGE 0-20 139 2,016 122 406 67 287 123 151
1366812026 LEE GUNDONG 2021 FFS RENDERING AGE 21+ 339 3,387 139 220 249 1,260 243 246
1366814477 CARRASCO CESAR E 2021 FFS RENDERING AGE 0-20 136 983 105 496 29 75 117 118
1366814477 CARRASCO CESAR E 2021 FFS RENDERING AGE 21+ 295 967 33 34 156 370 173 173
1366814477 CARRASCO CESAR E 2021 PHP RENDERING AGE 0-20 34 136 26 88 1 1 27 27
1366814477 CARRASCO CESAR E 2021 PHP RENDERING AGE 21+ 41 99 1 1 1 2 30 32
1366836645 SAADATMANDI DMD INC 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1366839193 GONZALEZ CUAUHTEMOC A 2021 GMC RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1366842643 WONG LIN L 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1366842643 WONG LIN L 2021 FFS RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1366842643 WONG LIN L 2021 PHP RENDERING AGE 0-20 175 1,385 169 541 39 131 156 195
1366842643 WONG LIN L 2021 PHP RENDERING AGE 21+ 168 1,274 154 246 86 339 136 155
1366857690 GHIAM JUSTIN 2021 FFS RENDERING AGE 0-20 6,089 45,989 5,626 15,086 2,290 2,816 5,780 6,564
1366857690 GHIAM JUSTIN 2021 FFS RENDERING AGE 21+ 27 131 15 30 1 1 21 21
1366857690 GHIAM JUSTIN 2021 PHP RENDERING AGE 0-20 1 1 1 1 1 1 1 1
1366858813 ASADI, GELAREH DDS 2021 FFS RENDERING AGE 0-20 22 83 1 2 14 32 1 1
1366858813 ASADI, GELAREH DDS 2021 FFS RENDERING AGE 21+ 54 138 1 2 28 45 25 25
1366917353 PHAM QUYNH VO BAO 2021 FFS RENDERING AGE 21+ 1 1 1 1 1 1 0 0
1366920662 KHERDE SNEHA V 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1366923146 KIM WILLIAM D 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 2 1 1
1366923146 KIM WILLIAM D 2021 FFS RENDERING AGE 21+ 38 114 1 1 23 49 22 22
1366934168 MAYORGA LENNY 2021 PHP RENDERING AGE 0-20 38 365 33 147 36 80 27 28
1366956484 HAKIMJAVADI AHMAD 2021 FFS RENDERING AGE 0-20 42 204 38 80 17 30 41 45
1366956484 HAKIMJAVADI AHMAD 2021 FFS RENDERING AGE 21+ 185 1,002 123 123 105 428 168 168
1366967481 YI SEUNG H 2021 FFS RENDERING AGE 0-20 57 331 44 95 26 65 43 43
1366967481 YI SEUNG H 2021 FFS RENDERING AGE 21+ 281 2,466 128 216 253 1,305 132 132
1366968331 HOSSEINI GHAZALEH 2021 FFS RENDERING AGE 0-20 98 978 77 271 71 168 66 81
1366990566 JUNG MIN C 2021 FFS RENDERING AGE 0-20 2,618 46,898 2,479 10,323 2,040 10,358 2,546 3,203
1366990566 JUNG MIN C 2021 FFS RENDERING AGE 21+ 110 1,015 80 157 36 166 100 100
1376019265 FERNANDEZ ELISE K 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1376025635 VU DAVID D 2021 FFS RENDERING AGE 0-20 92 588 60 118 22 45 76 76
1376025635 VU DAVID D 2021 FFS RENDERING AGE 21+ 212 944 30 47 113 333 138 138
1376051425 HERRERA ROXANNE R 2021 FFS RENDERING AGE 0-20 158 763 101 223 87 159 112 115
1376051425 HERRERA ROXANNE R 2021 FFS RENDERING AGE 21+ 122 606 42 75 93 265 67 67
1376084004 FILIP STEFAN 2021 FFS RENDERING AGE 21+ 1,175 4,776 451 719 1,161 1,994 801 805
1376084137 CHEN NORMAN T 2021 FFS RENDERING AGE 0-20 809 5,253 604 1,558 498 1,018 555 562
1376099671 VIJAN PRERNA V 2021 FFS RENDERING AGE 0-20 360 1,442 170 431 41 68 327 333
1376099671 VIJAN PRERNA V 2021 FFS RENDERING AGE 21+ 477 1,307 47 88 114 182 385 385
1376104695 TAHA SAHAR 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1376114454 TANDON SAAKSHI 2021 FFS RENDERING AGE 0-20 12 97 1 2 1 2 1 1
1376114454 TANDON SAAKSHI 2021 FFS RENDERING AGE 21+ 17 74 1 2 12 40 1 1
1376114702 FONG MICHELLE M 2021 FFS RENDERING AGE 0-20 13 82 12 24 1 2 12 12
1376114702 FONG MICHELLE M 2021 FFS RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1376150201 CHOI JUNG IN 2021 FFS RENDERING AGE 0-20 4,959 40,259 4,545 11,413 2,294 2,910 4,570 4,758
1376155317 BASHEER WASEEM A 2021 FFS RENDERING AGE 0-20 72 400 49 139 38 77 46 48
1376155317 BASHEER WASEEM A 2021 FFS RENDERING AGE 21+ 231 925 48 78 166 464 102 102
1376169714 PANDHER PUNEET KAUR 2021 FFS RENDERING AGE 0-20 565 2,230 50 75 556 1,947 0 0
1376175265 GILDEA, LISA HOLLY, RDHAP 2021 FFS RENDERING AGE 21+ 1 2 1 2 1 1 1 1
1376178319 SHAH SADDIF B 2021 GMC RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1376178319 SHAH SADDIF B 2021 GMC RENDERING AGE 21+ 23 71 17 32 21 38 0 0
1376186908 UDAS BEN 2021 FFS RENDERING AGE 0-20 43 334 37 75 25 150 39 44
1376186908 UDAS BEN 2021 FFS RENDERING AGE 21+ 336 2,061 109 178 223 1,191 298 298
1376193235 RODRIGUEZ CHRISTOPHER 2021 FFS RENDERING AGE 0-20 696 4,757 494 1,250 403 819 457 490
1376193235 RODRIGUEZ CHRISTOPHER 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1376205468 SELIM GOBRIEL HANAA M 2021 FFS RENDERING AGE 0-20 55 255 30 68 22 51 40 40
1376205468 SELIM GOBRIEL HANAA M 2021 FFS RENDERING AGE 21+ 99 327 20 28 48 120 49 49
1376205468 SELIM GOBRIEL HANAA M 2021 PHP RENDERING AGE 0-20 1 2 1 1 0 0 1 1
1376205468 SELIM GOBRIEL HANAA M 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1376216267 BECHAY ARSANY R 2021 FFS RENDERING AGE 0-20 206 1,012 82 235 84 190 108 108
1376216267 BECHAY ARSANY R 2021 FFS RENDERING AGE 21+ 104 278 16 32 63 135 34 34
1376216267 BECHAY ARSANY R 2021 PHP RENDERING AGE 0-20 14 54 1 2 1 2 1 1
1376216267 BECHAY ARSANY R 2021 PHP RENDERING AGE 21+ 20 69 1 1 15 48 1 1
1376506329 MAHMOOD SUHAD HASHIM 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1376506329 MAHMOOD SUHAD HASHIM 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1376515916 NGUYEN SUZANNE 2021 FFS RENDERING AGE 0-20 46 695 40 148 32 109 40 61
1376515916 NGUYEN SUZANNE 2021 FFS RENDERING AGE 21+ 107 1,372 81 160 89 424 87 87
1376531418 MAZHARY FERESHTEH 2021 FFS RENDERING AGE 0-20 721 4,860 526 2,122 129 163 696 845
1376531418 MAZHARY FERESHTEH 2021 FFS RENDERING AGE 21+ 599 1,746 78 91 254 476 433 433
1376538702 RAMIREZ EDWIN P 2021 FFS RENDERING AGE 0-20 1,072 14,884 984 4,058 406 1,029 944 1,356
1376538702 RAMIREZ EDWIN P 2021 FFS RENDERING AGE 21+ 275 2,260 222 440 121 232 215 215
1376540088 LAI, MARK W, DDS 2021 FFS RENDERING AGE 0-20 1 1 1 1 1 1 1 1
1376540088 LAI, MARK W, DDS 2021 FFS RENDERING AGE 21+ 34 191 26 26 17 42 18 18
1376541482 FOROUTAN JOHN H 2021 FFS RENDERING AGE 0-20 1,167 19,804 1,146 5,524 703 2,562 1,152 1,692
1376541482 FOROUTAN JOHN H 2021 FFS RENDERING AGE 21+ 843 8,584 415 830 651 3,747 656 657
1376541482 FOROUTAN JOHN H 2021 PHP RENDERING AGE 0-20 117 992 113 340 45 57 113 127
1376541482 FOROUTAN JOHN H 2021 PHP RENDERING AGE 21+ 95 485 38 75 29 89 87 88
1376547752 IWAMURA HANH A 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1376547752 IWAMURA HANH A 2021 GMC RENDERING AGE 0-20 176 707 74 258 50 56 63 63
1376551358 TABIBZADEH, NADER 2021 FFS RENDERING AGE 0-20 437 6,216 410 1,846 177 558 393 567
1376551358 TABIBZADEH, NADER 2021 FFS RENDERING AGE 21+ 133 1,037 83 166 50 188 107 107
1376551812 TOMA, DAVID, DMD 2021 FFS RENDERING AGE 0-20 1,087 15,119 503 1,433 924 6,026 640 700
1376551812 TOMA, DAVID, DMD 2021 FFS RENDERING AGE 21+ 568 5,656 162 313 454 2,278 365 365
1376552869 JUAREZ WILLIAM 2021 FFS RENDERING AGE 0-20 680 6,351 647 2,029 264 660 628 840
1376552869 JUAREZ WILLIAM 2021 FFS RENDERING AGE 21+ 752 5,225 607 607 439 1,775 655 655
1376556365 ARTEAGA, MANUEL R, DDS 2021 FFS RENDERING AGE 0-20 31 273 20 30 18 36 25 26
1376556365 ARTEAGA, MANUEL R, DDS 2021 FFS RENDERING AGE 21+ 40 247 1 1 18 47 34 34
1376556365 UNKNOWN 2021 FFS RENDERING AGE 0-20 31 273 20 30 18 36 25 26
1376556365 UNKNOWN 2021 FFS RENDERING AGE 21+ 40 247 1 1 18 47 34 34
1376556597 DORSEY, KEVIN B, DDS 2021 FFS RENDERING AGE 0-20 259 1,025 0 0 178 707 152 152
1376556597 DORSEY, KEVIN B, DDS 2021 FFS RENDERING AGE 21+ 267 1,025 0 0 173 717 133 133
1376556597 DORSEY, KEVIN B, DDS 2021 PHP RENDERING AGE 0-20 30 139 0 0 28 135 1 1
1376556597 DORSEY, KEVIN B, DDS 2021 PHP RENDERING AGE 21+ 61 268 0 0 41 229 36 37
1376577544 DHOLAKIYA, PRAGNESH J, DDS 2021 FFS RENDERING AGE 0-20 213 2,444 170 501 180 628 172 193
1376577544 DHOLAKIYA, PRAGNESH J, DDS 2021 FFS RENDERING AGE 21+ 479 4,046 185 358 387 1,883 341 341
1376577544 DHOLAKIYA, PRAGNESH J, DDS 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1376587204 DO, MUU N, DDS 2021 FFS RENDERING AGE 0-20 78 500 73 176 35 87 77 93
1376587204 DO, MUU N, DDS 2021 FFS RENDERING AGE 21+ 544 3,261 267 533 411 1,356 446 446
1376601211 DE LEON, MARIA DDS 2021 FFS RENDERING AGE 0-20 143 1,873 134 561 70 221 131 181
1376601211 DE LEON, MARIA DDS 2021 FFS RENDERING AGE 21+ 184 1,477 133 266 117 473 145 145
1376603027 SHAH DARSHINI S 2021 FFS RENDERING AGE 0-20 178 1,727 153 399 72 159 159 190
1376603027 SHAH DARSHINI S 2021 FFS RENDERING AGE 21+ 310 1,901 205 404 169 428 219 220
1376606764 ROGERS, ROBERT P, DDS 2021 FFS RENDERING AGE 0-20 52 260 46 48 13 22 43 45
1376606764 ROGERS, ROBERT P, DDS 2021 FFS RENDERING AGE 21+ 280 1,883 209 209 153 373 220 220
1376606954 YULIONGSIU REY Q 2021 FFS RENDERING AGE 0-20 625 3,393 467 1,061 163 457 533 575
1376606954 YULIONGSIU REY Q 2021 FFS RENDERING AGE 21+ 1,284 4,556 363 668 566 1,434 950 950
1376611509 ASSAD BASSEM L 2021 FFS RENDERING AGE 0-20 189 1,100 127 501 52 105 158 160
1376611509 ASSAD BASSEM L 2021 FFS RENDERING AGE 21+ 479 1,664 147 296 162 394 319 319
1376611509 ASSAD BASSEM L 2021 GMC RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1376611509 ASSAD BASSEM L 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1376611509 ASSAD BASSEM L 2021 PHP RENDERING AGE 0-20 167 1,360 129 539 103 370 142 165
1376611509 ASSAD BASSEM L 2021 PHP RENDERING AGE 21+ 112 1,028 63 170 86 644 91 100
1376612622 KUCERA MICHELLE L 2021 FFS RENDERING AGE 0-20 201 1,064 188 402 53 257 190 190
1376614651 REVILLA MARIA GEORGI E 2021 FFS RENDERING AGE 0-20 2,399 10,169 1,704 2,745 1,764 2,109 2,383 2,647
1376620971 METHAR, GHASSAN DDS 2021 FFS RENDERING AGE 0-20 328 4,691 311 1,706 162 461 317 489
1376620971 METHAR, GHASSAN DDS 2021 FFS RENDERING AGE 21+ 163 1,182 78 133 104 304 110 110
1376622530 QUOCK, WINTON J, DMD 2021 FFS RENDERING AGE 0-20 24 31 0 0 1 1 0 0
1376626234 CUEVAS-MENDOZA, EDITH M, DMD 2021 FFS RENDERING AGE 0-20 11 84 1 2 1 1 1 2
1376626234 CUEVAS-MENDOZA, EDITH M, DMD 2021 FFS RENDERING AGE 21+ 17 77 1 1 1 2 1 1
1376633446 PALAGANAS JR, ARTEMIO F, DDS 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 2 1 1
1376633446 PALAGANAS JR, ARTEMIO F, DDS 2021 FFS RENDERING AGE 21+ 30 193 15 27 23 89 14 14
1376635136 MALDONADO, PHILIP B, DDS 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 2 1 1
1376635136 MALDONADO, PHILIP B, DDS 2021 FFS RENDERING AGE 21+ 61 269 38 38 25 90 45 46
1376639567 VILLASENOR-FASS, GLORIA, DDS 2021 FFS RENDERING AGE 0-20 158 1,760 144 551 73 210 142 182
1376639567 VILLASENOR-FASS, GLORIA, DDS 2021 FFS RENDERING AGE 21+ 268 1,916 144 250 176 680 191 193
1376647529 SABOLCH PETER 2021 FFS RENDERING AGE 0-20 79 1,213 59 164 73 555 75 75
1376647529 SABOLCH PETER 2021 FFS RENDERING AGE 21+ 24 94 1 1 17 57 12 12
1376647529 SABOLCH PETER 2021 PHP RENDERING AGE 0-20 11 94 1 2 1 2 11 12
1376647529 SABOLCH PETER 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1376667824 NGUYEN NGOC DIEP T 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 2 1 1
1376667824 NGUYEN NGOC DIEP T 2021 FFS RENDERING AGE 21+ 68 512 52 52 47 163 43 43
1376667824 NGUYEN, DIEP, DDS 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 2 1 1
1376667824 NGUYEN, DIEP, DDS 2021 FFS RENDERING AGE 21+ 68 512 52 52 47 163 43 43
1376669978 LE, KATHY YNHI DDS 2021 FFS RENDERING AGE 0-20 103 1,208 102 449 54 258 102 162
1376669978 LE, KATHY YNHI DDS 2021 FFS RENDERING AGE 21+ 182 2,198 148 295 167 1,316 154 154
1376672980 MAK GILBERT KWOK K 2021 FFS RENDERING AGE 0-20 646 8,275 629 2,876 291 1,500 644 877
1376672980 MAK GILBERT KWOK K 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1376673152 HUGHES, CARROLL EUGENE, DDS 2021 FFS RENDERING AGE 0-20 721 4,916 0 0 551 3,788 569 569
1376673152 HUGHES, CARROLL EUGENE, DDS 2021 FFS RENDERING AGE 21+ 1,025 7,741 0 0 690 6,064 861 861
1376675447 VO HANHNGOC N 2021 FFS RENDERING AGE 0-20 165 2,424 160 758 75 173 139 189
1376675447 VO HANHNGOC N 2021 FFS RENDERING AGE 21+ 255 2,457 208 374 177 671 204 204
1376679407 DOMINGO-NGUYEN CATHLEEN A 2021 FFS RENDERING AGE 0-20 29 127 27 53 1 1 27 27
1376679407 DOMINGO-NGUYEN CATHLEEN A 2021 FFS RENDERING AGE 21+ 35 113 14 24 18 41 12 12
1376679696 LEE, NOMI 2021 FFS RENDERING AGE 0-20 247 2,864 211 595 98 300 218 274
1376679696 LEE, NOMI 2021 FFS RENDERING AGE 21+ 297 1,772 201 392 155 448 121 121
1376682427 BUI HAN P 2021 FFS RENDERING AGE 0-20 91 1,282 90 267 29 70 87 129
1376682427 BUI HAN P 2021 FFS RENDERING AGE 21+ 323 2,934 250 497 241 833 283 283
1376682757 GUINDI, GUINDI M, DDS 2021 FFS RENDERING AGE 0-20 27 125 17 29 1 2 20 20
1376682757 GUINDI, GUINDI M, DDS 2021 FFS RENDERING AGE 21+ 105 510 48 82 58 158 64 64
1376682757 GUINDI, GUINDI MAHFOUZ, DDS 2021 FFS RENDERING AGE 0-20 27 125 17 29 1 2 20 20
1376682757 GUINDI, GUINDI MAHFOUZ, DDS 2021 FFS RENDERING AGE 21+ 105 510 48 82 58 158 64 64
1376685990 NAMIAN, MAHMOUD 2021 FFS RENDERING AGE 0-20 41 339 24 62 29 86 26 27
1376685990 NAMIAN, MAHMOUD 2021 FFS RENDERING AGE 21+ 82 367 1 1 72 230 17 17
1376685990 NAMIAN, MAHMOUD 2021 PHP RENDERING AGE 0-20 1 2 1 2 0 0 1 1
1376685990 NAMIAN, MAHMOUD 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1376687574 CHIRINOS RENAN O 2021 FFS RENDERING AGE 0-20 392 4,041 299 868 242 461 281 310
1376687574 CHIRINOS RENAN O 2021 FFS RENDERING AGE 21+ 374 2,968 142 240 256 632 180 181
1376688044 TAKLA PAUL M 2021 FFS RENDERING AGE 0-20 318 388 0 0 31 62 0 0
1376688044 TAKLA PAUL M 2021 FFS RENDERING AGE 21+ 20 20 0 0 0 0 0 0
1376688044 TAKLA PAUL M 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1376688663 ROZOV SOPHIA S 2021 FFS RENDERING AGE 0-20 149 1,359 91 328 65 203 134 144
1376688663 ROZOV SOPHIA S 2021 FFS RENDERING AGE 21+ 235 1,776 80 122 157 625 145 145
1376688663 ROZOV SOPHIA S 2021 PHP RENDERING AGE 0-20 48 571 44 178 21 52 46 60
1376688663 ROZOV SOPHIA S 2021 PHP RENDERING AGE 21+ 52 520 23 57 31 159 46 53
1376695825 IMANKHAN, HAMID R DDS 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1376695825 IMANKHAN, HAMID R DDS 2021 PHP RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1376695825 IMANKHAN, HAMID R DDS 2021 PHP RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1376697847 LE MAI ANH 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 2 1 1
1376697847 LE MAI ANH 2021 FFS RENDERING AGE 21+ 54 241 17 34 47 139 19 19
1376697847 LE MAI ANH 2021 GMC RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1376697847 LE, MAI A, DDS 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 2 1 1
1376697847 LE, MAI A, DDS 2021 FFS RENDERING AGE 21+ 54 241 17 34 47 139 19 19
1376697847 LE, MAI A, DDS 2021 GMC RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1376698233 KAO EDDIE K 2021 FFS RENDERING AGE 0-20 30 307 30 102 15 51 30 45
1376698233 KAO EDDIE K 2021 FFS RENDERING AGE 21+ 76 722 57 113 61 259 56 56
1376700336 MEHDIPOUR OMID 2021 FFS RENDERING AGE 0-20 113 223 0 0 63 137 0 0
1376700336 MEHDIPOUR OMID 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1376702167 LIM ALICE T 2021 PHP RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1376702167 LIM ALICE T 2021 PHP RENDERING AGE 21+ 1 2 1 2 1 2 1 1
1376703686 TADROS FAWZY 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1376703686 TADROS FAWZY 2021 PHP RENDERING AGE 0-20 139 1,483 138 642 55 142 131 199
1376703686 TADROS FAWZY 2021 PHP RENDERING AGE 21+ 209 1,457 184 442 111 392 177 217
1376703868 GALDES TODD LOUIS 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1376722553 SANTOS EDNA T 2021 FFS RENDERING AGE 0-20 43 318 39 103 17 48 42 55
1376722553 SANTOS EDNA T 2021 FFS RENDERING AGE 21+ 252 1,422 210 418 81 222 232 232
1376736801 SAWERES NANCY E 2021 FFS RENDERING AGE 0-20 133 922 125 428 111 459 1 1
1376736801 SAWERES NANCY E 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 0 0
1376750307 KIM, CHUNG DDS, INC 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 1 0 0
1376761429 CHOI JOSEPH K 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1376762393 TABIB, KAMRAN, DDS 2021 FFS RENDERING AGE 0-20 23 247 16 39 13 42 17 21
1376762393 TABIB, KAMRAN, DDS 2021 FFS RENDERING AGE 21+ 354 3,599 151 298 305 1,486 206 206
1376762518 WANG, ROSEMARY 2021 FFS RENDERING AGE 21+ 13 81 1 1 1 2 1 1
1376762740 BATTE, GERTRUDES 2021 FFS RENDERING AGE 0-20 688 8,356 663 2,351 238 495 674 1,043
1376762740 BATTE, GERTRUDES 2021 FFS RENDERING AGE 21+ 133 1,355 113 228 60 103 113 113
1376762765 BERENT YAKOV 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1376764001 GHAVI BONIHE ALI 2021 FFS RENDERING AGE 0-20 530 7,508 450 1,863 311 1,182 443 539
1376764001 GHAVI BONIHE ALI 2021 FFS RENDERING AGE 21+ 457 4,198 183 367 313 1,126 325 326
1376764001 GHAVI BONIHE ALI 2021 PHP RENDERING AGE 0-20 1 2 1 2 0 0 1 1
1376764001 GHAVI BONIHE ALI 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1376767038 CERVANTES RICHARD 2021 FFS RENDERING AGE 0-20 197 1,447 169 203 82 298 184 229
1376767038 CERVANTES RICHARD 2021 FFS RENDERING AGE 21+ 389 3,088 220 223 307 1,412 272 272
1376769356 BUI-TILLMAN CHRISTINE T 2021 FFS RENDERING AGE 0-20 73 325 66 150 18 28 65 75
1376769356 BUI-TILLMAN CHRISTINE T 2021 FFS RENDERING AGE 21+ 157 673 114 222 69 160 124 124
1376775767 PARK SUZAN S 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1376775767 PARK SUZAN S 2021 FFS RENDERING AGE 21+ 64 363 29 42 40 154 26 26
1376790725 APONTE CHAFICATH T 2021 FFS RENDERING AGE 0-20 784 3,086 422 866 356 884 293 293
1376790725 APONTE CHAFICATH T 2021 FFS RENDERING AGE 21+ 808 2,397 188 358 478 1,059 243 243
1376790907 REYHANI BEHNOUD 2021 FFS RENDERING AGE 0-20 324 3,504 231 603 155 539 297 334
1376790907 REYHANI BEHNOUD 2021 FFS RENDERING AGE 21+ 784 5,619 243 459 472 1,731 602 611
1376790907 REYHANI BEHNOUD 2021 PHP RENDERING AGE 0-20 18 85 1 2 1 2 16 18
1376790907 REYHANI BEHNOUD 2021 PHP RENDERING AGE 21+ 66 289 14 21 31 121 55 59
1376796433 SUNWOO JAMES S 2021 FFS RENDERING AGE 0-20 1 2 0 0 1 2 0 0
1376796433 SUNWOO JAMES S 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 2 0 0
1376797209 SCOTT STEVEN H 2021 FFS RENDERING AGE 0-20 14 32 0 0 1 2 0 0
1376797209 SCOTT STEVEN H 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1376797209 SCOTT STEVEN H 2021 GMC RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1376797621 POURSHIRAZI HOMAYOUN 2021 FFS RENDERING AGE 0-20 1,062 14,759 627 1,896 651 2,604 940 1,126
1376797621 POURSHIRAZI HOMAYOUN 2021 FFS RENDERING AGE 21+ 2,212 17,951 286 521 1,691 6,841 1,457 1,470
1376798264 TORBATI DONA 2021 FFS RENDERING AGE 0-20 171 1,595 139 444 93 262 140 175
1376798264 TORBATI DONA 2021 FFS RENDERING AGE 21+ 530 3,904 208 399 344 1,412 382 385
1376798264 TORBATI DONA 2021 PHP RENDERING AGE 0-20 14 115 11 41 1 2 11 11
1376798264 TORBATI DONA 2021 PHP RENDERING AGE 21+ 28 256 1 2 23 129 20 20
1376801191 JAVDAN NAZAFARIN 2021 FFS RENDERING AGE 0-20 5,677 62,276 4,763 16,938 3,884 12,662 4,565 5,423
1376801191 JAVDAN NAZAFARIN 2021 FFS RENDERING AGE 21+ 13 93 1 2 1 1 1 1
1376803254 SAN DIEGO CENTER FOR ORAL AND MAXILLOFACIAL SURGERY 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 2 0 0
1376805556 BRAR PREMJEET K 2021 FFS RENDERING AGE 0-20 1,234 8,270 1,059 3,054 470 1,958 845 1,056
1376805556 BRAR PREMJEET K 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1376805556 BRAR PREMJEET K 2021 GMC RENDERING AGE 0-20 516 4,449 169 447 511 2,926 24 25
1376805556 BRAR PREMJEET K 2021 GMC RENDERING AGE 21+ 1 1 1 1 0 0 0 0
1376810002 HARTOUNIAN HARMIK 2021 FFS RENDERING AGE 0-20 94 604 68 158 28 70 78 83
1376810002 HARTOUNIAN HARMIK 2021 FFS RENDERING AGE 21+ 355 2,292 75 138 261 967 222 224
1376822031 AMINOSHARIAE AMIR R 2021 FFS RENDERING AGE 0-20 1 2 0 0 1 2 0 0
1376835983 ZARRABI, SAMEEN DMD 2021 FFS RENDERING AGE 0-20 2,203 27,637 1,975 6,899 1,262 3,464 1,997 2,458
1376835983 ZARRABI, SAMEEN DMD 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1376852970 JABERIANSARI MAHSA 2021 FFS RENDERING AGE 0-20 2,112 22,075 1,580 4,492 1,370 7,619 1,517 1,652
1376852970 JABERIANSARI MAHSA 2021 FFS RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1376858316 KATCHOOI MINA 2021 FFS RENDERING AGE 0-20 1,493 2,155 0 0 1 2 0 0
1376858316 KATCHOOI MINA 2021 FFS RENDERING AGE 21+ 15 16 0 0 0 0 0 0
1376858811 PAN ANTHONY S 2021 FFS RENDERING AGE 0-20 108 793 103 433 46 115 103 141
1376858811 PAN ANTHONY S 2021 FFS RENDERING AGE 21+ 306 2,340 207 415 255 1,261 216 219
1376858811 PAN ANTHONY S 2021 PHP RENDERING AGE 0-20 24 196 24 131 1 2 24 31
1376858811 PAN ANTHONY S 2021 PHP RENDERING AGE 21+ 79 704 67 155 57 380 71 79
1376862052 WANG SARITA M 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 2 1 1
1376862052 WANG SARITA M 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 0 0
1376875534 LILI MIRTORABI, D.D.S., M.S., A PROFESSIONAL CORPORATION 2021 PHP RENDERING AGE 0-20 1 1 0 0 0 0 1 1
1376875534 MIRTORABI, LILI, DDS A PROF 2021 PHP RENDERING AGE 0-20 1 1 0 0 0 0 1 1
1376902155 SHETH PRIYA P 2021 FFS RENDERING AGE 0-20 3,892 23,148 3,426 8,781 1,994 3,442 3,314 3,395
1376902155 SHETH PRIYA P 2021 PHP RENDERING AGE 0-20 1 1 1 1 1 1 0 0
1376919068 RAJAPKSHA KASUN S 2021 FFS RENDERING AGE 0-20 1,391 13,126 1,071 2,760 868 2,598 1,144 1,207
1376919068 RAJAPKSHA KASUN S 2021 FFS RENDERING AGE 21+ 33 151 1 1 18 47 15 15
1376927855 KIM ERIC K 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1376929588 THANGARAJ VETHANYA 2021 FFS RENDERING AGE 0-20 711 4,307 477 2,091 82 131 650 707
1376929588 THANGARAJ VETHANYA 2021 FFS RENDERING AGE 21+ 1,468 4,531 340 650 396 973 958 966
1376929588 THANGARAJ VETHANYA 2021 GMC RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1376929588 THANGARAJ VETHANYA 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1376929588 THANGARAJ VETHANYA 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1376929638 BRUTUS, ELIZABETH, RDHAP 2021 FFS RENDERING AGE 0-20 42 138 27 56 0 0 0 0
1376929638 BRUTUS, ELIZABETH, RDHAP 2021 FFS RENDERING AGE 21+ 185 539 181 363 14 14 0 0
1376933622 CENTER FOR ORAL HEALTH 2021 GMC RENDERING AGE 0-20 158 755 157 602 0 0 0 0
1376933622 CENTER FOR ORAL HEALTH 2021 GMC RENDERING AGE 21+ 1 1 1 1 0 0 0 0
1376937219 HSI ELIZABETH 2021 FFS RENDERING AGE 0-20 27 153 21 45 14 39 20 21
1376937219 HSI ELIZABETH 2021 FFS RENDERING AGE 21+ 84 435 30 58 60 195 41 41
1376942672 DERAGOBIAN, ANKIN, DDS INC 2021 FFS RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1376965954 LIU CHELSEA 2021 FFS RENDERING AGE 0-20 19 146 19 63 1 1 18 25
1376965954 LIU CHELSEA 2021 FFS RENDERING AGE 21+ 51 372 40 86 26 76 46 46
1376968784 BORNA NEDA 2021 FFS RENDERING AGE 0-20 496 2,531 343 950 131 192 468 474
1376968784 BORNA NEDA 2021 FFS RENDERING AGE 21+ 555 1,579 59 108 220 495 375 376
1376968784 BORNA NEDA 2021 PHP RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1376975375 SALAMATI ATRIYA 2021 FFS RENDERING AGE 0-20 596 3,704 311 815 463 2,063 246 246
1376975375 SALAMATI ATRIYA 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1376992586 ELYASSI HARRY H 2021 FFS RENDERING AGE 0-20 130 1,715 117 386 70 331 129 176
1376992586 ELYASSI HARRY H 2021 FFS RENDERING AGE 21+ 561 6,779 483 1,263 459 2,872 484 484
1376992586 ELYASSI HARRY H 2021 PHP RENDERING AGE 21+ 1 2 0 0 1 2 0 0
1386002616 LEE HANNA 2021 PHP RENDERING AGE 21+ 46 141 1 1 30 66 22 24
1386003432 PATEL SUNIL S 2021 FFS RENDERING AGE 0-20 61 182 0 0 61 182 0 0
1386003432 PATEL SUNIL S 2021 FFS RENDERING AGE 21+ 263 1,192 1 1 263 1,184 1 1
1386004232 NEMOVI SHAHRYAR 2021 FFS RENDERING AGE 0-20 319 1,926 158 434 202 509 165 172
1386004232 NEMOVI SHAHRYAR 2021 FFS RENDERING AGE 21+ 448 1,931 86 164 281 664 207 210
1386010445 LIEM MICHELLE A 2021 FFS RENDERING AGE 0-20 101 489 51 146 57 164 44 44
1386010445 LIEM MICHELLE A 2021 FFS RENDERING AGE 21+ 112 359 14 26 78 216 38 38
1386013209 PHILIP CHANG DDS INC 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 0 0
1386013209 PHILIP CHANG DDS INC 2021 PHP RENDERING AGE 0-20 35 196 34 84 14 30 34 34
1386013209 PHILIP CHANG DDS INC 2021 PHP RENDERING AGE 21+ 13 70 1 2 1 2 12 12
1386014777 SALTZBERG ALANA V 2021 FFS RENDERING AGE 0-20 863 9,510 724 1,830 446 1,315 734 899
1386014777 SALTZBERG ALANA V 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1386017002 AFIFI MARYAM M 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1386017002 AFIFI MARYAM M 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 1 1 1
1386017002 AFIFI MARYAM M 2021 PHP RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1386035459 HOSSEIN A DENTAL CORPORATION 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1386048122 CHOW KIM N 2021 FFS RENDERING AGE 0-20 121 667 1 2 121 383 1 1
1386048122 CHOW KIM N 2021 FFS RENDERING AGE 21+ 213 1,062 1 2 208 690 1 1
1386049971 VU, DIANA DDS 2021 FFS RENDERING AGE 0-20 322 2,823 219 628 189 429 249 253
1386049971 VU, DIANA DDS 2021 FFS RENDERING AGE 21+ 63 292 1 1 38 69 36 36
1386052306 SHIN MICHELLE M 2021 FFS RENDERING AGE 0-20 2,358 25,290 2,113 6,678 1,593 4,584 2,039 2,266
1386053171 TAJIK KASRA 2021 FFS RENDERING AGE 0-20 18 130 13 36 1 2 16 17
1386053171 TAJIK KASRA 2021 FFS RENDERING AGE 21+ 125 819 78 143 78 336 100 102
1386053999 HOSSEINI HOUTAN A 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 2 1 1
1386053999 HOSSEINI HOUTAN A 2021 FFS RENDERING AGE 21+ 18 53 1 1 1 2 1 1
1386058592 BEECHER REBECCA V 2021 FFS RENDERING AGE 0-20 267 1,580 186 443 101 313 204 221
1386058592 BEECHER REBECCA V 2021 FFS RENDERING AGE 21+ 597 2,364 183 325 275 800 342 342
1386059103 PEDERSEN ANNE C 2021 FFS RENDERING AGE 0-20 2,043 27,480 1,943 9,053 1,587 7,938 1,995 2,937
1386059103 PEDERSEN ANNE C 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1386071546 SAIDIAN SHAHROOZ 2021 FFS RENDERING AGE 0-20 62 461 55 160 30 115 54 66
1386071546 SAIDIAN SHAHROOZ 2021 FFS RENDERING AGE 21+ 309 1,878 219 408 183 800 242 242
1386076073 PAHLEVANLOU GOLNAZ 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 1 1 1
1386086437 ZHANG LING 2021 FFS RENDERING AGE 0-20 329 1,488 205 795 200 426 45 45
1386086437 ZHANG LING 2021 FFS RENDERING AGE 21+ 371 1,055 125 230 274 575 44 44
1386086437 ZHANG LING 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1386086437 ZHANG LING 2021 PHP RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1386086437 ZHANG LING 2021 PHP RENDERING AGE 21+ 21 45 1 1 11 15 13 13
1386097616 RAVISANKAR ASHWIN 2021 FFS RENDERING AGE 0-20 103 237 0 0 103 236 0 0
1386097616 RAVISANKAR ASHWIN 2021 FFS RENDERING AGE 21+ 793 2,273 0 0 791 2,267 0 0
1386097616 RAVISANKAR ASHWIN 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1386097616 RAVISANKAR ASHWIN 2021 PHP RENDERING AGE 0-20 1 2 0 0 1 2 0 0
1386097616 RAVISANKAR ASHWIN 2021 PHP RENDERING AGE 21+ 25 91 0 0 24 90 1 1
1386098606 SINGH SATWINDER 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1386098606 SINGH SATWINDER 2021 GMC RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1386098606 SINGH SATWINDER 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1386098606 SINGH SATWINDER 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1386098606 SINGH SATWINDER 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1386109213 WANG PHILIP 2021 FFS RENDERING AGE 0-20 288 1,204 171 350 41 94 246 246
1386109213 WANG PHILIP 2021 FFS RENDERING AGE 21+ 540 1,749 144 256 169 375 388 388
1386109213 WANG PHILIP 2021 PHP RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1386109213 WANG PHILIP 2021 PHP RENDERING AGE 21+ 1 1 1 1 1 1 0 0
1386114049 LUNSFORD JOHN T 2021 FFS RENDERING AGE 0-20 123 880 80 177 73 148 91 91
1386114049 LUNSFORD JOHN T 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1386117893 WARRIACH FAHAD I 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1386117893 WARRIACH FAHAD I 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1386123297 MORA ANA C 2021 FFS RENDERING AGE 0-20 1 2 1 1 0 0 1 1
1386123297 MORA ANA C 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1386123537 BESADA BISHOY J 2021 FFS RENDERING AGE 0-20 529 3,951 463 1,863 264 617 385 406
1386123537 BESADA BISHOY J 2021 FFS RENDERING AGE 21+ 598 3,063 328 635 369 1,452 296 296
1386123537 BESADA BISHOY J 2021 GMC RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1386123537 BESADA BISHOY J 2021 GMC RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1386123537 BESADA BISHOY J 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1386123537 BESADA BISHOY J 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1386128239 FERNANDO KEVIN M 2021 FFS RENDERING AGE 0-20 35 235 17 38 17 36 21 21
1386128239 FERNANDO KEVIN M 2021 FFS RENDERING AGE 21+ 110 540 1 2 63 126 47 47
1386128270 WANG LILY 2021 FFS RENDERING AGE 0-20 58 789 52 215 36 128 55 63
1386128270 WANG LILY 2021 FFS RENDERING AGE 21+ 222 2,111 117 229 170 1,010 169 170
1386133247 SODHI SLEENA 2021 FFS RENDERING AGE 0-20 402 1,173 33 45 153 274 265 271
1386133247 SODHI SLEENA 2021 FFS RENDERING AGE 21+ 837 2,045 1 2 328 636 466 466
1386135671 PARK PROFESSIONAL DENTAL COR 2021 PHP RENDERING AGE 0-20 23 166 17 73 1 2 16 16
1386135671 PARK PROFESSIONAL DENTAL COR 2021 PHP RENDERING AGE 21+ 43 168 18 35 31 93 16 16
1386168458 DHILLON KARANVEER SINGH 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1386191641 MCCOURT DANIELLE T 2021 FFS RENDERING AGE 0-20 267 2,319 235 625 93 196 247 300
1386191641 MCCOURT DANIELLE T 2021 FFS RENDERING AGE 21+ 651 4,363 409 757 257 527 520 520
1386202414 HSIEH REBECCA P 2021 FFS RENDERING AGE 0-20 500 2,972 357 764 214 595 335 353
1386205235 DIEP JASON DO 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1386292324 CAMACHO AARON J 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1386292324 CAMACHO AARON J 2021 FFS RENDERING AGE 21+ 14 35 0 0 14 35 0 0
1386296507 PATEL MEGA HARSHAD 2021 PHP RENDERING AGE 21+ 1 1 1 1 1 1 0 0
1386600161 ENTEZAM MONA 2021 FFS RENDERING AGE 0-20 11 41 1 1 1 1 1 1
1386600161 ENTEZAM MONA 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 2 1 1
1386627263 RAMOS-MERCADO FABIOLA B 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1386627263 RAMOS-MERCADO FABIOLA B 2021 GMC RENDERING AGE 0-20 144 923 121 448 89 206 90 92
1386627263 RAMOS-MERCADO FABIOLA B 2021 GMC RENDERING AGE 21+ 192 1,380 80 186 174 694 92 115
1386634053 KAILA PRABHPREET S 2021 GMC RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1386645984 KIM, QUY N, DDS 2021 FFS RENDERING AGE 0-20 778 7,577 710 2,236 504 1,677 646 771
1386645984 KIM, QUY N, DDS 2021 FFS RENDERING AGE 21+ 1 2 1 1 0 0 1 1
1386657351 KHORSAND ARASH 2021 FFS RENDERING AGE 0-20 115 440 1 1 115 296 0 0
1386657351 KHORSAND ARASH 2021 FFS RENDERING AGE 21+ 345 1,313 0 0 345 943 0 0
1386664431 REYES SOL JOSE 2021 FFS RENDERING AGE 0-20 287 1,580 270 1,119 1 1 266 409
1386664431 REYES SOL JOSE 2021 FFS RENDERING AGE 21+ 1 2 1 1 0 0 1 1
1386664431 REYES, SOL J, DDS 2021 FFS RENDERING AGE 0-20 287 1,580 270 1,119 1 1 266 409
1386664431 REYES, SOL J, DDS 2021 FFS RENDERING AGE 21+ 1 2 1 1 0 0 1 1
1386668911 FEJARANG, CECILIA DMD 2021 FFS RENDERING AGE 0-20 1,026 10,044 1,015 4,081 439 786 1,012 1,394
1386668911 FEJARANG, CECILIA DMD 2021 FFS RENDERING AGE 21+ 34 192 30 54 1 1 32 32
1386679876 KECHECHYAN ANUSH 2021 FFS RENDERING AGE 0-20 18 127 15 44 13 34 17 19
1386679876 KECHECHYAN ANUSH 2021 FFS RENDERING AGE 21+ 269 1,663 144 150 227 949 198 199
1386692275 LUU CINDY T 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 1 1 2
1386692275 LUU CINDY T 2021 FFS RENDERING AGE 21+ 1 2 1 2 1 2 1 1
1386703650 PANEM SHERWIN A 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1386703650 PANEM SHERWIN A 2021 FFS RENDERING AGE 21+ 120 529 0 0 117 522 1 1
1386703650 PANEM SHERWIN A 2021 GMC RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1386703650 PANEM SHERWIN A 2021 GMC RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1386705952 AL RIYABI FERAS 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1386705952 AL RIYABI FERAS 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1386705952 AL RIYABI FERAS 2021 GMC RENDERING AGE 0-20 460 2,791 354 1,278 268 366 269 277
1386705952 AL RIYABI FERAS 2021 GMC RENDERING AGE 21+ 622 2,161 110 205 440 940 210 222
1386705952 AL RIYABI FERAS 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1386706273 JADHAV MEGHA R 2021 FFS RENDERING AGE 0-20 67 525 63 215 18 51 65 70
1386706273 JADHAV MEGHA R 2021 FFS RENDERING AGE 21+ 319 1,914 197 197 174 766 268 268
1386711901 PANGILINAN RODERICK F 2021 FFS RENDERING AGE 0-20 535 3,673 389 1,153 250 682 476 496
1386711901 PANGILINAN RODERICK F 2021 FFS RENDERING AGE 21+ 621 3,381 266 519 345 1,161 533 534
1386712743 CO MARIA LUISA A 2021 FFS RENDERING AGE 0-20 34 292 28 96 23 70 30 36
1386712743 CO MARIA LUISA A 2021 FFS RENDERING AGE 21+ 104 1,057 62 115 93 605 32 32
1386716975 SIDERMAN, JERRY DDS 2021 FFS RENDERING AGE 0-20 1,260 13,859 1,151 3,703 553 1,922 1,004 1,144
1386716975 SIDERMAN, JERRY DDS 2021 FFS RENDERING AGE 21+ 716 6,375 364 724 565 2,680 373 373
1386716975 SIDERMAN, JERRY DDS 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1386716975 SIDERMAN, JERRY DDS 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1386717262 TOPPI RUSSELL J 2021 FFS RENDERING AGE 0-20 163 247 0 0 34 89 0 0
1386717262 TOPPI RUSSELL J 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1386717262 TOPPI RUSSELL J 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1386717262 TOPPI RUSSELL J 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1386722353 WOO DEBRA A 2021 FFS RENDERING AGE 0-20 82 217 0 0 78 92 0 0
1386722353 WOO DEBRA A 2021 FFS RENDERING AGE 21+ 971 2,545 0 0 844 995 0 0
1386727212 MANCHANDIA, CHANDRAKAN DDS 2021 FFS RENDERING AGE 0-20 135 1,122 131 516 47 78 131 173
1386727212 MANCHANDIA, CHANDRAKAN DDS 2021 FFS RENDERING AGE 21+ 148 842 127 250 73 193 130 130
1386730828 TRAN NHU Q 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1386731131 NGUYEN MINCHAU T 2021 FFS RENDERING AGE 0-20 53 328 47 140 17 46 47 49
1386731131 NGUYEN MINCHAU T 2021 FFS RENDERING AGE 21+ 51 198 19 37 26 64 29 29
1386733103 VU NGUYENKHANH D 2021 FFS RENDERING AGE 0-20 491 2,584 354 848 241 635 398 443
1386733103 VU NGUYENKHANH D 2021 FFS RENDERING AGE 21+ 563 2,098 114 223 327 1,038 386 386
1386751220 AFROOZ BABAK B 2021 FFS RENDERING AGE 0-20 221 1,410 167 468 44 94 195 222
1386751220 AFROOZ BABAK B 2021 FFS RENDERING AGE 21+ 369 1,406 87 125 169 367 280 280
1386751220 AFROOZ BABAK B 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 0 0
1386751220 AFROOZ BABAK B 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 2 0 0
1386758662 PEREZ MARITES M 2021 FFS RENDERING AGE 0-20 375 3,820 275 799 148 497 302 346
1386758662 PEREZ MARITES M 2021 FFS RENDERING AGE 21+ 402 2,930 111 222 302 1,230 178 182
1386770568 GOMEZ UBLESTER 2021 FFS RENDERING AGE 0-20 304 3,460 215 661 169 496 227 292
1386770568 GOMEZ UBLESTER 2021 FFS RENDERING AGE 21+ 223 1,907 128 256 159 526 155 155
1386770568 GOMEZ UBLESTER 2021 PHP RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1386770568 GOMEZ UBLESTER 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1386772366 VU THOMAS H 2021 FFS RENDERING AGE 0-20 591 6,333 569 1,713 180 510 563 844
1386772366 VU THOMAS H 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1386780229 ALON, DANNA RICA QUIMSON, RD 2021 FFS RENDERING AGE 21+ 395 1,566 395 665 395 901 0 0
1386780294 HO THANH Q 2021 FFS RENDERING AGE 0-20 24 145 16 59 13 14 17 17
1386780294 HO THANH Q 2021 FFS RENDERING AGE 21+ 106 370 12 20 64 104 58 58
1386780294 HO THANH Q 2021 GMC RENDERING AGE 0-20 1,191 9,081 1,004 4,000 545 935 979 1,101
1386780294 HO THANH Q 2021 GMC RENDERING AGE 21+ 975 4,718 590 1,118 600 1,313 609 613
1386782985 TRAN, TAM K, DDS 2021 FFS RENDERING AGE 0-20 51 224 18 54 43 131 1 1
1386782985 TRAN, TAM K, DDS 2021 FFS RENDERING AGE 21+ 12 23 1 1 1 2 1 1
1386782985 TRAN, TAM K, DDS 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1386783108 FARZIN, MATT G DDS 2021 FFS RENDERING AGE 0-20 327 3,833 301 907 90 355 275 331
1386783108 FARZIN, MATT G DDS 2021 FFS RENDERING AGE 21+ 76 457 31 51 26 107 57 57
1386784999 ILEM JR, FRANCISCO L., DDS 2021 FFS RENDERING AGE 0-20 11 78 11 39 1 1 1 2
1386784999 ILEM JR, FRANCISCO L., DDS 2021 FFS RENDERING AGE 21+ 28 183 25 32 17 66 27 27
1386785749 HOMAYOUN POURSHIRAZI DMD PC 2021 FFS RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1386789170 KIM, MYUNG-SHIN, DDS 2021 FFS RENDERING AGE 0-20 215 5,692 203 1,868 144 604 201 518
1386789170 KIM, MYUNG-SHIN, DDS 2021 FFS RENDERING AGE 21+ 171 3,448 121 484 110 568 128 256
1386790715 KIM, YOUNGRIM, DDS 2021 FFS RENDERING AGE 0-20 295 1,918 250 855 103 213 212 272
1386790715 KIM, YOUNGRIM, DDS 2021 FFS RENDERING AGE 21+ 21 74 17 17 1 1 17 17
1386795961 POOTRAKUL ALI 2021 FFS RENDERING AGE 0-20 156 813 0 0 156 793 0 0
1386795961 POOTRAKUL ALI 2021 FFS RENDERING AGE 21+ 198 1,028 1 1 197 1,008 1 1
1386795961 POOTRAKUL ALI 2021 PHP RENDERING AGE 0-20 1 2 0 0 1 2 0 0
1386795961 POOTRAKUL ALI 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1386796936 TRILL, DARCI, RDHAP 2021 FFS RENDERING AGE 0-20 1 1 1 1 1 1 0 0
1386796936 TRILL, DARCI, RDHAP 2021 FFS RENDERING AGE 21+ 131 780 130 325 124 455 0 0
1386804219 TANDON RADHIKA 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1386808400 RIBEROS LUIS J 2021 FFS RENDERING AGE 0-20 14 70 13 32 1 1 1 1
1386808400 RIBEROS LUIS J 2021 FFS RENDERING AGE 21+ 19 55 1 1 12 20 11 11
1386808673 ZAKER MEYSAM 2021 FFS RENDERING AGE 0-20 141 1,843 117 342 104 517 123 139
1386808673 ZAKER MEYSAM 2021 FFS RENDERING AGE 21+ 199 1,623 58 112 138 730 143 143
1386811271 KEIVAN SARRAF, DDS, INC 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1386811271 KEIVAN SARRAF, DDS, INC 2021 PHP RENDERING AGE 21+ 1 2 0 0 1 1 1 1
1386811271 SARRAF, KEIVAN, DDS INC 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1386811271 SARRAF, KEIVAN, DDS INC 2021 PHP RENDERING AGE 21+ 1 2 0 0 1 1 1 1
1386815058 MADISON, MILES, A PROF DENT 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1386819464 MASSOUN, SARABJIT S, DDS 2021 FFS RENDERING AGE 0-20 208 4,882 193 1,246 99 648 192 492
1386819464 MASSOUN, SARABJIT S, DDS 2021 FFS RENDERING AGE 21+ 276 4,520 110 422 175 1,694 207 414
1386821221 YEUNG JAMIE Y 2021 FFS RENDERING AGE 0-20 6,856 41,819 6,619 18,596 3,269 3,905 6,675 7,609
1386821221 YEUNG JAMIE Y 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1386823219 BERMOY KATHRYN R 2021 GMC RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1386823219 BERMOY KATHRYN R 2021 PHP RENDERING AGE 0-20 203 1,150 158 559 94 122 99 105
1386823219 BERMOY KATHRYN R 2021 PHP RENDERING AGE 21+ 15 72 1 2 1 2 1 1
1386827426 GORRELL GARY A 2021 FFS RENDERING AGE 0-20 570 4,836 430 1,874 89 165 498 557
1386827426 GORRELL GARY A 2021 FFS RENDERING AGE 21+ 931 5,157 314 576 411 1,160 657 661
1386827830 OWEITY WAEL 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1386827830 OWEITY WAEL 2021 FFS RENDERING AGE 21+ 68 103 0 0 68 102 0 0
1386835296 BANSAL SHUCHITA G 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1386835296 BANSAL SHUCHITA G 2021 FFS RENDERING AGE 21+ 25 99 13 25 1 2 20 20
1386847648 THAKKER, JAYINI MD 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1386847648 THAKKER, JAYINI MD 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1386862225 LIN JASON V 2021 FFS RENDERING AGE 0-20 1,899 30,729 1,771 6,745 970 5,686 1,815 2,636
1386862225 LIN JASON V 2021 FFS RENDERING AGE 21+ 26 189 19 32 1 1 20 20
1386863074 PANCHURA JULIANA 2021 FFS RENDERING AGE 0-20 127 331 0 0 86 201 0 0
1386865707 NGO, HUONG L, DDS 2021 FFS RENDERING AGE 0-20 145 1,240 142 484 39 134 143 211
1386865707 NGO, HUONG L, DDS 2021 FFS RENDERING AGE 21+ 242 1,454 229 458 97 284 231 231
1386898963 MARTZ, MARTIN G DDS 2021 FFS RENDERING AGE 0-20 15 23 0 0 1 1 0 0
1386899128 VARTANIAN ALBERT 2021 FFS RENDERING AGE 0-20 12 128 12 39 1 1 11 11
1386899128 VARTANIAN ALBERT 2021 FFS RENDERING AGE 21+ 546 3,818 294 724 529 2,250 405 405
1386900504 FUNG VINCENT KIN K 2021 FFS RENDERING AGE 0-20 380 561 0 0 369 528 1 1
1386900504 FUNG VINCENT KIN K 2021 FFS RENDERING AGE 21+ 900 1,747 0 0 872 1,682 19 19
1386912715 MCEWAN ROBIN S 2021 FFS RENDERING AGE 0-20 676 1,339 0 0 237 674 0 0
1386912715 MCEWAN ROBIN S 2021 FFS RENDERING AGE 21+ 44 44 0 0 0 0 0 0
1386912715 MCEWAN ROBIN S 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1386912715 MCEWAN ROBIN S 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1386912715 MCEWAN ROBIN S 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1386913036 SEPAHI HILDA 2021 FFS RENDERING AGE 0-20 3,121 25,523 2,530 8,373 2,381 9,524 2,080 2,107
1386913036 SEPAHI HILDA 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1386932812 KHAZAII-TABARI SHEIDA 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1386932812 KHAZAII-TABARI SHEIDA 2021 FFS RENDERING AGE 21+ 31 114 19 20 17 53 17 17
1386947497 MONTOYA MIGUEL 2021 FFS RENDERING AGE 0-20 92 845 80 202 27 98 82 102
1386947497 MONTOYA MIGUEL 2021 FFS RENDERING AGE 21+ 187 1,372 126 248 109 466 129 129
1386956266 TAM ERICA 2021 FFS RENDERING AGE 0-20 28 171 28 87 1 2 28 28
1386963106 LOOMIS ANDREW C 2021 FFS RENDERING AGE 0-20 137 883 68 148 68 106 74 74
1386963106 LOOMIS ANDREW C 2021 FFS RENDERING AGE 21+ 241 828 47 90 166 278 95 95
1386979706 BUI, QUYNH, DDS 2021 FFS RENDERING AGE 0-20 224 2,330 173 566 122 318 160 176
1386979706 BUI, QUYNH, DDS 2021 FFS RENDERING AGE 21+ 549 4,579 336 669 294 752 371 371
1386982114 SUE JEFFREY V 2021 GMC RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1386993087 HOANG ANNE K 2021 FFS RENDERING AGE 0-20 2,854 35,201 2,728 12,132 1,904 8,506 2,747 4,147
1386993087 HOANG ANNE K 2021 FFS RENDERING AGE 21+ 46 157 20 39 14 26 28 28
1386994440 GORDON DAVID A 2021 FFS RENDERING AGE 0-20 307 1,442 223 486 35 88 284 309
1386994440 GORDON DAVID A 2021 FFS RENDERING AGE 21+ 775 3,313 109 214 323 1,559 594 602
1396005732 JUNG LELAND D 2021 FFS RENDERING AGE 0-20 228 1,635 199 625 113 281 197 197
1396054011 LEE KI B 2021 FFS RENDERING AGE 0-20 100 850 93 345 30 78 95 100
1396054011 LEE KI B 2021 FFS RENDERING AGE 21+ 93 446 49 68 47 120 79 79
1396061222 SCHUBOTHE DON P 2021 FFS RENDERING AGE 0-20 29 232 25 111 1 1 23 27
1396061222 SCHUBOTHE DON P 2021 FFS RENDERING AGE 21+ 55 259 1 1 28 81 34 34
1396074233 CHUNG CHRISTINE J 2021 FFS RENDERING AGE 0-20 326 521 0 0 84 220 1 1
1396083465 CASTELLANOS MARCO J 2021 FFS RENDERING AGE 0-20 449 3,833 304 1,089 179 594 362 366
1396083465 CASTELLANOS MARCO J 2021 FFS RENDERING AGE 21+ 646 3,064 120 148 405 1,132 381 383
1396083465 CASTELLANOS MARCO J 2021 PHP RENDERING AGE 0-20 29 167 20 52 1 2 20 21
1396083465 CASTELLANOS MARCO J 2021 PHP RENDERING AGE 21+ 62 236 20 26 24 68 43 43
1396096228 BINA KOROURI SAGE DENTAL COR 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1396096228 BINA KOROURI SAGE DENTAL COR 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1396096228 BINA, KOROURI, SAGE DENTAL CORPORATION 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1396096228 BINA, KOROURI, SAGE DENTAL CORPORATION 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1396099115 ANTIPOVA OLGA 2021 FFS RENDERING AGE 0-20 127 660 60 150 92 280 70 79
1396099115 ANTIPOVA OLGA 2021 FFS RENDERING AGE 21+ 814 4,058 310 608 632 1,951 525 525
1396102190 POU RAFAEL T 2021 FFS RENDERING AGE 0-20 44 315 41 105 21 78 40 40
1396102190 POU RAFAEL T 2021 FFS RENDERING AGE 21+ 106 519 44 85 70 242 62 62
1396111530 GARY AND MARY WEST SENIOR 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1396120325 FEREIRA MINDY 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1396129342 LE DUSTIN 2021 FFS RENDERING AGE 0-20 1,195 16,487 1,039 4,594 683 2,416 1,048 1,460
1396129342 LE DUSTIN 2021 FFS RENDERING AGE 21+ 53 180 13 26 30 75 20 20
1396142154 HUR GRACE SUN AE 2021 FFS RENDERING AGE 0-20 604 1,419 0 0 314 817 0 0
1396142154 HUR GRACE SUN AE 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1396146437 HARSH YOGITA 2021 FFS RENDERING AGE 0-20 55 348 43 85 23 50 38 39
1396146437 HARSH YOGITA 2021 FFS RENDERING AGE 21+ 161 920 63 63 104 263 72 72
1396151387 IRAVANI GOWHAR 2021 FFS RENDERING AGE 0-20 912 3,010 0 0 135 428 0 0
1396151387 IRAVANI GOWHAR 2021 FFS RENDERING AGE 21+ 182 412 0 0 1 1 0 0
1396151387 IRAVANI GOWHAR 2021 PHP RENDERING AGE 0-20 1 2 0 0 1 2 0 0
1396151387 IRAVANI GOWHAR 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1396152906 CHAUHAN HARPREET S 2021 FFS RENDERING AGE 0-20 119 497 52 179 47 96 76 76
1396152906 CHAUHAN HARPREET S 2021 FFS RENDERING AGE 21+ 307 890 22 40 197 490 127 127
1396152906 CHAUHAN HARPREET S 2021 GMC RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1396152906 CHAUHAN HARPREET S 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1396154274 MORENO HELEN 2021 FFS RENDERING AGE 0-20 98 811 67 180 50 157 68 68
1396154274 MORENO HELEN 2021 FFS RENDERING AGE 21+ 153 1,097 62 127 109 352 79 81
1396154753 DUONG VICTORIA V 2021 FFS RENDERING AGE 0-20 283 443 0 0 81 206 0 0
1396154753 DUONG VICTORIA V 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1396154753 DUONG VICTORIA V 2021 PHP RENDERING AGE 0-20 23 84 0 0 21 78 0 0
1396154753 DUONG VICTORIA V 2021 PHP RENDERING AGE 21+ 1 2 0 0 1 2 0 0
1396155875 HARRISON, PHILLIP A MD 2021 FFS RENDERING AGE 0-20 79 251 0 0 79 251 0 0
1396155875 HARRISON, PHILLIP A MD 2021 FFS RENDERING AGE 21+ 354 779 0 0 353 777 0 0
1396165965 MEEDER COLBY A 2021 FFS RENDERING AGE 0-20 38 75 0 0 38 75 0 0
1396165965 MEEDER COLBY A 2021 FFS RENDERING AGE 21+ 696 2,413 0 0 696 2,413 0 0
1396165965 MEEDER COLBY A 2021 GMC RENDERING AGE 0-20 67 131 1 1 65 116 1 1
1396165965 MEEDER COLBY A 2021 GMC RENDERING AGE 21+ 419 983 0 0 419 971 1 1
1396185369 JABER GEORGE A 2021 FFS RENDERING AGE 0-20 28 78 0 0 28 78 0 0
1396185369 JABER GEORGE A 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1396191920 RAMIREZ VALDES RAFAEL 2021 FFS RENDERING AGE 0-20 328 3,149 229 873 134 352 216 219
1396191920 RAMIREZ VALDES RAFAEL 2021 FFS RENDERING AGE 21+ 888 7,236 125 250 732 3,294 349 349
1396225777 VUNDAVALLI CHANDANA S 2021 FFS RENDERING AGE 0-20 521 2,218 308 683 111 194 420 421
1396225777 VUNDAVALLI CHANDANA S 2021 FFS RENDERING AGE 21+ 661 1,905 144 285 177 404 466 467
1396225876 LEE BRENDA 2021 FFS RENDERING AGE 0-20 422 3,439 377 1,547 272 627 364 408
1396225876 LEE BRENDA 2021 FFS RENDERING AGE 21+ 238 1,188 139 273 151 387 165 165
1396228458 PHAM VYVY 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 2 1 1
1396228458 PHAM VYVY 2021 FFS RENDERING AGE 21+ 30 87 1 1 1 2 30 30
1396228953 YANG SAETBYEOL 2021 FFS RENDERING AGE 0-20 279 1,813 219 625 194 424 194 197
1396228953 YANG SAETBYEOL 2021 FFS RENDERING AGE 21+ 14 45 1 1 1 1 1 1
1396233938 CALILUNG KATARINA W 2021 FFS RENDERING AGE 0-20 654 4,105 499 1,258 383 640 475 487
1396238887 GOSHTASBI NISA P 2021 FFS RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1396252045 NGUYEN KENNETH C 2021 FFS RENDERING AGE 0-20 14 57 1 1 13 29 1 1
1396252045 NGUYEN KENNETH C 2021 FFS RENDERING AGE 21+ 69 209 1 1 68 177 1 1
1396270302 HSIEH JUNG 2021 PHP RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1396283289 LAUER THOMAS W 2021 FFS RENDERING AGE 0-20 209 1,055 159 384 52 100 193 203
1396283289 LAUER THOMAS W 2021 FFS RENDERING AGE 21+ 436 1,658 141 263 181 553 324 324
1396283289 LAUER THOMAS W 2021 PHP RENDERING AGE 21+ 1 1 1 1 1 1 0 0
1396285300 ABUEVA, KATHLEEN MAE DELOS R 2021 FFS RENDERING AGE 21+ 112 398 89 205 91 193 0 0
1396300448 PORRAS PERLA CARLOTA E 2021 FFS RENDERING AGE 0-20 328 1,344 134 285 151 425 185 188
1396300448 PORRAS PERLA CARLOTA E 2021 FFS RENDERING AGE 21+ 744 2,240 159 274 329 854 396 397
1396300448 PORRAS PERLA CARLOTA E 2021 PHP RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1396300448 PORRAS PERLA CARLOTA E 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1396323671 NGO & PHAM DENTAL GROUP 2021 FFS RENDERING AGE 0-20 1 2 1 1 0 0 0 0
1396323671 NGO & PHAM DENTAL GROUP 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1396355301 JAMAL ALDEEN RANIYA I 2021 FFS RENDERING AGE 0-20 846 5,412 744 2,185 377 648 772 855
1396355301 JAMAL ALDEEN RANIYA I 2021 FFS RENDERING AGE 21+ 892 3,596 263 499 444 1,342 599 599
1396358214 MURPHY KELSEY M 2021 FFS RENDERING AGE 0-20 56 417 43 95 13 27 42 43
1396358214 MURPHY KELSEY M 2021 FFS RENDERING AGE 21+ 189 1,197 100 197 91 224 127 128
1396363669 SHUKLA NISHA P 2021 FFS RENDERING AGE 0-20 426 2,338 387 909 175 225 382 382
1396713228 CHUA CHING BRENDALYN O 2021 FFS RENDERING AGE 0-20 59 307 54 114 23 59 54 64
1396713228 CHUA CHING BRENDALYN O 2021 FFS RENDERING AGE 21+ 79 337 56 56 40 118 67 67
1396728937 TURPIN DAVID W 2021 GMC RENDERING AGE 0-20 1 2 1 1 0 0 1 1
1396751335 DESAI, MANISHA S, DDS 2021 FFS RENDERING AGE 0-20 15 160 13 65 1 1 14 15
1396751335 DESAI, MANISHA S, DDS 2021 FFS RENDERING AGE 21+ 30 165 17 17 1 2 26 26
1396751939 SHAH, PRATIK DDS 2021 FFS RENDERING AGE 0-20 1,141 24,549 1,128 5,482 684 2,287 1,128 1,598
1396751939 SHAH, PRATIK DDS 2021 FFS RENDERING AGE 21+ 955 12,534 672 1,341 847 4,879 726 726
1396800173 ELSHERIF, ISMAIL I DDS 2021 FFS RENDERING AGE 0-20 153 887 66 217 91 217 141 156
1396800173 ELSHERIF, ISMAIL I DDS 2021 FFS RENDERING AGE 21+ 641 2,580 122 225 428 1,027 536 538
1396800686 JIL-AGOPIAN ARA G 2021 FFS RENDERING AGE 0-20 459 1,765 0 0 192 387 1 1
1396800686 JIL-AGOPIAN ARA G 2021 FFS RENDERING AGE 21+ 1 2 0 0 0 0 0 0
1396802518 LOOMER, LAUREL, RDHAP 2021 FFS RENDERING AGE 21+ 35 120 35 75 35 45 0 0
1396803037 FEHN MARK C 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1396803342 ALBIK MOHAMAD T 2021 FFS RENDERING AGE 0-20 106 934 97 255 53 162 88 117
1396803342 ALBIK MOHAMAD T 2021 FFS RENDERING AGE 21+ 173 1,104 99 181 121 428 106 106
1396809240 JEONG, WONJUNG 2021 FFS RENDERING AGE 0-20 85 472 77 256 12 26 81 101
1396809240 JEONG, WONJUNG 2021 FFS RENDERING AGE 21+ 658 2,710 472 941 211 429 571 571
1396813572 NONAHAL BEHNAZ 2021 FFS RENDERING AGE 0-20 211 1,149 65 156 100 295 177 183
1396813572 NONAHAL BEHNAZ 2021 FFS RENDERING AGE 21+ 1,446 7,142 109 212 959 3,138 962 964
1396821674 LIN, YAU SHI DDS 2021 FFS RENDERING AGE 0-20 1 2 1 2 0 0 1 1
1396821674 LIN, YAU SHI DDS 2021 FFS RENDERING AGE 21+ 24 57 1 1 13 28 1 1
1396822003 TAGHAVI REZA 2021 FFS RENDERING AGE 0-20 4,909 69,206 4,612 17,431 2,694 8,407 4,650 5,471
1396822003 TAGHAVI REZA 2021 FFS RENDERING AGE 21+ 145 862 43 85 18 20 128 128
1396822003 TAGHAVI REZA 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1396833562 TSOUZMER POLINA 2021 FFS RENDERING AGE 0-20 144 1,184 131 514 26 89 128 145
1396833562 TSOUZMER POLINA 2021 FFS RENDERING AGE 21+ 406 1,813 257 499 164 461 313 314
1396834800 DALAL CHIRAG D 2021 FFS RENDERING AGE 0-20 354 4,768 317 1,156 177 483 325 387
1396834800 DALAL CHIRAG D 2021 FFS RENDERING AGE 21+ 353 3,206 179 353 241 780 223 223
1396835161 HUANG BEATRICE Y 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1396843058 LOWRY MARCUS B 2021 FFS RENDERING AGE 0-20 55 66 0 0 27 30 0 0
1396843058 LOWRY MARCUS B 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1396843058 LOWRY MARCUS B 2021 GMC RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1396843058 LOWRY MARCUS B 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1396846036 BERRY GLADYS L 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 1 1 1
1396847737 LEE, HYUN CHAN, DDS 2021 FFS RENDERING AGE 0-20 373 2,855 349 1,263 211 699 364 563
1396847737 LEE, HYUN CHAN, DDS 2021 FFS RENDERING AGE 21+ 251 1,220 181 362 156 371 205 205
1396847737 LEE, HYUN CHAN, DDS 2021 PHP RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1396847737 LEE, HYUNCHAN DDS MS 2021 FFS RENDERING AGE 0-20 373 2,855 349 1,263 211 699 364 563
1396847737 LEE, HYUNCHAN DDS MS 2021 FFS RENDERING AGE 21+ 251 1,220 181 362 156 371 205 205
1396847737 LEE, HYUNCHAN DDS MS 2021 PHP RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1396849659 LWIN, MIN, DDS 2021 FFS RENDERING AGE 0-20 119 1,698 93 454 47 204 90 192
1396849659 LWIN, MIN, DDS 2021 FFS RENDERING AGE 21+ 370 6,034 225 452 233 1,488 271 544
1396849659 LWIN, MIN, DDS 2021 PHP RENDERING AGE 0-20 91 1,656 86 652 39 204 85 202
1396849659 LWIN, MIN, DDS 2021 PHP RENDERING AGE 21+ 89 1,110 68 162 49 276 73 150
1396851499 LUM JR, KARL G, DDS 2021 FFS RENDERING AGE 0-20 24 184 23 65 1 2 24 34
1396851499 LUM JR, KARL G, DDS 2021 FFS RENDERING AGE 21+ 50 279 32 62 33 91 34 34
1396853412 CEDENO DAVID A 2021 FFS RENDERING AGE 0-20 146 590 1 1 69 353 117 119
1396853412 CEDENO DAVID A 2021 FFS RENDERING AGE 21+ 390 1,433 0 0 190 818 301 301
1396853412 CEDENO DAVID A 2021 PHP RENDERING AGE 0-20 1 2 0 0 1 2 1 1
1396853412 CEDENO DAVID A 2021 PHP RENDERING AGE 21+ 95 567 1 1 56 383 82 86
1396857785 JOURABCHI, SOHEIL 2021 FFS RENDERING AGE 0-20 704 11,977 691 2,580 291 1,399 699 990
1396857785 JOURABCHI, SOHEIL 2021 FFS RENDERING AGE 21+ 289 2,998 218 220 191 777 248 248
1396857785 JOURABCHI, SOHEIL 2021 PHP RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1396860912 PYTLIK RAFAL 2021 FFS RENDERING AGE 0-20 1,763 17,480 1,607 5,428 1,092 4,410 1,586 1,998
1396862728 LEE ANDREW Y 2021 FFS RENDERING AGE 0-20 47 186 0 0 46 169 1 1
1396862728 LEE ANDREW Y 2021 FFS RENDERING AGE 21+ 112 348 0 0 108 293 13 13
1396862728 LEE ANDREW Y 2021 PHP RENDERING AGE 0-20 1 2 0 0 1 2 0 0
1396862728 LEE ANDREW Y 2021 PHP RENDERING AGE 21+ 41 117 0 0 21 57 23 23
1396863544 JACKSON FRANCINE I 2021 FFS RENDERING AGE 0-20 31 286 25 54 12 29 25 26
1396863544 JACKSON FRANCINE I 2021 FFS RENDERING AGE 21+ 211 1,433 85 154 127 355 126 128
1396863544 JACKSON FRANCINE I 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1396863551 DU AUDREY L 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1396863551 DU AUDREY L 2021 PHP RENDERING AGE 0-20 11 54 1 2 1 2 1 1
1396863551 DU AUDREY L 2021 PHP RENDERING AGE 21+ 86 419 11 12 63 239 61 61
1396864013 PEREIRA-HOWELL VALERIA A 2021 FFS RENDERING AGE 0-20 1,269 12,123 947 2,571 845 2,855 849 894
1396864013 PEREIRA-HOWELL VALERIA A 2021 FFS RENDERING AGE 21+ 103 434 42 82 62 92 46 46
1396872149 HUNT DENNIS R 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1396872149 HUNT DENNIS R 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1396872149 HUNT DENNIS R 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1396874301 WOLKSTEIN GREGORY F 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1396876397 SAGARIAN MIKE M 2021 FFS RENDERING AGE 0-20 131 928 81 194 58 191 96 100
1396876397 SAGARIAN MIKE M 2021 FFS RENDERING AGE 21+ 211 978 77 153 146 416 94 95
1396880118 TRAN CON N 2021 FFS RENDERING AGE 0-20 21 82 13 26 1 2 14 14
1396880118 TRAN CON N 2021 FFS RENDERING AGE 21+ 253 1,459 112 224 214 797 141 141
1396884482 ALEXANDARIAN ANDREA 2021 FFS RENDERING AGE 0-20 1,297 14,530 1,095 3,752 954 5,024 1,153 1,398
1396897278 SAN LUIS EGDON L 2021 FFS RENDERING AGE 0-20 13 79 1 2 1 2 1 1
1396897278 SAN LUIS EGDON L 2021 FFS RENDERING AGE 21+ 90 375 20 20 60 114 41 41
1396897278 SAN LUIS EGDON L 2021 GMC RENDERING AGE 0-20 272 1,964 184 453 151 251 198 210
1396897278 SAN LUIS EGDON L 2021 GMC RENDERING AGE 21+ 566 2,690 125 161 451 890 201 201
1396897708 JOH SHUNG HYUN 2021 GMC RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1396915641 HAGGARD DAVID C 2021 FFS RENDERING AGE 0-20 470 2,376 294 802 266 650 224 235
1396915641 HAGGARD DAVID C 2021 FFS RENDERING AGE 21+ 476 1,483 82 149 299 767 173 174
1396915641 HAGGARD DAVID C 2021 GMC RENDERING AGE 21+ 13 30 1 1 1 1 1 1
1396915641 HAGGARD DAVID C 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1396915641 HAGGARD DAVID C 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1396925327 CHOPRA VIJAY 2021 FFS RENDERING AGE 0-20 11 25 1 1 1 1 1 1
1396925327 CHOPRA VIJAY 2021 FFS RENDERING AGE 21+ 141 336 1 2 33 52 79 79
1396925327 CHOPRA VIJAY 2021 GMC RENDERING AGE 0-20 516 2,123 78 305 88 170 215 223
1396925327 CHOPRA VIJAY 2021 GMC RENDERING AGE 21+ 1,410 4,038 70 136 231 559 449 455
1396925327 CHOPRA VIJAY 2021 PHP RENDERING AGE 0-20 1 1 0 0 0 0 1 1
1396925327 CHOPRA VIJAY 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1396925921 ECHAVERRY-CENTE MARIA G 2021 FFS RENDERING AGE 0-20 4,705 55,899 3,670 11,646 1,391 3,313 4,080 4,423
1396925921 ECHAVERRY-CENTE MARIA G 2021 FFS RENDERING AGE 21+ 1 2 1 1 0 0 1 1
1396931341 NOORI MOJGAN 2021 FFS RENDERING AGE 0-20 37 501 36 134 15 49 35 36
1396931341 NOORI MOJGAN 2021 FFS RENDERING AGE 21+ 46 395 28 31 11 30 43 43
1396934758 PAREDES, DR NOEL T, DDS 2021 FFS RENDERING AGE 0-20 86 629 79 205 38 94 73 100
1396934758 PAREDES, DR NOEL T, DDS 2021 FFS RENDERING AGE 21+ 1,461 7,289 699 2,047 1,422 3,079 1,364 1,365
1396940235 KHOE NATHANIEL J 2021 FFS RENDERING AGE 0-20 85 566 78 206 43 153 60 70
1396940235 KHOE NATHANIEL J 2021 FFS RENDERING AGE 21+ 159 851 82 127 96 374 81 81
1396949541 SIDERMAN, YAMPOLSKY, DENT CO 2021 PHP RENDERING AGE 0-20 1 2 1 2 0 0 1 1
1396949541 SIDERMAN, YAMPOLSKY, DENT CO 2021 PHP RENDERING AGE 21+ 1 2 1 2 1 1 1 2
1396954384 KLEIN STEPHEN M 2021 FFS RENDERING AGE 0-20 394 3,159 150 405 241 537 289 322
1396954384 KLEIN STEPHEN M 2021 FFS RENDERING AGE 21+ 648 3,787 287 557 424 1,124 461 462
1396954681 TEWFIK, GAMAL SR 2021 FFS RENDERING AGE 0-20 192 2,618 182 691 103 309 180 227
1396954681 TEWFIK, GAMAL SR 2021 FFS RENDERING AGE 21+ 467 4,169 268 532 317 1,354 362 363
1396964086 GOEL SOHEIL 2021 FFS RENDERING AGE 0-20 20 92 12 14 11 26 1 1
1396964086 GOEL SOHEIL 2021 FFS RENDERING AGE 21+ 195 751 77 77 106 284 92 92
1396973319 GILL, MANKIRAT DDS 2021 FFS RENDERING AGE 0-20 597 8,854 528 2,484 405 1,079 551 805
1396973319 GILL, MANKIRAT DDS 2021 FFS RENDERING AGE 21+ 880 6,631 359 715 591 1,933 658 660
1396973319 GILL, MANKIRAT, DDS 2021 FFS RENDERING AGE 0-20 597 8,854 528 2,484 405 1,079 551 805
1396973319 GILL, MANKIRAT, DDS 2021 FFS RENDERING AGE 21+ 880 6,631 359 715 591 1,933 658 660
1396981700 ST JOHN'S WELL CHILD & FAMIL 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1396981700 ST JOHNS WELL CHILD AND 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1396992277 YAP MICHELLE A 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1396992277 YAP MICHELLE A 2021 GMC RENDERING AGE 0-20 1,847 9,944 997 3,208 440 540 870 892
1396997268 GOVIND, AKSHAY MD 2021 FFS RENDERING AGE 0-20 99 298 0 0 99 297 0 0
1396997268 GOVIND, AKSHAY MD 2021 FFS RENDERING AGE 21+ 348 811 0 0 348 809 0 0
1396998092 PAUL, TAHIR R, DENTAL CORP 2021 FFS RENDERING AGE 0-20 1 1 1 1 1 1 0 0
1407026909 SIADATIE TISA 2021 FFS RENDERING AGE 0-20 222 2,390 176 658 45 111 208 212
1407026909 SIADATIE TISA 2021 FFS RENDERING AGE 21+ 1,016 8,130 526 1,051 555 1,969 726 728
1407034184 GAROIAN DANIEL A 2021 FFS RENDERING AGE 0-20 20 187 19 24 1 1 16 17
1407034184 GAROIAN DANIEL A 2021 FFS RENDERING AGE 21+ 41 358 26 26 25 82 30 30
1407034184 GAROIAN DANIEL A 2021 PHP RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1407034184 GAROIAN DANIEL A 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1407037773 ISSUED IN ERROR 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1407037773 ISSUED IN ERROR 2021 FFS RENDERING AGE 21+ 304 1,241 64 73 148 576 291 291
1407037773 ISSUED IN ERROR 2021 PHP RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1407037906 JACOBS, LETICIA J DDS 2021 FFS RENDERING AGE 0-20 66 382 65 170 25 86 57 75
1407037906 JACOBS, LETICIA J DDS 2021 FFS RENDERING AGE 21+ 32 107 27 29 1 2 30 30
1407040165 SADIGHIM KAMYAR 2021 FFS RENDERING AGE 0-20 168 2,086 151 613 98 316 151 192
1407040165 SADIGHIM KAMYAR 2021 FFS RENDERING AGE 21+ 265 2,560 104 208 218 1,208 186 186
1407045271 VU SON N 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 1 1
1407045271 VU SON N 2021 FFS RENDERING AGE 21+ 3,322 17,688 1,506 2,665 3,269 6,793 2,837 2,838
1407045271 VU SON N 2021 PHP RENDERING AGE 21+ 79 418 29 38 75 161 65 67
1407045594 XENAKIS GEORGE 2021 FFS RENDERING AGE 0-20 37 127 29 46 13 20 28 28
1407045594 XENAKIS GEORGE 2021 FFS RENDERING AGE 21+ 195 721 90 100 87 260 136 138
1407045594 XENAKIS GEORGE 2021 GMC RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1407045594 XENAKIS GEORGE 2021 PHP RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1407045594 XENAKIS GEORGE 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1407046717 NGUYEN, NGOC-LIEN THI, DDS 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1407046717 NGUYEN, NGOC-LIEN THI, DDS 2021 FFS RENDERING AGE 21+ 80 584 45 78 30 94 60 60
1407049612 KENNEDY, BOBBY C., DDS 2021 GMC RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1407050941 MANUEL ROBERT G 2021 FFS RENDERING AGE 0-20 16 82 1 2 12 31 1 1
1407050941 MANUEL ROBERT G 2021 FFS RENDERING AGE 21+ 32 156 1 1 30 92 12 12
1407050941 MANUEL ROBERT G 2021 PHP RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1407050941 MANUEL ROBERT G 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1407053390 NGUYEN, HUONG THIEN DDS 2021 FFS RENDERING AGE 0-20 664 9,618 647 2,357 446 1,722 655 1,007
1407053390 NGUYEN, HUONG THIEN DDS 2021 FFS RENDERING AGE 21+ 294 3,598 226 457 203 904 255 255
1407053499 LIU ANGEL 2021 FFS RENDERING AGE 0-20 1,681 16,970 1,469 4,322 460 1,084 1,441 1,648
1407053499 LIU ANGEL 2021 FFS RENDERING AGE 21+ 1 2 1 2 1 1 1 1
1407055072 CHIU YVONNE FUNG CHEUNG 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 2 0 0
1407058217 TECHICO-WOODHEAD, ZENAIDA, D 2021 FFS RENDERING AGE 21+ 25 266 14 14 23 216 12 12
1407063142 YANG LUNG-SHENG 2021 FFS RENDERING AGE 0-20 1 2 1 1 0 0 1 1
1407063142 YANG LUNG-SHENG 2021 FFS RENDERING AGE 21+ 20 102 1 1 1 1 17 17
1407066798 LAU SUK YING 2021 PHP RENDERING AGE 0-20 31 222 26 103 17 29 18 21
1407066798 LAU SUK YING 2021 PHP RENDERING AGE 21+ 43 335 19 47 30 112 26 27
1407071806 TU WEI C 2021 FFS RENDERING AGE 0-20 183 1,255 100 270 135 609 97 98
1407075419 MOJICA, FRANCISCA, DDS 2021 FFS RENDERING AGE 0-20 574 8,532 543 1,852 224 681 553 783
1407075419 MOJICA, FRANCISCA, DDS 2021 FFS RENDERING AGE 21+ 378 2,768 250 254 159 492 320 320
1407079734 LEUNG KON L 2021 FFS RENDERING AGE 0-20 86 448 67 171 24 63 70 80
1407079734 LEUNG KON L 2021 FFS RENDERING AGE 21+ 144 570 71 107 63 194 91 91
1407079734 LEUNG KON L 2021 PHP RENDERING AGE 0-20 197 1,416 181 589 77 185 183 216
1407079734 LEUNG KON L 2021 PHP RENDERING AGE 21+ 92 421 63 90 35 97 72 72
1407079767 LACSON MADEL P 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 2 1 1
1407079767 LACSON MADEL P 2021 FFS RENDERING AGE 21+ 19 203 13 24 16 103 14 14
1407085749 GOCHEZ OSCAR A 2021 FFS RENDERING AGE 0-20 470 3,533 294 747 243 626 311 314
1407085749 GOCHEZ OSCAR A 2021 FFS RENDERING AGE 21+ 427 1,955 82 83 305 800 181 181
1407096407 GUO EDMUND 2021 FFS RENDERING AGE 0-20 362 4,352 288 937 303 2,707 105 115
1407096407 GUO EDMUND 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1407096407 GUO EDMUND 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 2 0 0
1407102361 MEHTA DHARA K 2021 FFS RENDERING AGE 0-20 680 3,773 375 1,516 209 484 552 560
1407102361 MEHTA DHARA K 2021 FFS RENDERING AGE 21+ 859 3,034 157 256 379 1,138 575 575
1407114499 DEYHIM NILOOFAR 2021 FFS RENDERING AGE 21+ 21 77 0 0 21 69 0 0
1407120017 JUDGE NATASHA J 2021 FFS RENDERING AGE 0-20 468 3,754 348 772 185 458 344 352
1407120017 JUDGE NATASHA J 2021 FFS RENDERING AGE 21+ 148 963 70 144 79 162 77 77
1407125610 JAIN BHUMIKA 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1407125610 JAIN BHUMIKA 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1407125610 JAIN BHUMIKA 2021 GMC RENDERING AGE 0-20 819 5,942 596 1,606 307 601 652 779
1407125610 JAIN BHUMIKA 2021 GMC RENDERING AGE 21+ 1,167 6,313 467 934 799 1,923 623 624
1407127749 GUINDY AWNY E 2021 FFS RENDERING AGE 0-20 192 792 40 115 177 445 44 49
1407127749 GUINDY AWNY E 2021 FFS RENDERING AGE 21+ 1,206 3,854 58 122 1,183 3,224 114 118
1407127749 GUINDY AWNY E 2021 PHP RENDERING AGE 0-20 356 3,373 298 1,112 217 1,007 319 397
1407127749 GUINDY AWNY E 2021 PHP RENDERING AGE 21+ 275 2,066 117 260 201 1,168 213 215
1407130040 COLLAZOS LUIS M 2021 FFS RENDERING AGE 0-20 325 2,614 295 966 82 183 316 353
1407130040 COLLAZOS LUIS M 2021 FFS RENDERING AGE 21+ 561 4,926 436 635 322 1,108 478 480
1407147341 KNUTSON MICHAEL 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1407150360 LU WEIWEI 2021 FFS RENDERING AGE 0-20 44 245 24 45 27 68 25 25
1407150360 LU WEIWEI 2021 FFS RENDERING AGE 21+ 191 814 45 89 148 323 71 71
1407156219 SELKI SHOHREH Z 2021 FFS RENDERING AGE 0-20 783 7,544 584 1,413 641 4,592 426 458
1407156219 SELKI SHOHREH Z 2021 PHP RENDERING AGE 0-20 237 2,416 107 247 233 2,097 15 15
1407156789 BRIDI CHADI 2021 FFS RENDERING AGE 0-20 579 1,214 0 0 279 709 0 0
1407156789 BRIDI CHADI 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1407156789 BRIDI CHADI 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1407156789 BRIDI CHADI 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1407163561 OLIVER MALIZA C 2021 FFS RENDERING AGE 0-20 5,311 56,028 4,446 13,102 3,515 7,766 4,430 5,305
1407163801 BRAMANTI THOMAS E 2021 FFS RENDERING AGE 0-20 14 37 0 0 1 2 1 1
1407163801 BRAMANTI THOMAS E 2021 FFS RENDERING AGE 21+ 18 61 0 0 13 45 1 1
1407167943 PYO SCOTT 2021 GMC RENDERING AGE 0-20 63 506 14 31 60 253 0 0
1407172356 ZAMBRANO FREDDY 2021 FFS RENDERING AGE 0-20 101 575 32 106 68 190 58 60
1407172356 ZAMBRANO FREDDY 2021 FFS RENDERING AGE 21+ 438 2,256 47 75 310 1,102 278 278
1407177181 HUANG, CHUN PO, DDS 2021 FFS RENDERING AGE 0-20 437 4,109 408 1,630 220 607 407 579
1407177181 HUANG, CHUN PO, DDS 2021 FFS RENDERING AGE 21+ 331 2,335 245 487 233 834 269 269
1407180342 KIM GITAE 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1407180342 KIM GITAE 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1407183080 SEIRAWAN MOUHAMMAD 2021 FFS RENDERING AGE 0-20 3,674 44,451 3,192 10,391 2,154 6,874 3,151 3,933
1407183080 SEIRAWAN MOUHAMMAD 2021 FFS RENDERING AGE 21+ 17 109 1 2 1 2 1 1
1407183205 MOLAYEM SHERVIN M 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1407184492 SHAFA & ARSHADNIA DENTAL COR 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1407197288 EL-SHERBINI SARA H 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1407200694 PARK TINA K 2021 FFS RENDERING AGE 0-20 540 1,837 12 42 108 294 12 16
1407200694 PARK TINA K 2021 FFS RENDERING AGE 21+ 87 169 0 0 1 1 0 0
1407208879 PATEL MOHINI 2021 GMC RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1407209984 KADKHODA SHADI 2021 FFS RENDERING AGE 0-20 1 1 1 1 1 1 1 1
1407209984 KADKHODA SHADI 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 1 1 1
1407209984 KADKHODA SHADI 2021 PHP RENDERING AGE 0-20 335 1,563 305 480 63 105 295 397
1407209984 KADKHODA SHADI 2021 PHP RENDERING AGE 21+ 56 294 26 35 30 77 21 21
1407217912 PATISH-PREOBRAZ ALLA 2021 FFS RENDERING AGE 0-20 35 320 31 74 20 46 31 31
1407217912 PATISH-PREOBRAZ ALLA 2021 FFS RENDERING AGE 21+ 159 1,227 75 149 88 398 102 102
1407232507 HOANG, MICHAEL, DMD 2021 FFS RENDERING AGE 0-20 278 3,317 260 1,094 52 206 268 315
1407232507 HOANG, MICHAEL, DMD 2021 FFS RENDERING AGE 21+ 735 8,825 653 1,304 356 1,791 679 679
1407236706 KRISHNA M REDDY DDS INC 2021 PHP RENDERING AGE 0-20 1 2 1 2 0 0 1 1
1407236706 KRISHNA M REDDY DDS INC 2021 PHP RENDERING AGE 21+ 13 52 1 1 1 2 1 1
1407236706 REDDY, KRISHNA M, DDS INC 2021 PHP RENDERING AGE 0-20 1 2 1 2 0 0 1 1
1407236706 REDDY, KRISHNA M, DDS INC 2021 PHP RENDERING AGE 21+ 13 52 1 1 1 2 1 1
1407244791 ARMOUR KAREN 2021 FFS RENDERING AGE 0-20 169 1,451 116 347 73 149 108 113
1407244791 ARMOUR KAREN 2021 FFS RENDERING AGE 21+ 323 1,830 131 259 207 496 168 168
1407259427 CULLAMPE TORREJ CARLOS E 2021 FFS RENDERING AGE 0-20 333 3,269 261 705 154 442 265 280
1407259427 CULLAMPE TORREJ CARLOS E 2021 FFS RENDERING AGE 21+ 303 2,077 88 172 211 788 175 175
1407261308 BALAZADEH HONEY 2021 FFS RENDERING AGE 0-20 4,356 32,540 3,764 10,821 2,302 6,002 3,536 3,747
1407261308 BALAZADEH HONEY 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1407270283 CHEN CHRISTOPHER H 2021 FFS RENDERING AGE 0-20 249 607 0 0 167 320 0 0
1407270283 CHEN CHRISTOPHER H 2021 FFS RENDERING AGE 21+ 21 30 0 0 20 20 0 0
1407273626 VALAFAR ELNAZ 2021 FFS RENDERING AGE 0-20 1,178 9,535 534 1,498 989 4,539 453 510
1407273626 VALAFAR ELNAZ 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1407273626 VALAFAR ELNAZ 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1407274863 VARGAS AUDREY V 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1407274863 VARGAS AUDREY V 2021 FFS RENDERING AGE 21+ 14 78 1 1 1 2 13 13
1407281041 KARIMIAN EHSAN 2021 FFS RENDERING AGE 0-20 1 2 0 0 1 2 0 0
1407299084 UNKNOWN 2021 PHP RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1407300130 QAZI FAHEEM 2021 FFS RENDERING AGE 0-20 549 3,321 253 857 334 1,092 337 349
1407300130 QAZI FAHEEM 2021 FFS RENDERING AGE 21+ 746 2,875 56 111 493 1,576 383 383
1407300908 CHOUDHRY AFNAN R 2021 FFS RENDERING AGE 0-20 13,546 167,221 11,620 31,768 4,484 17,870 11,112 13,102
1407300908 CHOUDHRY AFNAN R 2021 FFS RENDERING AGE 21+ 21 115 11 22 1 1 1 1
1407300908 CHOUDHRY AFNAN R 2021 GMC RENDERING AGE 0-20 71 1,169 25 54 71 995 1 1
1407334535 PARKER GEORGE L 2021 FFS RENDERING AGE 0-20 797 5,415 649 2,816 247 513 700 704
1407334535 PARKER GEORGE L 2021 FFS RENDERING AGE 21+ 1,043 4,190 330 644 526 1,409 822 823
1407334535 PARKER GEORGE L 2021 PHP RENDERING AGE 0-20 1 1 1 1 1 1 1 1
1407334535 PARKER GEORGE L 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1407334873 KARIMIAN VAHE A 2021 FFS RENDERING AGE 0-20 25 176 21 39 13 43 23 24
1407334873 KARIMIAN VAHE A 2021 FFS RENDERING AGE 21+ 159 1,257 107 117 105 326 141 141
1407334972 RESTREPO LAURA N 2021 FFS RENDERING AGE 0-20 717 8,947 696 2,743 210 639 682 795
1407334972 RESTREPO LAURA N 2021 FFS RENDERING AGE 21+ 281 3,016 190 375 167 615 206 206
1407341225 RABII RAMIN 2021 FFS RENDERING AGE 0-20 1,120 8,660 831 2,264 696 2,012 789 799
1407341225 RABII RAMIN 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1407341225 RABII RAMIN 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1407341225 RABII RAMIN 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1407352099 HUH JEE HYE 2021 FFS RENDERING AGE 0-20 2,035 14,210 1,718 4,476 1,200 1,755 1,647 1,674
1407366727 JAVIDI DASHT BA BABAK 2021 FFS RENDERING AGE 0-20 1,678 15,510 1,319 3,538 1,190 3,347 1,236 1,278
1407366727 JAVIDI DASHT BA BABAK 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1407372154 SUN HO HYUN B 2021 FFS RENDERING AGE 0-20 174 802 0 0 98 574 128 128
1407372154 SUN HO HYUN B 2021 FFS RENDERING AGE 21+ 308 1,150 0 0 142 663 263 265
1407388481 ARUTUNIAN NARINE 2021 FFS RENDERING AGE 0-20 37 222 20 52 23 47 20 20
1407388481 ARUTUNIAN NARINE 2021 FFS RENDERING AGE 21+ 63 279 19 35 41 86 27 27
1407388481 ARUTUNIAN NARINE 2021 PHP RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1407408222 EFTEKHARI TALA 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 1 1
1407408222 EFTEKHARI TALA 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1407442510 LEE JOSHUA 2021 FFS RENDERING AGE 0-20 2,970 43,519 2,716 11,744 1,915 7,090 2,824 3,475
1407442510 LEE JOSHUA 2021 FFS RENDERING AGE 21+ 1 2 1 2 1 1 1 1
1407442510 LEE JOSHUA 2021 GMC RENDERING AGE 0-20 11 61 1 1 11 31 0 0
1407452329 NANDAN VISHNU 2021 FFS RENDERING AGE 0-20 374 1,686 244 694 173 444 125 128
1407452329 NANDAN VISHNU 2021 FFS RENDERING AGE 21+ 961 3,416 314 588 607 1,788 248 248
1407457856 ZOU YIYANG 2021 FFS RENDERING AGE 0-20 563 3,205 410 1,269 245 439 459 466
1407457856 ZOU YIYANG 2021 FFS RENDERING AGE 21+ 781 2,557 159 299 423 915 446 446
1407464449 HO ANH D 2021 FFS RENDERING AGE 0-20 175 690 98 232 92 270 130 144
1407464449 HO ANH D 2021 FFS RENDERING AGE 21+ 333 1,428 31 55 273 1,156 164 167
1407464449 HO ANH D 2021 PHP RENDERING AGE 0-20 43 159 16 57 26 57 33 37
1407464449 HO ANH D 2021 PHP RENDERING AGE 21+ 91 272 11 16 59 195 54 60
1407468457 GERANNAZAR SOMAYE 2021 FFS RENDERING AGE 0-20 35 164 1 2 23 56 17 17
1407468457 GERANNAZAR SOMAYE 2021 FFS RENDERING AGE 21+ 57 147 1 1 15 41 13 13
1407469489 BAHRAINI BEHROKH 2021 FFS RENDERING AGE 0-20 125 491 72 173 36 69 82 82
1407469489 BAHRAINI BEHROKH 2021 FFS RENDERING AGE 21+ 362 1,072 99 181 146 318 217 219
1407471048 DO NATALIE 2021 FFS RENDERING AGE 0-20 1,668 11,969 1,323 3,072 722 1,285 1,336 1,342
1407471048 DO NATALIE 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1407800964 BHAGAT RAJIV 2021 FFS RENDERING AGE 21+ 42 49 0 0 42 49 0 0
1407801830 MARIANO, ARNEL R, DDS 2021 FFS RENDERING AGE 0-20 45 372 38 107 26 84 40 50
1407801830 MARIANO, ARNEL R, DDS 2021 FFS RENDERING AGE 21+ 134 1,014 93 169 98 419 106 106
1407801871 AVENDANO-GALVEZ, TERESA M 2021 FFS RENDERING AGE 0-20 137 1,087 126 325 44 116 129 151
1407801871 AVENDANO-GALVEZ, TERESA M 2021 FFS RENDERING AGE 21+ 273 1,634 179 190 169 515 201 203
1407840523 LIAO, KUEI SHU, DDS 2021 FFS RENDERING AGE 0-20 51 141 1 1 51 130 1 1
1407840523 LIAO, KUEI SHU, DDS 2021 FFS RENDERING AGE 21+ 51 116 0 0 51 110 1 1
1407849243 GONZALEZ FRANCISCO J 2021 PHP RENDERING AGE 0-20 1 2 1 1 0 0 1 1
1407849243 GONZALEZ FRANCISCO J 2021 PHP RENDERING AGE 21+ 21 95 1 1 15 60 11 12
1407853138 HERRERO DALE BRIAN 2021 GMC RENDERING AGE 0-20 1 2 1 2 0 0 1 1
1407853708 HARTMANN, JAMES S, DDS 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1407853708 HARTMANN, JAMES S, DDS 2021 FFS RENDERING AGE 21+ 74 301 38 38 48 117 26 26
1407875214 YUN, JUNG H, DDS 2021 FFS RENDERING AGE 0-20 22 110 21 23 1 2 18 19
1407875214 YUN, JUNG H, DDS 2021 FFS RENDERING AGE 21+ 91 681 61 61 65 291 70 70
1407875925 NGUYEN, THUTAM T, DDS 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1407875925 NGUYEN, THUTAM T, DDS 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1407877087 SUMABAT RAMON R 2021 FFS RENDERING AGE 0-20 73 456 63 172 31 54 68 100
1407877087 SUMABAT RAMON R 2021 FFS RENDERING AGE 21+ 114 491 49 50 81 228 83 83
1407879596 WYNDHAMSMITH, DAVID R MD 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1407879596 WYNDHAMSMITH, DAVID R MD 2021 FFS RENDERING AGE 21+ 19 48 1 1 1 2 12 12
1407879596 WYNDHAMSMITH, DAVID R MD 2021 PHP RENDERING AGE 0-20 14 65 11 15 1 1 1 1
1407879596 WYNDHAMSMITH, DAVID R MD 2021 PHP RENDERING AGE 21+ 23 104 1 1 11 47 1 1
1407894678 CARRANZA URIEL 2021 FFS RENDERING AGE 0-20 40 438 38 146 1 2 37 57
1407894678 CARRANZA URIEL 2021 FFS RENDERING AGE 21+ 239 1,423 121 211 146 433 147 147
1407901424 KUO MARK S 2021 FFS RENDERING AGE 0-20 897 4,986 0 0 598 3,738 600 600
1407901424 KUO MARK S 2021 FFS RENDERING AGE 21+ 708 4,073 0 0 455 3,066 481 481
1407903776 EISSA KHALED 2021 FFS RENDERING AGE 21+ 87 479 38 54 62 211 45 47
1407907686 BU DEAN 2021 FFS RENDERING AGE 0-20 35 451 32 56 20 68 33 47
1407907686 BU DEAN 2021 FFS RENDERING AGE 21+ 93 927 64 64 62 235 74 74
1407911472 GONZALES, YOLANDA D, DMD INC 2021 GMC RENDERING AGE 0-20 148 1,415 136 794 143 251 138 159
1407912405 KIM HAK-CHEON 2021 FFS RENDERING AGE 0-20 84 724 80 231 33 103 76 97
1407912405 KIM HAK-CHEON 2021 FFS RENDERING AGE 21+ 176 997 102 105 122 414 101 103
1407913577 PARTOVI FARHAD 2021 FFS RENDERING AGE 0-20 174 1,635 142 331 58 144 147 163
1407913577 PARTOVI FARHAD 2021 FFS RENDERING AGE 21+ 1,051 5,965 349 702 795 2,660 476 477
1407926132 BAYRAMYAN PROF DENTAL CORP 2021 FFS RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1407926520 PARRAY HUMARA R 2021 FFS RENDERING AGE 0-20 69 267 26 56 14 35 50 51
1407926520 PARRAY HUMARA R 2021 FFS RENDERING AGE 21+ 262 818 31 39 97 242 148 151
1407934086 GARCIA ROSALVA M 2021 FFS RENDERING AGE 0-20 746 12,288 729 2,933 357 1,434 722 1,006
1407934086 GARCIA ROSALVA M 2021 FFS RENDERING AGE 21+ 240 2,803 183 193 123 648 191 191
1407934086 GARCIA, ROSALVA M, A DENT CO 2021 FFS RENDERING AGE 0-20 746 12,288 729 2,933 357 1,434 722 1,006
1407934086 GARCIA, ROSALVA M, A DENT CO 2021 FFS RENDERING AGE 21+ 240 2,803 183 193 123 648 191 191
1407937378 MURASHIGE PAUL G 2021 FFS RENDERING AGE 0-20 2,606 34,302 2,354 7,935 1,423 6,263 2,137 2,690
1407937378 MURASHIGE PAUL G 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1407940158 LOYE JAMES W 2021 FFS RENDERING AGE 0-20 798 5,781 527 1,280 442 1,337 541 611
1407940158 LOYE JAMES W 2021 FFS RENDERING AGE 21+ 621 2,192 71 139 508 1,103 178 178
1407942659 FERREIRA SERGIO L 2021 FFS RENDERING AGE 0-20 169 340 0 0 23 71 0 0
1407942659 FERREIRA SERGIO L 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1407953797 TRAN HENRY 2021 FFS RENDERING AGE 0-20 179 1,927 166 444 58 134 178 237
1407953797 TRAN HENRY 2021 FFS RENDERING AGE 21+ 671 5,462 444 888 498 1,819 563 563
1407956162 CHIANG, ERIC C, DDS 2021 FFS RENDERING AGE 0-20 289 4,918 276 1,206 144 514 275 423
1407956162 CHIANG, ERIC C, DDS 2021 FFS RENDERING AGE 21+ 122 1,326 92 182 95 369 97 97
1407961089 MANOSOV, LENMARA DDS 2021 FFS RENDERING AGE 0-20 78 790 71 208 12 21 70 78
1407961089 MANOSOV, LENMARA DDS 2021 FFS RENDERING AGE 21+ 103 458 14 27 82 208 90 90
1407965486 PHAN YEN B 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1407970817 QIOU, HWEI-WAN E, DDS 2021 FFS RENDERING AGE 0-20 2,214 30,671 2,065 7,350 1,227 5,474 2,002 2,712
1407970817 QIOU, HWEI-WAN E, DDS 2021 FFS RENDERING AGE 21+ 135 1,228 67 134 96 363 105 105
1407970817 QIOU, HWEI-WAN E, DDS 2021 PHP RENDERING AGE 0-20 36 323 19 59 35 165 1 1
1407970882 ITSKOVICH MIRO 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1407970882 ITSKOVICH MIRO 2021 FFS RENDERING AGE 21+ 26 170 14 28 16 60 18 18
1407970882 ITSKOVICH MIRO 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1407972433 FELSENFELD ALAN L 2021 FFS RENDERING AGE 0-20 498 1,612 0 0 320 990 340 340
1407972433 FELSENFELD ALAN L 2021 FFS RENDERING AGE 21+ 1,100 4,044 1 1 669 2,575 724 724
1407979248 CHERUKURI, VIJAYA R, DDS 2021 FFS RENDERING AGE 0-20 21 229 19 62 12 55 21 32
1407979248 CHERUKURI, VIJAYA R, DDS 2021 FFS RENDERING AGE 21+ 41 251 1 1 25 140 26 26
1407981939 BILOVSKY PAUL R 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 1 1
1407981939 BILOVSKY PAUL R 2021 PHP RENDERING AGE 21+ 1 2 0 0 1 2 1 1
1407985112 BAIRD, NANETTE D, DMD 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1407985112 BAIRD, NANETTE D, DMD 2021 FFS RENDERING AGE 21+ 40 206 32 32 16 35 32 32
1407986805 PATEL, RAJNIKANT M, DDS 2021 FFS RENDERING AGE 0-20 87 845 67 216 30 72 81 93
1407986805 PATEL, RAJNIKANT M, DDS 2021 FFS RENDERING AGE 21+ 265 1,893 150 295 164 654 216 216
1407988793 SANTANA, RUBEN R, DMD INC 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1407988793 SANTANA, RUBEN R, DMD INC 2021 FFS RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1407988793 SANTANA-REYES, RUBEN DDS 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1407988793 SANTANA-REYES, RUBEN DDS 2021 FFS RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1407997802 DINH DAVID Q 2021 FFS RENDERING AGE 0-20 639 10,298 624 2,837 282 1,029 627 904
1407997802 DINH DAVID Q 2021 FFS RENDERING AGE 21+ 446 5,007 327 658 274 1,233 373 374
1407997968 TZENG MELINDA L 2021 FFS RENDERING AGE 0-20 2,385 27,507 2,344 8,214 305 698 2,350 3,284
1407998156 CHENG, WEN-CHENG, DDS 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1407998156 CHENG, WEN-CHENG, DDS 2021 FFS RENDERING AGE 21+ 96 320 45 46 51 108 78 78
1417001991 HAMILTON MATTHEW C 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1417002338 FLORES DANIEL A 2021 FFS RENDERING AGE 0-20 1 2 0 0 1 2 0 0
1417002924 LEE, STEPHEN AUSTIN, DDS 2021 FFS RENDERING AGE 0-20 623 10,180 582 2,379 347 1,529 574 835
1417002924 LEE, STEPHEN AUSTIN, DDS 2021 FFS RENDERING AGE 21+ 544 5,206 349 634 324 1,127 395 397
1417004029 NGUYEN RICHARD H 2021 FFS RENDERING AGE 0-20 1 1 1 1 1 1 1 1
1417004029 NGUYEN RICHARD H 2021 GMC RENDERING AGE 0-20 2,469 26,348 2,089 9,132 1,705 3,847 2,085 2,450
1417004029 NGUYEN RICHARD H 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1417004276 CHAO, TIMOTHY, DDS 2021 FFS RENDERING AGE 0-20 204 1,911 199 338 39 89 195 219
1417004276 CHAO, TIMOTHY, DDS 2021 FFS RENDERING AGE 21+ 158 1,361 119 119 80 187 125 126
1417014580 KOGAN, ZOYA, RDHAP 2021 FFS RENDERING AGE 21+ 106 253 15 32 106 221 0 0
1417014655 KIM, BRYAN BUMSOO, DDS 2021 FFS RENDERING AGE 0-20 76 273 73 89 29 61 72 79
1417014655 KIM, BRYAN BUMSOO, DDS 2021 FFS RENDERING AGE 21+ 178 708 133 133 81 177 138 138
1417014655 UNKNOWN 2021 FFS RENDERING AGE 0-20 76 273 73 89 29 61 72 79
1417014655 UNKNOWN 2021 FFS RENDERING AGE 21+ 178 708 133 133 81 177 138 138
1417015611 SUBAR PAUL E 2021 FFS RENDERING AGE 0-20 27 73 1 2 1 1 21 21
1417015611 SUBAR PAUL E 2021 FFS RENDERING AGE 21+ 471 1,623 47 85 211 647 377 377
1417015777 BAKAEN KARMEN J 2021 FFS RENDERING AGE 0-20 344 5,949 326 1,463 119 312 326 443
1417015777 BAKAEN KARMEN J 2021 FFS RENDERING AGE 21+ 357 5,127 242 246 288 1,627 275 275
1417019043 AL-ARDAH ALADDIN J 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1417025677 AMANFU EMMANUEL A 2021 FFS RENDERING AGE 0-20 459 2,198 263 600 90 267 413 461
1417025677 AMANFU EMMANUEL A 2021 FFS RENDERING AGE 21+ 1,794 7,719 456 892 887 3,239 1,444 1,444
1417025677 AMANFU EMMANUEL A 2021 GMC RENDERING AGE 0-20 1 1 1 1 1 1 1 1
1417025677 AMANFU EMMANUEL A 2021 PHP RENDERING AGE 0-20 255 2,351 202 946 157 588 224 310
1417025677 AMANFU EMMANUEL A 2021 PHP RENDERING AGE 21+ 336 2,032 103 217 236 1,151 267 283
1417026501 SY, JAMES J, DDS 2021 FFS RENDERING AGE 0-20 1 2 0 0 1 2 0 0
1417031048 LEE JEFFREY 2021 FFS RENDERING AGE 0-20 423 4,614 364 823 193 581 377 423
1417031048 LEE JEFFREY 2021 FFS RENDERING AGE 21+ 329 2,681 181 361 164 389 97 97
1417032020 TADANG, VICTOR V, DDS 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1417032848 TRAN HANH M 2021 FFS RENDERING AGE 0-20 238 2,002 165 371 119 435 200 210
1417032848 TRAN HANH M 2021 FFS RENDERING AGE 21+ 233 1,446 53 82 167 608 143 145
1417037342 MAGHEN AZIZOLLAH 2021 FFS RENDERING AGE 0-20 1 2 0 0 1 2 0 0
1417037342 MAGHEN AZIZOLLAH 2021 FFS RENDERING AGE 21+ 31 111 0 0 30 106 1 1
1417037342 MAGHEN AZIZOLLAH 2021 PHP RENDERING AGE 0-20 1 2 0 0 1 2 0 0
1417037342 MAGHEN AZIZOLLAH 2021 PHP RENDERING AGE 21+ 13 67 0 0 13 67 0 0
1417038654 ATTAIE NAZANIN 2021 FFS RENDERING AGE 0-20 2,829 25,674 2,736 8,963 1,641 4,744 2,756 3,427
1417038654 ATTAIE NAZANIN 2021 PHP RENDERING AGE 0-20 1 1 1 1 1 1 1 1
1417042318 YIM JOO B 2021 FFS RENDERING AGE 21+ 1 2 1 2 1 1 1 1
1417055856 NGHIEM CHANG X 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1417055856 NGHIEM CHANG X 2021 FFS RENDERING AGE 21+ 90 480 39 76 52 175 66 66
1417055856 NGHIEM CHANG X 2021 GMC RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1417055864 NGUYEN THIEN-TRANG T 2021 FFS RENDERING AGE 0-20 155 1,535 138 463 61 151 139 148
1417055864 NGUYEN THIEN-TRANG T 2021 FFS RENDERING AGE 21+ 52 457 21 40 34 105 27 27
1417070343 NGUYEN TAM NGOC 2021 FFS RENDERING AGE 0-20 15 67 14 24 1 2 1 1
1417070343 NGUYEN TAM NGOC 2021 FFS RENDERING AGE 21+ 62 204 21 28 46 96 19 19
1417070343 NGUYEN TAM NGOC 2021 GMC RENDERING AGE 0-20 1 1 0 0 1 1 1 1
1417070343 NGUYEN TAM NGOC 2021 GMC RENDERING AGE 21+ 16 43 1 1 16 39 1 1
1417085267 PARTI ARPANA 2021 FFS RENDERING AGE 0-20 4,191 83,079 3,571 10,984 2,341 18,196 4,091 5,671
1417085267 PARTI ARPANA 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1417087594 MAA, GOODMAN, DDS 2021 FFS RENDERING AGE 0-20 100 1,190 95 419 44 97 67 82
1417087594 MAA, GOODMAN, DDS 2021 FFS RENDERING AGE 21+ 149 1,205 108 215 123 387 109 109
1417088113 OLIVERIA RESURRECCION M 2021 FFS RENDERING AGE 0-20 28 366 25 94 16 74 23 33
1417088113 OLIVERIA RESURRECCION M 2021 FFS RENDERING AGE 21+ 131 1,223 75 144 98 412 101 101
1417089459 DE LOPEZ, LAURA DDS 2021 FFS RENDERING AGE 0-20 91 885 73 113 67 415 71 82
1417089459 DE LOPEZ, LAURA DDS 2021 FFS RENDERING AGE 21+ 152 1,528 76 76 128 967 100 100
1417089715 KAZANGIAN, ARMAND, DDS 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 2 1 1
1417089715 KAZANGIAN, ARMAND, DDS 2021 FFS RENDERING AGE 21+ 51 334 20 20 34 205 1 1
1417094616 CHAHAL, RUPINDER KAUR, DDS 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1417094616 CHAHAL, RUPINDER KAUR, DDS 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1417096603 KARIMIAN HALEH 2021 FFS RENDERING AGE 0-20 171 1,101 147 392 63 221 116 123
1417096603 KARIMIAN HALEH 2021 FFS RENDERING AGE 21+ 424 2,678 267 497 229 891 290 292
1417110800 FIGUEROA MANUEL G 2021 FFS RENDERING AGE 0-20 304 4,124 283 1,010 131 445 295 368
1417110800 FIGUEROA MANUEL G 2021 FFS RENDERING AGE 21+ 385 3,613 217 405 251 1,065 339 340
1417116245 KAMPPILA ARLENE B 2021 FFS RENDERING AGE 0-20 1,973 19,371 1,293 3,946 1,574 10,015 1,142 1,238
1417116245 KAMPPILA ARLENE B 2021 FFS RENDERING AGE 21+ 269 872 1 2 140 290 204 204
1417116245 KAMPPILA ARLENE B 2021 PHP RENDERING AGE 0-20 30 240 1 2 28 213 1 1
1417116245 KAMPPILA, ARLENE B, DDS 2021 FFS RENDERING AGE 0-20 1,973 19,371 1,293 3,946 1,574 10,015 1,142 1,238
1417116245 KAMPPILA, ARLENE B, DDS 2021 FFS RENDERING AGE 21+ 269 872 1 2 140 290 204 204
1417116245 KAMPPILA, ARLENE B, DDS 2021 PHP RENDERING AGE 0-20 30 240 1 2 28 213 1 1
1417120999 AU YEUNG SZE WING C 2021 FFS RENDERING AGE 0-20 89 282 0 0 89 280 0 0
1417120999 AU YEUNG SZE WING C 2021 FFS RENDERING AGE 21+ 81 211 0 0 80 200 1 1
1417120999 AU YEUNG SZE WING C 2021 PHP RENDERING AGE 0-20 15 47 0 0 13 34 1 1
1417120999 AU YEUNG SZE WING C 2021 PHP RENDERING AGE 21+ 102 331 0 0 80 229 45 46
1417122557 AVANESS KARINEH 2021 FFS RENDERING AGE 0-20 26 168 25 63 1 2 26 33
1417122557 AVANESS KARINEH 2021 FFS RENDERING AGE 21+ 57 361 28 52 34 159 46 46
1417125188 NGUYEN MY LINH T 2021 FFS RENDERING AGE 0-20 81 426 77 169 38 84 79 87
1417125188 NGUYEN MY LINH T 2021 FFS RENDERING AGE 21+ 305 1,243 218 220 178 469 160 160
1417132838 BAKER ALLEN R 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1417135286 SPARLING, INGRI S, RDHAP 2021 FFS RENDERING AGE 21+ 180 1,164 167 414 180 750 0 0
1417138835 GILL JASMINE 2021 FFS RENDERING AGE 0-20 13 83 13 37 1 1 11 12
1417138835 GILL JASMINE 2021 FFS RENDERING AGE 21+ 12 73 1 2 1 2 1 1
1417138892 EBBAY PURITA B 2021 FFS RENDERING AGE 0-20 20 102 18 36 11 36 14 15
1417138892 EBBAY PURITA B 2021 FFS RENDERING AGE 21+ 43 134 29 29 21 43 27 27
1417140047 LOO, MILAGROS A, DDS 2021 FFS RENDERING AGE 0-20 165 1,269 139 382 79 268 136 138
1417140047 LOO, MILAGROS A, DDS 2021 FFS RENDERING AGE 21+ 158 875 67 68 112 446 76 76
1417140047 LOO, MILAGROS A, DDS 2021 PHP RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1417142993 GUERRA, MARIANO W, DDS 2021 GMC RENDERING AGE 0-20 197 1,892 154 554 100 443 173 214
1417142993 GUERRA, MARIANO W, DDS 2021 GMC RENDERING AGE 21+ 242 1,838 126 190 135 587 173 209
1417149212 MIZIN ALEXEI I 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1417167487 CORREA EDUARDO 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 2 1 1
1417170754 PANIAGUA NED 2021 FFS RENDERING AGE 0-20 463 7,122 422 1,265 221 876 443 605
1417170754 PANIAGUA NED 2021 FFS RENDERING AGE 21+ 364 2,659 114 158 239 1,012 274 274
1417172537 ALSAYEH, MARIA ELDA, DDS 2021 FFS RENDERING AGE 0-20 229 1,709 223 596 79 199 220 284
1417172537 ALSAYEH, MARIA ELDA, DDS 2021 FFS RENDERING AGE 21+ 169 845 119 171 71 149 153 153
1417173386 DUDHBHATE, NETRA DDS 2021 FFS RENDERING AGE 0-20 73 529 63 157 21 37 66 79
1417173386 DUDHBHATE, NETRA DDS 2021 FFS RENDERING AGE 21+ 167 1,107 85 167 102 284 122 122
1417173386 DUDHBHATE, NETRA DDS 2021 GMC RENDERING AGE 0-20 75 574 72 194 33 60 68 71
1417173386 DUDHBHATE, NETRA DDS 2021 GMC RENDERING AGE 21+ 30 231 25 61 14 39 25 25
1417173980 STOUT THERON A 2021 FFS RENDERING AGE 0-20 135 703 133 334 33 127 84 84
1417173980 STOUT THERON A 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1417176231 FESHARAKI AMIR MANSOOR 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1417176835 RAJPARA BHARAT M 2021 FFS RENDERING AGE 0-20 88 764 59 136 62 255 68 78
1417176835 RAJPARA BHARAT M 2021 FFS RENDERING AGE 21+ 259 2,029 108 196 173 785 169 169
1417189853 CHIQUES CAMILLE 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1417194994 RAHIMPOUR KOUROSH 2021 FFS RENDERING AGE 0-20 489 6,360 474 1,491 212 642 485 725
1417194994 RAHIMPOUR KOUROSH 2021 FFS RENDERING AGE 21+ 520 4,201 287 291 327 1,222 376 380
1417198284 GENDY, SAFWAT S, DDS 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 2 1 1
1417198284 GENDY, SAFWAT S, DDS 2021 FFS RENDERING AGE 21+ 33 416 19 36 26 284 25 25
1417204918 ALKHATEEB HISHAM M 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1417204918 ALKHATEEB HISHAM M 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1417244039 AMINI FARHAD 2021 FFS RENDERING AGE 0-20 89 995 72 248 57 208 77 81
1417244039 AMINI FARHAD 2021 FFS RENDERING AGE 21+ 584 4,967 279 556 487 1,956 393 393
1417255894 CHEN TSU P 2021 FFS RENDERING AGE 0-20 380 5,897 365 1,138 155 356 374 571
1417255894 CHEN TSU P 2021 FFS RENDERING AGE 21+ 319 3,070 270 541 173 501 279 279
1417257767 PARK, MINDY DDS 2021 FFS RENDERING AGE 0-20 59 343 49 128 25 51 53 68
1417257767 PARK, MINDY DDS 2021 FFS RENDERING AGE 21+ 136 906 98 153 112 454 105 105
1417257767 PARK, MINDY DDS 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1417257767 PARK, MINDY DDS 2021 PHP RENDERING AGE 21+ 12 63 11 14 1 2 12 15
1417262999 REZAIE SANAZ R 2021 FFS RENDERING AGE 0-20 3,257 26,944 2,581 7,697 2,063 5,233 2,511 2,863
1417262999 REZAIE SANAZ R 2021 FFS RENDERING AGE 21+ 1 2 1 1 0 0 1 1
1417262999 REZAIE SANAZ R 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1417264284 SOLOMON DEBORAH 2021 FFS RENDERING AGE 0-20 103 139 0 0 15 26 1 1
1417264284 SOLOMON DEBORAH 2021 PHP RENDERING AGE 0-20 1 2 0 0 1 2 1 1
1417264284 SOLOMON DEBORAH 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1417276296 CHANG CHEN-TSUNG 2021 FFS RENDERING AGE 0-20 115 674 93 224 48 105 53 57
1417276296 CHANG CHEN-TSUNG 2021 FFS RENDERING AGE 21+ 388 1,667 189 189 243 629 163 163
1417317165 CHOI CHRISTINE A 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1417329277 NGUYEN HANNAH M 2021 FFS RENDERING AGE 0-20 318 3,806 295 844 120 242 295 384
1417329277 NGUYEN HANNAH M 2021 FFS RENDERING AGE 21+ 880 12,083 606 1,108 700 2,577 628 628
1417331323 HAN JUN 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1417339466 PATEL SUCHI 2021 FFS RENDERING AGE 0-20 427 3,182 369 1,378 202 545 331 358
1417339466 PATEL SUCHI 2021 FFS RENDERING AGE 21+ 500 2,728 240 459 344 1,332 282 282
1417339466 PATEL SUCHI 2021 GMC RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1417339466 PATEL SUCHI 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1417340274 BUDIMAN ERIC E 2021 FFS RENDERING AGE 0-20 26 74 0 0 1 2 0 0
1417352923 ROCHA-PATEL CHARLENE M 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1417356056 SHABANIAN JACK 2021 FFS RENDERING AGE 0-20 66 745 62 297 20 60 65 94
1417356056 SHABANIAN JACK 2021 FFS RENDERING AGE 21+ 176 1,535 127 247 119 442 147 147
1417356056 SHABANIAN JACK 2021 PHP RENDERING AGE 21+ 1 2 0 0 1 1 1 1
1417359191 YOUNG ANDREW S 2021 GMC RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1417385055 HU CHRISTINA 2021 FFS RENDERING AGE 0-20 197 818 76 157 59 184 138 141
1417385055 HU CHRISTINA 2021 FFS RENDERING AGE 21+ 422 1,171 43 85 133 296 266 266
1417385055 HU CHRISTINA 2021 PHP RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1417385055 HU CHRISTINA 2021 PHP RENDERING AGE 21+ 32 132 17 33 23 77 1 1
1417398181 CHENG PHILIP 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1417398181 CHENG PHILIP 2021 FFS RENDERING AGE 21+ 39 179 20 26 35 104 13 13
1417415241 GAZARIAN, HAIG, DENTAL CORPO 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 0 0
1417436361 LIN PATRICK B 2021 FFS RENDERING AGE 0-20 312 1,998 196 546 191 396 197 214
1417436361 LIN PATRICK B 2021 FFS RENDERING AGE 21+ 431 2,016 92 183 365 1,000 132 133
1417436361 LIN PATRICK B 2021 PHP RENDERING AGE 0-20 182 1,158 113 431 115 207 101 104
1417436361 LIN PATRICK B 2021 PHP RENDERING AGE 21+ 201 918 105 231 140 350 82 83
1417442724 LAVAALDIN PADIDEH 2021 FFS RENDERING AGE 0-20 821 5,567 407 1,104 643 2,051 292 295
1417442724 LAVAALDIN PADIDEH 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1417442724 LAVAALDIN PADIDEH 2021 PHP RENDERING AGE 0-20 1 2 0 0 1 2 0 0
1417467697 SARYAN DAVID 2021 FFS RENDERING AGE 0-20 35 197 19 37 26 84 24 24
1417467697 SARYAN DAVID 2021 FFS RENDERING AGE 21+ 255 1,529 118 207 199 717 167 173
1417469495 ST JOHN'S WELL CHILD & FAMIL 2021 PHP RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1417469495 ST. JOHN'S WELL CHILD AND FAMILY CENTER, INC. 2021 PHP RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1417470170 YANG FUE 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1417470170 YANG FUE 2021 GMC RENDERING AGE 0-20 119 791 70 272 69 122 70 75
1417470170 YANG FUE 2021 GMC RENDERING AGE 21+ 410 2,033 101 275 335 667 154 157
1417471871 DUONG CHRISTINA 2021 FFS RENDERING AGE 0-20 303 2,981 246 681 139 479 263 311
1417471871 DUONG CHRISTINA 2021 FFS RENDERING AGE 21+ 384 2,637 87 92 273 1,262 230 230
1417485400 DANESHGAR PHILLIP M 2021 FFS RENDERING AGE 0-20 175 1,357 108 272 116 340 141 152
1417485400 DANESHGAR PHILLIP M 2021 FFS RENDERING AGE 21+ 528 4,497 188 382 438 2,206 341 344
1417488727 SADEK, Y, DDS INC 2021 FFS RENDERING AGE 0-20 1 1 1 1 1 1 0 0
1417498759 AYANLEKE, FUNTO, DDS 2021 FFS RENDERING AGE 0-20 27 244 19 61 16 62 26 30
1417498759 AYANLEKE, FUNTO, DDS 2021 FFS RENDERING AGE 21+ 101 575 61 79 61 235 95 95
1417517657 SOROOSHIANI SHABNAM 2021 FFS RENDERING AGE 0-20 591 3,105 425 878 156 364 457 458
1417517657 SOROOSHIANI SHABNAM 2021 FFS RENDERING AGE 21+ 723 2,414 126 206 336 954 422 422
1417518291 ADAMS, ERIKA MARIE, RDHAP 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1417518291 ADAMS, ERIKA MARIE, RDHAP 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 0 0
1417552779 NGO JOHN T 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1417552779 NGO JOHN T 2021 FFS RENDERING AGE 21+ 16 53 0 0 16 44 1 1
1417557844 DUHN BRIAN J 2021 FFS RENDERING AGE 0-20 43 264 25 61 16 35 24 24
1417557844 DUHN BRIAN J 2021 FFS RENDERING AGE 21+ 90 462 14 30 65 161 30 30
1417558180 KIM MARIA ANTONE D 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 0 0
1417562042 KAUR JASHANDEEP 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1417562042 KAUR JASHANDEEP 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 2 0 0
1417568080 MEKHAEL YOUSTINA A 2021 FFS RENDERING AGE 0-20 249 1,622 178 640 122 248 176 191
1417568080 MEKHAEL YOUSTINA A 2021 FFS RENDERING AGE 21+ 292 1,041 56 107 162 421 155 155
1417568080 MEKHAEL YOUSTINA A 2021 PHP RENDERING AGE 0-20 108 701 81 404 32 67 92 98
1417568080 MEKHAEL YOUSTINA A 2021 PHP RENDERING AGE 21+ 85 267 21 29 42 116 55 56
1417625161 ANCONA DOMINIQUE R 2021 FFS RENDERING AGE 0-20 84 526 69 139 30 75 68 68
1417625161 ANCONA DOMINIQUE R 2021 FFS RENDERING AGE 21+ 45 243 25 50 27 80 26 26
1417625211 BORCHIK MICHAEL G 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1417625211 BORCHIK MICHAEL G 2021 FFS RENDERING AGE 21+ 39 200 1 1 20 56 19 19
1417625211 BORCHIK MICHAEL G 2021 GMC RENDERING AGE 21+ 67 328 59 74 42 78 25 25
1417911561 BRAZIEL, BENJAMIN III DDS 2021 FFS RENDERING AGE 0-20 48 248 40 95 14 31 42 46
1417911561 BRAZIEL, BENJAMIN III DDS 2021 FFS RENDERING AGE 21+ 168 739 58 58 114 341 118 118
1417932047 PARKER SANDRA L 2021 FFS RENDERING AGE 0-20 708 13,522 678 3,755 518 2,985 672 987
1417932047 PARKER SANDRA L 2021 FFS RENDERING AGE 21+ 832 12,187 684 1,821 724 6,398 678 681
1417955816 DITTO, MARY A, DDS 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1417955816 DITTO, MARY A, DDS 2021 FFS RENDERING AGE 21+ 12 40 1 1 1 2 1 1
1417975160 ENRIQUEZ VICTOR M 2021 FFS RENDERING AGE 0-20 52 535 51 142 20 59 49 60
1417975160 ENRIQUEZ VICTOR M 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1417981606 DOVE, EDWARD E, DDS 2021 FFS RENDERING AGE 0-20 3,387 220,176 2,917 36,760 2,104 57,972 3,239 15,460
1417981606 DOVE, EDWARD E, DDS 2021 PHP RENDERING AGE 0-20 1 2 1 2 1 2 0 0
1427018332 DONGO, CARLOS A, DDS 2021 FFS RENDERING AGE 0-20 165 1,175 141 219 72 157 148 200
1427018332 DONGO, CARLOS A, DDS 2021 FFS RENDERING AGE 21+ 334 2,076 143 144 246 890 227 227
1427041235 LE FRANK L 2021 FFS RENDERING AGE 0-20 104 1,445 97 365 34 93 98 142
1427041235 LE FRANK L 2021 FFS RENDERING AGE 21+ 214 1,969 158 292 163 581 162 162
1427044494 PROPST, JON W MD 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1427044494 PROPST, JON W MD 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1427046754 CHINATOWN SERVICE CENTER 2021 PHP RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1427046754 CHINATOWN SERVICE CENTER 2021 PHP RENDERING AGE 21+ 35 356 1 2 23 224 12 48
1427064963 ANDERSON PAUL B 2021 FFS RENDERING AGE 0-20 16 73 0 0 16 72 0 0
1427064963 ANDERSON PAUL B 2021 FFS RENDERING AGE 21+ 35 159 0 0 35 154 0 0
1427064963 ANDERSON PAUL B 2021 PHP RENDERING AGE 0-20 1 2 0 0 1 2 1 1
1427064963 ANDERSON PAUL B 2021 PHP RENDERING AGE 21+ 1 2 0 0 1 2 1 1
1427066471 SALEH, MOHAMED 2021 FFS RENDERING AGE 0-20 1 2 1 1 0 0 1 1
1427066471 SALEH, MOHAMED 2021 FFS RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1427066471 SALEH, YASSER M, DDS 2021 FFS RENDERING AGE 0-20 1 2 1 1 0 0 1 1
1427066471 SALEH, YASSER M, DDS 2021 FFS RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1427066711 TILTON LISA S 2021 FFS RENDERING AGE 0-20 47 664 43 129 40 394 44 67
1427066711 TILTON LISA S 2021 FFS RENDERING AGE 21+ 176 3,546 138 262 174 2,684 137 137
1427072545 LE CHUCK TRUC T 2021 FFS RENDERING AGE 0-20 1,331 10,421 813 2,867 721 1,775 573 625
1427072545 LE CHUCK TRUC T 2021 FFS RENDERING AGE 21+ 3,131 15,541 578 1,116 2,702 8,347 654 661
1427072545 LE CHUCK TRUC T 2021 PHP RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1427078211 SUHARDJO, DIDIK 2021 FFS RENDERING AGE 0-20 817 6,144 625 2,610 285 517 684 732
1427078211 SUHARDJO, DIDIK 2021 FFS RENDERING AGE 21+ 648 2,809 269 537 391 1,012 240 240
1427102094 FATOORACHI-KORS FROOZ 2021 FFS RENDERING AGE 0-20 791 11,689 782 4,375 427 1,498 786 1,473
1427102094 FATOORACHI-KORS FROOZ 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1427104223 NAFFAS SHAHRIAR 2021 FFS RENDERING AGE 0-20 274 1,453 85 267 210 601 91 95
1427104223 NAFFAS SHAHRIAR 2021 FFS RENDERING AGE 21+ 1,536 4,364 25 50 1,518 4,028 39 39
1427104223 NAFFAS SHAHRIAR 2021 PHP RENDERING AGE 0-20 106 767 81 348 51 142 86 93
1427104223 NAFFAS SHAHRIAR 2021 PHP RENDERING AGE 21+ 103 436 22 44 82 289 41 42
1427106038 BANH, HOA DMD 2021 FFS RENDERING AGE 0-20 468 5,807 443 2,387 189 468 451 672
1427106038 BANH, HOA DMD 2021 FFS RENDERING AGE 21+ 305 1,679 232 458 155 395 260 260
1427106509 TRAN CYBELLE D 2021 FFS RENDERING AGE 0-20 560 5,685 553 2,732 203 525 554 902
1427106509 TRAN CYBELLE D 2021 FFS RENDERING AGE 21+ 614 4,626 587 593 325 962 591 593
1427106525 SANTOS ARTHUR D 2021 FFS RENDERING AGE 0-20 268 3,580 235 931 165 763 244 283
1427106525 SANTOS ARTHUR D 2021 FFS RENDERING AGE 21+ 960 12,809 636 1,267 761 5,024 808 808
1427107382 DHARMAWAN, JEFFREY DDS 2021 FFS RENDERING AGE 0-20 129 636 119 184 53 116 122 131
1427107382 DHARMAWAN, JEFFREY DDS 2021 FFS RENDERING AGE 21+ 241 1,306 151 152 156 605 203 203
1427110386 HONG DAVIS 2021 PHP RENDERING AGE 0-20 159 625 139 184 25 36 131 139
1427110386 HONG DAVIS 2021 PHP RENDERING AGE 21+ 30 118 11 14 12 24 13 13
1427110931 KAM, RANDALL B, DDS 2021 FFS RENDERING AGE 0-20 140 1,156 120 361 52 144 132 139
1427110931 KAM, RANDALL B, DDS 2021 FFS RENDERING AGE 21+ 154 880 67 121 80 274 109 109
1427114784 TRIEU KIM B 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 2 1 1
1427114784 TRIEU KIM B 2021 FFS RENDERING AGE 21+ 55 688 42 82 41 344 44 44
1427115013 EBBA, MARYANN SANTOS, DMD 2021 FFS RENDERING AGE 0-20 38 266 35 99 1 2 35 56
1427115013 EBBA, MARYANN SANTOS, DMD 2021 FFS RENDERING AGE 21+ 133 717 109 109 47 131 121 121
1427118918 SHISHIMA MARC H 2021 FFS RENDERING AGE 0-20 2,031 21,280 1,755 5,485 1,034 2,896 1,656 1,823
1427118918 SHISHIMA MARC H 2021 FFS RENDERING AGE 21+ 253 1,340 84 167 110 234 155 155
1427118918 SHISHIMA MARC H 2021 PHP RENDERING AGE 0-20 28 170 22 58 17 46 20 20
1427118918 SHISHIMA MARC H 2021 PHP RENDERING AGE 21+ 11 46 0 0 1 2 1 1
1427119791 JULIAN, ROBERT S III MD 2021 FFS RENDERING AGE 0-20 327 1,688 0 0 238 1,340 144 144
1427119791 JULIAN, ROBERT S III MD 2021 FFS RENDERING AGE 21+ 304 1,215 0 0 220 916 134 136
1427122621 KASSAR, RAEDA A, DDS 2021 FFS RENDERING AGE 0-20 80 969 75 385 55 188 80 108
1427122621 KASSAR, RAEDA A, DDS 2021 FFS RENDERING AGE 21+ 226 2,163 131 238 173 1,348 195 195
1427124510 AMINIAN TABRIZI LEYLI 2021 FFS RENDERING AGE 0-20 1,148 15,700 957 3,578 654 3,287 937 1,122
1427124510 AMINIAN TABRIZI LEYLI 2021 FFS RENDERING AGE 21+ 25 96 1 2 17 20 1 1
1427127935 TORABI, CAMERON DDS 2021 FFS RENDERING AGE 0-20 302 4,346 191 528 224 1,245 268 331
1427127935 TORABI, CAMERON DDS 2021 FFS RENDERING AGE 21+ 765 10,252 257 513 616 3,784 594 597
1427128594 INDRA ANGELINE 2021 FFS RENDERING AGE 0-20 263 2,325 180 591 114 453 193 206
1427128594 INDRA ANGELINE 2021 FFS RENDERING AGE 21+ 350 2,108 93 134 241 983 186 188
1427135623 WALKER MACHON R 2021 GMC RENDERING AGE 0-20 241 1,067 138 437 178 269 75 75
1427135623 WALKER MACHON R 2021 GMC RENDERING AGE 21+ 160 548 24 41 117 328 48 48
1427135623 WALKER MACHON R 2021 PHP RENDERING AGE 21+ 1 2 0 0 1 2 0 0
1427142009 UNIV CHILDRENS MED GROUP 2021 FFS RENDERING AGE 0-20 269 434 0 0 131 227 1 1
1427142009 UNIV CHILDRENS MED GROUP 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1427142009 UNIV CHILDRENS MED GROUP 2021 PHP RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1427144039 LOUIE, KENNETH G, DDS 2021 FFS RENDERING AGE 0-20 19 94 16 38 1 2 16 19
1427144039 LOUIE, KENNETH G, DDS 2021 FFS RENDERING AGE 21+ 54 234 34 36 35 93 37 37
1427155779 CHEN WILLIAM L 2021 FFS RENDERING AGE 0-20 66 76 0 0 0 0 0 0
1427169275 ZAPATA, VICTOR E, DDS 2021 FFS RENDERING AGE 0-20 307 3,014 207 494 118 540 285 306
1427169275 ZAPATA, VICTOR E, DDS 2021 FFS RENDERING AGE 21+ 490 2,958 157 313 274 1,085 383 388
1427169275 ZAPATA, VICTOR E, DDS 2021 PHP RENDERING AGE 0-20 15 146 11 31 1 2 14 18
1427169275 ZAPATA, VICTOR E, DDS 2021 PHP RENDERING AGE 21+ 18 82 1 1 1 2 13 14
1427170158 PABST, JUDITH S, DDS 2021 FFS RENDERING AGE 0-20 396 4,326 363 1,968 72 344 373 958
1427170158 PABST, JUDITH S, DDS 2021 FFS RENDERING AGE 21+ 122 1,264 109 528 78 196 108 216
1427170158 PABST, JUDITH S, DDS 2021 PHP RENDERING AGE 0-20 1 2 1 1 0 0 1 1
1427170794 HADIDJAJA HAMI 2021 FFS RENDERING AGE 0-20 48 482 47 58 24 128 43 53
1427170794 HADIDJAJA HAMI 2021 FFS RENDERING AGE 21+ 119 1,154 91 91 73 410 102 102
1427171222 AGHADJANIAN, PAULINE DDS 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 2 1 2
1427171222 AGHADJANIAN, PAULINE DDS 2021 FFS RENDERING AGE 21+ 50 494 37 39 41 183 39 39
1427174929 BALLARD, MADELYN L, DDS 2021 FFS RENDERING AGE 0-20 67 238 62 86 23 58 57 69
1427174929 BALLARD, MADELYN L, DDS 2021 FFS RENDERING AGE 21+ 224 840 180 183 116 304 178 180
1427187327 LI, PO I, DDS 2021 FFS RENDERING AGE 0-20 40 298 37 131 27 58 37 51
1427187327 LI, PO I, DDS 2021 FFS RENDERING AGE 21+ 52 287 35 69 39 96 39 39
1427191923 ZINATI, LADAN DDS 2021 FFS RENDERING AGE 0-20 387 5,459 380 1,441 192 668 380 487
1427191923 ZINATI, LADAN DDS 2021 FFS RENDERING AGE 21+ 213 3,115 153 304 156 672 155 159
1427191923 ZINATI, LADAN DDS 2021 PHP RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1427191923 ZINATI, LADAN DDS 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1427193705 KUE, JUDITH J VUE, DDS 2021 FFS RENDERING AGE 0-20 11 59 11 20 1 1 1 1
1427193705 KUE, JUDITH J VUE, DDS 2021 FFS RENDERING AGE 21+ 97 391 12 12 77 186 32 32
1427193705 KUE, JUDITH J VUE, DDS 2021 GMC RENDERING AGE 0-20 684 5,341 620 1,881 301 669 627 899
1427194281 RAMIREZ CORINA 2021 FFS RENDERING AGE 0-20 1,329 22,648 1,299 5,806 1,074 4,783 1,298 2,063
1427194281 RAMIREZ CORINA 2021 PHP RENDERING AGE 0-20 62 745 52 192 62 358 1 1
1427195510 HILARIO JR, EUFRACIO N, DDS 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1427196492 NAIK PREMAL 2021 FFS RENDERING AGE 0-20 453 6,181 430 1,734 92 254 442 544
1427196492 NAIK PREMAL 2021 FFS RENDERING AGE 21+ 582 3,823 247 482 220 582 513 513
1427196815 HONDA MEKARSARI R 2021 FFS RENDERING AGE 0-20 343 2,512 267 960 117 376 312 367
1427196815 HONDA MEKARSARI R 2021 FFS RENDERING AGE 21+ 445 1,687 126 130 188 518 252 252
1427196815 HONDA MEKARSARI R 2021 PHP RENDERING AGE 0-20 172 873 130 377 33 76 158 176
1427196815 HONDA MEKARSARI R 2021 PHP RENDERING AGE 21+ 206 558 49 52 76 157 167 173
1427196997 LIU XIA L 2021 FFS RENDERING AGE 0-20 259 3,111 241 646 148 462 235 296
1427196997 LIU XIA L 2021 FFS RENDERING AGE 21+ 373 3,820 192 382 308 1,381 235 235
1427198134 ALARCON MARIA T 2021 FFS RENDERING AGE 0-20 176 1,022 136 268 56 163 163 163
1427198134 ALARCON MARIA T 2021 FFS RENDERING AGE 21+ 505 2,297 234 434 217 682 446 447
1427204544 BUZZELL JORDAN N 2021 FFS RENDERING AGE 0-20 314 3,702 295 1,303 261 908 301 437
1427206622 PHAM GABRIELLA T 2021 FFS RENDERING AGE 0-20 96 689 91 352 39 118 80 104
1427206622 PHAM GABRIELLA T 2021 FFS RENDERING AGE 21+ 134 624 87 144 77 230 98 98
1427218619 KIM MIN S 2021 FFS RENDERING AGE 0-20 11 55 11 28 0 0 1 1
1427218619 KIM MIN S 2021 FFS RENDERING AGE 21+ 24 108 19 38 1 2 16 16
1427233089 HOANG CHAU B 2021 FFS RENDERING AGE 0-20 91 734 85 226 41 150 85 99
1427233089 HOANG CHAU B 2021 FFS RENDERING AGE 21+ 299 1,721 144 285 182 646 237 238
1427233089 HOANG CHAU B 2021 PHP RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1427233089 HOANG CHAU B 2021 PHP RENDERING AGE 21+ 20 148 12 22 12 77 14 14
1427241876 SHARMA, SURAJ PAL DDS 2021 FFS RENDERING AGE 0-20 438 4,922 331 840 232 1,025 343 410
1427241876 SHARMA, SURAJ PAL DDS 2021 FFS RENDERING AGE 21+ 651 4,040 181 262 398 1,677 401 401
1427242114 SADDI SUPRIYA A 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1427242494 ARAMBULO NELWINA L 2021 FFS RENDERING AGE 0-20 1,300 9,303 529 1,237 1,243 3,221 454 458
1427242494 ARAMBULO NELWINA L 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 2 0 0
1427243781 VALDE JANE D 2021 FFS RENDERING AGE 0-20 278 1,523 226 558 104 273 222 240
1427243781 VALDE JANE D 2021 FFS RENDERING AGE 21+ 382 1,406 45 45 283 841 203 203
1427250992 MIRELES ERNESTO 2021 FFS RENDERING AGE 0-20 22 228 19 52 1 2 19 23
1427250992 MIRELES ERNESTO 2021 FFS RENDERING AGE 21+ 19 137 1 2 15 36 1 1
1427250992 MIRELES, ERNESTO, DDS 2021 FFS RENDERING AGE 0-20 22 228 19 52 1 2 19 23
1427250992 MIRELES, ERNESTO, DDS 2021 FFS RENDERING AGE 21+ 19 137 1 2 15 36 1 1
1427251560 MEHRDAD FARZIN 2021 FFS RENDERING AGE 0-20 62 568 45 116 14 63 46 56
1427251560 MEHRDAD FARZIN 2021 FFS RENDERING AGE 21+ 147 693 22 22 68 258 106 106
1427251644 KALIKA YAN 2021 FFS RENDERING AGE 0-20 211 726 39 121 53 106 55 57
1427251644 KALIKA YAN 2021 FFS RENDERING AGE 21+ 351 869 50 89 26 58 266 266
1427251644 KALIKA YAN 2021 GMC RENDERING AGE 0-20 1 2 0 0 1 1 1 1
1427253202 TRAN, ANH N DDS 2021 FFS RENDERING AGE 0-20 216 1,797 198 517 116 365 204 250
1427253202 TRAN, ANH N DDS 2021 FFS RENDERING AGE 21+ 367 1,961 179 341 263 802 281 281
1427253384 MOJICA VINCENT S 2021 FFS RENDERING AGE 0-20 348 4,209 306 612 160 467 313 354
1427253384 MOJICA VINCENT S 2021 FFS RENDERING AGE 21+ 258 2,255 154 155 181 571 157 157
1427260066 MOY TIMOTHY S 2021 FFS RENDERING AGE 0-20 27 228 20 56 12 28 25 26
1427260066 MOY TIMOTHY S 2021 FFS RENDERING AGE 21+ 64 366 28 50 45 114 34 34
1427261718 HANOOKAI DELARAM 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1427263409 GHADIMI RODRICK 2021 FFS RENDERING AGE 0-20 93 960 80 299 75 382 81 93
1427263409 GHADIMI RODRICK 2021 FFS RENDERING AGE 21+ 232 2,723 158 309 212 1,835 196 198
1427264332 LIU, PETER 2021 FFS RENDERING AGE 0-20 19 142 18 87 1 2 16 20
1427264332 LIU, PETER 2021 FFS RENDERING AGE 21+ 80 618 53 98 64 297 59 59
1427264571 ADHAMI NOUSHIN 2021 FFS RENDERING AGE 0-20 278 3,534 267 1,013 197 702 261 339
1427264571 ADHAMI NOUSHIN 2021 FFS RENDERING AGE 21+ 359 2,827 213 393 267 1,264 240 240
1427264571 ADHAMI NOUSHIN 2021 PHP RENDERING AGE 0-20 22 186 16 51 1 2 21 24
1427264571 ADHAMI NOUSHIN 2021 PHP RENDERING AGE 21+ 43 272 27 31 23 92 42 47
1427267624 CAO DANIEL G 2021 FFS RENDERING AGE 0-20 198 1,731 170 509 107 291 168 170
1427267624 CAO DANIEL G 2021 FFS RENDERING AGE 21+ 214 1,530 111 219 158 581 125 125
1427270685 NGUYEN, DANA QUYNH, DDS 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1427270685 NGUYEN, DANA QUYNH, DDS 2021 FFS RENDERING AGE 21+ 30 252 26 26 15 30 19 19
1427276492 YOUNG, KIMMER EUGENE, DDS 2021 FFS RENDERING AGE 0-20 288 1,523 252 421 106 315 259 317
1427276492 YOUNG, KIMMER EUGENE, DDS 2021 FFS RENDERING AGE 21+ 399 1,789 222 222 256 728 272 272
1427280197 HUANG KEVIN M 2021 FFS RENDERING AGE 0-20 15 161 14 35 1 1 15 17
1427280197 HUANG KEVIN M 2021 FFS RENDERING AGE 21+ 29 187 1 2 15 53 24 24
1427295666 SARAFYAN IRINA 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1427295666 SARAFYAN IRINA 2021 PHP RENDERING AGE 0-20 18 123 15 32 1 2 18 21
1427295666 SARAFYAN IRINA 2021 PHP RENDERING AGE 21+ 133 583 45 54 77 262 91 96
1427304294 TIKU VIKRAM R 2021 FFS RENDERING AGE 0-20 82 678 77 216 27 148 79 107
1427325596 CONRAD, CAROLYN A, RDHAP 2021 FFS RENDERING AGE 21+ 746 2,893 684 1,058 746 1,835 0 0
1427335421 SHEN JIANXIONG 2021 FFS RENDERING AGE 0-20 70 284 28 59 26 64 53 53
1427335421 SHEN JIANXIONG 2021 FFS RENDERING AGE 21+ 208 592 38 76 67 138 140 140
1427335421 SHEN JIANXIONG 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1427335421 SHEN JIANXIONG 2021 PHP RENDERING AGE 21+ 23 61 1 1 11 22 13 13
1427336221 AAA DENTISTRY@IMPERIAL 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1427341684 SAADAT NARIMAN 2021 FFS RENDERING AGE 0-20 23 76 0 0 23 76 0 0
1427341684 SAADAT NARIMAN 2021 FFS RENDERING AGE 21+ 21 50 0 0 21 50 0 0
1427341684 SAADAT NARIMAN 2021 PHP RENDERING AGE 0-20 1 2 0 0 1 2 1 1
1427341684 SAADAT NARIMAN 2021 PHP RENDERING AGE 21+ 37 105 1 1 18 54 33 39
1427360874 PHAN CHRISTINE A 2021 FFS RENDERING AGE 0-20 1 1 0 0 0 0 1 1
1427360874 PHAN CHRISTINE A 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1427363514 OLAGUE GILBERTO 2021 FFS RENDERING AGE 0-20 383 4,429 315 1,114 193 485 308 365
1427363514 OLAGUE GILBERTO 2021 FFS RENDERING AGE 21+ 473 4,323 222 449 311 1,079 262 262
1427369289 XU SHUANG 2021 FFS RENDERING AGE 0-20 4,996 48,435 4,026 12,579 3,230 9,935 3,905 4,420
1427369289 XU SHUANG 2021 FFS RENDERING AGE 21+ 13 103 11 21 1 1 11 11
1427375526 CHO SOUNG-HOON 2021 FFS RENDERING AGE 0-20 24 157 16 42 13 43 22 26
1427375526 CHO SOUNG-HOON 2021 FFS RENDERING AGE 21+ 152 768 88 174 70 241 130 131
1427381565 NAING WIN P 2021 FFS RENDERING AGE 0-20 129 1,835 124 569 78 266 125 171
1427381565 NAING WIN P 2021 FFS RENDERING AGE 21+ 226 1,916 160 317 159 704 177 177
1427383496 AFRAMIAN, DANNY DDS 2021 FFS RENDERING AGE 0-20 1,282 11,808 1,024 2,362 232 571 1,100 1,180
1427383496 AFRAMIAN, DANNY DDS 2021 FFS RENDERING AGE 21+ 223 1,317 47 93 111 229 114 114
1427400688 CHANG KAI C 2021 FFS RENDERING AGE 0-20 103 673 75 179 30 59 78 78
1427400688 CHANG KAI C 2021 FFS RENDERING AGE 21+ 69 293 1 1 39 104 35 36
1427402908 HUYNH PHAN X 2021 FFS RENDERING AGE 0-20 293 408 0 0 52 111 0 0
1427402908 HUYNH PHAN X 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1427403609 RYAN EHSAN E 2021 FFS RENDERING AGE 0-20 11 31 1 1 1 1 1 1
1427403609 RYAN EHSAN E 2021 FFS RENDERING AGE 21+ 20 40 1 1 1 2 13 13
1427404979 KWON SOO YEON 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1427424563 PARK JIEUN 2021 FFS RENDERING AGE 0-20 1,811 18,790 1,373 5,064 1,626 9,149 1,025 1,065
1427424563 PARK JIEUN 2021 FFS RENDERING AGE 21+ 89 287 1 2 67 161 33 33
1427424563 PARK JIEUN 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1427426626 KOSHKERIAN, HOVSEP, DDS INC 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1427426626 KOSHKERIAN, HOVSEP, DDS INC 2021 PHP RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1427430016 MAZLOOMI FARZAD 2021 FFS RENDERING AGE 0-20 395 7,484 371 1,793 370 1,624 374 530
1427430016 MAZLOOMI FARZAD 2021 FFS RENDERING AGE 21+ 488 6,371 339 665 476 3,126 373 373
1427434307 CHO JINHYUN 2021 FFS RENDERING AGE 0-20 81 625 76 222 31 85 80 104
1427434307 CHO JINHYUN 2021 FFS RENDERING AGE 21+ 310 1,554 207 361 157 467 269 269
1427456730 CALLOS CYRUS B 2021 FFS RENDERING AGE 0-20 11 52 1 2 1 1 11 14
1427456730 CALLOS CYRUS B 2021 FFS RENDERING AGE 21+ 50 181 22 26 33 72 37 37
1427457175 SUNKARA DIVYARUPA 2021 FFS RENDERING AGE 0-20 139 675 79 224 54 97 105 107
1427457175 SUNKARA DIVYARUPA 2021 FFS RENDERING AGE 21+ 510 1,493 58 104 220 482 298 298
1427457175 SUNKARA DIVYARUPA 2021 GMC RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1427457175 SUNKARA DIVYARUPA 2021 GMC RENDERING AGE 21+ 1 2 0 0 1 1 1 1
1427473719 CHO, ADRIAN YONGTAE, DDS 2021 FFS RENDERING AGE 0-20 147 2,369 132 319 69 340 144 175
1427473719 CHO, ADRIAN YONGTAE, DDS 2021 FFS RENDERING AGE 21+ 179 2,021 116 231 117 464 139 139
1427477835 HSIAO, SHIH-YEN PAUL DDS 2021 FFS RENDERING AGE 0-20 642 10,831 581 4,070 529 1,909 561 1,046
1427477835 HSIAO, SHIH-YEN PAUL DDS 2021 FFS RENDERING AGE 21+ 608 6,549 332 657 542 2,347 419 419
1427480979 BASA KARLA A 2021 FFS RENDERING AGE 0-20 1,703 16,703 1,301 3,929 1,218 3,310 1,154 1,322
1427483577 SHERF, NILOUFAR DDS 2021 FFS RENDERING AGE 0-20 523 703 0 0 366 494 0 0
1427522812 WESTERN DENTAL SERVICES INC 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1427522812 WESTERN DENTAL SERVICES INC 2021 PHP RENDERING AGE 0-20 267 2,330 231 744 40 54 236 249
1427522812 WESTERN DENTAL SERVICES INC 2021 PHP RENDERING AGE 21+ 207 719 56 57 42 52 149 149
1427522812 WESTERN DENTAL SERVICES, INC. 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1427522812 WESTERN DENTAL SERVICES, INC. 2021 PHP RENDERING AGE 0-20 267 2,330 231 744 40 54 236 249
1427522812 WESTERN DENTAL SERVICES, INC. 2021 PHP RENDERING AGE 21+ 207 719 56 57 42 52 149 149
1427554385 OKUHARA NATALIE A 2021 FFS RENDERING AGE 0-20 64 326 23 46 32 71 40 40
1427554385 OKUHARA NATALIE A 2021 FFS RENDERING AGE 21+ 169 901 44 87 119 265 80 80
1427563568 SESHADRI SAVITHA 2021 FFS RENDERING AGE 0-20 96 717 76 233 59 99 78 95
1427563568 SESHADRI SAVITHA 2021 FFS RENDERING AGE 21+ 72 458 34 60 67 228 11 11
1427567056 SAWIRIS DAVID S 2021 FFS RENDERING AGE 0-20 177 1,097 127 264 72 273 145 161
1427567056 SAWIRIS DAVID S 2021 FFS RENDERING AGE 21+ 473 1,981 68 95 311 1,003 303 303
1427567056 SAWIRIS DAVID S 2021 PHP RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1427586692 KATTEE MOHAMMAD 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1427604776 LEE COLLIN K 2021 FFS RENDERING AGE 0-20 1,834 23,971 1,702 7,510 1,564 9,692 1,657 1,997
1427604776 LEE COLLIN K 2021 FFS RENDERING AGE 21+ 483 3,598 55 102 405 2,706 332 332
1427607910 CHONG KAREN W 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 2 1 1
1427607910 CHONG KAREN W 2021 FFS RENDERING AGE 21+ 18 151 13 20 15 97 17 17
1427643972 LIM REBECCA S 2021 FFS RENDERING AGE 0-20 91 134 0 0 20 39 0 0
1427643972 LIM REBECCA S 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1427669142 YOON ELIZABETH D 2021 FFS RENDERING AGE 0-20 47 267 33 75 20 51 35 35
1427669142 YOON ELIZABETH D 2021 FFS RENDERING AGE 21+ 150 994 47 93 118 469 81 81
1437102928 SIMAN EDDIE 2021 FFS RENDERING AGE 0-20 414 4,276 301 677 169 787 386 424
1437102928 SIMAN EDDIE 2021 FFS RENDERING AGE 21+ 1,195 9,358 465 928 821 3,765 962 964
1437124526 MILLER ANGELA S 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1437166899 DOAN, TAI D, DDS 2021 FFS RENDERING AGE 0-20 57 586 52 94 11 25 50 55
1437166899 DOAN, TAI D, DDS 2021 FFS RENDERING AGE 21+ 206 1,737 156 156 88 171 176 176
1437173317 CUI, XUEWEN S DDS 2021 FFS RENDERING AGE 0-20 245 3,732 217 839 169 872 223 281
1437173317 CUI, XUEWEN S DDS 2021 FFS RENDERING AGE 21+ 275 2,571 70 96 219 1,368 215 215
1437184769 NGUYEN BOITRAN C 2021 FFS RENDERING AGE 0-20 213 1,516 160 359 58 137 167 177
1437184769 NGUYEN BOITRAN C 2021 FFS RENDERING AGE 21+ 192 800 57 109 73 184 137 137
1437202934 WANG DANIEL Y 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 2 1 1
1437202934 WANG DANIEL Y 2021 FFS RENDERING AGE 21+ 110 517 64 64 65 177 91 91
1437206331 MOHAGHEGH-DAVAN LIDA 2021 FFS RENDERING AGE 0-20 251 2,546 165 366 109 465 214 240
1437206331 MOHAGHEGH-DAVAN LIDA 2021 FFS RENDERING AGE 21+ 341 2,549 50 96 269 1,274 195 195
1437207107 DABBAGH, SARKIS NERSES, DDS 2021 FFS RENDERING AGE 0-20 172 1,186 57 296 78 364 80 160
1437207107 DABBAGH, SARKIS NERSES, DDS 2021 FFS RENDERING AGE 21+ 207 1,094 22 76 123 554 70 140
1437207107 DABBAGH, SARKIS NERSES, DDS 2021 PHP RENDERING AGE 0-20 1 2 1 2 1 2 0 0
1437207107 DABBAGH, SARKIS NERSES, DDS 2021 PHP RENDERING AGE 21+ 16 114 1 2 12 70 1 1
1437207701 SHAH AMIT L 2021 FFS RENDERING AGE 0-20 74 473 56 130 25 75 70 78
1437207701 SHAH AMIT L 2021 FFS RENDERING AGE 21+ 258 1,193 70 101 118 347 198 201
1437207701 SHAH AMIT L 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1437208071 ENGSTROM, DAVID M DMD 2021 FFS RENDERING AGE 0-20 71 432 63 122 39 160 28 32
1437208071 ENGSTROM, DAVID M DMD 2021 FFS RENDERING AGE 21+ 55 263 42 42 38 99 22 22
1437209814 HLAING, SOE, DDS 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 2 1 1
1437209814 HLAING, SOE, DDS 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1437210432 PACHECO ROSAURA 2021 FFS RENDERING AGE 0-20 15 307 14 29 15 229 15 15
1437211349 SADEK, YASSER E, DDS INC 2021 FFS RENDERING AGE 0-20 2,736 31,694 2,430 7,105 827 6,355 2,666 3,419
1437211349 SADEK, YASSER E, DDS INC 2021 FFS RENDERING AGE 21+ 20 138 11 21 11 42 14 14
1437211349 SADEK, YASSER E, DDS INC 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 2 1 1
1437212255 NICK DOYLE R 2021 FFS RENDERING AGE 0-20 259 4,516 186 572 257 2,642 234 234
1437212255 NICK DOYLE R 2021 FFS RENDERING AGE 21+ 22 233 17 25 22 153 14 14
1437212255 NICK DOYLE R 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 2 1 1
1437219003 HANA ATEF E 2021 FFS RENDERING AGE 0-20 156 1,422 122 452 88 305 145 163
1437219003 HANA ATEF E 2021 FFS RENDERING AGE 21+ 607 3,705 208 374 468 1,906 417 418
1437220688 SAMAAN EHAB S 2021 FFS RENDERING AGE 0-20 796 9,894 661 2,494 397 1,125 754 892
1437220688 SAMAAN EHAB S 2021 FFS RENDERING AGE 21+ 1,394 12,313 565 937 1,045 3,928 1,044 1,047
1437224466 ALEGRIA, MARCO A, DDS 2021 FFS RENDERING AGE 21+ 1 2 0 0 0 0 1 1
1437225455 HUGHES, BRENNAN LLOYD DMD 2021 FFS RENDERING AGE 0-20 1,123 4,811 0 0 659 3,010 891 892
1437225455 HUGHES, BRENNAN LLOYD DMD 2021 FFS RENDERING AGE 21+ 219 826 1 1 146 556 132 132
1437225455 HUGHES, BRENNAN LLOYD DMD 2021 PHP RENDERING AGE 0-20 52 188 1 2 44 139 16 16
1437225455 HUGHES, BRENNAN LLOYD DMD 2021 PHP RENDERING AGE 21+ 197 849 1 1 125 575 155 158
1437239365 HADDAD, EIAD, DDS INC 2021 FFS RENDERING AGE 0-20 233 1,831 193 487 137 502 151 156
1437239365 HADDAD, EIAD, DDS INC 2021 FFS RENDERING AGE 21+ 417 3,518 172 305 301 1,556 265 266
1437239654 SIMLOTE, SURESH N, DDS 2021 FFS RENDERING AGE 0-20 45 1,138 40 232 33 190 38 90
1437239654 SIMLOTE, SURESH N, DDS 2021 FFS RENDERING AGE 21+ 73 1,332 1 2 44 398 49 98
1437242377 PATRICK SIMONNE P 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1437242377 PATRICK SIMONNE P 2021 FFS RENDERING AGE 21+ 32 146 1 2 18 66 1 1
1437242377 PATRICK SIMONNE P 2021 GMC RENDERING AGE 0-20 268 2,404 220 963 138 463 208 258
1437242377 PATRICK SIMONNE P 2021 GMC RENDERING AGE 21+ 265 2,137 151 422 191 878 154 160
1437245305 KHABBAZ LILIANA G 2021 PHP RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1437245305 KHABBAZ LILIANA G 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1437248515 ISMAIL AYMAN M 2021 FFS RENDERING AGE 0-20 404 6,623 365 1,504 333 1,762 369 466
1437248515 ISMAIL AYMAN M 2021 FFS RENDERING AGE 21+ 888 7,558 434 866 760 3,497 567 569
1437256435 KANG JEAN Y 2021 FFS RENDERING AGE 0-20 4,037 31,195 3,184 8,557 2,076 3,916 3,532 3,854
1437256435 KANG JEAN Y 2021 FFS RENDERING AGE 21+ 21 153 12 24 1 2 19 19
1437258423 KIM JIN T 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1437260080 AVANESIAN, HAMLET S DDS 2021 FFS RENDERING AGE 0-20 136 739 79 160 74 267 103 119
1437260080 AVANESIAN, HAMLET S DDS 2021 FFS RENDERING AGE 21+ 856 5,042 226 355 612 2,745 572 574
1437270063 CHEN IRENE 2021 FFS RENDERING AGE 0-20 1 2 0 0 1 2 1 1
1437270063 CHEN IRENE 2021 FFS RENDERING AGE 21+ 157 614 31 42 74 161 103 104
1437278405 MAZDAEI, ROEYA, DDS 2021 FFS RENDERING AGE 0-20 68 442 65 177 1 1 66 66
1437278405 MAZDAEI, ROEYA, DDS 2021 FFS RENDERING AGE 21+ 69 445 61 66 38 188 61 61
1437289980 NGUYEN LOC Q 2021 FFS RENDERING AGE 0-20 208 2,954 193 776 76 168 173 213
1437289980 NGUYEN LOC Q 2021 FFS RENDERING AGE 21+ 420 5,394 307 605 290 1,069 308 308
1437290897 KOMOC BASHAR 2021 FFS RENDERING AGE 0-20 157 1,791 142 402 59 302 153 180
1437290897 KOMOC BASHAR 2021 FFS RENDERING AGE 21+ 206 2,501 108 108 141 905 171 171
1437290897 KOMOC BASHAR 2021 PHP RENDERING AGE 0-20 32 322 28 102 1 2 31 35
1437290897 KOMOC BASHAR 2021 PHP RENDERING AGE 21+ 76 687 61 97 39 131 62 62
1437296050 HERBLY BASEL 2021 FFS RENDERING AGE 0-20 251 712 0 0 244 687 1 1
1437296050 HERBLY BASEL 2021 FFS RENDERING AGE 21+ 1,403 4,146 0 0 1,396 4,091 1 1
1437296050 HERBLY BASEL 2021 GMC RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1437296050 HERBLY BASEL 2021 PHP RENDERING AGE 0-20 17 19 1 1 11 11 0 0
1437296050 HERBLY BASEL 2021 PHP RENDERING AGE 21+ 31 87 0 0 28 78 1 1
1437298544 FAGHIH, MEHRDAD, DDS INC 2021 FFS RENDERING AGE 0-20 1,003 6,234 865 2,568 315 928 598 632
1437298544 FAGHIH, MEHRDAD, DDS INC 2021 FFS RENDERING AGE 21+ 956 4,277 361 575 541 1,714 510 511
1437310646 TABARIAI ELI 2021 FFS RENDERING AGE 0-20 127 443 0 0 127 349 0 0
1437310646 TABARIAI ELI 2021 FFS RENDERING AGE 21+ 58 148 0 0 58 121 0 0
1437310646 TABARIAI ELI 2021 PHP RENDERING AGE 0-20 18 65 0 0 14 44 1 1
1437310646 TABARIAI ELI 2021 PHP RENDERING AGE 21+ 81 246 0 0 47 111 70 73
1437314317 ALJANEDI, MOHDSAMEER, PROF D 2021 PHP RENDERING AGE 0-20 31 253 31 109 24 30 29 29
1437314317 ALJANEDI, MOHDSAMEER, PROF D 2021 PHP RENDERING AGE 21+ 109 589 93 155 97 213 81 81
1437319035 BADII KIAVASH K 2021 FFS RENDERING AGE 0-20 294 3,057 238 745 136 560 278 339
1437319035 BADII KIAVASH K 2021 FFS RENDERING AGE 21+ 541 3,707 282 560 275 1,257 493 513
1437319803 JACOBSON ALLEN 2021 FFS RENDERING AGE 0-20 20 34 0 0 1 2 0 0
1437319803 JACOBSON ALLEN 2021 PHP RENDERING AGE 0-20 11 15 0 0 1 2 1 1
1437319852 ORELLANA GRISELDA 2021 FFS RENDERING AGE 0-20 99 1,869 90 309 56 187 95 147
1437319852 ORELLANA GRISELDA 2021 FFS RENDERING AGE 21+ 173 3,084 138 276 146 1,189 146 148
1437323847 HENDRE AMRUTA D 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1437323847 HENDRE AMRUTA D 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1437334638 HUANG HUNG-JU 2021 FFS RENDERING AGE 0-20 381 4,054 303 876 244 858 272 313
1437334778 LIPKIN, ARTUR, DDS 2021 FFS RENDERING AGE 0-20 83 1,850 78 728 42 216 82 242
1437334778 LIPKIN, ARTUR, DDS 2021 FFS RENDERING AGE 21+ 319 6,918 261 892 260 2,952 280 562
1437334778 LIPKIN, ARTUR, DDS 2021 PHP RENDERING AGE 0-20 64 1,650 64 798 37 172 64 180
1437334778 LIPKIN, ARTUR, DDS 2021 PHP RENDERING AGE 21+ 184 2,386 166 754 78 632 167 336
1437340908 LEPE CARLOS 2021 FFS RENDERING AGE 0-20 114 1,196 108 317 48 122 107 154
1437340908 LEPE CARLOS 2021 FFS RENDERING AGE 21+ 100 551 81 161 57 181 36 36
1437342326 AMJADI NAHID 2021 FFS RENDERING AGE 0-20 13 66 1 2 1 2 1 1
1437342326 AMJADI NAHID 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 2 1 1
1437342326 AMJADI NAHID 2021 PHP RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1437345311 SAHASAKMONTRI PANIDA 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1437345824 FONG GORDON J 2021 FFS RENDERING AGE 0-20 122 872 75 358 52 113 100 111
1437345824 FONG GORDON J 2021 FFS RENDERING AGE 21+ 495 3,478 221 429 330 1,301 379 379
1437345980 DILORETO VINCENT A 2021 FFS RENDERING AGE 0-20 103 660 85 202 38 86 95 116
1437345980 DILORETO VINCENT A 2021 FFS RENDERING AGE 21+ 257 1,298 58 58 163 539 192 192
1437345980 DILORETO VINCENT A 2021 PHP RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1437351814 LIN ELEANOR J 2021 FFS RENDERING AGE 0-20 833 2,932 744 1,809 188 489 179 180
1437351814 LIN ELEANOR J 2021 FFS RENDERING AGE 21+ 17 44 12 22 1 1 0 0
1437358538 GILL SUKHWINDER S 2021 FFS RENDERING AGE 0-20 334 2,455 222 921 162 491 290 359
1437358538 GILL SUKHWINDER S 2021 FFS RENDERING AGE 21+ 760 3,643 180 347 507 1,702 548 550
1437368685 HALLS, GREG B, DDS 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1437368685 HALLS, GREG B, DDS 2021 FFS RENDERING AGE 21+ 193 419 0 0 140 249 99 99
1437374238 BALAIS, BELINDA L, DMD 2021 FFS RENDERING AGE 0-20 24 436 23 228 12 62 21 52
1437374238 BALAIS, BELINDA L, DMD 2021 FFS RENDERING AGE 21+ 44 498 34 68 24 166 31 62
1437374873 AYALA EDMUNDO J 2021 FFS RENDERING AGE 0-20 91 1,415 81 349 18 103 87 113
1437374873 AYALA EDMUNDO J 2021 FFS RENDERING AGE 21+ 46 540 28 56 22 124 42 42
1437375417 ZANDKARIMI SHAHRIYAR 2021 FFS RENDERING AGE 0-20 628 4,131 532 1,853 215 466 488 558
1437375417 ZANDKARIMI SHAHRIYAR 2021 FFS RENDERING AGE 21+ 388 1,648 205 397 184 366 223 223
1437377108 IBE AMAUCHE N 2021 FFS RENDERING AGE 0-20 2,884 18,757 2,516 6,967 1,348 2,834 2,471 2,623
1437377108 IBE AMAUCHE N 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1437377108 IBE AMAUCHE N 2021 PHP RENDERING AGE 0-20 1 1 0 0 0 0 1 1
1437384203 KIM JAMES Y 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1437384203 KIM JAMES Y 2021 PHP RENDERING AGE 0-20 15 44 1 1 15 40 0 0
1437384203 KIM JAMES Y 2021 PHP RENDERING AGE 21+ 45 144 1 1 35 105 33 35
1437439163 ROUHANI BAHAR 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 2 1 1
1437439163 ROUHANI BAHAR 2021 FFS RENDERING AGE 21+ 66 260 1 1 65 243 1 1
1437439536 ASSEFNIA AMIR H 2021 FFS RENDERING AGE 0-20 77 86 0 0 0 0 0 0
1437439536 ASSEFNIA AMIR H 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1437439536 ASSEFNIA AMIR H 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1437447117 LU BENJAMIN 2021 FFS RENDERING AGE 0-20 188 3,258 175 549 120 384 179 245
1437447117 LU BENJAMIN 2021 FFS RENDERING AGE 21+ 574 9,977 481 912 483 2,670 457 457
1437447117 LU BENJAMIN 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1437453867 CHEUNG WARREN W 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1437455722 NABEEL JOSEPH DDS INC 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1437463718 KNOX TIMOTHY D 2021 FFS RENDERING AGE 0-20 39 161 27 64 18 29 19 20
1437465721 TUR DAMANDEEP K 2021 FFS RENDERING AGE 0-20 455 1,675 51 95 442 1,389 1 1
1437487808 MYERS CHRISTOPHER R 2021 FFS RENDERING AGE 0-20 1 2 0 0 0 0 0 0
1437487808 MYERS CHRISTOPHER R 2021 GMC RENDERING AGE 0-20 497 2,320 368 546 462 1,108 0 0
1437519063 DHAMOTHARAN KUM MAWNA 2021 FFS RENDERING AGE 0-20 76 709 60 162 46 172 58 70
1437519063 DHAMOTHARAN KUM MAWNA 2021 FFS RENDERING AGE 21+ 254 2,131 135 139 152 538 183 183
1437550076 ALJABBAN AYMAN 2021 FFS RENDERING AGE 0-20 36 254 33 63 1 2 35 39
1437550076 ALJABBAN AYMAN 2021 FFS RENDERING AGE 21+ 36 298 17 17 20 68 33 33
1437557360 SALEHI FARA 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 1 1
1437557360 SALEHI FARA 2021 FFS RENDERING AGE 21+ 12 57 1 2 1 2 1 1
1437562576 SAGONG YOUN 2021 FFS RENDERING AGE 0-20 50 225 0 0 50 225 0 0
1437562576 SAGONG YOUN 2021 FFS RENDERING AGE 21+ 94 417 0 0 93 411 0 0
1437565199 SANDHU GURKAMAL 2021 FFS RENDERING AGE 0-20 83 658 74 284 19 28 77 95
1437565199 SANDHU GURKAMAL 2021 FFS RENDERING AGE 21+ 322 2,133 194 359 203 507 226 228
1437569191 SERRATO ACERO MARTHA V 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1437569191 SERRATO ACERO MARTHA V 2021 PHP RENDERING AGE 0-20 115 1,116 92 415 103 193 72 73
1437569191 SERRATO ACERO MARTHA V 2021 PHP RENDERING AGE 21+ 144 630 41 84 107 244 52 52
1437571783 RAFI DAVIDIAN DMD CORP 2021 FFS RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1437592706 IBARRA MARIAN 2021 FFS RENDERING AGE 0-20 155 1,069 107 284 104 311 102 107
1437592706 IBARRA MARIAN 2021 FFS RENDERING AGE 21+ 444 2,682 162 304 346 1,269 236 236
1437598935 SHAH PUNIT K 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1437599339 SHAH NIRAJ V 2021 FFS RENDERING AGE 0-20 19 141 17 51 11 23 16 19
1437599339 SHAH NIRAJ V 2021 FFS RENDERING AGE 21+ 64 379 27 52 33 155 56 56
1437600434 LEE VIVIAN 2021 FFS RENDERING AGE 0-20 183 1,270 85 215 158 528 48 48
1437600434 LEE VIVIAN 2021 FFS RENDERING AGE 21+ 29 135 0 0 27 72 1 1
1437607967 ANDRABI AMBREEN 2021 FFS RENDERING AGE 0-20 267 1,726 231 830 87 144 241 280
1437607967 ANDRABI AMBREEN 2021 FFS RENDERING AGE 21+ 206 688 48 81 107 253 137 137
1437607967 ANDRABI AMBREEN 2021 GMC RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1437607967 ANDRABI AMBREEN 2021 PHP RENDERING AGE 0-20 105 479 83 222 27 43 92 108
1437607967 ANDRABI AMBREEN 2021 PHP RENDERING AGE 21+ 73 281 21 31 45 153 40 41
1437608361 KIM CHRISTINE J 2021 FFS RENDERING AGE 0-20 632 10,986 408 1,041 497 4,836 596 669
1437608361 KIM CHRISTINE J 2021 PHP RENDERING AGE 0-20 46 356 36 91 45 123 1 1
1437615259 CHUCK CHRISTOPHER R 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1437615259 CHUCK CHRISTOPHER R 2021 GMC RENDERING AGE 0-20 225 1,178 121 428 170 307 87 88
1437615259 CHUCK CHRISTOPHER R 2021 GMC RENDERING AGE 21+ 439 1,635 89 197 342 842 151 153
1437621588 FLORES JOHNNY 2021 FFS RENDERING AGE 0-20 468 2,604 277 1,005 240 649 334 352
1437621588 FLORES JOHNNY 2021 FFS RENDERING AGE 21+ 723 2,293 70 132 362 945 460 460
1437621976 DENTAL CORPORATION OF RODRIG 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1437621976 DENTAL CORPORATION OF RODRIG 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 0 0
1437635711 PATEL ADITI C 2021 FFS RENDERING AGE 0-20 140 1,227 112 225 40 94 104 105
1437641065 MALAN BRANDON B 2021 FFS RENDERING AGE 0-20 540 1,069 0 0 194 581 0 0
1437641065 MALAN BRANDON B 2021 FFS RENDERING AGE 21+ 18 18 0 0 0 0 0 0
1437641065 MALAN BRANDON B 2021 GMC RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1437641065 MALAN BRANDON B 2021 GMC RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1437641065 MALAN BRANDON B 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1437644150 ELGRICHI KEVIN A 2021 FFS RENDERING AGE 0-20 167 1,894 150 697 106 250 155 179
1437644150 ELGRICHI KEVIN A 2021 FFS RENDERING AGE 21+ 276 2,323 163 322 178 674 221 221
1437656709 TRAN JENNIFER T 2021 FFS RENDERING AGE 0-20 61 465 43 136 31 72 43 47
1437656709 TRAN JENNIFER T 2021 FFS RENDERING AGE 21+ 83 452 28 47 69 157 37 37
1437661865 CHU RICHARD T 2021 FFS RENDERING AGE 0-20 108 1,018 85 201 48 154 94 113
1437661865 CHU RICHARD T 2021 FFS RENDERING AGE 21+ 247 1,085 31 31 163 440 138 138
1437661865 CHU RICHARD T 2021 PHP RENDERING AGE 0-20 71 681 55 117 30 80 59 65
1437661865 CHU RICHARD T 2021 PHP RENDERING AGE 21+ 55 282 13 13 27 83 40 40
1437689486 SUN DIEN 2021 FFS RENDERING AGE 0-20 400 2,476 319 851 246 389 296 324
1437690385 LE JENNY K 2021 FFS RENDERING AGE 0-20 15 138 15 55 1 2 15 19
1437690385 LE JENNY K 2021 FFS RENDERING AGE 21+ 60 443 38 73 44 205 39 39
1437703014 DEMBEKJIAN ARYS A 2021 FFS RENDERING AGE 0-20 102 716 58 153 60 125 50 50
1437703014 DEMBEKJIAN ARYS A 2021 FFS RENDERING AGE 21+ 211 834 41 41 148 415 76 76
1437703121 LAU ANGELA T 2021 FFS RENDERING AGE 0-20 84 528 45 59 35 90 55 56
1437703121 LAU ANGELA T 2021 FFS RENDERING AGE 21+ 163 841 20 24 88 309 104 104
1437703121 LAU ANGELA T 2021 PHP RENDERING AGE 0-20 15 87 14 26 1 1 13 14
1437703121 LAU ANGELA T 2021 PHP RENDERING AGE 21+ 28 141 21 29 1 2 23 24
1437710993 PATEL KISHAN S 2021 FFS RENDERING AGE 0-20 1,220 29,145 769 2,245 1,215 15,314 1,164 1,174
1437720703 THAKKAR KINHA H 2021 FFS RENDERING AGE 0-20 74 328 46 93 43 114 24 24
1437720703 THAKKAR KINHA H 2021 FFS RENDERING AGE 21+ 116 406 48 92 84 239 1 1
1437759164 TERTERYAN SHANT 2021 FFS RENDERING AGE 0-20 94 490 52 140 71 182 31 31
1437759164 TERTERYAN SHANT 2021 FFS RENDERING AGE 21+ 159 685 13 22 131 473 40 40
1437759164 TERTERYAN SHANT 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1437761475 PARSA POUYA 2021 FFS RENDERING AGE 0-20 330 1,746 195 507 153 475 237 237
1437761475 PARSA POUYA 2021 FFS RENDERING AGE 21+ 676 2,568 126 232 381 1,203 384 385
1437761475 PARSA POUYA 2021 PHP RENDERING AGE 0-20 58 367 41 113 27 69 54 54
1437761475 PARSA POUYA 2021 PHP RENDERING AGE 21+ 73 307 17 29 35 132 53 54
1437764792 HAKOBYAN HARUT 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1437764792 HAKOBYAN HARUT 2021 FFS RENDERING AGE 21+ 12 27 0 0 1 1 1 1
1437764792 HAKOBYAN HARUT 2021 PHP RENDERING AGE 0-20 1 1 1 1 1 1 1 1
1437764792 HAKOBYAN HARUT 2021 PHP RENDERING AGE 21+ 1 2 0 0 1 2 1 1
1437825197 SHAYEFAR MICHAEL 2021 FFS RENDERING AGE 0-20 98 923 85 246 52 111 83 84
1437825197 SHAYEFAR MICHAEL 2021 FFS RENDERING AGE 21+ 117 529 47 94 78 187 54 54
1447219423 BOGSARA HASSAN 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1447219423 BOGSARA HASSAN 2021 FFS RENDERING AGE 21+ 97 309 29 29 58 114 42 42
1447219423 BOGSARA, HASSAN, DDS 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1447219423 BOGSARA, HASSAN, DDS 2021 FFS RENDERING AGE 21+ 97 618 29 58 58 228 42 84
1447244983 NIU SHI-LIN 2021 FFS RENDERING AGE 0-20 1,983 20,715 1,903 7,583 1,372 5,167 1,942 2,775
1447244983 NIU SHI-LIN 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1447269964 LIBERMAN ANNA 2021 FFS RENDERING AGE 0-20 145 841 121 214 53 151 123 137
1447269964 LIBERMAN ANNA 2021 FFS RENDERING AGE 21+ 224 878 41 44 113 279 154 154
1447269964 LIBERMAN ANNA 2021 PHP RENDERING AGE 0-20 37 153 29 41 16 34 28 32
1447269964 LIBERMAN ANNA 2021 PHP RENDERING AGE 21+ 19 66 1 1 1 2 13 14
1447275375 PARK TAE EEN 2021 FFS RENDERING AGE 0-20 321 2,814 249 649 158 924 295 361
1447275375 PARK TAE EEN 2021 FFS RENDERING AGE 21+ 946 7,264 514 978 667 3,614 758 759
1447275375 PARK TAE EEN 2021 GMC RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1447276357 LE STEVE A 2021 FFS RENDERING AGE 0-20 16 69 11 28 1 1 14 14
1447276357 LE STEVE A 2021 FFS RENDERING AGE 21+ 48 121 1 1 17 21 25 25
1447276357 LE STEVE A 2021 GMC RENDERING AGE 0-20 659 2,669 215 713 179 241 275 278
1447276357 LE STEVE A 2021 GMC RENDERING AGE 21+ 1,204 3,432 61 116 471 852 181 182
1447276357 LE STEVE A 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1447302005 PUTRASAMAN, PERRI, DDS 2021 FFS RENDERING AGE 0-20 4,834 79,972 4,494 14,083 1,863 14,500 4,639 6,091
1447302005 PUTRASAMAN, PERRI, DDS 2021 FFS RENDERING AGE 21+ 369 3,439 267 277 142 395 296 296
1447304852 ROH, MIN, DDS 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1447304852 ROH, MIN, DDS 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1447307756 ABAJIAN JOHN M 2021 FFS RENDERING AGE 0-20 16 51 1 2 1 1 13 14
1447307756 ABAJIAN JOHN M 2021 FFS RENDERING AGE 21+ 44 135 13 18 1 2 40 40
1447313713 HARRIS VICKI J 2021 FFS RENDERING AGE 21+ 856 2,272 535 947 856 1,325 0 0
1447316864 HEIDARDR, BABAK DDS 2021 FFS RENDERING AGE 0-20 69 585 61 219 20 57 46 54
1447316864 HEIDARDR, BABAK DDS 2021 FFS RENDERING AGE 21+ 63 353 32 32 39 135 30 30
1447317565 CHUA JOSEFINA U 2021 FFS RENDERING AGE 0-20 1 2 1 1 0 0 1 1
1447317565 CHUA JOSEFINA U 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1447318548 AN, YOUNG-JUN, DDS 2021 FFS RENDERING AGE 0-20 254 2,169 225 715 88 187 219 318
1447318548 AN, YOUNG-JUN, DDS 2021 FFS RENDERING AGE 21+ 571 3,369 308 554 404 1,025 353 355
1447318548 AN, YOUNG-JUN, DDS 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1447319900 MIN, DEREK A, DDS 2021 FFS RENDERING AGE 0-20 62 393 57 193 24 59 52 54
1447319900 MIN, DEREK A, DDS 2021 FFS RENDERING AGE 21+ 53 262 43 65 28 49 42 42
1447319900 MIN, DEREK A, DDS 2021 PHP RENDERING AGE 0-20 77 553 70 301 31 91 69 80
1447319900 MIN, DEREK A, DDS 2021 PHP RENDERING AGE 21+ 64 375 55 137 27 67 55 55
1447320338 ZARRINNAM SHAHRZAD F 2021 FFS RENDERING AGE 0-20 69 495 64 257 23 64 67 78
1447320338 ZARRINNAM SHAHRZAD F 2021 FFS RENDERING AGE 21+ 131 478 75 144 60 114 104 104
1447323902 BERNSTINE BYRON D 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1447324652 AZARMI SOODABEH 2021 FFS RENDERING AGE 0-20 11 53 1 2 1 1 11 13
1447324652 AZARMI SOODABEH 2021 FFS RENDERING AGE 21+ 89 476 64 125 47 167 75 75
1447326467 MACARUBBO-MANAB GRACE 2021 FFS RENDERING AGE 0-20 1,137 18,290 1,094 4,584 479 1,517 1,115 1,635
1447326467 MACARUBBO-MANAB GRACE 2021 FFS RENDERING AGE 21+ 50 446 43 86 21 64 44 44
1447333943 KIM JAE-YOUN 2021 FFS RENDERING AGE 0-20 283 3,126 276 991 164 468 280 374
1447333943 KIM JAE-YOUN 2021 FFS RENDERING AGE 21+ 244 1,736 151 298 172 649 189 191
1447339353 PEZOLDT ANDREA M 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1447340310 ABRAMS, RICHARD M, DDS 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1447344957 GROPER JOHN N 2021 FFS RENDERING AGE 0-20 124 173 12 26 17 30 18 18
1447346614 FAJARDO MARIA C 2021 FFS RENDERING AGE 0-20 450 2,864 340 1,137 187 463 362 370
1447346614 FAJARDO MARIA C 2021 FFS RENDERING AGE 21+ 664 2,638 237 439 340 1,059 358 358
1447346762 MINASYAN KHAREN 2021 FFS RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1447346762 MINASYAN KHAREN 2021 FFS RENDERING AGE 21+ 107 401 29 56 63 174 48 48
1447349808 PECAOCO GERTRUDES M 2021 FFS RENDERING AGE 0-20 14 111 12 24 1 2 1 1
1447349808 PECAOCO GERTRUDES M 2021 FFS RENDERING AGE 21+ 32 180 19 27 17 57 22 22
1447351127 ZINMAN TUVIA 2021 FFS RENDERING AGE 0-20 164 924 50 99 114 300 130 131
1447351127 ZINMAN TUVIA 2021 FFS RENDERING AGE 21+ 382 2,551 144 253 250 1,105 256 256
1447351614 DAVIS, MARK L, DDS 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1447351614 DAVIS, MARK L, DDS 2021 FFS RENDERING AGE 21+ 187 882 11 11 102 572 132 132
1447353701 ARROYO VISTA FAMILY 2021 PHP RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1447353701 ARROYO VISTA FAMILY 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1447356480 YOON RICHARD 2021 FFS RENDERING AGE 0-20 1,282 9,937 1,199 4,939 130 250 1,180 1,717
1447356480 YOON RICHARD 2021 FFS RENDERING AGE 21+ 1,122 6,336 858 1,635 465 1,351 889 889
1447367552 NOGOY CONSUELO M 2021 FFS RENDERING AGE 0-20 618 6,493 598 2,560 225 736 612 736
1447367552 NOGOY CONSUELO M 2021 FFS RENDERING AGE 21+ 331 2,283 162 324 176 476 289 289
1447370184 SOOD IYAD A 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1447373030 TRAN-NGUYEN, ROSE P L, DMD 2021 FFS RENDERING AGE 0-20 27 197 24 49 1 2 24 24
1447373030 TRAN-NGUYEN, ROSE P L, DMD 2021 FFS RENDERING AGE 21+ 23 104 12 15 16 35 15 15
1447382759 BARDI F. MIKE 2021 PHP RENDERING AGE 0-20 82 401 1 1 74 113 32 32
1447382759 BARDI F. MIKE 2021 PHP RENDERING AGE 21+ 550 2,783 129 134 342 464 497 517
1447382965 MANOUCHEHR-POUR MANOUCHEHR 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1447382965 MANOUCHEHR-POUR MANOUCHEHR 2021 FFS RENDERING AGE 21+ 24 37 0 0 17 27 1 1
1447382965 MANOUCHEHR-POUR MANOUCHEHR 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1447390414 ROBLETO INDIANA 2021 FFS RENDERING AGE 0-20 123 1,381 116 259 60 171 117 130
1447390414 ROBLETO INDIANA 2021 FFS RENDERING AGE 21+ 37 342 30 60 20 38 31 31
1447390414 ROBLETO, INDIANA, DDS 2021 FFS RENDERING AGE 0-20 123 1,381 116 259 60 171 117 130
1447390414 ROBLETO, INDIANA, DDS 2021 FFS RENDERING AGE 21+ 37 342 30 60 20 38 31 31
1447390711 LUGTU, MICHAEL J, DDS INC 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1447392964 BHATT, BHARAT C, DDS 2021 FFS RENDERING AGE 0-20 24 192 17 45 14 55 18 18
1447392964 BHATT, BHARAT C, DDS 2021 FFS RENDERING AGE 21+ 86 595 53 104 67 290 57 57
1447396502 PAYNE, DARYL B, DDS 2021 GMC RENDERING AGE 0-20 1 2 1 1 1 2 0 0
1447396502 PAYNE, DARYL B, DDS 2021 GMC RENDERING AGE 21+ 12 39 1 1 1 1 1 1
1447397070 KEVORKIAN, GARY K, DDS 2021 FFS RENDERING AGE 0-20 174 776 0 0 68 462 0 0
1447398920 TRAN LEE C 2021 FFS RENDERING AGE 0-20 66 353 63 145 1 2 19 19
1447398920 TRAN LEE C 2021 FFS RENDERING AGE 21+ 94 369 66 66 20 36 51 51
1447405030 PARK SHERIE S 2021 FFS RENDERING AGE 0-20 202 2,047 194 735 104 246 179 244
1447405030 PARK SHERIE S 2021 FFS RENDERING AGE 21+ 262 1,513 156 310 106 260 209 209
1447405030 PARK SHERIE S 2021 PHP RENDERING AGE 0-20 52 347 50 160 17 26 50 51
1447405030 PARK SHERIE S 2021 PHP RENDERING AGE 21+ 25 141 1 2 1 2 17 17
1447405600 LE KATHRYN M 2021 FFS RENDERING AGE 0-20 141 555 0 0 141 555 0 0
1447422266 TRAN LONG D 2021 FFS RENDERING AGE 0-20 690 8,606 672 2,904 342 1,070 640 955
1447422266 TRAN LONG D 2021 FFS RENDERING AGE 21+ 176 1,624 151 301 98 347 155 155
1447430475 LEVARDO, ELPI MINETTE C, DDS 2021 FFS RENDERING AGE 0-20 14 116 1 2 1 1 1 1
1447430475 LEVARDO, ELPI MINETTE C, DDS 2021 FFS RENDERING AGE 21+ 22 175 14 26 1 2 16 16
1447431333 MAPANAO, MIGNON C DDS 2021 FFS RENDERING AGE 0-20 108 1,114 104 360 33 166 104 151
1447431333 MAPANAO, MIGNON C DDS 2021 FFS RENDERING AGE 21+ 108 616 84 167 45 183 92 92
1447439039 ESCAMILLO, ALEX JAMES, DDS 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1447439039 ESCAMILLO, ALEX JAMES, DDS 2021 FFS RENDERING AGE 21+ 734 3,710 456 918 731 2,209 458 459
1447440383 HAERI ASHKAN 2021 FFS RENDERING AGE 0-20 42 184 30 63 1 2 33 33
1447440383 HAERI ASHKAN 2021 FFS RENDERING AGE 21+ 153 475 44 77 98 175 85 85
1447441712 HAKIMI, S SEAN, DENTAL CORPO 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1447444658 LEE JEE S 2021 FFS RENDERING AGE 0-20 328 2,362 299 1,025 133 435 316 398
1447444658 LEE JEE S 2021 FFS RENDERING AGE 21+ 481 2,477 201 264 261 1,268 389 389
1447449608 GALVEZ CLAUDIA E 2021 FFS RENDERING AGE 0-20 65 402 43 52 42 147 52 61
1447449608 GALVEZ CLAUDIA E 2021 FFS RENDERING AGE 21+ 670 3,560 363 375 441 1,600 428 440
1447449608 GALVEZ CLAUDIA E 2021 PHP RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1447455431 LE BICH N 2021 FFS RENDERING AGE 0-20 17 84 12 24 11 23 12 12
1447455431 LE BICH N 2021 FFS RENDERING AGE 21+ 262 1,254 64 88 235 836 68 70
1447455431 LE BICH N 2021 PHP RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1447455431 LE BICH N 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1447461850 KIM JULIE E 2021 FFS RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1447461850 KIM JULIE E 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 2 0 0
1447462114 ABRAMOVICI, M, & S NOURIAN D 2021 PHP RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1447462114 ABRAMOVICI, M, & S NOURIAN D 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1447462114 UNKNOWN 2021 PHP RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1447462114 UNKNOWN 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1447463146 DONG, MICHAEL CUONG, DMD 2021 FFS RENDERING AGE 0-20 89 469 77 174 41 131 58 64
1447463146 DONG, MICHAEL CUONG, DMD 2021 FFS RENDERING AGE 21+ 159 852 99 99 91 454 94 94
1447475868 VOLOSHIN, M, DDS PROFESSIONA 2021 PHP RENDERING AGE 0-20 1 2 1 1 0 0 1 1
1447475868 VOLOSHIN, M, DDS PROFESSIONA 2021 PHP RENDERING AGE 21+ 12 45 1 1 1 2 1 1
1447482229 CORTEZ, LIDA, RDHAP 2021 FFS RENDERING AGE 21+ 753 5,560 746 2,393 753 3,167 0 0
1447497177 SJ SUMMIT DENTAL INC 2021 PHP RENDERING AGE 0-20 48 253 46 100 19 71 46 46
1447497177 SJ SUMMIT DENTAL INC 2021 PHP RENDERING AGE 21+ 92 378 65 67 36 166 76 76
1447504212 MABANSAG, LALAINE DDS 2021 FFS RENDERING AGE 0-20 49 567 48 215 22 65 48 75
1447504212 MABANSAG, LALAINE DDS 2021 FFS RENDERING AGE 21+ 82 747 71 140 50 211 70 70
1447505417 BALA AMRIT P 2021 FFS RENDERING AGE 0-20 1,533 17,468 1,515 6,269 1,038 2,411 1,484 2,144
1447512280 HOSN KALID N 2021 FFS RENDERING AGE 0-20 1 1 0 0 0 0 1 1
1447512280 HOSN KALID N 2021 FFS RENDERING AGE 21+ 28 62 0 0 13 17 17 17
1447512280 HOSN KALID N 2021 GMC RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1447512280 HOSN KALID N 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1447512280 HOSN KALID N 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1447519129 SOHRAB, SANAH 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1447519129 SOHRAB, SANAH 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 1 1
1447522545 WANG JEFFREY M 2021 FFS RENDERING AGE 0-20 597 6,511 503 1,578 314 777 522 643
1447522545 WANG JEFFREY M 2021 FFS RENDERING AGE 21+ 634 3,108 258 516 450 1,117 381 381
1447523667 SONG IN HEE 2021 GMC RENDERING AGE 0-20 1 2 0 0 1 2 0 0
1447523667 SONG IN HEE 2021 GMC RENDERING AGE 21+ 1 2 0 0 1 2 1 1
1447527569 EDALATPAJOUH FARAMARZ 2021 FFS RENDERING AGE 0-20 42 317 35 80 21 78 35 37
1447527569 EDALATPAJOUH FARAMARZ 2021 FFS RENDERING AGE 21+ 326 1,806 106 133 254 972 181 181
1447532684 FATAHI SEPI 2021 FFS RENDERING AGE 0-20 78 558 59 184 29 50 67 84
1447532684 FATAHI SEPI 2021 FFS RENDERING AGE 21+ 176 804 87 165 63 136 159 159
1447532684 FATAHI SEPI 2021 PHP RENDERING AGE 0-20 168 1,415 158 475 39 81 160 210
1447532684 FATAHI SEPI 2021 PHP RENDERING AGE 21+ 207 885 141 253 36 100 192 194
1447539275 DALAL, DR SHIBANI M DDS 2021 FFS RENDERING AGE 0-20 99 342 1 2 84 176 56 57
1447539275 DALAL, DR SHIBANI M DDS 2021 FFS RENDERING AGE 21+ 19 99 1 1 11 42 13 13
1447539275 DALAL, DR SHIBANI M DDS 2021 PHP RENDERING AGE 0-20 45 296 40 98 11 22 41 53
1447539275 DALAL, DR SHIBANI M DDS 2021 PHP RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1447556840 KEIVAN SARRAF, DDS, INC 2021 GMC RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1447556840 KEIVAN SARRAF, DDS, INC 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1447556840 KEIVAN SARRAF, DDS, INC 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1447556840 SARRAF, KEIVAN, DDS INC 2021 GMC RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1447556840 SARRAF, KEIVAN, DDS INC 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1447556840 SARRAF, KEIVAN, DDS INC 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1447563226 RODAS MELISSA M 2021 FFS RENDERING AGE 0-20 22 165 17 45 1 2 18 18
1447563226 RODAS MELISSA M 2021 FFS RENDERING AGE 21+ 61 355 32 60 38 136 35 35
1447569595 GARCIA GABRIELA E 2021 FFS RENDERING AGE 0-20 307 1,088 0 0 255 723 0 0
1447574413 LIOU JIA-KAE J 2021 FFS RENDERING AGE 21+ 876 3,330 366 533 868 1,617 571 571
1447579370 SANTOSH KUMAR SUNDARESAN 2021 FFS RENDERING AGE 0-20 12 31 1 1 1 2 1 1
1447579370 SANTOSH KUMAR SUNDARESAN 2021 FFS RENDERING AGE 21+ 143 603 1 1 120 480 43 43
1447593991 LEE HYUN SUK 2021 FFS RENDERING AGE 0-20 703 11,514 677 3,089 615 3,153 690 1,029
1447593991 LEE HYUN SUK 2021 FFS RENDERING AGE 21+ 174 1,702 126 216 118 664 141 141
1447613971 REESE, DIANE J, RDHAP 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 2 0 0
1447614599 ABDOSSALEHI ASSAL 2021 FFS RENDERING AGE 0-20 3,015 21,571 2,458 7,747 1,711 5,430 2,249 2,347
1447614599 ABDOSSALEHI ASSAL 2021 PHP RENDERING AGE 0-20 65 520 36 103 50 269 26 32
1447619895 CHANDHOKE KENDRA G 2021 FFS RENDERING AGE 0-20 4,366 46,715 3,689 12,279 2,878 9,176 3,596 4,216
1447619895 CHANDHOKE KENDRA G 2021 FFS RENDERING AGE 21+ 11 95 1 2 1 2 1 1
1447628516 CHAN ASHLEY 2021 GMC RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1447628516 CHAN ASHLEY 2021 GMC RENDERING AGE 21+ 1 1 1 1 1 1 0 0
1447634373 JANG, S, DDS INCORPORATED 2021 GMC RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1447634373 S. JANG DDS INCORPORATED 2021 GMC RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1447636527 FIERRO, LEONCIO NIKOLAY, DDS 2021 FFS RENDERING AGE 0-20 101 761 84 263 53 179 82 93
1447636527 FIERRO, LEONCIO NIKOLAY, DDS 2021 FFS RENDERING AGE 21+ 148 890 83 161 105 428 94 94
1447654462 ALPEZ RICARDO A 2021 FFS RENDERING AGE 0-20 46 302 40 109 16 76 27 32
1447654462 ALPEZ RICARDO A 2021 FFS RENDERING AGE 21+ 116 636 82 161 73 287 47 47
1447656111 MOSHAR MEGAN 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1447662341 JH CHUN DENTAL CORPORATION 2021 FFS RENDERING AGE 0-20 1 1 1 1 1 1 0 0
1447674817 HASEEB NOREEN 2021 FFS RENDERING AGE 0-20 184 1,081 68 143 106 451 114 118
1447674817 HASEEB NOREEN 2021 FFS RENDERING AGE 21+ 585 2,749 99 182 374 1,498 322 322
1447692488 NEIL V PATEL, DDS, INC 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1447697107 LIU SAMUEL 2021 FFS RENDERING AGE 0-20 391 2,112 0 0 390 2,065 1 1
1447697107 LIU SAMUEL 2021 FFS RENDERING AGE 21+ 592 2,606 0 0 586 2,553 1 1
1447697107 LIU SAMUEL 2021 PHP RENDERING AGE 0-20 21 131 0 0 21 123 0 0
1447697107 LIU SAMUEL 2021 PHP RENDERING AGE 21+ 26 142 0 0 23 124 11 11
1447698345 BURNETT AUSTIN A 2021 FFS RENDERING AGE 0-20 99 491 0 0 96 471 1 1
1447698345 BURNETT AUSTIN A 2021 FFS RENDERING AGE 21+ 93 350 0 0 88 309 1 1
1447704580 POURMORADY BENJAMIN 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1447704580 POURMORADY BENJAMIN 2021 FFS RENDERING AGE 21+ 20 32 1 1 12 19 1 1
1447744966 NAVAB GHAZAL 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1447746623 HERAYPUR SHEILA 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1447749957 ESMAILI SARAH 2021 FFS RENDERING AGE 0-20 1 2 0 0 1 2 0 0
1447771100 GYOKCHYAN TIGRAN 2021 FFS RENDERING AGE 0-20 487 2,889 141 352 277 589 270 276
1447771100 GYOKCHYAN TIGRAN 2021 FFS RENDERING AGE 21+ 1,333 5,592 135 135 938 2,421 637 637
1447778220 PAI JACK Y 2021 FFS RENDERING AGE 0-20 11 37 1 1 1 2 1 1
1447778220 PAI JACK Y 2021 FFS RENDERING AGE 21+ 28 65 1 1 19 39 1 1
1447779327 NGUYEN DEXTER U 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1447779327 NGUYEN DEXTER U 2021 FFS RENDERING AGE 21+ 16 40 0 0 16 40 0 0
1447795265 CHAMBERS MAXMILLIAN 2021 FFS RENDERING AGE 0-20 38 264 29 119 13 27 29 29
1447795265 CHAMBERS MAXMILLIAN 2021 FFS RENDERING AGE 21+ 99 306 20 40 68 141 46 46
1447796636 BORGHEI SARAH 2021 FFS RENDERING AGE 0-20 107 161 0 0 1 1 0 0
1447803218 LEE RAYMOND 2021 FFS RENDERING AGE 0-20 2,035 15,260 1,168 3,356 1,700 3,922 953 959
1447811310 AL-GROUZ MALIK 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1447862966 LEE SEOUNGHUI 2021 FFS RENDERING AGE 0-20 3,845 48,655 3,233 10,959 2,523 10,068 3,214 3,714
1447862966 LEE SEOUNGHUI 2021 FFS RENDERING AGE 21+ 13 128 1 2 1 2 11 11
1447867163 JUNG TAEWON T 2021 FFS RENDERING AGE 0-20 2,394 31,250 2,222 6,331 1,595 5,106 2,293 2,414
1447867163 JUNG TAEWON T 2021 FFS RENDERING AGE 21+ 93 813 61 125 29 97 85 87
1447881537 SALAMIPOUR ELIEKA A 2021 FFS RENDERING AGE 0-20 710 7,629 536 1,663 331 982 548 554
1447881537 SALAMIPOUR ELIEKA A 2021 FFS RENDERING AGE 21+ 451 2,969 131 213 305 906 174 174
1457319188 BAWA RATANDEEP K 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1457329948 KANZALI JAMES B 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1457329948 KANZALI JAMES B 2021 GMC RENDERING AGE 0-20 1,714 11,791 965 3,477 626 1,121 1,004 1,074
1457357105 TSAI MICHAEL C 2021 FFS RENDERING AGE 0-20 21 116 18 69 1 1 17 17
1457357105 TSAI MICHAEL C 2021 FFS RENDERING AGE 21+ 178 1,013 102 110 141 562 118 118
1457368425 PENA, REBECCA IRENE A, DMD A 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 2 1 1
1457368425 PENA, REBECCA IRENE A, DMD A 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1457403974 CRAWFORD, VICTOR X, DDS INC 2021 FFS RENDERING AGE 0-20 34 194 26 82 13 34 22 22
1457403974 CRAWFORD, VICTOR X, DDS INC 2021 FFS RENDERING AGE 21+ 272 1,511 71 71 218 797 99 99
1457412611 SHAH, SAMIR B DDS 2021 FFS RENDERING AGE 0-20 542 8,546 525 2,363 198 571 533 688
1457412611 SHAH, SAMIR B DDS 2021 FFS RENDERING AGE 21+ 526 5,372 300 600 251 892 469 469
1457417099 SINGH JYOTI S 2021 FFS RENDERING AGE 21+ 74 296 33 33 42 101 29 29
1457420812 ALPAN, DAVID ISAAC, DDS 2021 FFS RENDERING AGE 0-20 35 86 0 0 28 71 0 0
1457423451 SUNG, JIN HO, DDS 2021 FFS RENDERING AGE 0-20 75 597 72 195 30 95 72 101
1457423451 SUNG, JIN HO, DDS 2021 FFS RENDERING AGE 21+ 114 606 97 163 63 169 103 103
1457423451 SUNG, JIN HO, DDS 2021 PHP RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1457424012 NGUYEN LISA T 2021 FFS RENDERING AGE 0-20 512 9,301 499 2,350 291 1,444 504 931
1457424012 NGUYEN LISA T 2021 FFS RENDERING AGE 21+ 421 7,463 329 648 380 2,553 361 367
1457424327 TSANG MARK W 2021 FFS RENDERING AGE 0-20 280 3,252 253 610 74 169 226 271
1457424327 TSANG MARK W 2021 FFS RENDERING AGE 21+ 475 3,653 312 622 170 298 144 144
1457427288 KIM JR HENRY H 2021 FFS RENDERING AGE 0-20 2,677 28,694 2,227 5,601 916 2,736 2,326 2,665
1457427288 KIM JR HENRY H 2021 FFS RENDERING AGE 21+ 36 353 27 51 17 55 29 29
1457432866 RYAN, ROBERT N, DDS 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 2 1 1
1457432866 RYAN, ROBERT N, DDS 2021 FFS RENDERING AGE 21+ 19 128 1 1 14 97 16 16
1457435588 CHOI SUNWOONG S 2021 FFS RENDERING AGE 0-20 1,225 4,015 0 0 1,170 3,789 64 64
1457435588 CHOI SUNWOONG S 2021 FFS RENDERING AGE 21+ 1,178 3,634 1 1 1,117 3,382 81 81
1457435588 CHOI SUNWOONG S 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1457435588 CHOI SUNWOONG S 2021 PHP RENDERING AGE 0-20 55 214 0 0 50 194 1 1
1457435588 CHOI SUNWOONG S 2021 PHP RENDERING AGE 21+ 327 1,082 0 0 267 900 154 156
1457439820 FANG JAMES 2021 FFS RENDERING AGE 0-20 71 763 60 142 43 204 57 69
1457439820 FANG JAMES 2021 FFS RENDERING AGE 21+ 140 1,307 97 162 98 491 25 25
1457448060 UY CARMEN M 2021 FFS RENDERING AGE 0-20 11 82 1 2 1 2 1 2
1457448060 UY CARMEN M 2021 FFS RENDERING AGE 21+ 74 551 34 34 54 320 51 51
1457459554 THOMPSON BRUCE MATTHEW 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1457461691 SHEA, EDDY S, DDS 2021 FFS RENDERING AGE 0-20 41 262 36 79 20 106 30 36
1457461691 SHEA, EDDY S, DDS 2021 FFS RENDERING AGE 21+ 64 423 43 43 41 225 53 53
1457462111 DUPAYA RELOS, APOLINAR DMD 2021 FFS RENDERING AGE 0-20 17 108 12 26 1 2 13 13
1457462111 DUPAYA RELOS, APOLINAR DMD 2021 FFS RENDERING AGE 21+ 279 2,083 145 286 206 875 188 188
1457462228 GAVIN MICHAEL K 2021 FFS RENDERING AGE 0-20 55 118 0 0 47 63 1 1
1457462228 GAVIN MICHAEL K 2021 FFS RENDERING AGE 21+ 346 826 0 0 256 313 83 88
1457466807 ANDERSON, CHRISTOPHER DEAN, 2021 FFS RENDERING AGE 0-20 604 8,154 591 1,794 227 539 576 798
1457466807 ANDERSON, CHRISTOPHER DEAN, 2021 FFS RENDERING AGE 21+ 1 2 1 1 0 0 1 1
1457474934 NEWCOMER, MARIA ELENA, DDS 2021 FFS RENDERING AGE 0-20 44 332 39 114 22 66 38 46
1457474934 NEWCOMER, MARIA ELENA, DDS 2021 FFS RENDERING AGE 21+ 97 580 57 101 57 160 57 59
1457480295 MISHRA RANU M 2021 GMC RENDERING AGE 0-20 41 194 23 55 24 54 27 29
1457480295 MISHRA RANU M 2021 GMC RENDERING AGE 21+ 140 528 32 52 67 218 115 115
1457482069 PAZ-CASANOVA, RODY, DENTAL C 2021 FFS RENDERING AGE 0-20 623 5,121 467 1,257 296 1,398 560 642
1457482069 PAZ-CASANOVA, RODY, DENTAL C 2021 FFS RENDERING AGE 21+ 1,077 6,755 385 730 714 3,138 755 764
1457482069 PAZ-CASANOVA, RODY, DENTAL C 2021 PHP RENDERING AGE 0-20 1 2 1 2 1 2 1 1
1457482069 PAZ-CASANOVA, RODY, DENTAL C 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1457483471 TRAN, VINA, DDS 2021 FFS RENDERING AGE 0-20 76 1,293 75 359 32 91 70 110
1457483471 TRAN, VINA, DDS 2021 FFS RENDERING AGE 21+ 76 987 54 108 52 262 63 63
1457484933 FRIEDMAN JAY R 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1457489239 BOUTROS, SHADI F MD 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1457489239 BOUTROS, SHADI F MD 2021 GMC RENDERING AGE 0-20 15 44 1 1 13 31 1 1
1457489239 BOUTROS, SHADI F MD 2021 GMC RENDERING AGE 21+ 88 316 47 47 63 221 41 42
1457490724 PENA ROBERTO L 2021 FFS RENDERING AGE 0-20 260 3,068 244 712 101 269 243 350
1457490724 PENA ROBERTO L 2021 FFS RENDERING AGE 21+ 190 1,369 133 172 117 399 145 145
1457490914 TATLA NAVTEJ S 2021 FFS RENDERING AGE 0-20 329 3,340 165 650 167 450 207 207
1457490914 TATLA NAVTEJ S 2021 FFS RENDERING AGE 21+ 1,195 8,485 326 647 769 3,756 719 719
1457491078 SHAH, YATIN S, DDS 2021 FFS RENDERING AGE 0-20 42 284 40 123 16 40 40 49
1457491078 SHAH, YATIN S, DDS 2021 FFS RENDERING AGE 21+ 201 916 109 111 147 394 134 134
1457492068 YANG, EVELYN, DDS 2021 FFS RENDERING AGE 0-20 22 126 19 20 14 47 19 20
1457492068 YANG, EVELYN, DDS 2021 FFS RENDERING AGE 21+ 97 667 68 68 64 185 76 76
1457498230 PARK, BIN H, DDS 2021 FFS RENDERING AGE 0-20 280 2,891 252 935 93 405 265 346
1457498230 PARK, BIN H, DDS 2021 FFS RENDERING AGE 21+ 252 1,638 74 76 168 610 154 154
1457503310 MCMILLEN JR, RODERICK DDS 2021 FFS RENDERING AGE 0-20 28 65 26 35 1 2 1 1
1457503310 MCMILLEN JR, RODERICK DDS 2021 FFS RENDERING AGE 21+ 16 47 15 15 1 2 1 1
1457507345 PHAM CELINE T 2021 FFS RENDERING AGE 0-20 198 2,243 182 741 75 290 181 237
1457507345 PHAM CELINE T 2021 FFS RENDERING AGE 21+ 761 6,527 566 1,039 512 1,885 642 650
1457510893 CHENG KENNETH W 2021 FFS RENDERING AGE 0-20 17 69 14 37 1 1 15 15
1457510893 CHENG KENNETH W 2021 FFS RENDERING AGE 21+ 138 653 39 43 94 371 99 99
1457517906 MANUKYAN GARY 2021 FFS RENDERING AGE 0-20 1 2 1 1 0 0 1 1
1457517906 MANUKYAN GARY 2021 FFS RENDERING AGE 21+ 11 40 1 2 1 1 1 1
1457528382 KIR, RYAN, DDS 2021 FFS RENDERING AGE 0-20 45 214 36 48 16 42 28 28
1457528382 KIR, RYAN, DDS 2021 FFS RENDERING AGE 21+ 430 1,970 217 219 313 832 255 255
1457530651 JAIN NIDHI 2021 GMC RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1457533440 ROSAS CARRILLO RAMIRO 2021 FFS RENDERING AGE 0-20 78 874 64 199 27 77 66 79
1457533440 ROSAS CARRILLO RAMIRO 2021 FFS RENDERING AGE 21+ 259 2,719 121 245 173 698 171 172
1457533556 RASSIWALA FARHANA M 2021 FFS RENDERING AGE 0-20 426 5,775 377 1,330 274 971 375 497
1457533556 RASSIWALA FARHANA M 2021 FFS RENDERING AGE 21+ 757 5,208 314 600 532 1,946 426 433
1457543472 MATIN GULALAI 2021 FFS RENDERING AGE 0-20 20 160 11 26 12 42 15 15
1457543472 MATIN GULALAI 2021 FFS RENDERING AGE 21+ 77 487 19 37 43 122 49 49
1457545758 RAYFELD IRINA 2021 FFS RENDERING AGE 0-20 82 901 73 276 54 155 68 77
1457545758 RAYFELD IRINA 2021 FFS RENDERING AGE 21+ 280 3,533 201 402 234 1,217 211 213
1457546921 PANG DUDLEY M 2021 FFS RENDERING AGE 0-20 80 827 75 216 43 198 75 104
1457546921 PANG DUDLEY M 2021 FFS RENDERING AGE 21+ 178 1,707 103 164 128 1,057 154 154
1457548810 TRUTANIC FANICA 2021 FFS RENDERING AGE 0-20 70 762 42 168 50 201 50 50
1457548810 TRUTANIC FANICA 2021 FFS RENDERING AGE 21+ 158 964 37 52 125 470 83 83
1457548810 TRUTANIC FANICA 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1457548851 GREDINBERG TALA V 2021 FFS RENDERING AGE 0-20 93 842 70 241 59 301 83 91
1457548851 GREDINBERG TALA V 2021 FFS RENDERING AGE 21+ 83 546 44 71 55 255 62 62
1457552473 BRASLAVSKY, STEVE, DDS 2021 FFS RENDERING AGE 0-20 100 663 63 107 63 224 83 86
1457552473 BRASLAVSKY, STEVE, DDS 2021 FFS RENDERING AGE 21+ 738 4,095 145 147 593 2,580 435 440
1457552788 HAN, EDISON S, DDS INC 2021 PHP RENDERING AGE 0-20 34 241 27 83 12 18 27 27
1457552788 HAN, EDISON S, DDS INC 2021 PHP RENDERING AGE 21+ 26 127 12 38 15 23 16 16
1457554123 KIM HYUNG T 2021 FFS RENDERING AGE 0-20 2,251 25,010 1,601 5,665 1,259 3,702 1,563 1,911
1457554123 KIM HYUNG T 2021 FFS RENDERING AGE 21+ 514 2,789 256 514 231 762 269 269
1457558587 KIM, DONGWHOON DDS 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1457558587 KIM, DONGWHOON DDS 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1457558942 LEE JONATHAN K 2021 FFS RENDERING AGE 0-20 95 580 65 115 60 189 61 65
1457558942 LEE JONATHAN K 2021 FFS RENDERING AGE 21+ 205 1,099 62 92 152 523 74 74
1457560450 RICHARD F. MOORHOUSE DDS INC 2021 GMC RENDERING AGE 0-20 1 2 0 0 1 2 1 1
1457560450 RICHARD F. MOORHOUSE DDS INC 2021 GMC RENDERING AGE 21+ 60 316 0 0 30 242 52 52
1457562043 MIKAELIAN, ARMEN 2021 FFS RENDERING AGE 0-20 15 127 14 40 11 24 13 15
1457562043 MIKAELIAN, ARMEN 2021 FFS RENDERING AGE 21+ 26 147 21 44 14 51 21 21
1457562043 MIKAELIAN, ARMEN 2021 PHP RENDERING AGE 0-20 61 642 56 218 24 114 54 65
1457562043 MIKAELIAN, ARMEN 2021 PHP RENDERING AGE 21+ 31 336 30 94 16 112 29 29
1457567612 SHAHRIARPOUR AZITA 2021 PHP RENDERING AGE 0-20 1 1 1 1 1 1 0 0
1457567612 SHAHRIARPOUR AZITA 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1457572687 ZAMORA, FRANCISS, DDS 2021 FFS RENDERING AGE 0-20 202 1,990 194 574 61 173 198 252
1457572687 ZAMORA, FRANCISS, DDS 2021 FFS RENDERING AGE 21+ 293 2,760 227 296 163 598 267 270
1457577439 ORTEGA LIA C 2021 FFS RENDERING AGE 21+ 13 29 1 1 1 2 1 1
1457578890 JAIN DEEPIKA 2021 FFS RENDERING AGE 0-20 581 9,146 539 1,748 288 1,133 557 808
1457578890 JAIN DEEPIKA 2021 FFS RENDERING AGE 21+ 376 2,708 119 239 231 722 279 279
1457578890 JAIN DEEPIKA 2021 GMC RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1457591729 KHEVSURISHVILI, OLGA, DDS 2021 FFS RENDERING AGE 0-20 288 1,962 216 548 114 352 233 260
1457591729 KHEVSURISHVILI, OLGA, DDS 2021 FFS RENDERING AGE 21+ 536 2,651 157 314 403 1,184 272 273
1457655425 COHEN SEDGH MANAVI & PAKRAVA 2021 PHP RENDERING AGE 0-20 47 170 13 37 1 1 30 31
1457655425 COHEN SEDGH MANAVI & PAKRAVA 2021 PHP RENDERING AGE 21+ 74 274 1 2 37 117 40 41
1457655425 COHEN SEDGH, MANAVI & PAKRAVAN DENTAL CORPORATION 2021 PHP RENDERING AGE 0-20 47 170 13 37 1 1 30 31
1457655425 COHEN SEDGH, MANAVI & PAKRAVAN DENTAL CORPORATION 2021 PHP RENDERING AGE 21+ 74 274 1 2 37 117 40 41
1457658338 VELASQUEZ MAGALY M 2021 FFS RENDERING AGE 0-20 187 1,389 139 233 102 441 164 170
1457658338 VELASQUEZ MAGALY M 2021 FFS RENDERING AGE 21+ 668 3,514 369 369 424 1,563 563 563
1457660151 EFTEKHARI SAMIN 2021 FFS RENDERING AGE 0-20 180 1,422 128 297 70 171 150 171
1457660151 EFTEKHARI SAMIN 2021 FFS RENDERING AGE 21+ 442 2,395 126 236 296 1,012 237 237
1457660151 EFTEKHARI SAMIN 2021 PHP RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1457660151 EFTEKHARI SAMIN 2021 PHP RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1457666703 RADJINDRIN ALAMELOU 2021 GMC RENDERING AGE 0-20 1 1 1 1 1 1 1 1
1457703704 NGUYEN BENJAMIN 2021 FFS RENDERING AGE 0-20 154 1,452 141 588 26 56 143 147
1457703704 NGUYEN BENJAMIN 2021 FFS RENDERING AGE 21+ 238 1,157 97 183 123 318 158 161
1457707366 LE TIM K 2021 FFS RENDERING AGE 0-20 19 108 17 38 1 2 16 18
1457707366 LE TIM K 2021 FFS RENDERING AGE 21+ 1 2 1 2 1 2 1 1
1457707861 MONROY DENISSE 2021 FFS RENDERING AGE 0-20 1 2 1 1 0 0 1 1
1457735565 NASIBI POOYAN DDS 2021 FFS RENDERING AGE 0-20 1,125 22,324 944 4,482 947 8,815 1,021 1,252
1457735565 NASIBI POOYAN DDS 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1457735565 NASIBI POOYAN DDS 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 2 1 1
1457747123 AMBARAM ROHIN 2021 FFS RENDERING AGE 0-20 83 275 0 0 83 275 0 0
1457747123 AMBARAM ROHIN 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 2 0 0
1457747123 AMBARAM ROHIN 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1457747123 AMBARAM ROHIN 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1457771149 KHOSHROOZEH SARA 2021 FFS RENDERING AGE 0-20 21 109 1 2 17 42 11 11
1457771149 KHOSHROOZEH SARA 2021 FFS RENDERING AGE 21+ 32 104 1 1 23 51 14 14
1457790586 MANAOIS SHARON A 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1457790586 MANAOIS SHARON A 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1457795544 AHMED SHAHENAZ K 2021 FFS RENDERING AGE 0-20 295 3,254 261 1,085 209 589 270 384
1457795544 AHMED SHAHENAZ K 2021 FFS RENDERING AGE 21+ 266 1,867 119 209 188 791 200 200
1457806168 NGUYEN MICHELLE K 2021 FFS RENDERING AGE 0-20 750 6,786 714 2,473 326 943 734 734
1457806168 NGUYEN MICHELLE K 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1457806168 NGUYEN MICHELLE K 2021 PHP RENDERING AGE 0-20 125 1,206 125 463 55 168 125 127
1457813339 NASIBI, POOYAN, DDS INC 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1457825697 MOHEIELDIN NIVIN M 2021 FFS RENDERING AGE 0-20 1,017 6,692 479 1,448 913 4,224 164 169
1457825697 MOHEIELDIN NIVIN M 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1457825697 MOHEIELDIN NIVIN M 2021 PHP RENDERING AGE 0-20 14 68 1 2 13 38 0 0
1457825952 WESTERN DENTAL SERVICES INC 2021 PHP RENDERING AGE 0-20 738 5,158 578 1,819 108 181 620 672
1457825952 WESTERN DENTAL SERVICES INC 2021 PHP RENDERING AGE 21+ 344 1,409 56 96 84 122 176 176
1457825952 WESTERN DENTAL SERVICES, INC. 2021 PHP RENDERING AGE 0-20 738 5,158 578 1,819 108 181 620 672
1457825952 WESTERN DENTAL SERVICES, INC. 2021 PHP RENDERING AGE 21+ 344 1,409 56 96 84 122 176 176
1457855942 TRAN PHUC CONG 2021 GMC RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1457870636 BELGAM SYED SHAZIA A 2021 FFS RENDERING AGE 0-20 37 243 33 55 12 42 32 35
1457870636 BELGAM SYED SHAZIA A 2021 FFS RENDERING AGE 21+ 270 1,171 77 90 185 628 135 145
1457881575 WONG ALEX J 2021 FFS RENDERING AGE 0-20 788 7,799 707 2,424 513 1,321 715 882
1457881575 WONG ALEX J 2021 FFS RENDERING AGE 21+ 761 4,673 407 812 555 1,899 523 523
1457889826 HAWKINS WILLIAM N 2021 FFS RENDERING AGE 0-20 67 212 0 0 67 212 0 0
1457889826 HAWKINS WILLIAM N 2021 FFS RENDERING AGE 21+ 73 214 0 0 73 214 0 0
1457897845 SANCHEZ CESAR 2021 FFS RENDERING AGE 0-20 125 1,198 104 285 78 227 110 140
1457897845 SANCHEZ CESAR 2021 FFS RENDERING AGE 21+ 184 1,384 65 125 147 615 116 116
1457901696 FU ERIC B 2021 FFS RENDERING AGE 0-20 252 2,028 217 897 79 212 240 272
1457901696 FU ERIC B 2021 FFS RENDERING AGE 21+ 347 1,982 161 296 210 883 289 289
1457912040 AHMED KASHIF 2021 FFS RENDERING AGE 0-20 45 278 33 47 17 56 33 33
1457912040 AHMED KASHIF 2021 FFS RENDERING AGE 21+ 90 529 28 35 59 172 43 43
1457913568 TANG CATHERINE M 2021 FFS RENDERING AGE 0-20 1 2 1 1 0 0 1 1
1457913568 TANG CATHERINE M 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1457913568 TANG CATHERINE M 2021 GMC RENDERING AGE 0-20 248 1,691 170 624 197 448 123 125
1457913568 TANG CATHERINE M 2021 GMC RENDERING AGE 21+ 264 1,065 47 91 198 595 112 112
1457916108 YASEEN LAYTH A 2021 FFS RENDERING AGE 0-20 260 2,267 174 384 147 606 207 211
1457916108 YASEEN LAYTH A 2021 FFS RENDERING AGE 21+ 193 1,073 36 53 136 487 104 104
1467003319 LEE HYUN-KEE H 2021 FFS RENDERING AGE 0-20 182 789 102 244 105 224 41 41
1467004762 BERNARDO MARC A 2021 FFS RENDERING AGE 0-20 47 435 34 107 21 43 38 52
1467004762 BERNARDO MARC A 2021 FFS RENDERING AGE 21+ 210 986 22 43 172 429 165 165
1467004762 BERNARDO MARC A 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1467004853 LEE BETTY S 2021 FFS RENDERING AGE 0-20 466 2,577 301 919 197 454 377 379
1467004853 LEE BETTY S 2021 FFS RENDERING AGE 21+ 581 1,728 61 113 300 675 311 311
1467004853 LEE BETTY S 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1467006031 DEWBERRY DAVID J 2021 FFS RENDERING AGE 0-20 23 155 16 51 1 2 17 17
1467006031 DEWBERRY DAVID J 2021 FFS RENDERING AGE 21+ 30 208 12 20 11 28 22 22
1467054031 ANGULO, LUZ M, RDHAP 2021 FFS RENDERING AGE 0-20 1 1 1 1 1 1 0 0
1467093419 KOOK TIMOTHY J 2021 FFS RENDERING AGE 0-20 622 4,999 474 1,088 290 810 456 471
1467093419 KOOK TIMOTHY J 2021 FFS RENDERING AGE 21+ 22 85 1 1 14 32 1 1
1467400374 NAGRA, DEVINDERPAL S DDS 2021 FFS RENDERING AGE 0-20 109 977 103 326 59 154 72 78
1467400374 NAGRA, DEVINDERPAL S DDS 2021 FFS RENDERING AGE 21+ 203 1,411 122 124 141 432 125 125
1467401620 SAKR, SHAABAN, DDS 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1467425553 WINN ERIK D 2021 FFS RENDERING AGE 0-20 92 817 66 180 69 322 53 58
1467425553 WINN ERIK D 2021 FFS RENDERING AGE 21+ 221 1,550 150 287 143 569 164 164
1467435073 RODRIGUEZ RAYMOND G 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 1 1
1467435073 RODRIGUEZ RAYMOND G 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1467443010 VANTASSELL, ELIZABETH A DDS 2021 FFS RENDERING AGE 0-20 39 802 33 63 31 448 26 26
1467443010 VANTASSELL, ELIZABETH A DDS 2021 FFS RENDERING AGE 21+ 11 23 1 1 1 1 1 1
1467453399 LAM, PHUONG BICH DDS 2021 FFS RENDERING AGE 0-20 15 64 15 36 1 1 1 1
1467453399 LAM, PHUONG BICH DDS 2021 FFS RENDERING AGE 21+ 28 124 20 35 13 30 20 20
1467460436 PHAM TAYLOR T 2021 FFS RENDERING AGE 0-20 182 2,518 180 708 92 383 180 275
1467460436 PHAM TAYLOR T 2021 FFS RENDERING AGE 21+ 300 3,134 206 398 240 1,422 254 255
1467502815 JAUREGUI HECTOR M 2021 FFS RENDERING AGE 0-20 265 2,329 184 537 63 184 237 287
1467502815 JAUREGUI HECTOR M 2021 FFS RENDERING AGE 21+ 354 1,702 56 105 194 622 249 264
1467502815 JAUREGUI HECTOR M 2021 PHP RENDERING AGE 0-20 124 1,057 91 212 25 71 117 145
1467502815 JAUREGUI HECTOR M 2021 PHP RENDERING AGE 21+ 82 425 1 2 32 148 59 64
1467504837 LYONS MICHAEL S 2021 FFS RENDERING AGE 0-20 13 16 0 0 1 1 0 0
1467509596 CORPUZ, ABRAHAM B, DMD 2021 FFS RENDERING AGE 0-20 197 1,522 188 664 69 158 189 230
1467509596 CORPUZ, ABRAHAM B, DMD 2021 FFS RENDERING AGE 21+ 118 619 87 88 77 237 93 93
1467509646 LEE, LUKE BYUNG C DDS 2021 FFS RENDERING AGE 0-20 77 387 74 145 30 111 71 109
1467509646 LEE, LUKE BYUNG C DDS 2021 FFS RENDERING AGE 21+ 266 1,032 155 155 155 385 228 228
1467510248 ZAMIRI, LEILA DDS 2021 FFS RENDERING AGE 0-20 302 2,965 249 912 138 408 274 343
1467510248 ZAMIRI, LEILA DDS 2021 FFS RENDERING AGE 21+ 415 2,299 130 254 263 991 297 297
1467510248 ZAMIRI, LEILA DDS 2021 PHP RENDERING AGE 0-20 13 90 1 2 1 2 11 13
1467510248 ZAMIRI, LEILA DDS 2021 PHP RENDERING AGE 21+ 35 201 14 28 22 85 33 33
1467510487 D'ALOISIO CHAD 2021 FFS RENDERING AGE 0-20 307 870 0 0 307 861 0 0
1467510487 D'ALOISIO CHAD 2021 FFS RENDERING AGE 21+ 619 1,500 0 0 617 1,451 1 1
1467512251 PEREZ-MYERS FRITZI A 2021 FFS RENDERING AGE 0-20 61 508 57 184 19 42 59 75
1467512251 PEREZ-MYERS FRITZI A 2021 FFS RENDERING AGE 21+ 109 623 97 191 53 150 92 92
1467514315 WESTERN DENTAL SERVICES INC 2021 PHP RENDERING AGE 0-20 26 172 21 78 1 1 14 14
1467514315 WESTERN DENTAL SERVICES INC 2021 PHP RENDERING AGE 21+ 63 190 26 54 26 45 31 31
1467514315 WESTERN DENTAL SERVICES, INC. 2021 PHP RENDERING AGE 0-20 26 172 21 78 1 1 14 14
1467514315 WESTERN DENTAL SERVICES, INC. 2021 PHP RENDERING AGE 21+ 63 190 26 54 26 45 31 31
1467519330 HUYNH, CINDY H, DDS 2021 FFS RENDERING AGE 0-20 1 2 1 1 0 0 1 2
1467519330 HUYNH, CINDY H, DDS 2021 FFS RENDERING AGE 21+ 35 159 16 16 1 2 31 31
1467519934 YADEGAR, NAGHMEH DDS 2021 FFS RENDERING AGE 0-20 45 564 42 146 16 44 42 66
1467519934 YADEGAR, NAGHMEH DDS 2021 FFS RENDERING AGE 21+ 101 955 73 136 74 313 80 80
1467520411 WANG DAVID X 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1467521443 KIM, BRIAN CHONG-HAN DDS 2021 FFS RENDERING AGE 0-20 188 1,669 158 502 128 475 157 172
1467521443 KIM, BRIAN CHONG-HAN DDS 2021 FFS RENDERING AGE 21+ 373 2,705 195 388 319 1,243 255 255
1467529420 CHENG JANICE T 2021 FFS RENDERING AGE 0-20 353 2,538 282 938 205 633 273 301
1467529420 CHENG JANICE T 2021 FFS RENDERING AGE 21+ 450 1,979 126 237 320 1,102 187 187
1467548057 MORZOV JOHN R 2021 FFS RENDERING AGE 0-20 156 1,023 119 322 71 590 105 107
1467555862 TRAN, DONALD T, DDS 2021 FFS RENDERING AGE 0-20 605 6,980 595 1,690 253 881 593 828
1467555862 TRAN, DONALD T, DDS 2021 FFS RENDERING AGE 21+ 378 3,522 262 535 234 791 307 311
1467564625 DIAZ FRIZ J 2021 FFS RENDERING AGE 21+ 31 120 12 12 17 22 11 11
1467564625 DIAZ FRIZ J 2021 GMC RENDERING AGE 0-20 522 3,789 454 1,524 236 400 454 495
1467564625 DIAZ FRIZ J 2021 GMC RENDERING AGE 21+ 428 2,400 291 532 235 576 305 306
1467566257 AGUILAR, SERGIO R DDS 2021 FFS RENDERING AGE 0-20 113 1,563 109 357 54 164 107 140
1467566257 AGUILAR, SERGIO R DDS 2021 FFS RENDERING AGE 21+ 190 1,578 117 224 132 540 151 151
1467566737 JAHANGIRI HOSSEIN 2021 FFS RENDERING AGE 0-20 30 165 17 30 19 63 23 30
1467566737 JAHANGIRI HOSSEIN 2021 FFS RENDERING AGE 21+ 114 606 21 23 80 354 90 94
1467571562 ESTACIO DANIEL T 2021 FFS RENDERING AGE 0-20 513 4,736 385 1,171 313 839 376 401
1467571562 ESTACIO DANIEL T 2021 FFS RENDERING AGE 21+ 171 1,374 95 95 108 392 105 105
1467572156 MUDITAJAYA DANNY S 2021 PHP RENDERING AGE 0-20 26 172 20 35 12 38 22 24
1467572156 MUDITAJAYA DANNY S 2021 PHP RENDERING AGE 21+ 33 220 13 15 21 101 24 26
1467572230 JANG, KENNY YOUNG DDS 2021 FFS RENDERING AGE 0-20 30 137 26 46 1 1 27 31
1467572230 JANG, KENNY YOUNG DDS 2021 FFS RENDERING AGE 21+ 86 347 47 47 31 46 66 66
1467572230 JANG, KENNY YOUNG DDS 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1467572412 OWEN DARCY L 2021 GMC RENDERING AGE 0-20 1 1 1 1 1 1 0 0
1467575225 THWIN ANTHONY A 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1467580084 DO PETER 2021 FFS RENDERING AGE 0-20 1,006 12,578 902 2,576 428 751 936 1,157
1467580084 DO PETER 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1467580092 NGUYEN KHIET V 2021 FFS RENDERING AGE 0-20 163 762 145 526 43 72 145 162
1467580092 NGUYEN KHIET V 2021 FFS RENDERING AGE 21+ 943 3,319 495 987 634 1,671 658 658
1467582759 YOUNG WINNIE L 2021 FFS RENDERING AGE 0-20 1,860 17,969 1,436 4,213 1,140 4,530 1,284 1,314
1467582759 YOUNG WINNIE L 2021 FFS RENDERING AGE 21+ 351 1,802 58 118 195 563 171 171
1467582759 YOUNG WINNIE L 2021 PHP RENDERING AGE 0-20 55 459 46 147 41 167 42 43
1467582759 YOUNG WINNIE L 2021 PHP RENDERING AGE 21+ 29 106 1 1 21 65 1 1
1467584334 HA, HANH HONG, DDS 2021 FFS RENDERING AGE 0-20 51 465 46 144 26 71 47 66
1467584334 HA, HANH HONG, DDS 2021 FFS RENDERING AGE 21+ 49 303 39 77 21 51 40 40
1467584334 HA, HANH HONG, DDS 2021 GMC RENDERING AGE 21+ 1 2 1 1 0 0 1 1
1467585448 BAEK JIN N 2021 FFS RENDERING AGE 0-20 1,207 15,165 1,166 4,919 691 1,710 1,014 1,225
1467585448 BAEK JIN N 2021 FFS RENDERING AGE 21+ 1,283 10,012 684 1,345 916 3,314 883 883
1467592790 STEELE, MARK RICHARD 2021 FFS RENDERING AGE 0-20 89 617 84 356 87 191 54 67
1467592790 STEELE, MARK RICHARD 2021 FFS RENDERING AGE 21+ 578 2,790 340 1,070 577 1,198 442 442
1467597377 IWATA, AMY, DDS 2021 FFS RENDERING AGE 0-20 78 461 67 142 23 39 39 39
1467597377 IWATA, AMY, DDS 2021 FFS RENDERING AGE 21+ 15 77 11 22 1 1 1 1
1467597930 RODRIGUEZ RAUL A 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 1 1
1467597930 RODRIGUEZ RAUL A 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1467618199 REAGAN DAVID L 2021 FFS RENDERING AGE 0-20 35 463 30 86 22 77 32 42
1467618199 REAGAN DAVID L 2021 FFS RENDERING AGE 21+ 63 457 39 58 42 124 42 42
1467628750 GHAZINOOR AMIR H 2021 FFS RENDERING AGE 0-20 1 1 1 1 1 1 1 1
1467628750 GHAZINOOR AMIR H 2021 FFS RENDERING AGE 21+ 16 46 1 1 1 2 1 1
1467635243 ARMAND BEGIAN DDS INC 2021 FFS RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1467639005 TOUNIAN ARVIN R 2021 FFS RENDERING AGE 0-20 288 2,913 189 477 182 636 195 210
1467639005 TOUNIAN ARVIN R 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1467641159 DEZA ANTHONY W 2021 FFS RENDERING AGE 0-20 1,274 12,029 1,042 3,403 525 1,361 1,085 1,213
1467641159 DEZA ANTHONY W 2021 FFS RENDERING AGE 21+ 1,149 7,164 431 855 527 1,539 924 928
1467642892 MACHAIN CRISTINA Y 2021 FFS RENDERING AGE 0-20 40 313 39 128 16 52 38 45
1467642892 MACHAIN CRISTINA Y 2021 FFS RENDERING AGE 21+ 215 1,261 111 214 148 593 155 156
1467643312 BIDGOL, AFSHIN, DMD 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 2 1 1
1467643312 BIDGOL, AFSHIN, DMD 2021 FFS RENDERING AGE 21+ 99 768 56 110 75 247 64 64
1467645812 ROQUE, EDGAR DONES DDS 2021 FFS RENDERING AGE 0-20 781 9,239 750 2,405 358 815 749 966
1467645812 ROQUE, EDGAR DONES DDS 2021 FFS RENDERING AGE 21+ 768 5,504 566 1,127 362 1,374 636 638
1467645812 ROQUE, EDGAR DONES DDS 2021 GMC RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1467646539 PATEL NEIL V 2021 FFS RENDERING AGE 0-20 436 4,865 398 1,716 129 423 415 532
1467646539 PATEL NEIL V 2021 FFS RENDERING AGE 21+ 601 4,160 436 870 320 879 510 510
1467657437 BALCE MA AILEEN V 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1467660951 MIRTORABI, LILI 2021 FFS RENDERING AGE 0-20 307 370 0 0 196 227 0 0
1467660951 MIRTORABI, LILI 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1467660951 MIRTORABI, LILI 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1467663088 TRAN VINCENT V 2021 FFS RENDERING AGE 0-20 34 155 24 40 1 2 27 30
1467663088 TRAN VINCENT V 2021 FFS RENDERING AGE 21+ 61 242 20 20 14 63 50 52
1467663088 TRAN, VINCENT V, DDS 2021 FFS RENDERING AGE 0-20 34 155 24 40 1 2 27 30
1467663088 TRAN, VINCENT V, DDS 2021 FFS RENDERING AGE 21+ 61 242 20 20 14 63 50 52
1467668012 LIU EDWARD S 2021 FFS RENDERING AGE 0-20 196 3,365 181 755 122 331 176 253
1467668012 LIU EDWARD S 2021 FFS RENDERING AGE 21+ 393 4,329 207 334 313 1,250 305 309
1467668251 CHEN, HAIHONG, DDS 2021 FFS RENDERING AGE 0-20 23 150 22 56 1 2 20 26
1467668251 CHEN, HAIHONG, DDS 2021 FFS RENDERING AGE 21+ 75 335 55 111 39 92 1 1
1467668517 BHATT, JAY I, DDS 2021 FFS RENDERING AGE 0-20 327 2,446 254 685 160 582 251 299
1467668517 BHATT, JAY I, DDS 2021 FFS RENDERING AGE 21+ 33 140 15 17 14 51 23 23
1467669754 TRAN, KENNETH Q, DDS 2021 FFS RENDERING AGE 0-20 165 2,158 154 796 68 356 148 378
1467669754 TRAN, KENNETH Q, DDS 2021 FFS RENDERING AGE 21+ 196 2,422 155 608 93 606 162 324
1467671164 SOLANZO GEORGE G 2021 FFS RENDERING AGE 0-20 33 207 30 96 1 2 30 31
1467671164 SOLANZO GEORGE G 2021 FFS RENDERING AGE 21+ 99 452 53 105 65 152 58 58
1467671529 WANG JIMMY C 2021 FFS RENDERING AGE 0-20 24 165 19 52 11 23 20 24
1467671529 WANG JIMMY C 2021 FFS RENDERING AGE 21+ 62 338 48 94 25 53 56 56
1467671529 WANG JIMMY C 2021 PHP RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1467671693 HAN THOMAS D 2021 FFS RENDERING AGE 0-20 12 93 12 34 1 2 11 14
1467671693 HAN THOMAS D 2021 FFS RENDERING AGE 21+ 56 319 31 32 35 137 51 51
1467676312 NGUYEN THANH Q 2021 FFS RENDERING AGE 0-20 536 6,214 507 2,266 242 724 520 723
1467676312 NGUYEN THANH Q 2021 FFS RENDERING AGE 21+ 424 4,126 270 540 319 1,400 327 327
1467679233 HOSSEINI-MAROON, MANIJEH, DD 2021 FFS RENDERING AGE 0-20 188 1,899 118 294 105 537 177 211
1467679233 HOSSEINI-MAROON, MANIJEH, DD 2021 FFS RENDERING AGE 21+ 516 4,011 58 64 376 2,269 423 423
1467682815 ALDOURI THAAR D 2021 FFS RENDERING AGE 0-20 1,994 20,963 1,917 7,969 1,193 3,218 1,943 2,892
1467682815 ALDOURI THAAR D 2021 GMC RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1467682815 ALDOURI THAAR D 2021 PHP RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1467682823 JAW SHIOW J 2021 FFS RENDERING AGE 0-20 452 5,905 433 2,215 318 861 440 761
1467684910 HONRADO MELISSA B 2021 FFS RENDERING AGE 0-20 110 1,070 84 194 42 91 97 106
1467684910 HONRADO MELISSA B 2021 FFS RENDERING AGE 21+ 163 1,503 59 119 117 433 90 92
1467693903 ARRATOONIAN, ARLET, DDS 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1467693903 ARRATOONIAN, ARLET, DDS 2021 PHP RENDERING AGE 21+ 11 63 1 1 1 2 1 1
1467700039 HOOVER AUSTIN D 2021 FFS RENDERING AGE 0-20 391 2,482 0 0 337 1,926 288 290
1467700039 HOOVER AUSTIN D 2021 FFS RENDERING AGE 21+ 722 3,478 0 0 604 2,381 547 549
1467716894 TOKATLI AHMAD H 2021 FFS RENDERING AGE 0-20 14 60 12 12 1 2 12 12
1467716894 TOKATLI AHMAD H 2021 FFS RENDERING AGE 21+ 75 407 30 30 43 134 59 59
1467760041 DERAGOBIAN ANKIN T 2021 FFS RENDERING AGE 0-20 139 1,690 79 244 77 309 117 135
1467760041 DERAGOBIAN ANKIN T 2021 FFS RENDERING AGE 21+ 557 4,568 64 132 348 1,546 439 439
1467776450 HUAMAN JUAN C 2021 FFS RENDERING AGE 0-20 1,070 7,285 493 1,336 578 1,565 719 773
1467776450 HUAMAN JUAN C 2021 FFS RENDERING AGE 21+ 1,586 8,325 299 561 1,165 3,341 765 770
1467783985 MOSSAEI ALLEN 2021 FFS RENDERING AGE 0-20 387 4,383 368 1,655 219 743 374 484
1467783985 MOSSAEI ALLEN 2021 FFS RENDERING AGE 21+ 727 4,930 581 1,151 372 2,025 648 648
1467784835 GANGADHARAN, JOTSNA DDS 2021 FFS RENDERING AGE 0-20 614 5,423 451 1,522 424 816 428 473
1467784835 GANGADHARAN, JOTSNA DDS 2021 FFS RENDERING AGE 21+ 2,014 15,648 1,340 2,943 1,578 4,925 1,318 1,326
1467787713 DARDIS KATHRYN A 2021 FFS RENDERING AGE 0-20 231 1,713 202 540 178 409 182 182
1467797878 DJANG, SAM S, DDS 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 2 1 1
1467797878 DJANG, SAM S, DDS 2021 FFS RENDERING AGE 21+ 12 23 1 1 1 1 1 1
1467797878 DJANG, SAM S, DDS 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1467800474 AMANI BAKTASH 2021 FFS RENDERING AGE 0-20 67 505 40 105 37 159 37 37
1467800474 AMANI BAKTASH 2021 FFS RENDERING AGE 21+ 202 1,572 44 75 165 886 81 81
1467805523 AZATYAN ARTUR 2021 FFS RENDERING AGE 0-20 231 1,159 105 250 144 463 125 131
1467805523 AZATYAN ARTUR 2021 FFS RENDERING AGE 21+ 497 2,303 52 91 397 1,420 221 221
1467809368 HOANG MICHELLE K 2021 FFS RENDERING AGE 0-20 190 2,179 160 583 96 240 162 192
1467809368 HOANG MICHELLE K 2021 FFS RENDERING AGE 21+ 759 7,114 476 961 480 2,107 578 587
1467821785 KUMAR GULSHAN 2021 FFS RENDERING AGE 0-20 387 4,365 365 1,664 142 519 383 509
1467821785 KUMAR GULSHAN 2021 FFS RENDERING AGE 21+ 796 5,619 637 1,251 466 1,819 733 733
1467837823 BRAUER, ERIK STEWART, RDHAP 2021 FFS RENDERING AGE 21+ 531 1,582 504 747 531 835 0 0
1467846352 HUM CHRISTINE D 2021 FFS RENDERING AGE 0-20 109 894 102 292 63 202 101 134
1467846352 HUM CHRISTINE D 2021 FFS RENDERING AGE 21+ 297 1,986 180 345 221 845 203 203
1467856070 SABET SHARAREH S 2021 FFS RENDERING AGE 0-20 261 774 0 0 1 1 0 0
1467856070 SABET SHARAREH S 2021 FFS RENDERING AGE 21+ 32 63 0 0 0 0 0 0
1467861773 UPPAL ANNA G 2021 FFS RENDERING AGE 0-20 1,183 11,251 966 2,436 401 1,090 945 946
1467861773 UPPAL ANNA G 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1467861773 UPPAL ANNA G 2021 GMC RENDERING AGE 0-20 1 2 1 1 1 1 0 0
1467866921 JOHNSON TRISHIA L 2021 FFS RENDERING AGE 0-20 490 2,999 386 981 282 513 330 337
1467867663 HALL DANIEL R 2021 FFS RENDERING AGE 0-20 2,475 26,373 2,069 6,008 1,476 4,012 2,021 2,352
1467867663 HALL DANIEL R 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1467867747 THOMPSON CEAN C 2021 FFS RENDERING AGE 0-20 302 1,473 183 492 130 290 202 206
1467867747 THOMPSON CEAN C 2021 FFS RENDERING AGE 21+ 403 1,202 79 151 201 450 193 193
1467867747 THOMPSON CEAN C 2021 PHP RENDERING AGE 0-20 1 1 0 0 0 0 1 1
1467867747 THOMPSON CEAN C 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1467869370 RAJVANSHI ROLI 2021 FFS RENDERING AGE 0-20 3,142 32,935 2,610 7,070 1,285 4,549 2,538 2,786
1467869370 RAJVANSHI ROLI 2021 FFS RENDERING AGE 21+ 13 86 1 2 1 1 11 11
1467869370 RAJVANSHI ROLI 2021 GMC RENDERING AGE 0-20 13 230 1 2 13 184 0 0
1467880617 MARICONDO DAVID J 2021 PHP RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1467880617 MARICONDO DAVID J 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1467883462 CHEONG CHRISTOPHER S 2021 FFS RENDERING AGE 0-20 40 157 30 69 15 35 35 36
1467883462 CHEONG CHRISTOPHER S 2021 FFS RENDERING AGE 21+ 69 197 20 23 60 140 25 25
1467887943 NGUYEN DUNG L 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1467887943 NGUYEN DUNG L 2021 FFS RENDERING AGE 21+ 141 1,209 77 144 124 490 76 76
1467907055 RASHID MEHWISH 2021 FFS RENDERING AGE 0-20 48 232 12 24 25 40 27 27
1467907055 RASHID MEHWISH 2021 FFS RENDERING AGE 21+ 39 167 1 2 25 38 15 15
1467917161 GALOFRE LINA I 2021 FFS RENDERING AGE 0-20 93 604 43 101 56 122 51 51
1467917161 GALOFRE LINA I 2021 FFS RENDERING AGE 21+ 98 504 15 19 63 130 38 39
1467931352 CLARK ANTHONY A 2021 FFS RENDERING AGE 0-20 920 6,698 630 1,677 639 1,876 496 504
1467931352 CLARK ANTHONY A 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1467935411 RAJPAL MANOJ K 2021 FFS RENDERING AGE 0-20 129 608 82 176 57 165 65 65
1467935411 RAJPAL MANOJ K 2021 FFS RENDERING AGE 21+ 373 1,174 73 131 230 619 144 144
1467954362 VALETI NARMADA 2021 FFS RENDERING AGE 0-20 255 998 149 541 109 183 71 71
1467954362 VALETI NARMADA 2021 FFS RENDERING AGE 21+ 508 1,377 183 344 286 608 117 117
1467961771 RAMOS LORENA 2021 FFS RENDERING AGE 0-20 2,317 18,066 2,019 6,837 1,269 3,241 1,994 2,281
1467978262 LOPEZ DIAZ CARLOS A 2021 FFS RENDERING AGE 0-20 479 4,719 150 380 376 1,591 338 373
1467978262 LOPEZ DIAZ CARLOS A 2021 FFS RENDERING AGE 21+ 173 1,326 75 136 128 530 123 123
1467984252 CRUZ STEPHANIE M 2021 FFS RENDERING AGE 0-20 3,012 25,308 2,489 7,220 1,668 4,655 2,340 2,680
1467984252 CRUZ STEPHANIE M 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1467984252 CRUZ STEPHANIE M 2021 PHP RENDERING AGE 0-20 11 66 1 2 11 31 1 1
1467984443 NGUYEN ALAN T 2021 FFS RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1467984443 NGUYEN ALAN T 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1467989426 OPINGA, RONALDO, DMD INC 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 2 1 1
1477004224 SHEINBAUM JUSTIN M 2021 FFS RENDERING AGE 0-20 93 263 0 0 92 251 1 1
1477004224 SHEINBAUM JUSTIN M 2021 FFS RENDERING AGE 21+ 183 576 0 0 176 528 11 11
1477027654 MALDONADO BARRI DANIELLA A 2021 FFS RENDERING AGE 0-20 207 795 28 64 146 376 66 66
1477027654 MALDONADO BARRI DANIELLA A 2021 FFS RENDERING AGE 21+ 540 1,914 1 2 445 1,149 73 73
1477030369 GARCIA JENNIFER 2021 FFS RENDERING AGE 0-20 53 726 51 153 16 35 52 73
1477030369 GARCIA JENNIFER 2021 FFS RENDERING AGE 21+ 61 435 41 80 30 83 42 42
1477032761 FARAHNIK FARID 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1477034130 CARR SCOTT R 2021 FFS RENDERING AGE 0-20 13 94 1 1 13 90 1 1
1477034130 CARR SCOTT R 2021 FFS RENDERING AGE 21+ 150 1,080 1 1 150 1,040 12 12
1477039865 GAO YAN 2021 FFS RENDERING AGE 0-20 1,603 24,906 1,530 7,483 1,301 5,472 1,543 2,167
1477042810 SHAHEEN NADIA 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1477070639 BHATT CHERYL E 2021 FFS RENDERING AGE 0-20 2,403 18,424 1,524 3,929 1,696 5,445 1,511 1,552
1477079549 NOVINBAKHT JOSHUA B 2021 FFS RENDERING AGE 0-20 530 3,870 422 1,340 260 660 420 468
1477079549 NOVINBAKHT JOSHUA B 2021 FFS RENDERING AGE 21+ 747 4,014 351 369 546 1,756 423 423
1477079549 NOVINBAKHT JOSHUA B 2021 PHP RENDERING AGE 0-20 1 2 1 1 0 0 1 1
1477079549 NOVINBAKHT JOSHUA B 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1477088581 ARAMBURU MIGUEL E 2021 FFS RENDERING AGE 0-20 13 120 1 2 1 2 12 12
1477088581 ARAMBURU MIGUEL E 2021 FFS RENDERING AGE 21+ 22 229 11 11 15 145 18 18
1477094035 KUDAVERDIAN ARGINA 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1477094035 KUDAVERDIAN ARGINA 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1477140903 WONG TIFFANY G 2021 FFS RENDERING AGE 0-20 1,905 23,872 1,607 5,259 1,366 4,360 1,576 1,872
1477142347 ALKHALIDI OMEED 2021 FFS RENDERING AGE 0-20 203 1,259 119 309 115 321 151 152
1477142347 ALKHALIDI OMEED 2021 FFS RENDERING AGE 21+ 581 3,093 114 221 420 1,491 316 316
1477158657 SIU LAURIE C 2021 FFS RENDERING AGE 0-20 133 693 93 201 45 98 107 112
1477158657 SIU LAURIE C 2021 FFS RENDERING AGE 21+ 533 2,063 166 299 211 644 386 388
1477158657 SIU LAURIE C 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1477158657 SIU LAURIE C 2021 PHP RENDERING AGE 21+ 21 59 1 1 16 42 1 1
1477166676 CHOTI LEO 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1477166676 CHOTI LEO 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 2 0 0
1477175073 ABRAHAM DDS DENTAL CORP 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1477180305 HOFMANN JENNIFER A 2021 GMC RENDERING AGE 0-20 123 533 67 227 36 37 43 43
1477228468 MOYLE TYLER D 2021 FFS RENDERING AGE 0-20 137 397 52 109 94 163 35 35
1477228468 MOYLE TYLER D 2021 FFS RENDERING AGE 21+ 200 485 22 40 157 321 35 35
1477526648 MO DOUGLAS T 2021 FFS RENDERING AGE 0-20 230 1,401 139 316 104 376 162 188
1477526648 MO DOUGLAS T 2021 FFS RENDERING AGE 21+ 601 2,834 182 329 325 1,236 405 405
1477545010 SANI, RONALD J, DDS INC 2021 FFS RENDERING AGE 0-20 22 332 20 36 22 259 19 19
1477545010 SANI, RONALD J, DDS INC 2021 FFS RENDERING AGE 21+ 19 202 13 13 19 160 16 16
1477549459 LIM, MICHAEL H MD 2021 FFS RENDERING AGE 0-20 32 86 0 0 32 86 0 0
1477563260 HONG ANNA J 2021 FFS RENDERING AGE 0-20 55 337 46 127 23 60 44 45
1477563260 HONG ANNA J 2021 FFS RENDERING AGE 21+ 86 408 26 52 67 190 48 48
1477574317 SHAHHAL, RIMA C, DDS 2021 FFS RENDERING AGE 0-20 36 214 27 50 12 49 26 30
1477574317 SHAHHAL, RIMA C, DDS 2021 FFS RENDERING AGE 21+ 165 888 79 79 95 323 120 120
1477604551 NOURI, IRAJ DDS 2021 FFS RENDERING AGE 0-20 120 1,406 115 526 40 75 116 133
1477604551 NOURI, IRAJ DDS 2021 FFS RENDERING AGE 21+ 209 1,617 59 115 149 543 148 148
1477604551 NOURI, IRAJ DDS 2021 PHP RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1477604551 NOURI, IRAJ DDS 2021 PHP RENDERING AGE 21+ 11 70 1 1 1 2 1 1
1477610483 DEAN HENRY 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1477610582 JOSEPH, NABEEL AWAD, DDS 2021 FFS RENDERING AGE 0-20 299 3,419 262 634 135 434 266 284
1477610582 JOSEPH, NABEEL AWAD, DDS 2021 FFS RENDERING AGE 21+ 558 3,798 293 299 373 1,237 365 365
1477611762 TRUONG KEVIN T 2021 FFS RENDERING AGE 0-20 20 127 14 28 1 2 16 16
1477611762 TRUONG KEVIN T 2021 FFS RENDERING AGE 21+ 55 314 24 46 35 73 34 34
1477615151 FRANSIS ADEL M 2021 FFS RENDERING AGE 0-20 111 1,255 94 382 33 86 96 105
1477615151 FRANSIS ADEL M 2021 FFS RENDERING AGE 21+ 323 2,334 195 381 190 718 250 250
1477615151 FRANSIS ADEL M 2021 PHP RENDERING AGE 0-20 1 2 1 2 1 2 1 1
1477615151 FRANSIS ADEL M 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1477619575 SHARIFI, MINA K, DDS INC 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 2 1 1
1477619575 SHARIFI, MINA K, DDS INC 2021 FFS RENDERING AGE 21+ 16 73 1 1 15 54 1 1
1477620631 LUU, MATHEW T, DDS 2021 FFS RENDERING AGE 0-20 23 106 19 38 1 1 22 22
1477620631 LUU, MATHEW T, DDS 2021 FFS RENDERING AGE 21+ 36 218 28 55 12 19 30 30
1477627156 WESTERN DENTAL SERVICES 2021 GMC RENDERING AGE 0-20 14 178 1 1 14 110 1 1
1477627156 WESTERN DENTAL SERVICES 2021 GMC RENDERING AGE 21+ 1 2 0 0 1 2 0 0
1477627156 WESTERN DENTAL SERVICES 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1477627156 WESTERN DENTAL SERVICES 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1477630937 YOSHIDA CHARLES T 2021 FFS RENDERING AGE 0-20 187 1,853 86 140 185 1,461 141 144
1477630937 YOSHIDA CHARLES T 2021 FFS RENDERING AGE 21+ 249 2,079 158 184 237 1,526 186 186
1477637833 JACKSON GREGORY T 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 1 1
1477637833 JACKSON GREGORY T 2021 FFS RENDERING AGE 21+ 826 2,025 51 52 825 1,343 630 630
1477637833 JACKSON GREGORY T 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1477640290 NGUYEN BRIAN D 2021 FFS RENDERING AGE 0-20 52 593 39 103 28 134 39 49
1477640290 NGUYEN BRIAN D 2021 FFS RENDERING AGE 21+ 211 1,575 112 112 174 682 124 124
1477645000 MALHOTRA ADARSH K 2021 FFS RENDERING AGE 0-20 19 98 0 0 19 98 0 0
1477645000 MALHOTRA ADARSH K 2021 FFS RENDERING AGE 21+ 80 243 0 0 80 243 0 0
1477649689 SANGHA AMANDEEP K 2021 GMC RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1477654036 NGUYEN, DAT Q, DDS 2021 FFS RENDERING AGE 0-20 19 88 1 2 14 31 1 2
1477654036 NGUYEN, DAT Q, DDS 2021 FFS RENDERING AGE 21+ 150 1,047 50 100 125 376 64 64
1477657534 NGUYEN PHUONG-TRINH N 2021 FFS RENDERING AGE 0-20 262 2,633 246 657 78 206 255 339
1477657534 NGUYEN PHUONG-TRINH N 2021 FFS RENDERING AGE 21+ 691 6,805 509 996 363 1,122 585 585
1477659167 SULLIVAN, GRACIELA DDS 2021 FFS RENDERING AGE 0-20 724 10,651 703 3,382 516 1,960 687 1,099
1477659167 SULLIVAN, GRACIELA DDS 2021 FFS RENDERING AGE 21+ 1 2 1 2 1 1 1 1
1477663219 VARUGHESE, ELIZABETH DDS 2021 FFS RENDERING AGE 0-20 165 1,550 159 467 86 350 160 232
1477663219 VARUGHESE, ELIZABETH DDS 2021 FFS RENDERING AGE 21+ 187 1,180 121 121 120 487 72 72
1477669943 HOANG ANDY T 2021 FFS RENDERING AGE 0-20 195 1,057 128 365 95 190 132 140
1477669943 HOANG ANDY T 2021 FFS RENDERING AGE 21+ 433 1,941 173 323 194 554 262 262
1477675668 BILLEDO PRINCESITA A 2021 FFS RENDERING AGE 0-20 23 213 23 79 11 21 22 25
1477675668 BILLEDO PRINCESITA A 2021 FFS RENDERING AGE 21+ 47 251 28 56 31 88 1 1
1477681013 NG LINDA L 2021 FFS RENDERING AGE 0-20 52 443 48 141 27 92 47 57
1477681013 NG LINDA L 2021 FFS RENDERING AGE 21+ 128 845 103 103 94 277 111 111
1477682201 FONG VICTOR D 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1477682201 FONG VICTOR D 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1477682201 FONG VICTOR D 2021 GMC RENDERING AGE 0-20 28 152 17 51 15 26 14 14
1477682201 FONG VICTOR D 2021 GMC RENDERING AGE 21+ 170 1,150 86 163 137 544 62 91
1477683621 NGUYEN TUAN D 2021 FFS RENDERING AGE 0-20 144 2,633 142 606 139 663 143 179
1477683621 NGUYEN TUAN D 2021 FFS RENDERING AGE 21+ 153 1,721 132 241 146 724 141 141
1477687580 MADISON MILES 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1477690030 DUTTA NAMITA 2021 FFS RENDERING AGE 0-20 12 76 1 2 1 2 1 1
1477690030 DUTTA NAMITA 2021 FFS RENDERING AGE 21+ 32 116 13 14 14 26 23 23
1477691178 AMIN HUMAIRAH 2021 FFS RENDERING AGE 0-20 2,497 20,503 2,364 7,602 980 1,385 2,405 2,772
1477691178 AMIN HUMAIRAH 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1477691178 AMIN HUMAIRAH 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1477693406 FIELDS, ROBERT S, DDS 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1477693406 FIELDS, ROBERT S, DDS 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1477697423 NAJI, AHMED M, DDS 2021 FFS RENDERING AGE 0-20 87 579 60 157 83 270 71 75
1477697423 NAJI, AHMED M, DDS 2021 FFS RENDERING AGE 21+ 289 1,924 116 226 287 1,114 212 212
1477698975 THENARD SHARINE V 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1477699130 IBRAHIM ESSAM A 2021 FFS RENDERING AGE 0-20 487 7,300 457 2,164 288 819 455 545
1477699130 IBRAHIM ESSAM A 2021 FFS RENDERING AGE 21+ 454 4,496 291 589 331 1,641 341 341
1477699635 KHOSH, SHAYESTEH R, DDS 2021 FFS RENDERING AGE 0-20 34 393 33 183 14 41 32 46
1477699635 KHOSH, SHAYESTEH R, DDS 2021 FFS RENDERING AGE 21+ 144 958 112 215 100 388 121 123
1477700276 LASKA MARK S 2021 FFS RENDERING AGE 0-20 54 465 48 172 25 83 47 56
1477700276 LASKA MARK S 2021 FFS RENDERING AGE 21+ 646 6,454 251 443 476 4,236 436 439
1477700276 LASKA MARK S 2021 PHP RENDERING AGE 21+ 1 2 0 0 1 2 1 1
1477704104 OLETY RAGHAVENDRA 2021 FFS RENDERING AGE 0-20 1,604 5,825 796 1,808 22 47 1,272 1,422
1477704104 OLETY RAGHAVENDRA 2021 FFS RENDERING AGE 21+ 814 2,428 197 351 172 491 540 541
1477704104 OLETY RAGHAVENDRA 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1477704104 OLETY RAGHAVENDRA 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1477723419 WESTERN DENTAL SERVICES INC 2021 GMC RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1477723419 WESTERN DENTAL SERVICES, INC. 2021 GMC RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1477744795 EDALAT SAMAN 2021 FFS RENDERING AGE 0-20 247 2,732 199 968 143 452 212 253
1477744795 EDALAT SAMAN 2021 FFS RENDERING AGE 21+ 458 2,133 105 203 241 703 321 321
1477744795 EDALAT SAMAN 2021 PHP RENDERING AGE 0-20 22 199 20 95 1 2 20 26
1477744795 EDALAT SAMAN 2021 PHP RENDERING AGE 21+ 40 228 17 42 22 72 34 42
1477758167 NGO, PHUONG-LIEN, DDS 2021 FFS RENDERING AGE 0-20 158 1,946 130 704 48 290 141 304
1477758167 NGO, PHUONG-LIEN, DDS 2021 FFS RENDERING AGE 21+ 516 7,116 282 1,124 348 2,948 405 810
1477758985 NGUYEN QUY T 2021 FFS RENDERING AGE 0-20 471 2,357 284 762 208 553 273 280
1477758985 NGUYEN QUY T 2021 FFS RENDERING AGE 21+ 641 2,238 208 402 354 895 303 303
1477760759 CARDONA GERENA MYRNA Y 2021 FFS RENDERING AGE 0-20 33 139 19 42 1 2 20 20
1477760759 CARDONA GERENA MYRNA Y 2021 FFS RENDERING AGE 21+ 84 288 26 33 39 132 33 33
1477760858 SWEENY, HEBE G, DDS 2021 FFS RENDERING AGE 0-20 25 258 24 78 13 45 25 35
1477760858 SWEENY, HEBE G, DDS 2021 FFS RENDERING AGE 21+ 122 682 49 50 76 355 104 104
1477761708 NGUYEN KEREN THUY P 2021 FFS RENDERING AGE 0-20 140 1,665 135 715 49 150 131 151
1477761708 NGUYEN KEREN THUY P 2021 FFS RENDERING AGE 21+ 139 936 114 227 62 219 122 122
1477788164 WAITE IV WILLIAM L 2021 FFS RENDERING AGE 0-20 17 18 0 0 1 1 0 0
1477788164 WAITE IV WILLIAM L 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1477791267 GUDINO AARON D 2021 FFS RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1477791267 GUDINO AARON D 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1477798247 REGALA, ADONIS, DDS INC 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 0 0
1477805257 COAUETTE, PATRICIA, RDHAP 2021 GMC RENDERING AGE 0-20 1 2 1 2 0 0 0 0
1477833119 PRUSKY SEAN D 2021 FFS RENDERING AGE 0-20 347 532 0 0 96 215 0 0
1477833119 PRUSKY SEAN D 2021 FFS RENDERING AGE 21+ 26 26 0 0 0 0 0 0
1477833119 PRUSKY SEAN D 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1477840700 TECSON NINA M 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1477840700 TECSON NINA M 2021 GMC RENDERING AGE 0-20 120 1,102 90 479 109 258 74 84
1477840700 TECSON NINA M 2021 GMC RENDERING AGE 21+ 270 1,410 102 209 232 828 77 77
1477859056 DARABI SHEFAGH S 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 2 1 1
1477859056 DARABI SHEFAGH S 2021 FFS RENDERING AGE 21+ 62 375 31 58 33 184 49 49
1477861839 BAE, P H, DENTAL CORPORATION 2021 FFS RENDERING AGE 0-20 1 1 1 1 1 1 0 0
1477866648 DO, FELICIA, DMD INC 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1477866648 FELICIA DO DMD INC 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1477889392 DE MELLO JEE YOUNG L 2021 FFS RENDERING AGE 0-20 214 3,256 202 745 68 211 202 275
1477889392 DE MELLO JEE YOUNG L 2021 FFS RENDERING AGE 21+ 279 2,759 191 348 208 704 203 203
1477897494 LEBOVITZ TALIA 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1477902112 WONG KIN C 2021 FFS RENDERING AGE 0-20 2,838 25,953 2,282 7,083 1,989 4,101 2,003 2,344
1477902112 WONG KIN C 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1477905248 HAMEDI-SANGSARI ADRIEN A 2021 FFS RENDERING AGE 0-20 95 161 0 0 0 0 0 0
1477905248 HAMEDI-SANGSARI ADRIEN A 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1477906840 PORTEOUS LANCE E 2021 FFS RENDERING AGE 0-20 14 49 0 0 14 49 0 0
1477906840 PORTEOUS LANCE E 2021 FFS RENDERING AGE 21+ 50 174 0 0 50 173 0 0
1477912533 SAINI REENA RANI 2021 GMC RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1477912806 BURNHAM TRAVIS A 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 0 0
1477912806 BURNHAM TRAVIS A 2021 GMC RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1477913176 WONG ANDY 2021 FFS RENDERING AGE 0-20 135 1,064 114 406 64 163 112 122
1477913176 WONG ANDY 2021 FFS RENDERING AGE 21+ 150 895 82 164 89 180 115 115
1477922078 SU BRITTANY L 2021 FFS RENDERING AGE 0-20 1,814 21,028 1,556 4,703 1,314 5,298 1,488 1,597
1477922078 SU BRITTANY L 2021 FFS RENDERING AGE 21+ 1 2 1 1 0 0 1 1
1477928224 YORK TIMOTHY R 2021 FFS RENDERING AGE 0-20 235 292 0 0 63 91 0 0
1477928224 YORK TIMOTHY R 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1477928224 YORK TIMOTHY R 2021 GMC RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1477928224 YORK TIMOTHY R 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1477937340 TRAMMELL JOSHUA B 2021 FFS RENDERING AGE 0-20 1,124 25,282 755 2,259 1,122 15,797 1,103 1,128
1477937837 LIN JING 2021 FFS RENDERING AGE 0-20 34 222 17 63 15 26 24 24
1477937837 LIN JING 2021 FFS RENDERING AGE 21+ 64 239 1 2 39 123 40 40
1477939023 TAM AMY S 2021 FFS RENDERING AGE 0-20 255 319 0 0 130 151 0 0
1477939023 TAM AMY S 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1477939023 TAM AMY S 2021 GMC RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1477939023 TAM AMY S 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1477962538 SUN RUOXING 2021 FFS RENDERING AGE 0-20 5,667 59,898 5,216 16,318 3,605 10,914 5,255 6,639
1477968253 RAM PEGGY K 2021 FFS RENDERING AGE 0-20 179 1,247 94 299 86 339 158 164
1477968253 RAM PEGGY K 2021 FFS RENDERING AGE 21+ 465 2,520 56 86 298 1,507 387 387
1477982346 TRAN TIPHANIE T 2021 FFS RENDERING AGE 0-20 174 1,303 130 165 64 205 126 155
1477982346 TRAN TIPHANIE T 2021 FFS RENDERING AGE 21+ 482 3,468 286 286 260 783 291 291
1477994770 SOROUSHIAN VASNA 2021 FFS RENDERING AGE 0-20 881 4,572 494 1,046 389 1,137 607 633
1477994770 SOROUSHIAN VASNA 2021 FFS RENDERING AGE 21+ 2,128 10,201 417 588 1,468 6,044 1,052 1,053
1487000592 ALQADOUMI THAER B 2021 FFS RENDERING AGE 0-20 38 98 0 0 37 88 1 1
1487000592 ALQADOUMI THAER B 2021 FFS RENDERING AGE 21+ 225 709 0 0 220 621 1 1
1487000592 ALQADOUMI THAER B 2021 GMC RENDERING AGE 0-20 1 1 1 1 1 1 1 1
1487000592 ALQADOUMI THAER B 2021 GMC RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1487000592 ALQADOUMI THAER B 2021 PHP RENDERING AGE 0-20 1 2 0 0 1 1 1 1
1487000592 ALQADOUMI THAER B 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1487007704 SAH LINDA 2021 FFS RENDERING AGE 21+ 1 1 1 1 1 1 0 0
1487012928 SHERGILL SANJEETA K 2021 FFS RENDERING AGE 0-20 226 2,238 180 495 134 423 186 186
1487020293 LAREZ ANINA 2021 FFS RENDERING AGE 0-20 69 472 33 72 36 91 33 34
1487020293 LAREZ ANINA 2021 FFS RENDERING AGE 21+ 87 538 22 43 51 133 42 42
1487020293 LAREZ ANINA 2021 PHP RENDERING AGE 0-20 20 173 18 78 14 25 17 18
1487020293 LAREZ ANINA 2021 PHP RENDERING AGE 21+ 54 352 36 80 41 149 37 38
1487033304 BEIK FARIBA 2021 FFS RENDERING AGE 0-20 300 1,520 155 337 145 401 217 219
1487033304 BEIK FARIBA 2021 FFS RENDERING AGE 21+ 895 3,412 191 355 472 1,279 517 517
1487033304 BEIK FARIBA 2021 GMC RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1487033304 BEIK FARIBA 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1487033304 BEIK FARIBA 2021 PHP RENDERING AGE 0-20 1 1 1 1 1 1 1 1
1487033304 BEIK FARIBA 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1487033619 IRAVANI BOSHRA S 2021 FFS RENDERING AGE 0-20 614 2,742 0 0 613 2,732 1 1
1487033619 IRAVANI BOSHRA S 2021 FFS RENDERING AGE 21+ 28 88 0 0 28 88 0 0
1487033619 IRAVANI BOSHRA S 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1487039459 CHIN KEVIN L 2021 FFS RENDERING AGE 0-20 18 117 14 35 1 2 12 12
1487039459 CHIN KEVIN L 2021 FFS RENDERING AGE 21+ 61 429 27 54 49 144 32 32
1487039509 DHERI TEJINDER K 2021 FFS RENDERING AGE 0-20 512 4,722 404 1,307 120 230 471 541
1487039509 DHERI TEJINDER K 2021 FFS RENDERING AGE 21+ 902 6,427 454 898 366 885 726 728
1487061107 TRAN MICHAEL A 2021 FFS RENDERING AGE 0-20 15 20 0 0 15 16 0 0
1487061107 TRAN MICHAEL A 2021 FFS RENDERING AGE 21+ 227 316 0 0 226 253 0 0
1487061677 FINLEY ANDREW P 2021 FFS RENDERING AGE 0-20 24 178 20 72 15 39 16 17
1487061677 FINLEY ANDREW P 2021 FFS RENDERING AGE 21+ 816 3,753 185 319 751 2,050 424 428
1487061677 FINLEY ANDREW P 2021 PHP RENDERING AGE 21+ 12 40 1 1 12 26 1 1
1487063111 MOHAN ANU 2021 FFS RENDERING AGE 0-20 62 391 48 100 25 120 43 43
1487063111 MOHAN ANU 2021 FFS RENDERING AGE 21+ 136 798 71 72 101 413 86 88
1487084125 SAWYER, GREGORY, DDS 2021 FFS RENDERING AGE 0-20 27 129 1 2 25 72 1 1
1487084125 SAWYER, GREGORY, DDS 2021 FFS RENDERING AGE 21+ 63 306 16 16 51 178 14 14
1487084752 LIN CHEN-KAI 2021 FFS RENDERING AGE 0-20 423 2,071 308 721 149 343 313 325
1487084752 LIN CHEN-KAI 2021 FFS RENDERING AGE 21+ 1,148 4,480 381 680 585 1,797 801 801
1487096699 KIM, EUGENIE HEO DDS 2021 FFS RENDERING AGE 0-20 1,658 20,450 1,513 5,127 922 2,129 1,548 1,865
1487096699 KIM, EUGENIE HEO DDS 2021 FFS RENDERING AGE 21+ 1,711 12,479 1,056 2,019 1,095 3,506 1,298 1,300
1487099636 JOHNSON DANIELLE N 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1487099636 JOHNSON DANIELLE N 2021 FFS RENDERING AGE 21+ 55 200 1 2 43 75 12 12
1487115325 SKAHEN JAMES C 2021 FFS RENDERING AGE 0-20 1,054 9,414 933 2,653 643 1,489 837 842
1487126082 MATOS WONG ALEXANDER CARLOS 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1487129482 OGUIENKO OULIANA 2021 FFS RENDERING AGE 0-20 346 1,136 0 0 346 957 1 1
1487129482 OGUIENKO OULIANA 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1487130191 RASSIWALA DENTAL CORPORATION 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1487130191 RASSIWALA DENTAL CORPORATION 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1487132213 ABDAL RONZA HIKMAT O 2021 FFS RENDERING AGE 0-20 19 41 19 41 0 0 0 0
1487132213 ABDAL RONZA HIKMAT O 2021 FFS RENDERING AGE 21+ 12 34 1 2 1 2 0 0
1487132213 ABDAL RONZA HIKMAT O 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1487132213 ABDAL RONZA HIKMAT O 2021 PHP RENDERING AGE 21+ 1 2 0 0 1 1 1 1
1487133492 TA THERESA A 2021 FFS RENDERING AGE 0-20 90 470 30 64 40 104 71 71
1487133492 TA THERESA A 2021 FFS RENDERING AGE 21+ 217 1,083 47 94 159 326 111 111
1487139879 KARABIDIAN EDDIE 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 2 1 1
1487139879 KARABIDIAN EDDIE 2021 FFS RENDERING AGE 21+ 70 527 32 59 56 247 45 45
1487172391 TAVARI AZADEH 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1487172391 TAVARI AZADEH 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1487179743 MAI SU MEI 2021 FFS RENDERING AGE 0-20 696 6,444 593 1,952 403 1,156 595 630
1487179743 MAI SU MEI 2021 FFS RENDERING AGE 21+ 575 3,001 258 508 408 1,293 346 350
1487213740 KATZ LAURA M 2021 FFS RENDERING AGE 0-20 962 10,608 852 2,942 630 1,590 806 954
1487213740 KATZ LAURA M 2021 FFS RENDERING AGE 21+ 275 2,009 170 336 163 598 182 182
1487218095 BORDIERI THOMAS C 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1487224416 GOEL ARYA S 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1487225264 LIU XIAOXU 2021 FFS RENDERING AGE 0-20 153 1,377 125 268 69 178 126 126
1487225264 LIU XIAOXU 2021 FFS RENDERING AGE 21+ 51 332 19 36 35 69 28 28
1487231411 HAROUN SARO 2021 FFS RENDERING AGE 0-20 177 474 0 0 135 250 0 0
1487231411 HAROUN SARO 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1487261079 LAKHANPAL SHRUTI 2021 FFS RENDERING AGE 0-20 510 2,828 306 713 340 978 293 296
1487261079 LAKHANPAL SHRUTI 2021 FFS RENDERING AGE 21+ 648 2,209 152 289 398 1,065 325 325
1487261608 BUI AN D 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1487267035 GUIRGES ELIZABETH D 2021 FFS RENDERING AGE 0-20 2,505 19,072 2,091 5,303 1,690 6,107 2,202 2,204
1487290144 CHUNG JAE K 2021 FFS RENDERING AGE 0-20 128 1,145 92 335 114 454 94 94
1487290144 CHUNG JAE K 2021 FFS RENDERING AGE 21+ 666 5,577 287 564 633 3,843 335 336
1487609749 WONG, ALLEN, DDS 2021 FFS RENDERING AGE 0-20 79 534 52 156 74 237 48 54
1487609749 WONG, ALLEN, DDS 2021 FFS RENDERING AGE 21+ 478 2,965 176 322 434 1,730 243 253
1487636817 LEE, HANK C, DDS 2021 FFS RENDERING AGE 0-20 100 503 94 242 19 31 94 107
1487636817 LEE, HANK C, DDS 2021 FFS RENDERING AGE 21+ 264 1,477 161 324 192 600 173 173
1487665030 THAKKAR, JAGRUTI A, DDS 2021 FFS RENDERING AGE 0-20 208 2,058 199 450 78 188 207 280
1487665030 THAKKAR, JAGRUTI A, DDS 2021 FFS RENDERING AGE 21+ 209 1,273 115 118 93 282 80 80
1487665030 THAKKAR, JAGRUTI A, DDS 2021 PHP RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1487667390 TANG DANIEL K 2021 FFS RENDERING AGE 0-20 38 151 36 72 1 2 30 36
1487667390 TANG DANIEL K 2021 FFS RENDERING AGE 21+ 155 571 106 106 83 209 106 106
1487667390 TANG DANIEL K 2021 PHP RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1487679809 MCCLURE JEFFREY 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1487700209 BUI, MAI Q, DDS 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1487700209 BUI, MAI Q, DDS 2021 FFS RENDERING AGE 21+ 73 392 42 82 49 147 50 50
1487700209 BUI, MAI Q, DDS 2021 GMC RENDERING AGE 0-20 114 742 92 237 59 168 108 119
1487700209 BUI, MAI Q, DDS 2021 GMC RENDERING AGE 21+ 419 2,305 232 468 221 570 374 393
1487700670 UNKNOWN 2021 FFS RENDERING AGE 0-20 51 421 43 182 26 61 31 31
1487700670 UNKNOWN 2021 FFS RENDERING AGE 21+ 346 2,327 130 193 287 1,166 172 174
1487700670 UNKNOWN 2021 PHP RENDERING AGE 0-20 26 131 21 51 11 22 22 22
1487700670 UNKNOWN 2021 PHP RENDERING AGE 21+ 55 269 26 55 30 83 31 31
1487700670 VEINBERG, ABEN, DDS 2021 FFS RENDERING AGE 0-20 51 421 43 182 26 61 31 31
1487700670 VEINBERG, ABEN, DDS 2021 FFS RENDERING AGE 21+ 346 2,327 130 193 287 1,166 172 174
1487700670 VEINBERG, ABEN, DDS 2021 PHP RENDERING AGE 0-20 26 131 21 51 11 22 22 22
1487700670 VEINBERG, ABEN, DDS 2021 PHP RENDERING AGE 21+ 55 269 26 55 30 83 31 31
1487702114 CEJA, FRANK DDS 2021 FFS RENDERING AGE 0-20 167 1,155 130 463 69 259 150 192
1487702114 CEJA, FRANK DDS 2021 FFS RENDERING AGE 21+ 189 887 103 103 114 363 141 141
1487704326 HALLIDAY RANDALL W 2021 FFS RENDERING AGE 0-20 362 1,651 0 0 190 1,108 272 273
1487704326 HALLIDAY RANDALL W 2021 FFS RENDERING AGE 21+ 429 2,185 0 0 226 1,593 293 293
1487706339 DEFAY MYRIAM M 2021 FFS RENDERING AGE 0-20 474 4,875 471 1,840 168 351 455 625
1487706339 DEFAY MYRIAM M 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1487708400 SEHEULT, RUSSELL DDS 2021 FFS RENDERING AGE 0-20 952 8,786 548 1,725 641 5,208 444 447
1487708400 SEHEULT, RUSSELL DDS 2021 FFS RENDERING AGE 21+ 1,047 8,067 651 1,146 844 5,308 273 273
1487713210 AHMED MOHAMMAD 2021 FFS RENDERING AGE 0-20 27 56 1 1 17 33 1 1
1487713210 AHMED MOHAMMAD 2021 FFS RENDERING AGE 21+ 168 672 1 1 145 607 19 19
1487713210 AHMED MOHAMMAD 2021 GMC RENDERING AGE 0-20 340 2,407 176 538 231 990 241 260
1487713210 AHMED MOHAMMAD 2021 GMC RENDERING AGE 21+ 475 2,857 77 134 348 1,681 266 270
1487713210 AHMED MOHAMMAD 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1487716379 VILLARROEL LAURA T 2021 FFS RENDERING AGE 0-20 327 2,914 218 784 173 815 290 306
1487716379 VILLARROEL LAURA T 2021 FFS RENDERING AGE 21+ 219 1,344 28 56 161 729 136 138
1487716510 KHAN FAROOQ H 2021 FFS RENDERING AGE 0-20 1,207 6,826 812 2,769 235 453 1,085 1,177
1487716510 KHAN FAROOQ H 2021 FFS RENDERING AGE 21+ 1,598 6,284 701 1,320 682 2,120 1,116 1,116
1487721411 VU, TRANG KHANH DDS 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1487728986 NGUYEN YEN K 2021 FFS RENDERING AGE 0-20 76 706 73 208 37 170 74 83
1487728986 NGUYEN YEN K 2021 FFS RENDERING AGE 21+ 185 1,608 124 248 134 712 138 138
1487729729 DICKEY, LEONEL V, DDS 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1487732046 GURVIS RAFAEL L 2021 FFS RENDERING AGE 0-20 47 340 31 86 14 22 33 33
1487732046 GURVIS RAFAEL L 2021 FFS RENDERING AGE 21+ 135 479 36 72 83 164 52 52
1487740973 SACKETT CHARLES E 2021 FFS RENDERING AGE 0-20 7,775 49,521 7,393 21,015 4,521 6,612 7,372 8,356
1487740973 SACKETT CHARLES E 2021 FFS RENDERING AGE 21+ 1 2 1 1 0 0 1 1
1487745469 VALDERRAMA CLARINDA T 2021 FFS RENDERING AGE 0-20 409 2,309 350 929 120 378 359 410
1487745469 VALDERRAMA CLARINDA T 2021 FFS RENDERING AGE 21+ 563 2,227 215 415 278 813 432 440
1487756599 HASHIMOTO SCOTT M 2021 FFS RENDERING AGE 0-20 113 776 93 223 65 158 95 116
1487756599 HASHIMOTO SCOTT M 2021 FFS RENDERING AGE 21+ 150 751 78 129 109 207 81 81
1487757704 VU, TRANG THUY, DDS 2021 FFS RENDERING AGE 0-20 112 1,167 106 271 50 119 105 125
1487757704 VU, TRANG THUY, DDS 2021 FFS RENDERING AGE 21+ 108 971 85 88 58 138 96 96
1487765814 KIM DEBBIE 2021 FFS RENDERING AGE 0-20 344 1,926 133 366 281 780 127 129
1487765814 KIM DEBBIE 2021 FFS RENDERING AGE 21+ 23 105 1 1 19 58 1 1
1487765954 NGUYEN-NGO NATHALIE J 2021 FFS RENDERING AGE 0-20 226 1,170 220 498 81 144 212 237
1487765954 NGUYEN-NGO NATHALIE J 2021 FFS RENDERING AGE 21+ 47 134 36 37 1 2 16 16
1487768743 NGUYEN, BAO L, DDS INC 2021 FFS RENDERING AGE 0-20 78 975 69 222 23 64 71 82
1487768743 NGUYEN, BAO L, DDS INC 2021 FFS RENDERING AGE 21+ 210 2,309 134 255 73 162 160 160
1487770558 RABIZADEH SHAWN 2021 FFS RENDERING AGE 0-20 709 5,282 516 1,572 396 1,198 554 637
1487770558 RABIZADEH SHAWN 2021 FFS RENDERING AGE 21+ 977 4,868 270 418 674 2,329 623 629
1487770558 RABIZADEH SHAWN 2021 GMC RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1487770558 RABIZADEH SHAWN 2021 PHP RENDERING AGE 0-20 67 490 58 192 21 50 63 74
1487770558 RABIZADEH SHAWN 2021 PHP RENDERING AGE 21+ 106 418 23 46 49 146 75 78
1487773594 AGUAS GERARD P 2021 FFS RENDERING AGE 0-20 66 702 62 203 1 2 54 59
1487773594 AGUAS GERARD P 2021 FFS RENDERING AGE 21+ 118 788 71 72 54 123 69 70
1487782801 SADIGHI RAMIN 2021 FFS RENDERING AGE 0-20 53 230 1 1 1 1 1 1
1487782801 SADIGHI RAMIN 2021 FFS RENDERING AGE 21+ 70 302 1 1 1 2 1 1
1487783163 NGUYEN, CHINH TRUONG DDS 2021 FFS RENDERING AGE 0-20 578 4,977 442 1,046 310 846 456 514
1487783163 NGUYEN, CHINH TRUONG DDS 2021 FFS RENDERING AGE 21+ 574 2,807 198 216 345 1,116 391 391
1487783528 HARRINGTON, DOUGLAS J, DDS 2021 FFS RENDERING AGE 0-20 85 653 83 313 24 99 81 126
1487783700 BAUTISTA RAMIL C 2021 FFS RENDERING AGE 0-20 157 2,550 147 561 100 547 150 206
1487783700 BAUTISTA RAMIL C 2021 FFS RENDERING AGE 21+ 254 2,925 165 319 195 899 201 201
1487784328 FREEMAN, SIDNEY B, DDS 2021 FFS RENDERING AGE 0-20 95 547 64 173 47 158 66 70
1487784328 FREEMAN, SIDNEY B, DDS 2021 FFS RENDERING AGE 21+ 315 1,638 168 169 235 857 184 184
1487786356 ANTYPAS, JOSEPH DDS 2021 FFS RENDERING AGE 0-20 149 1,807 133 625 57 155 139 153
1487786356 ANTYPAS, JOSEPH DDS 2021 FFS RENDERING AGE 21+ 264 2,748 187 382 184 580 218 221
1487786851 MYINT, AUNG DDS 2021 FFS RENDERING AGE 0-20 123 588 67 182 40 61 89 89
1487786851 MYINT, AUNG DDS 2021 FFS RENDERING AGE 21+ 84 344 41 80 39 54 55 55
1487790978 BUSKIRK, MICHAEL W, DDS 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1487790978 BUSKIRK, MICHAEL W, DDS 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 2 0 0
1487795738 DASTUR VAN ANH T 2021 PHP RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1487795738 DASTUR VAN ANH T 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1487796348 SCOMA ANTHONY J 2021 FFS RENDERING AGE 0-20 54 977 36 88 35 663 39 41
1487796348 SCOMA ANTHONY J 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1487799227 SHOFFET-YAGHOUBIAN, ROYA DMD 2021 FFS RENDERING AGE 0-20 36 378 33 142 13 17 34 44
1487799227 SHOFFET-YAGHOUBIAN, ROYA DMD 2021 FFS RENDERING AGE 21+ 27 200 18 35 14 26 20 20
1487837803 DERHARTOUNIAN, HARMIK, DDS 2021 FFS RENDERING AGE 0-20 172 3,468 143 748 89 802 136 296
1487837803 DERHARTOUNIAN, HARMIK, DDS 2021 FFS RENDERING AGE 21+ 536 8,042 245 930 393 4,540 390 780
1487837803 DERHARTOUNIAN, HARMIK, DDS 2021 PHP RENDERING AGE 0-20 27 448 25 132 15 158 23 56
1487837803 DERHARTOUNIAN, HARMIK, DDS 2021 PHP RENDERING AGE 21+ 89 1,322 68 260 54 630 79 160
1487840351 YOON JONG S 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1487852794 DO HIEU V 2021 PHP RENDERING AGE 0-20 82 776 80 366 79 104 61 67
1487852794 DO HIEU V 2021 PHP RENDERING AGE 21+ 86 397 23 60 64 165 22 22
1487857413 SANCHEZ, JOSE M, DDS 2021 FFS RENDERING AGE 0-20 206 1,823 141 414 125 458 170 193
1487857413 SANCHEZ, JOSE M, DDS 2021 FFS RENDERING AGE 21+ 264 1,940 61 109 211 993 170 170
1487860250 LE KHAM THI D 2021 FFS RENDERING AGE 0-20 25 304 21 60 14 39 22 23
1487860250 LE KHAM THI D 2021 FFS RENDERING AGE 21+ 37 437 21 41 25 143 24 25
1487860813 ISBERG, STEPHEN C, DDS 2021 FFS RENDERING AGE 0-20 339 2,488 330 1,059 1 1 336 336
1487864856 NGUYEN KHOI P 2021 FFS RENDERING AGE 0-20 205 2,223 190 539 103 314 190 244
1487864856 NGUYEN KHOI P 2021 FFS RENDERING AGE 21+ 218 2,008 157 311 144 546 175 175
1487865747 JOE, JINHO DDS 2021 FFS RENDERING AGE 0-20 765 10,461 696 2,464 441 1,164 661 744
1487865747 JOE, JINHO DDS 2021 FFS RENDERING AGE 21+ 750 6,103 425 844 503 1,925 544 544
1487865747 JOE, JINHO DDS 2021 PHP RENDERING AGE 0-20 1 1 1 1 1 1 0 0
1487870457 PHAM, PHUNG KIM DDS 2021 FFS RENDERING AGE 0-20 83 549 75 234 35 65 80 84
1487870457 PHAM, PHUNG KIM DDS 2021 FFS RENDERING AGE 21+ 329 1,914 199 399 236 657 276 278
1487875464 HYUN DEREK D 2021 FFS RENDERING AGE 0-20 44 353 43 100 20 45 39 51
1487875464 HYUN DEREK D 2021 FFS RENDERING AGE 21+ 135 811 84 84 79 346 108 108
1487879110 DE BOURG HANNALEAL R 2021 FFS RENDERING AGE 0-20 210 2,379 180 519 79 255 176 209
1487879110 DE BOURG HANNALEAL R 2021 FFS RENDERING AGE 21+ 80 579 37 38 40 102 50 50
1487880589 CABALLERO JANE E 2021 FFS RENDERING AGE 0-20 2,662 32,237 2,194 6,038 1,798 11,086 1,827 2,044
1487880589 CABALLERO JANE E 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 1 1 1
1487880589 CABALLERO JANE E 2021 PHP RENDERING AGE 0-20 152 1,384 80 222 141 589 22 23
1487891313 ARRECHEA RAUL E 2021 FFS RENDERING AGE 0-20 125 1,356 122 323 60 269 124 165
1487891313 ARRECHEA RAUL E 2021 FFS RENDERING AGE 21+ 401 3,218 266 532 288 1,627 374 375
1487901682 SABBAGHIAN RAMONA 2021 PHP RENDERING AGE 0-20 1 1 1 1 1 1 0 0
1487901682 SABBAGHIAN RAMONA 2021 PHP RENDERING AGE 21+ 1 1 1 1 0 0 0 0
1487932307 MILLER YARON 2021 FFS RENDERING AGE 0-20 35 313 33 68 1 2 35 35
1487932307 MILLER YARON 2021 FFS RENDERING AGE 21+ 1 2 1 1 0 0 1 1
1487936647 GHASSEMI BAKHTI PEGAH 2021 FFS RENDERING AGE 0-20 72 516 65 163 25 80 50 58
1487936647 GHASSEMI BAKHTI PEGAH 2021 FFS RENDERING AGE 21+ 241 1,957 167 285 179 796 129 129
1487941340 FAELDAN-SUAREZ MARISSA V 2021 FFS RENDERING AGE 0-20 528 4,954 501 1,949 379 1,158 502 664
1487941340 FAELDAN-SUAREZ MARISSA V 2021 PHP RENDERING AGE 0-20 22 213 13 38 21 111 1 1
1487953949 BRAVO ESPINOZA MARIA V 2021 FFS RENDERING AGE 0-20 108 1,066 95 296 69 291 103 115
1487953949 BRAVO ESPINOZA MARIA V 2021 FFS RENDERING AGE 21+ 212 1,647 30 46 151 881 151 151
1487957874 LOOYZADEH MELINA 2021 FFS RENDERING AGE 0-20 17 40 16 33 0 0 1 1
1487957874 LOOYZADEH MELINA 2021 FFS RENDERING AGE 21+ 52 142 23 41 25 73 1 1
1487957874 LOOYZADEH MELINA 2021 PHP RENDERING AGE 0-20 16 61 1 2 1 2 1 1
1487957874 LOOYZADEH MELINA 2021 PHP RENDERING AGE 21+ 31 104 1 1 24 82 1 1
1487964367 RODRIGUEZ RICARDO 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1487964367 RODRIGUEZ RICARDO 2021 FFS RENDERING AGE 21+ 53 418 1 1 44 272 34 34
1487967154 SHELECHI BEHZAD 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1487967154 SHELECHI BEHZAD 2021 FFS RENDERING AGE 21+ 246 525 0 0 245 438 85 87
1497000848 CHUNDURI RAJESH 2021 FFS RENDERING AGE 0-20 1 2 1 1 0 0 1 1
1497000848 CHUNDURI RAJESH 2021 GMC RENDERING AGE 0-20 932 6,068 892 2,046 158 287 916 999
1497000848 CHUNDURI RAJESH 2021 GMC RENDERING AGE 21+ 740 4,394 459 917 238 646 649 650
1497003107 DHAWAN PABINA 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1497003107 DHAWAN PABINA 2021 GMC RENDERING AGE 0-20 998 5,301 494 1,168 655 1,180 495 518
1497003107 DHAWAN PABINA 2021 GMC RENDERING AGE 21+ 837 3,629 129 257 562 1,199 327 328
1497014146 RAMSEY BRENT J 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1497018865 MANN, HASANDEEP S MD 2021 FFS RENDERING AGE 0-20 246 559 0 0 246 559 0 0
1497020119 ROUHANI AND KHABBAZ DENTAL 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 1 1
1497020119 ROUHANI AND KHABBAZ DENTAL 2021 PHP RENDERING AGE 21+ 1 2 0 0 1 2 1 1
1497022701 KAOU MOHAMED A 2021 FFS RENDERING AGE 0-20 516 1,943 1 1 505 1,678 184 184
1497022701 KAOU MOHAMED A 2021 FFS RENDERING AGE 21+ 628 2,208 1 1 604 1,894 134 134
1497034391 NAZLOYAN ARSEN 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1497034391 NAZLOYAN ARSEN 2021 FFS RENDERING AGE 21+ 17 73 1 1 12 25 1 1
1497041826 KLEIN DANIEL M 2021 FFS RENDERING AGE 0-20 183 1,900 172 652 126 434 160 196
1497041826 KLEIN DANIEL M 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1497041826 KLEIN DANIEL M 2021 PHP RENDERING AGE 0-20 1 2 1 2 1 2 0 0
1497071179 SANGHA VREITI 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1497071179 SANGHA VREITI 2021 FFS RENDERING AGE 21+ 106 285 0 0 106 285 0 0
1497071179 SANGHA VREITI 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1497071179 SANGHA VREITI 2021 PHP RENDERING AGE 0-20 1 1 1 1 1 1 1 1
1497071179 SANGHA VREITI 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1497082200 ATALLA, HANNA, DDS 2021 FFS RENDERING AGE 0-20 57 447 53 195 39 86 53 56
1497082200 ATALLA, HANNA, DDS 2021 FFS RENDERING AGE 21+ 132 668 49 96 87 322 121 121
1497082200 ATALLA, HANNA, DDS 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1497082200 ATALLA, HANNA, DDS 2021 PHP RENDERING AGE 21+ 12 50 1 1 1 2 1 1
1497114458 PANNU JASMEET S 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1497114458 PANNU JASMEET S 2021 GMC RENDERING AGE 0-20 12 54 1 2 1 1 1 1
1497114458 PANNU JASMEET S 2021 GMC RENDERING AGE 21+ 17 59 1 1 13 23 1 1
1497126353 BABAIAN SARO A 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1497144281 VASOYA DIPAK 2021 FFS RENDERING AGE 0-20 382 5,332 362 1,547 196 462 375 489
1497144281 VASOYA DIPAK 2021 FFS RENDERING AGE 21+ 695 5,531 451 895 337 1,105 597 597
1497145064 JANG, S, DDS INCORPORATED 2021 GMC RENDERING AGE 0-20 1 2 1 1 1 2 0 0
1497145064 S JANG DDS INC 2021 GMC RENDERING AGE 0-20 1 2 1 1 1 2 0 0
1497151724 BU, DING, DDS DENTAL CORP 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1497156038 MIRZOYAN YEGHISHEH 2021 FFS RENDERING AGE 0-20 1,094 16,621 943 3,604 752 3,175 983 1,309
1497156038 MIRZOYAN YEGHISHEH 2021 FFS RENDERING AGE 21+ 1,136 7,858 309 593 887 4,642 659 660
1497156038 MIRZOYAN YEGHISHEH 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1497165583 SAGONG HOON 2021 PHP RENDERING AGE 0-20 32 177 0 0 29 37 28 29
1497165583 SAGONG HOON 2021 PHP RENDERING AGE 21+ 195 1,131 1 1 132 184 182 190
1497171904 KIM SUSAN H 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1497171904 KIM SUSAN H 2021 FFS RENDERING AGE 21+ 56 245 37 37 25 91 47 47
1497176713 TSAI & SNOWDEN PROFESSIONAL 2021 FFS RENDERING AGE 0-20 1 1 1 1 1 1 0 0
1497176713 TSAI & SNOWDEN PROFESSIONAL 2021 PHP RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1497196117 ABUDE PETER 2021 FFS RENDERING AGE 0-20 45 332 41 86 17 95 41 47
1497196117 ABUDE PETER 2021 FFS RENDERING AGE 21+ 120 674 40 41 78 320 108 109
1497196349 COHEN SEDGH MANAVI & PAKRAVA 2021 FFS RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1497196349 COHEN SEDGH MANAVI & PAKRAVA 2021 PHP RENDERING AGE 0-20 26 86 1 2 1 1 12 13
1497196349 COHEN SEDGH MANAVI & PAKRAVA 2021 PHP RENDERING AGE 21+ 28 65 1 1 1 2 1 1
1497196349 COHEN SEDGH, MANAVI & PAKRAVAN DENTAL CORPORATION 2021 FFS RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1497196349 COHEN SEDGH, MANAVI & PAKRAVAN DENTAL CORPORATION 2021 PHP RENDERING AGE 0-20 26 86 1 2 1 1 12 13
1497196349 COHEN SEDGH, MANAVI & PAKRAVAN DENTAL CORPORATION 2021 PHP RENDERING AGE 21+ 28 65 1 1 1 2 1 1
1497196737 GUPTA NIDHI 2021 FFS RENDERING AGE 0-20 555 2,295 294 874 46 64 471 488
1497196737 GUPTA NIDHI 2021 FFS RENDERING AGE 21+ 1,147 3,334 123 180 577 1,179 679 681
1497196737 GUPTA NIDHI 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1497209183 ASTARAEE NIMA 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1497209183 ASTARAEE NIMA 2021 FFS RENDERING AGE 21+ 43 153 0 0 43 153 0 0
1497231385 LEE YOOJIN 2021 FFS RENDERING AGE 0-20 40 75 1 1 11 20 22 22
1497231385 LEE YOOJIN 2021 FFS RENDERING AGE 21+ 77 141 1 1 18 32 45 45
1497234413 LOPES CHRISTOPHER B 2021 FFS RENDERING AGE 0-20 32 269 25 105 31 110 26 26
1497234413 LOPES CHRISTOPHER B 2021 FFS RENDERING AGE 21+ 63 385 41 81 53 204 50 50
1497240063 LIN VINCENT 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 0 0
1497242549 TAYLOR JACOB T 2021 FFS RENDERING AGE 0-20 46 140 0 0 46 140 0 0
1497242549 TAYLOR JACOB T 2021 FFS RENDERING AGE 21+ 23 63 0 0 23 63 0 0
1497244701 YUE OLIVIA YAT T 2021 FFS RENDERING AGE 0-20 107 323 0 0 15 37 0 0
1497244701 YUE OLIVIA YAT T 2021 FFS RENDERING AGE 21+ 1 2 0 0 0 0 0 0
1497257372 DUONG AMANDA A 2021 FFS RENDERING AGE 0-20 382 2,538 342 1,163 211 502 315 401
1497257372 DUONG AMANDA A 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 0 0
1497266332 LEE KEVIN S 2021 FFS RENDERING AGE 0-20 284 463 0 0 60 152 0 0
1497266332 LEE KEVIN S 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1497278725 BEHJAT JOSEPH B 2021 FFS RENDERING AGE 0-20 123 694 15 17 74 213 78 82
1497278725 BEHJAT JOSEPH B 2021 FFS RENDERING AGE 21+ 667 3,151 32 34 423 1,047 433 452
1497285407 CHAY JONATHAN W 2021 FFS RENDERING AGE 0-20 1,250 11,695 868 2,549 956 3,585 775 810
1497285407 CHAY JONATHAN W 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1497288377 VILORIA EDWARD L 2021 FFS RENDERING AGE 0-20 208 348 0 0 72 149 0 0
1497288377 VILORIA EDWARD L 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1497303267 TOBON JAIME A 2021 FFS RENDERING AGE 0-20 36 200 11 26 27 78 20 23
1497303267 TOBON JAIME A 2021 FFS RENDERING AGE 21+ 125 661 1 1 98 406 67 67
1497311534 ZHOU ZHAO 2021 FFS RENDERING AGE 0-20 353 4,898 289 1,238 268 1,061 284 332
1497311534 ZHOU ZHAO 2021 FFS RENDERING AGE 21+ 188 2,422 114 227 133 566 138 138
1497326862 AMIR KHAN ALI 2021 FFS RENDERING AGE 0-20 75 289 43 92 23 35 49 49
1497326862 AMIR KHAN ALI 2021 FFS RENDERING AGE 21+ 101 305 22 27 50 80 48 49
1497326862 AMIR KHAN ALI 2021 PHP RENDERING AGE 0-20 17 60 13 32 1 1 15 15
1497326862 AMIR KHAN ALI 2021 PHP RENDERING AGE 21+ 15 30 1 1 1 2 1 1
1497342737 ALJANABI HADEL S 2021 FFS RENDERING AGE 0-20 416 2,026 273 659 275 853 142 142
1497342737 ALJANABI HADEL S 2021 FFS RENDERING AGE 21+ 456 1,603 143 256 307 922 141 141
1497353544 ESFAHANI ALI 2021 FFS RENDERING AGE 0-20 282 1,407 191 510 88 303 222 232
1497353544 ESFAHANI ALI 2021 FFS RENDERING AGE 21+ 491 1,703 95 115 216 646 304 304
1497353544 ESFAHANI ALI 2021 PHP RENDERING AGE 0-20 57 293 43 130 15 25 49 53
1497353544 ESFAHANI ALI 2021 PHP RENDERING AGE 21+ 159 381 52 62 45 114 124 129
1497366033 YI JIN 2021 FFS RENDERING AGE 0-20 506 4,101 453 1,277 298 786 462 480
1497366033 YI JIN 2021 FFS RENDERING AGE 21+ 593 4,193 291 551 422 1,716 393 393
1497379242 HOPE, KIMBERLY HEATHER, RDHA 2021 FFS RENDERING AGE 0-20 85 386 85 357 0 0 0 0
1497379242 HOPE, KIMBERLY HEATHER, RDHA 2021 FFS RENDERING AGE 21+ 58 160 56 108 1 1 0 0
1497392336 SHETH PALAK K 2021 FFS RENDERING AGE 0-20 39 107 1 2 1 1 30 30
1497392336 SHETH PALAK K 2021 FFS RENDERING AGE 21+ 153 366 17 33 60 96 82 82
1497392336 SHETH PALAK K 2021 GMC RENDERING AGE 0-20 173 687 78 171 42 56 106 109
1497392336 SHETH PALAK K 2021 GMC RENDERING AGE 21+ 266 681 74 143 168 250 80 80
1497393896 ABDULLAH MARCO 2021 FFS RENDERING AGE 0-20 158 744 92 248 54 90 125 125
1497393896 ABDULLAH MARCO 2021 FFS RENDERING AGE 21+ 263 678 20 40 152 280 124 124
1497396030 KAUR RAVLEEN 2021 FFS RENDERING AGE 0-20 509 1,624 35 48 209 469 325 330
1497396030 KAUR RAVLEEN 2021 FFS RENDERING AGE 21+ 887 2,216 0 0 372 744 473 473
1497706246 ADOMIAN GARO J 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1497706246 ADOMIAN GARO J 2021 FFS RENDERING AGE 21+ 39 164 29 29 25 65 24 24
1497712186 GREWAL PRABHDEEP S 2021 GMC RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1497737175 JOHN GLORIA G 2021 FFS RENDERING AGE 0-20 491 5,036 401 1,154 279 1,079 394 411
1497737175 JOHN GLORIA G 2021 FFS RENDERING AGE 21+ 61 209 18 36 15 46 43 43
1497737175 JOHN GLORIA G 2021 PHP RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1497737175 JOHN GLORIA G 2021 PHP RENDERING AGE 21+ 17 36 1 1 1 2 11 11
1497745533 YOSHIDA, ELMER, DDS 2021 FFS RENDERING AGE 0-20 143 1,206 137 574 56 155 136 164
1497745533 YOSHIDA, ELMER, DDS 2021 FFS RENDERING AGE 21+ 149 927 123 125 104 387 126 126
1497758304 GUIJON JOHN A 2021 FFS RENDERING AGE 0-20 92 1,960 70 235 92 998 41 42
1497775357 CHOBDEE JAY J 2021 FFS RENDERING AGE 0-20 140 1,398 116 243 63 143 126 132
1497775357 CHOBDEE JAY J 2021 FFS RENDERING AGE 21+ 240 1,757 99 99 169 421 153 153
1497794903 CHEN TENGLANG 2021 FFS RENDERING AGE 0-20 63 454 44 127 15 23 47 52
1497794903 CHEN TENGLANG 2021 FFS RENDERING AGE 21+ 80 532 27 62 36 92 46 46
1497800155 YOUSEFZADEH-GHOOCHANI, HENGA 2021 FFS RENDERING AGE 0-20 15 123 15 58 0 0 14 21
1497800155 YOUSEFZADEH-GHOOCHANI, HENGA 2021 FFS RENDERING AGE 21+ 12 62 1 2 1 1 1 1
1497800643 DO TONY D 2021 FFS RENDERING AGE 0-20 69 666 65 182 32 114 67 90
1497800643 DO TONY D 2021 FFS RENDERING AGE 21+ 106 877 72 144 72 371 87 87
1497802342 SAFA YOUNES 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1497805642 ESHRAGHI MAZIAR 2021 FFS RENDERING AGE 0-20 629 2,494 1 2 462 622 481 485
1497805642 ESHRAGHI MAZIAR 2021 FFS RENDERING AGE 21+ 1,281 2,850 0 0 972 1,474 671 671
1497805642 ESHRAGHI MAZIAR 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1497805642 ESHRAGHI MAZIAR 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1497805857 HOU LI M 2021 FFS RENDERING AGE 0-20 1 2 0 0 0 0 1 1
1497805857 HOU LI M 2021 FFS RENDERING AGE 21+ 1,449 6,949 0 0 777 4,772 1,120 1,120
1497808240 MARGULIES STEVEN ANDREW 2021 PHP RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1497810170 HUI WALLY T 2021 FFS RENDERING AGE 0-20 170 2,657 160 747 62 241 167 245
1497810170 HUI WALLY T 2021 FFS RENDERING AGE 21+ 328 2,782 251 507 197 753 286 292
1497814214 MOAWAD, EMAD 2021 FFS RENDERING AGE 0-20 249 1,793 150 398 128 342 146 146
1497814214 MOAWAD, EMAD 2021 FFS RENDERING AGE 21+ 507 2,611 106 233 379 1,014 243 246
1497814214 MOAWAD, EMAD 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1497814214 MOAWAD, EMAD 2021 PHP RENDERING AGE 21+ 15 79 1 2 1 2 12 12
1497816987 RAYAS JR, FRANCISCO J, DDS 2021 FFS RENDERING AGE 0-20 110 982 94 280 35 205 106 152
1497816987 RAYAS JR, FRANCISCO J, DDS 2021 FFS RENDERING AGE 21+ 236 2,044 162 317 162 683 179 179
1497821193 SANGER JR DAVID C 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1497823561 MASSOUMI SAFOURA 2021 FFS RENDERING AGE 0-20 52 375 42 88 13 50 39 40
1497823561 MASSOUMI SAFOURA 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1497826028 KASSEM AHMED Y 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1497826028 KASSEM AHMED Y 2021 FFS RENDERING AGE 21+ 31 80 1 1 25 69 1 1
1497838486 MEDINA-RANGEL, DIANA MARCELA 2021 FFS RENDERING AGE 0-20 107 918 101 385 48 137 105 157
1497838486 MEDINA-RANGEL, DIANA MARCELA 2021 FFS RENDERING AGE 21+ 111 540 51 99 71 188 89 89
1497842041 YAFAI, ISAC, DDS 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1497842041 YAFAI, ISAC, DDS 2021 FFS RENDERING AGE 21+ 43 172 37 37 20 40 1 1
1497853725 KALRA, AMIT, DDS 2021 FFS RENDERING AGE 0-20 101 1,034 54 149 69 226 75 80
1497853725 KALRA, AMIT, DDS 2021 FFS RENDERING AGE 21+ 471 3,607 62 106 374 1,499 272 278
1497853725 KALRA, AMIT, DDS 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1497863765 KIEU, KEVIN N, DDS 2021 FFS RENDERING AGE 0-20 38 129 0 0 23 74 0 0
1497864250 NGUYEN, CHRISTINA L, DDS INC 2021 FFS RENDERING AGE 0-20 52 533 49 175 24 64 46 48
1497864250 NGUYEN, CHRISTINA L, DDS INC 2021 FFS RENDERING AGE 21+ 180 1,445 97 193 117 561 152 153
1497866834 VAUGHAN MICHAEL D 2021 GMC RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1497875041 LEE HAEJEAN 2021 FFS RENDERING AGE 0-20 1 2 1 1 0 0 1 1
1497875041 LEE HAEJEAN 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1497883136 LAM SAMSON W 2021 PHP RENDERING AGE 0-20 1 2 1 1 0 0 1 1
1497883136 LAM SAMSON W 2021 PHP RENDERING AGE 21+ 20 56 1 1 16 32 1 1
1497884332 HODES, MARTIN DDS 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1497884332 HODES, MARTIN DDS 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1497890768 SAYEDNA SHAHRAM 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1497890768 SAYEDNA SHAHRAM 2021 FFS RENDERING AGE 21+ 48 196 38 38 18 57 41 41
1497891261 SIAZON, ELEANOR A, DMD 2021 FFS RENDERING AGE 0-20 764 3,051 483 1,036 301 787 312 316
1497891261 SIAZON, ELEANOR A, DMD 2021 FFS RENDERING AGE 21+ 226 717 61 111 105 259 86 86
1497891261 SIAZON, ELEANOR A, DMD 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1497892699 ABRISHAMI BABAK 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 1 1
1497892699 ABRISHAMI BABAK 2021 FFS RENDERING AGE 21+ 2,732 6,824 541 731 2,650 3,599 2,474 2,474
1497892699 ABRISHAMI BABAK 2021 PHP RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1497904122 KIM STEVE S 2021 FFS RENDERING AGE 0-20 675 13,543 662 3,336 305 1,028 666 991
1497904122 KIM STEVE S 2021 FFS RENDERING AGE 21+ 248 2,164 173 345 162 489 184 184
1497912281 LEE, SEAN , DDS 2021 FFS RENDERING AGE 0-20 91 633 67 165 32 85 56 61
1497912281 LEE, SEAN , DDS 2021 FFS RENDERING AGE 21+ 171 1,091 35 44 92 251 98 104
1497922827 NGUYEN CATHERINE H 2021 FFS RENDERING AGE 0-20 13 82 11 27 1 2 11 13
1497922827 NGUYEN CATHERINE H 2021 FFS RENDERING AGE 21+ 71 460 42 74 39 174 60 64
1497930457 KIM, HYUN WOO, DDS INC 2021 FFS RENDERING AGE 0-20 20 137 1 2 13 40 16 16
1497930457 KIM, HYUN WOO, DDS INC 2021 FFS RENDERING AGE 21+ 63 690 44 88 47 325 52 52
1497938401 HERNANDEZ ELSA W 2021 FFS RENDERING AGE 0-20 3,908 63,629 3,740 16,741 2,227 7,951 3,379 4,331
1497938401 HERNANDEZ ELSA W 2021 FFS RENDERING AGE 21+ 1,829 17,573 1,578 4,230 1,110 3,380 1,366 1,373
1497943310 ZORAPAPEL NADIA C 2021 FFS RENDERING AGE 0-20 12 34 0 0 12 34 0 0
1497943310 ZORAPAPEL NADIA C 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1497946552 HERNANDEZ ERICK M 2021 FFS RENDERING AGE 0-20 100 796 86 263 39 158 95 108
1497946552 HERNANDEZ ERICK M 2021 FFS RENDERING AGE 21+ 229 1,545 125 232 149 809 184 184
1497947154 PHARAR, VIJAY DNTL CORP 2021 PHP RENDERING AGE 0-20 28 179 27 127 1 1 26 26
1497947154 PHARAR, VIJAY DNTL CORP 2021 PHP RENDERING AGE 21+ 1 2 1 2 1 2 1 1
1497947378 FRONDA, MELQUAIDES DMD 2021 FFS RENDERING AGE 0-20 34 188 25 45 14 40 24 26
1497947378 FRONDA, MELQUAIDES DMD 2021 FFS RENDERING AGE 21+ 132 743 35 35 88 397 92 92
1497955819 AGHEL, SOHEILA, RDHAP 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 0 0
1497955819 AGHEL, SOHEILA, RDHAP 2021 FFS RENDERING AGE 21+ 1,076 4,859 1,039 1,860 1,076 2,988 0 0
1497958623 TRENT JANNETTE F 2021 FFS RENDERING AGE 0-20 109 717 93 211 41 129 92 95
1497958623 TRENT JANNETTE F 2021 FFS RENDERING AGE 21+ 233 1,179 120 190 147 312 134 134
1497958623 TRENT JANNETTE F 2021 PHP RENDERING AGE 0-20 162 1,137 141 346 86 165 146 153
1497958623 TRENT JANNETTE F 2021 PHP RENDERING AGE 21+ 445 2,554 329 633 275 690 320 324
1497965636 ALVIRI ALI 2021 FFS RENDERING AGE 0-20 122 1,045 90 247 71 278 102 122
1497965636 ALVIRI ALI 2021 FFS RENDERING AGE 21+ 229 1,679 84 94 155 804 166 167
1497965636 ALVIRI ALI 2021 PHP RENDERING AGE 0-20 1 2 1 2 1 1 1 2
1497965636 ALVIRI ALI 2021 PHP RENDERING AGE 21+ 25 90 12 14 15 32 17 20
1497968333 SHAMMOUT BILAL 2021 PHP RENDERING AGE 0-20 1 2 0 0 1 2 1 1
1497968333 SHAMMOUT BILAL 2021 PHP RENDERING AGE 21+ 51 121 0 0 42 63 49 57
1497968770 YAZDI, MOHAMMADREZA, DDS 2021 FFS RENDERING AGE 0-20 33 104 0 0 1 2 26 26
1497968770 YAZDI, MOHAMMADREZA, DDS 2021 FFS RENDERING AGE 21+ 1 2 0 0 0 0 1 1
1497970362 LUCAS, JAMES DDS 2021 FFS RENDERING AGE 0-20 220 2,151 211 714 19 42 214 230
1497970362 LUCAS, JAMES DDS 2021 FFS RENDERING AGE 21+ 200 1,479 152 303 110 425 174 174
1497970719 HASANY ELY 2021 FFS RENDERING AGE 0-20 117 1,333 115 538 54 134 109 162
1497970719 HASANY ELY 2021 FFS RENDERING AGE 21+ 363 2,137 277 545 189 478 313 313
1497970883 CAMARENA, JUAN A, DDS 2021 FFS RENDERING AGE 0-20 29 258 23 76 16 60 28 33
1497970883 CAMARENA, JUAN A, DDS 2021 FFS RENDERING AGE 21+ 117 674 48 54 82 304 85 85
1497972434 HENRIOD JOEL B 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 0 0
1497972871 GONZALES, THOMAS R, DDS 2021 FFS RENDERING AGE 0-20 100 431 38 64 70 191 51 55
1497972871 GONZALES, THOMAS R, DDS 2021 FFS RENDERING AGE 21+ 389 1,209 35 35 286 627 153 156
1497985618 SAHAKYAN GURGEN 2021 FFS RENDERING AGE 0-20 32 253 24 39 16 77 31 32
1497985618 SAHAKYAN GURGEN 2021 FFS RENDERING AGE 21+ 187 1,198 100 101 111 514 151 152
1497991020 OPINGA RONALDO 2021 FFS RENDERING AGE 0-20 3,571 25,787 1,428 4,397 3,275 11,905 962 1,018
1497991483 LEE BYONG-HWI 2021 FFS RENDERING AGE 0-20 1,192 13,399 1,184 6,050 750 1,802 1,183 2,016
1508002130 REFKIN CHARLES B 2021 FFS RENDERING AGE 0-20 121 342 84 188 46 87 1 1
1508002130 REFKIN CHARLES B 2021 FFS RENDERING AGE 21+ 637 2,283 141 142 540 1,792 1 1
1508011768 MALAKOOTI, HOSSEIN, DDS 2021 FFS RENDERING AGE 0-20 78 963 63 164 38 125 72 85
1508011768 MALAKOOTI, HOSSEIN, DDS 2021 FFS RENDERING AGE 21+ 140 1,590 63 123 107 489 109 109
1508013822 LOPEZ TINOCO YARA S 2021 FFS RENDERING AGE 0-20 238 1,928 202 537 102 294 195 231
1508013822 LOPEZ TINOCO YARA S 2021 FFS RENDERING AGE 21+ 265 1,487 133 264 165 453 164 164
1508015041 MAHGEREFTEH, SALINA DDS 2021 FFS RENDERING AGE 0-20 31 194 24 42 1 2 24 25
1508015041 MAHGEREFTEH, SALINA DDS 2021 FFS RENDERING AGE 21+ 216 2,218 157 296 145 591 196 196
1508025826 EL NOKRASHY, KARIM, DENTAL C 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1508025826 ELNOKRASHY, KARIM DNTL 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1508042599 MAKHSIDA MHD H 2021 FFS RENDERING AGE 0-20 657 1,056 0 0 156 418 0 0
1508042599 MAKHSIDA MHD H 2021 FFS RENDERING AGE 21+ 19 19 0 0 0 0 0 0
1508042599 MAKHSIDA MHD H 2021 GMC RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1508045733 LEE DAVID D 2021 FFS RENDERING AGE 0-20 505 4,530 404 441 227 838 472 508
1508045733 LEE DAVID D 2021 FFS RENDERING AGE 21+ 1,085 9,684 336 343 622 1,924 900 900
1508048687 MARTINEZ KAREN E 2021 FFS RENDERING AGE 0-20 247 1,339 194 513 50 87 219 275
1508048687 MARTINEZ KAREN E 2021 FFS RENDERING AGE 21+ 359 1,173 119 185 133 285 238 238
1508048687 MARTINEZ KAREN E 2021 GMC RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1508048687 MARTINEZ KAREN E 2021 PHP RENDERING AGE 0-20 134 429 81 156 21 42 116 137
1508048687 MARTINEZ KAREN E 2021 PHP RENDERING AGE 21+ 256 641 89 98 68 185 200 211
1508056292 ROUTSONG JEFFREY B 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 2 1 1
1508066143 NAVARRETE GREG I 2021 FFS RENDERING AGE 0-20 156 519 134 152 51 131 122 140
1508066143 NAVARRETE GREG I 2021 FFS RENDERING AGE 21+ 24 68 17 17 1 2 17 17
1508069170 CHOU, DAVID, DDS 2021 FFS RENDERING AGE 0-20 75 343 56 124 23 47 66 73
1508069170 CHOU, DAVID, DDS 2021 FFS RENDERING AGE 21+ 157 747 66 68 117 342 115 116
1508069170 CHOU, DAVID, DDS 2021 PHP RENDERING AGE 0-20 87 564 81 234 12 23 83 101
1508069170 CHOU, DAVID, DDS 2021 PHP RENDERING AGE 21+ 81 490 39 42 46 165 69 70
1508071358 WONG ERIC T 2021 FFS RENDERING AGE 0-20 39 92 0 0 15 43 1 1
1508076498 DREVNA DONALD B 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 1 0 0
1508076498 DREVNA DONALD B 2021 FFS RENDERING AGE 21+ 12 18 1 1 1 1 0 0
1508076688 MANOUKIAN ALICE C 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 2 1 1
1508076688 MANOUKIAN ALICE C 2021 FFS RENDERING AGE 21+ 57 340 41 46 47 172 41 41
1508083056 GONZALEZ VAL V 2021 FFS RENDERING AGE 0-20 135 2,053 135 459 28 67 107 177
1508083056 GONZALEZ VAL V 2021 FFS RENDERING AGE 21+ 79 742 59 114 24 61 56 56
1508087057 TOMA, SILVIA SANCHEZ, DMD 2021 FFS RENDERING AGE 0-20 117 889 86 189 48 133 102 119
1508087057 TOMA, SILVIA SANCHEZ, DMD 2021 FFS RENDERING AGE 21+ 199 1,730 117 230 113 422 166 170
1508092248 URBINA CESINITA A 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1508092248 URBINA CESINITA A 2021 FFS RENDERING AGE 21+ 26 103 21 28 1 2 24 24
1508099268 RAKOW RANA M 2021 FFS RENDERING AGE 0-20 3,529 24,429 3,387 10,070 1,518 1,824 3,431 3,962
1508112285 AVODIAN EDIT 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 2 1 1
1508112285 AVODIAN EDIT 2021 FFS RENDERING AGE 21+ 13 49 1 1 1 2 1 1
1508112285 AVODIAN EDIT 2021 PHP RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1508112285 AVODIAN EDIT 2021 PHP RENDERING AGE 21+ 23 66 0 0 1 2 15 15
1508114125 NARGES, MENALAGHA DDS 2021 FFS RENDERING AGE 0-20 295 3,213 279 909 122 310 286 389
1508114125 NARGES, MENALAGHA DDS 2021 FFS RENDERING AGE 21+ 873 7,229 571 987 695 2,909 666 670
1508114125 NARGES, MENALAGHA DDS 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1508118308 LEE PAULA ANN 2021 GMC RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1508118308 LEE PAULA ANN 2021 GMC RENDERING AGE 21+ 1 2 1 2 1 1 1 1
1508173709 THOMPSON MARIA C 2021 FFS RENDERING AGE 0-20 1 1 1 1 1 1 1 1
1508173709 THOMPSON MARIA C 2021 FFS RENDERING AGE 21+ 97 392 44 79 62 184 53 53
1508190919 BERNAL, DANIEL DDS 2021 FFS RENDERING AGE 0-20 618 8,959 591 2,011 300 820 599 872
1508190919 BERNAL, DANIEL DDS 2021 FFS RENDERING AGE 21+ 319 2,936 177 351 197 493 231 231
1508190919 BERNAL, DANIEL DDS 2021 PHP RENDERING AGE 0-20 1 2 1 2 1 1 1 2
1508190919 BERNAL, DANIEL DDS 2021 PHP RENDERING AGE 21+ 13 80 1 2 1 2 1 1
1508208109 BELL ZARINA 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1508208919 MEHTA PRACHI D 2021 FFS RENDERING AGE 0-20 15 52 13 29 1 1 1 1
1508208919 MEHTA PRACHI D 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1508211939 SAFARCHERATI, HENGAMEH DDS 2021 FFS RENDERING AGE 0-20 32 160 19 51 15 28 22 22
1508211939 SAFARCHERATI, HENGAMEH DDS 2021 FFS RENDERING AGE 21+ 98 340 26 50 70 161 41 41
1508218694 LIU, DESIREE, DDS 2021 FFS RENDERING AGE 0-20 52 609 49 170 20 60 51 63
1508218694 LIU, DESIREE, DDS 2021 FFS RENDERING AGE 21+ 512 6,821 458 1,286 431 2,145 457 457
1508240953 WEN SUZANNE G 2021 FFS RENDERING AGE 0-20 22 24 0 0 1 1 0 0
1508241340 JAMMA DALIA 2021 FFS RENDERING AGE 0-20 32 257 29 90 1 2 23 30
1508241340 JAMMA DALIA 2021 FFS RENDERING AGE 21+ 88 353 37 54 45 126 41 41
1508242637 KIM KRISTI S 2021 PHP RENDERING AGE 0-20 1 1 1 1 1 1 0 0
1508242637 KIM KRISTI S 2021 PHP RENDERING AGE 21+ 33 120 1 1 27 85 1 1
1508265497 RAMIREZ ANDREW F 2021 PHP RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1508265539 SHERATHIYA KRUNAL K 2021 FFS RENDERING AGE 0-20 1,001 11,469 929 3,413 713 1,957 914 1,111
1508271420 CUCUKOV TEMURKIN K 2021 GMC RENDERING AGE 0-20 1,475 9,015 935 3,526 381 622 734 755
1508286410 PHAN LINH T 2021 FFS RENDERING AGE 0-20 4,200 44,262 3,254 10,191 2,552 7,395 3,067 3,543
1508286410 PHAN LINH T 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1508288424 RANDHAWA MUHAMMAD A 2021 FFS RENDERING AGE 0-20 262 977 130 459 89 205 79 79
1508288424 RANDHAWA MUHAMMAD A 2021 FFS RENDERING AGE 21+ 936 3,146 261 475 642 2,100 172 174
1508290495 KIM SOYEON 2021 FFS RENDERING AGE 0-20 232 2,169 228 771 183 491 155 188
1508290495 KIM SOYEON 2021 FFS RENDERING AGE 21+ 87 610 59 117 66 186 39 39
1508292160 HARB MOAYED 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1508292160 HARB MOAYED 2021 PHP RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1508292160 HARB MOAYED 2021 PHP RENDERING AGE 21+ 12 35 1 1 11 31 0 0
1508299637 BROOKS JULIA H 2021 PHP RENDERING AGE 0-20 1 1 0 0 0 0 1 1
1508299637 BROOKS JULIA H 2021 PHP RENDERING AGE 21+ 48 177 1 1 30 88 25 26
1508310673 PARK ELLEN 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1508310673 PARK ELLEN 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1508310673 PARK ELLEN 2021 PHP RENDERING AGE 21+ 30 131 1 1 28 101 11 11
1508343237 VAHDATI NIA ARASH 2021 FFS RENDERING AGE 0-20 108 1,053 77 195 74 208 82 90
1508343237 VAHDATI NIA ARASH 2021 FFS RENDERING AGE 21+ 350 1,336 38 75 307 839 80 80
1508344573 TONG ELIZABETH L 2021 FFS RENDERING AGE 0-20 3,143 24,926 2,777 7,898 2,098 6,621 2,856 2,984
1508344573 TONG ELIZABETH L 2021 PHP RENDERING AGE 0-20 1 1 1 1 1 1 1 1
1508363516 SALVANI JOEMARI S 2021 FFS RENDERING AGE 0-20 1,880 13,555 1,369 3,496 1,104 2,392 1,212 1,272
1508363516 SALVANI JOEMARI S 2021 FFS RENDERING AGE 21+ 45 238 27 52 22 64 37 37
1508382979 BENYAMEN SARAH R 2021 FFS RENDERING AGE 0-20 16 22 1 1 1 1 14 14
1508393620 YIP JUDY L 2021 FFS RENDERING AGE 0-20 4,690 50,690 3,913 13,614 3,154 7,037 3,599 4,757
1508395484 TENG JIA 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 2 1 1
1508395484 TENG JIA 2021 FFS RENDERING AGE 21+ 40 219 14 20 31 149 16 22
1508410002 ADAM STUART S 2021 FFS RENDERING AGE 0-20 345 1,184 67 143 334 928 1 1
1508448861 RHOUDENKO, POLINA F, DMD 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1508461104 LIANG GLORIA 2021 FFS RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1508462649 D PARK MPH DENTAL, INC. 2021 PHP RENDERING AGE 0-20 15 114 15 61 1 1 15 15
1508462649 D PARK MPH DENTAL, INC. 2021 PHP RENDERING AGE 21+ 1 2 1 2 1 2 1 1
1508462649 PARK, D, MPH DENTAL INC 2021 PHP RENDERING AGE 0-20 15 114 15 61 1 1 15 15
1508462649 PARK, D, MPH DENTAL INC 2021 PHP RENDERING AGE 21+ 1 2 1 2 1 2 1 1
1508466459 OGANESYAN MARETTA A 2021 FFS RENDERING AGE 0-20 1,317 10,741 1,089 2,794 875 1,672 1,083 1,103
1508466459 OGANESYAN MARETTA A 2021 FFS RENDERING AGE 21+ 104 351 11 22 84 162 32 32
1508466459 OGANESYAN MARETTA A 2021 PHP RENDERING AGE 0-20 55 334 35 121 34 50 35 36
1508466459 OGANESYAN MARETTA A 2021 PHP RENDERING AGE 21+ 56 188 19 25 43 79 17 17
1508473380 LEE DEXTER J 2021 FFS RENDERING AGE 0-20 194 829 128 301 49 102 144 144
1508473380 LEE DEXTER J 2021 FFS RENDERING AGE 21+ 195 501 25 42 63 110 98 98
1508473380 LEE DEXTER J 2021 PHP RENDERING AGE 0-20 49 218 36 97 1 2 45 45
1508473380 LEE DEXTER J 2021 PHP RENDERING AGE 21+ 59 123 12 26 23 38 38 38
1508479957 KHONG DANH H 2021 FFS RENDERING AGE 0-20 138 1,013 121 242 60 130 122 122
1508479957 KHONG DANH H 2021 FFS RENDERING AGE 21+ 642 5,588 331 657 534 2,437 401 401
1508539917 KIM MINJI 2021 FFS RENDERING AGE 0-20 99 442 68 134 40 83 77 77
1508539917 KIM MINJI 2021 FFS RENDERING AGE 21+ 144 535 55 110 64 120 112 112
1508821554 HU, WEI-LEE D MD 2021 FFS RENDERING AGE 0-20 73 229 0 0 73 229 0 0
1508821554 HU, WEI-LEE D MD 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1508821919 MALEK, LUKE FAWZI SR DDS 2021 FFS RENDERING AGE 0-20 42 437 27 145 16 38 40 44
1508821919 MALEK, LUKE FAWZI SR DDS 2021 FFS RENDERING AGE 21+ 145 1,248 58 114 108 629 110 110
1508837980 DOMINGUEZ, JAIME S, DDS 2021 FFS RENDERING AGE 0-20 35 227 30 43 19 67 25 36
1508861873 NEAGU MICHAELA C 2021 FFS RENDERING AGE 0-20 877 2,958 0 0 405 1,253 0 0
1508861873 NEAGU MICHAELA C 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1508861873 NEAGU MICHAELA C 2021 PHP RENDERING AGE 0-20 1 2 0 0 1 2 0 0
1508864075 TRINH, JOSEPH H, DDS 2021 FFS RENDERING AGE 0-20 166 1,044 159 244 35 111 158 207
1508864075 TRINH, JOSEPH H, DDS 2021 FFS RENDERING AGE 21+ 439 2,255 357 358 204 548 362 362
1508864695 NAM, IL WOO, DDS 2021 FFS RENDERING AGE 0-20 80 978 71 168 50 354 74 166
1508864695 NAM, IL WOO, DDS 2021 FFS RENDERING AGE 21+ 120 1,502 93 186 79 640 104 208
1508866641 NGUYEN, DANIEL H, DDS 2021 FFS RENDERING AGE 0-20 123 1,585 106 406 49 155 111 145
1508866641 NGUYEN, DANIEL H, DDS 2021 FFS RENDERING AGE 21+ 294 2,450 186 372 178 726 230 231
1508866641 NGUYEN, DANIEL H, DDS 2021 PHP RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1508876277 SUTANTO YENI 2021 FFS RENDERING AGE 0-20 59 499 52 189 43 131 47 51
1508876277 SUTANTO YENI 2021 FFS RENDERING AGE 21+ 109 720 58 114 80 313 76 76
1508881012 CATREEN COHEN DDS 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1508881012 CATREEN COHEN DDS 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1508881012 COHEN, CATREEN, DDS A PROF D 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1508881012 COHEN, CATREEN, DDS A PROF D 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1508899592 TURKMANI WASIM 2021 FFS RENDERING AGE 0-20 18 20 0 0 18 20 0 0
1508899592 TURKMANI WASIM 2021 FFS RENDERING AGE 21+ 37 43 0 0 37 43 0 0
1508901257 WIDODO ANDRE 2021 FFS RENDERING AGE 0-20 316 3,386 265 697 112 360 276 299
1508901257 WIDODO ANDRE 2021 FFS RENDERING AGE 21+ 468 3,973 267 472 324 1,066 198 200
1508902131 DR. LAURO SAMSON SO DMD 2021 FFS RENDERING AGE 0-20 79 487 76 258 12 20 63 70
1508902131 DR. LAURO SAMSON SO DMD 2021 FFS RENDERING AGE 21+ 112 404 62 63 67 125 72 72
1508902198 BADII BONNIE M 2021 FFS RENDERING AGE 21+ 17 100 1 2 11 30 1 1
1508906843 VO LETHY N 2021 FFS RENDERING AGE 0-20 58 552 52 198 24 66 53 60
1508906843 VO LETHY N 2021 FFS RENDERING AGE 21+ 241 2,041 168 331 132 454 163 163
1508908534 PRIBADI, DARMAWAN, DDS 2021 FFS RENDERING AGE 0-20 85 701 81 277 58 122 83 97
1508908534 PRIBADI, DARMAWAN, DDS 2021 FFS RENDERING AGE 21+ 110 658 94 94 92 224 98 98
1508911785 MAANAVI SUSAN 2021 FFS RENDERING AGE 0-20 67 555 59 170 42 195 57 77
1508911785 MAANAVI SUSAN 2021 FFS RENDERING AGE 21+ 122 762 53 53 89 427 78 78
1508911785 MAANAVI SUSAN 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1508911876 GOLDBERG RACHEL D 2021 PHP RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1508911876 GOLDBERG RACHEL D 2021 PHP RENDERING AGE 21+ 1 2 1 2 1 2 1 1
1508911884 JEN DAVID C 2021 FFS RENDERING AGE 0-20 32 165 1 1 17 28 24 24
1508911884 JEN DAVID C 2021 FFS RENDERING AGE 21+ 334 2,405 11 11 169 255 314 314
1508912874 NGUYEN LISA V 2021 FFS RENDERING AGE 0-20 2,048 18,253 1,753 5,142 1,252 5,782 1,653 1,821
1508913021 JOHNSON III ARTHUR 2021 FFS RENDERING AGE 0-20 17 74 0 0 12 55 1 1
1508913021 JOHNSON III ARTHUR 2021 FFS RENDERING AGE 21+ 69 290 0 0 48 186 49 49
1508913021 JOHNSON III ARTHUR 2021 PHP RENDERING AGE 0-20 1 2 0 0 1 2 1 1
1508913021 JOHNSON III ARTHUR 2021 PHP RENDERING AGE 21+ 37 187 0 0 24 123 33 33
1508916487 NGUYEN KIET A 2021 FFS RENDERING AGE 0-20 54 507 50 134 17 30 49 64
1508916487 NGUYEN KIET A 2021 FFS RENDERING AGE 21+ 137 1,237 125 249 46 85 123 123
1508918699 SOE PYI 2021 FFS RENDERING AGE 0-20 212 3,236 206 1,015 79 223 190 275
1508918699 SOE PYI 2021 FFS RENDERING AGE 21+ 155 871 42 70 113 381 103 103
1508919739 WESTERN DENTAL SERVICES INC 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1508919739 WESTERN DENTAL SERVICES INC 2021 GMC RENDERING AGE 0-20 196 1,538 150 368 38 76 174 180
1508919739 WESTERN DENTAL SERVICES INC 2021 GMC RENDERING AGE 21+ 208 798 76 153 29 55 163 163
1508919739 WESTERN DENTAL SERVICES, INC. 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1508919739 WESTERN DENTAL SERVICES, INC. 2021 GMC RENDERING AGE 0-20 196 1,538 150 368 38 76 174 180
1508919739 WESTERN DENTAL SERVICES, INC. 2021 GMC RENDERING AGE 21+ 208 798 76 153 29 55 163 163
1508922782 LAM, WALTER DDS 2021 FFS RENDERING AGE 0-20 105 776 85 275 34 66 93 109
1508922782 LAM, WALTER DDS 2021 FFS RENDERING AGE 21+ 332 2,097 211 422 199 516 256 256
1508923111 GHIANI KEVIN 2021 FFS RENDERING AGE 0-20 41 435 32 82 14 23 35 42
1508923111 GHIANI KEVIN 2021 FFS RENDERING AGE 21+ 195 1,218 37 71 117 440 150 150
1508927393 LOWE OARIONA 2021 FFS RENDERING AGE 0-20 16 92 13 34 1 2 1 1
1508928805 WESTERN DENTAL SERVICES INC 2021 PHP RENDERING AGE 0-20 12 105 1 1 1 1 1 1
1508928805 WESTERN DENTAL SERVICES INC 2021 PHP RENDERING AGE 21+ 12 90 1 1 1 2 1 1
1508928805 WESTERN DENTAL SERVICES, INC. 2021 PHP RENDERING AGE 0-20 12 105 1 1 1 1 1 1
1508928805 WESTERN DENTAL SERVICES, INC. 2021 PHP RENDERING AGE 21+ 12 90 1 1 1 2 1 1
1508929878 FLECKLES CLAIRE M 2021 FFS RENDERING AGE 21+ 764 2,101 513 638 764 1,463 0 0
1508932039 GEYLIKMAN YURY 2021 FFS RENDERING AGE 0-20 45 135 1 1 24 81 0 0
1508932039 GEYLIKMAN YURY 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1508935602 BISHOP JASON S 2021 FFS RENDERING AGE 0-20 798 8,282 729 2,199 447 1,372 735 977
1508935602 BISHOP JASON S 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1508942624 KHAU, LAN T, DDS 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1508942624 KHAU, LAN T, DDS 2021 FFS RENDERING AGE 21+ 45 157 1 1 42 139 1 1
1508948019 NGUYEN ANDREW 2021 FFS RENDERING AGE 0-20 1,532 16,515 1,212 4,058 1,139 3,754 1,166 1,507
1508948019 NGUYEN ANDREW 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1508950973 FLORES ALEXANDER S 2021 FFS RENDERING AGE 0-20 12 89 1 2 1 1 1 2
1508950973 FLORES ALEXANDER S 2021 FFS RENDERING AGE 21+ 32 158 16 16 22 78 18 18
1508950973 FLORES ALEXANDER S 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1508950973 FLORES ALEXANDER S 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1508952839 YU, DUAN DDS 2021 FFS RENDERING AGE 0-20 112 1,296 109 426 54 235 111 134
1508952839 YU, DUAN DDS 2021 FFS RENDERING AGE 21+ 109 800 71 141 73 235 88 88
1508953001 THOMPSON MARLENE M 2021 FFS RENDERING AGE 0-20 112 719 75 125 67 285 76 79
1508953001 THOMPSON MARLENE M 2021 FFS RENDERING AGE 21+ 468 2,810 133 138 307 1,584 318 320
1508954702 DOULAVERAKIS, MARIE, DDS 2021 FFS RENDERING AGE 0-20 14 58 0 0 12 37 0 0
1508957309 MAGHIRAN, VIVIEN DDS 2021 FFS RENDERING AGE 0-20 180 2,937 157 625 120 638 152 185
1508957309 MAGHIRAN, VIVIEN DDS 2021 FFS RENDERING AGE 21+ 434 5,530 306 607 341 2,016 336 338
1508957812 NGUYEN NGUYEN H 2021 FFS RENDERING AGE 0-20 329 3,692 304 1,080 141 439 299 354
1508957812 NGUYEN NGUYEN H 2021 FFS RENDERING AGE 21+ 206 2,666 145 289 147 712 155 155
1508958794 ALI, SAMIA DDS 2021 FFS RENDERING AGE 0-20 145 1,552 121 407 68 291 115 169
1508958794 ALI, SAMIA DDS 2021 FFS RENDERING AGE 21+ 353 2,126 95 156 247 1,011 242 245
1508959586 TRAM CHRISTINE T 2021 FFS RENDERING AGE 0-20 63 545 59 168 37 126 58 65
1508959586 TRAM CHRISTINE T 2021 FFS RENDERING AGE 21+ 17 91 16 16 1 2 15 15
1508962382 FASIH TEHMINA 2021 FFS RENDERING AGE 0-20 64 276 21 49 28 87 44 44
1508962382 FASIH TEHMINA 2021 FFS RENDERING AGE 21+ 69 176 1 1 38 81 23 23
1508962382 FASIH TEHMINA 2021 PHP RENDERING AGE 0-20 29 79 11 21 13 33 18 19
1508962382 FASIH TEHMINA 2021 PHP RENDERING AGE 21+ 18 39 1 1 11 27 1 1
1508965989 MCWILLIAMS, WARREN R, III, D 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 2 1 1
1508965989 MCWILLIAMS, WARREN R, III, D 2021 GMC RENDERING AGE 0-20 1 2 1 1 1 2 1 1
1508971201 NGUYEN JONATHAN C 2021 FFS RENDERING AGE 0-20 83 490 69 206 23 60 78 91
1508971201 NGUYEN JONATHAN C 2021 FFS RENDERING AGE 21+ 203 994 73 141 109 384 158 158
1508987306 AMER NEVEIN E 2021 FFS RENDERING AGE 0-20 41 180 32 41 14 47 33 33
1508987306 AMER NEVEIN E 2021 FFS RENDERING AGE 21+ 123 487 58 59 65 197 78 79
1508988387 CONNOLLY, DONALD P 2021 FFS RENDERING AGE 0-20 390 2,967 0 0 182 1,938 0 0
1508988668 WU KAI 2021 FFS RENDERING AGE 0-20 22 105 18 26 1 2 14 14
1508988668 WU KAI 2021 FFS RENDERING AGE 21+ 85 385 34 34 60 197 29 29
1508990771 TAI MICHAEL E 2021 FFS RENDERING AGE 0-20 207 1,861 203 733 64 224 202 230
1508991308 KUO, THOMAS R, DDS 2021 FFS RENDERING AGE 0-20 1 2 1 1 0 0 1 1
1508991308 KUO, THOMAS R, DDS 2021 FFS RENDERING AGE 21+ 21 172 18 36 13 66 0 0
1508992819 JAMSANDEKAR PRIYADARSHIN 2021 FFS RENDERING AGE 0-20 104 644 74 162 44 103 71 73
1508992819 JAMSANDEKAR PRIYADARSHIN 2021 FFS RENDERING AGE 21+ 414 2,553 171 172 253 607 198 198
1508992819 JAMSANDEKAR PRIYADARSHIN 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1508997784 CHAN TED G 2021 FFS RENDERING AGE 0-20 1 2 1 1 0 0 1 1
1508997784 CHAN TED G 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 1 1 1
1518002260 JOHNSON EBENEZER 2021 FFS RENDERING AGE 0-20 63 760 50 142 42 159 53 58
1518002260 JOHNSON EBENEZER 2021 FFS RENDERING AGE 21+ 150 1,634 70 148 134 735 93 103
1518004191 TSANG KENNETH J 2021 FFS RENDERING AGE 0-20 194 228 0 0 30 39 0 0
1518004191 TSANG KENNETH J 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1518004191 TSANG KENNETH J 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1518004191 TSANG KENNETH J 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1518005024 SHEN DAVID T 2021 FFS RENDERING AGE 0-20 126 260 0 0 55 161 0 0
1518005024 SHEN DAVID T 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1518007921 MCELDOWNEY, FRANCIS E 2021 FFS RENDERING AGE 0-20 97 715 90 275 22 86 93 123
1518007921 MCELDOWNEY, FRANCIS E 2021 FFS RENDERING AGE 21+ 106 574 25 30 71 316 73 73
1518008374 ABRAMOVICI MOSHE 2021 PHP RENDERING AGE 0-20 50 190 43 87 11 17 43 44
1518008374 ABRAMOVICI MOSHE 2021 PHP RENDERING AGE 21+ 34 124 13 16 11 35 23 27
1518009067 WORKNEH, SIRAK Y, DDS 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1518009067 WORKNEH, SIRAK Y, DDS 2021 FFS RENDERING AGE 21+ 16 57 1 1 1 2 1 1
1518009067 WORKNEH, SIRAK Y, DDS 2021 GMC RENDERING AGE 0-20 815 5,753 674 1,920 423 855 679 726
1518009067 WORKNEH, SIRAK Y, DDS 2021 GMC RENDERING AGE 21+ 788 4,095 449 940 528 1,335 485 492
1518009067 WORKNEH, SIRAK Y, DDS 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1518021393 WESTERN DENTAL SERVICES INC 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1518021393 WESTERN DENTAL SERVICES INC 2021 GMC RENDERING AGE 0-20 149 992 91 289 19 40 131 131
1518021393 WESTERN DENTAL SERVICES INC 2021 GMC RENDERING AGE 21+ 245 834 72 130 40 91 166 166
1518021393 WESTERN DENTAL SERVICES, INC. 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1518021393 WESTERN DENTAL SERVICES, INC. 2021 GMC RENDERING AGE 0-20 149 992 91 289 19 40 131 131
1518021393 WESTERN DENTAL SERVICES, INC. 2021 GMC RENDERING AGE 21+ 245 834 72 130 40 91 166 166
1518023894 LOGAN, JAMES, DDS 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 1 1
1518024017 TAM MARIBELLE O 2021 FFS RENDERING AGE 0-20 492 6,351 471 1,666 232 770 472 666
1518024017 TAM MARIBELLE O 2021 FFS RENDERING AGE 21+ 294 2,480 159 314 229 840 186 186
1518033737 ISON DAISY G 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1518033737 ISON DAISY G 2021 FFS RENDERING AGE 21+ 22 103 14 28 12 15 14 14
1518035906 NGUYEN, DAVID DDS 2021 FFS RENDERING AGE 0-20 3,059 24,443 2,605 7,656 2,821 14,489 324 334
1518035906 NGUYEN, DAVID DDS 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 2 0 0
1518035906 NGUYEN, DAVID DDS 2021 PHP RENDERING AGE 0-20 1 1 1 1 1 1 0 0
1518039510 SHIN, HYUN JOON DDS 2021 FFS RENDERING AGE 0-20 423 5,989 385 1,444 187 511 414 501
1518039510 SHIN, HYUN JOON DDS 2021 FFS RENDERING AGE 21+ 622 6,390 380 753 390 1,180 522 522
1518046036 WINN CAROLYN R A 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1518047463 YANNI RAFIK S 2021 FFS RENDERING AGE 0-20 17 118 15 54 1 2 16 24
1518047463 YANNI RAFIK S 2021 FFS RENDERING AGE 21+ 99 614 51 83 63 268 68 68
1518047463 YANNI RAFIK S 2021 PHP RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1518047463 YANNI RAFIK S 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1518055292 KILMER GORDON S 2021 FFS RENDERING AGE 0-20 285 341 0 0 14 31 0 0
1518055292 KILMER GORDON S 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1518055292 KILMER GORDON S 2021 GMC RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1518055292 KILMER GORDON S 2021 PHP RENDERING AGE 0-20 29 129 0 0 19 100 0 0
1518055292 KILMER GORDON S 2021 PHP RENDERING AGE 21+ 1 2 0 0 1 1 0 0
1518062785 RODRIGUEZ, PEDRO HIRAM, DDS 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1518062785 RODRIGUEZ, PEDRO HIRAM, DDS 2021 FFS RENDERING AGE 21+ 1,134 7,453 23 23 778 5,587 789 791
1518063569 NARANG, PALKA, DDS 2021 FFS RENDERING AGE 0-20 57 467 49 152 36 148 52 58
1518063569 NARANG, PALKA, DDS 2021 FFS RENDERING AGE 21+ 84 554 37 70 61 294 64 64
1518065812 NARASIMHAN, SHOBHA, DDS 2021 FFS RENDERING AGE 0-20 1,372 15,067 1,319 5,885 816 2,416 1,293 1,793
1518065812 NARASIMHAN, SHOBHA, DDS 2021 FFS RENDERING AGE 21+ 1,460 9,909 962 1,534 953 3,822 1,070 1,070
1518068816 MAI CHAULINH H 2021 FFS RENDERING AGE 0-20 3,111 41,531 2,743 8,221 1,677 6,198 2,763 3,334
1518068816 MAI CHAULINH H 2021 FFS RENDERING AGE 21+ 476 3,721 280 560 232 604 326 327
1518080597 JUSTIN, DR IRENE MALAVIKA, D 2021 FFS RENDERING AGE 0-20 863 4,026 618 1,513 1 2 807 852
1518080597 JUSTIN, DR IRENE MALAVIKA, D 2021 FFS RENDERING AGE 21+ 1,124 3,016 142 272 59 118 870 870
1518080597 JUSTIN, DR IRENE MALAVIKA, D 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1518085273 MATOSSIAN NISHAN W 2021 PHP RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1518085273 MATOSSIAN NISHAN W 2021 PHP RENDERING AGE 21+ 19 77 1 1 1 2 1 1
1518086701 CHANCO ANN BESS V 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1518091164 AUNG, KHIN DDS 2021 FFS RENDERING AGE 0-20 40 241 37 62 14 34 29 31
1518091164 AUNG, KHIN DDS 2021 FFS RENDERING AGE 21+ 88 579 54 54 48 138 65 65
1518100692 JOHNSON PAUL A 2021 GMC RENDERING AGE 0-20 250 3,760 159 620 244 2,320 1 1
1518104678 AGHAJANIAN ABOULIAN, ANNIE 2021 FFS RENDERING AGE 0-20 323 4,290 297 917 208 726 309 405
1518104678 AGHAJANIAN ABOULIAN, ANNIE 2021 FFS RENDERING AGE 21+ 225 1,411 138 138 141 612 171 171
1518104678 AGHAJANIAN ABOULIAN, ANNIE 2021 PHP RENDERING AGE 0-20 20 157 18 47 14 34 18 20
1518104678 AGHAJANIAN ABOULIAN, ANNIE 2021 PHP RENDERING AGE 21+ 54 365 44 45 33 164 47 48
1518105089 LUMAHAN ELEANOR M 2021 FFS RENDERING AGE 0-20 128 1,240 121 323 46 172 121 154
1518105089 LUMAHAN ELEANOR M 2021 FFS RENDERING AGE 21+ 290 2,107 224 443 163 632 252 252
1518108042 STEPANYAN MARINA 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1518108042 STEPANYAN MARINA 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1518112531 HAME EWA 2021 FFS RENDERING AGE 0-20 3,371 54,938 3,247 13,806 1,778 7,897 3,267 4,499
1518112531 HAME EWA 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1518113158 LE, EMMY DDS 2021 FFS RENDERING AGE 0-20 119 1,496 111 452 54 198 114 148
1518113158 LE, EMMY DDS 2021 FFS RENDERING AGE 21+ 458 4,021 297 602 362 1,431 345 348
1518117506 PARK JOOROK 2021 FFS RENDERING AGE 0-20 172 672 0 0 149 491 0 0
1518120377 PAYDAR AZITA 2021 FFS RENDERING AGE 0-20 16 61 1 2 1 2 1 1
1518120377 PAYDAR AZITA 2021 FFS RENDERING AGE 21+ 247 946 23 34 235 819 19 19
1518138338 FOROUTAN FARZAD 2021 FFS RENDERING AGE 0-20 68 803 61 187 20 88 58 67
1518138338 FOROUTAN FARZAD 2021 FFS RENDERING AGE 21+ 264 3,043 192 365 122 592 209 209
1518142900 BECHTOL VANESSA L 2021 FFS RENDERING AGE 0-20 55 349 49 133 17 45 49 54
1518142900 BECHTOL VANESSA L 2021 FFS RENDERING AGE 21+ 113 675 47 82 81 279 60 60
1518144625 ZAKI IRENE T 2021 FFS RENDERING AGE 0-20 1,924 33,962 1,837 9,203 1,499 6,247 1,875 2,924
1518144625 ZAKI IRENE T 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1518148196 YANG NATHAN K 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1518150093 FU CHIA-HUANG 2021 FFS RENDERING AGE 0-20 24 121 23 61 1 2 21 29
1518150093 FU CHIA-HUANG 2021 FFS RENDERING AGE 21+ 102 485 76 152 75 159 83 83
1518155191 TAWOOSI ABDULHASSAN A 2021 FFS RENDERING AGE 0-20 221 2,725 177 677 93 267 176 229
1518155191 TAWOOSI ABDULHASSAN A 2021 FFS RENDERING AGE 21+ 175 1,243 29 31 122 404 104 109
1518155191 TAWOOSI ABDULHASSAN A 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1518157312 TRAN DARLENE THUC D 2021 FFS RENDERING AGE 0-20 743 5,809 478 1,261 418 1,361 529 560
1518157312 TRAN DARLENE THUC D 2021 FFS RENDERING AGE 21+ 998 5,232 276 540 600 2,026 605 605
1518171594 KANG DAVID S 2021 FFS RENDERING AGE 0-20 11 97 1 2 1 2 1 1
1518171594 KANG DAVID S 2021 FFS RENDERING AGE 21+ 32 175 1 2 24 65 21 21
1518171602 DANAN4 NADINE M 2021 FFS RENDERING AGE 0-20 33 126 30 66 1 1 11 12
1518171602 DANAN4 NADINE M 2021 FFS RENDERING AGE 21+ 279 800 102 143 217 636 1 1
1518172667 JANDALI AZZA 2021 FFS RENDERING AGE 0-20 1,857 16,791 765 2,131 1,677 8,191 536 549
1518172667 JANDALI AZZA 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1518172667 JANDALI AZZA 2021 GMC RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1518172667 JANDALI AZZA 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1518172667 JANDALI AZZA 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1518172667 JANDALI AZZA 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1518180264 LEE, CHEONG C, DMD 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1518180264 LEE, CHEONG C, DMD 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1518183599 LIM RISKA KIEM L 2021 FFS RENDERING AGE 0-20 167 2,093 141 456 103 386 138 173
1518183599 LIM RISKA KIEM L 2021 FFS RENDERING AGE 21+ 252 2,280 86 113 213 1,023 132 134
1518183599 LIM RISKA KIEM L 2021 PHP RENDERING AGE 0-20 17 186 16 65 1 2 16 22
1518183599 LIM RISKA KIEM L 2021 PHP RENDERING AGE 21+ 20 152 18 30 15 45 16 16
1518191006 WESTERN DENTAL SERVICES INC 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1518191006 WESTERN DENTAL SERVICES, INC. 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1518192624 BUDARAPU SHIRISHA R 2021 FFS RENDERING AGE 0-20 416 2,044 245 793 125 338 318 322
1518192624 BUDARAPU SHIRISHA R 2021 FFS RENDERING AGE 21+ 800 2,706 246 475 305 901 575 578
1518193275 FARIVAR DAVID 2021 FFS RENDERING AGE 21+ 22 52 0 0 20 40 1 1
1518210772 OHANIAN GREGORY 2021 FFS RENDERING AGE 0-20 91 179 0 0 32 102 0 0
1518211093 LOPEZ SANCHEZ JACQUELINE V 2021 FFS RENDERING AGE 0-20 65 589 54 133 39 171 59 70
1518211093 LOPEZ SANCHEZ JACQUELINE V 2021 FFS RENDERING AGE 21+ 147 951 53 103 104 378 110 110
1518213347 KOURNOUTAS OLGA 2021 FFS RENDERING AGE 0-20 37 251 35 106 1 2 36 36
1518213347 KOURNOUTAS OLGA 2021 FFS RENDERING AGE 21+ 71 300 47 94 27 45 52 52
1518213479 LEE YEHOON 2021 FFS RENDERING AGE 0-20 2,071 22,401 1,822 4,252 828 3,238 1,913 1,961
1518218965 WANG WAN-JOU R 2021 FFS RENDERING AGE 0-20 166 1,314 127 474 51 103 147 158
1518218965 WANG WAN-JOU R 2021 FFS RENDERING AGE 21+ 234 1,386 26 49 76 243 177 179
1518245604 LIM ELLA T 2021 GMC RENDERING AGE 0-20 11 24 1 1 11 14 0 0
1518245604 LIM ELLA T 2021 GMC RENDERING AGE 21+ 70 141 30 34 36 55 51 52
1518262161 CHOI HYUNSUK 2021 FFS RENDERING AGE 0-20 835 9,281 551 1,587 550 2,921 541 600
1518262161 CHOI HYUNSUK 2021 FFS RENDERING AGE 21+ 352 2,359 99 161 236 797 128 133
1518262161 CHOI HYUNSUK 2021 PHP RENDERING AGE 0-20 13 94 1 2 1 2 1 1
1518262161 CHOI HYUNSUK 2021 PHP RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1518267871 SANTOS RUBENCILLO H 2021 FFS RENDERING AGE 0-20 691 8,057 647 2,650 335 1,371 623 890
1518267871 SANTOS RUBENCILLO H 2021 FFS RENDERING AGE 21+ 907 7,717 650 1,287 633 2,954 686 686
1518277565 TRAN KAREN C 2021 FFS RENDERING AGE 0-20 351 4,269 311 1,022 188 577 308 353
1518277565 TRAN KAREN C 2021 FFS RENDERING AGE 21+ 257 2,113 133 249 160 754 189 189
1518310408 KHATRI SUVIDHA 2021 FFS RENDERING AGE 0-20 399 1,892 181 595 78 160 377 404
1518310408 KHATRI SUVIDHA 2021 FFS RENDERING AGE 21+ 814 2,173 65 115 253 507 668 668
1518333855 LUU CASEY A 2021 FFS RENDERING AGE 0-20 272 467 0 0 74 171 0 0
1518333855 LUU CASEY A 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1518333855 LUU CASEY A 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1518333962 HAGHANI SOHA 2021 FFS RENDERING AGE 0-20 327 2,247 289 1,083 82 162 291 326
1518333962 HAGHANI SOHA 2021 FFS RENDERING AGE 21+ 500 2,087 190 293 241 689 332 332
1518333962 HAGHANI SOHA 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1518333962 HAGHANI SOHA 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1518334663 KAFAEI MANA 2021 FFS RENDERING AGE 0-20 99 706 43 138 34 147 86 95
1518334663 KAFAEI MANA 2021 FFS RENDERING AGE 21+ 309 2,256 97 169 207 855 266 267
1518340413 LEE GUN G 2021 FFS RENDERING AGE 0-20 79 793 70 225 42 132 75 111
1518340413 LEE GUN G 2021 FFS RENDERING AGE 21+ 122 836 69 69 102 462 97 97
1518341825 THOMPSON MITCHELL A 2021 GMC RENDERING AGE 0-20 324 1,803 227 837 228 368 161 163
1518341825 THOMPSON MITCHELL A 2021 GMC RENDERING AGE 21+ 692 3,365 234 840 512 1,397 299 299
1518354653 QUAN VAN-KHOA T 2021 FFS RENDERING AGE 0-20 519 3,452 429 1,122 270 503 390 406
1518387778 SAHABI KAMRAN 2021 FFS RENDERING AGE 0-20 16 101 1 2 1 2 13 13
1518387778 SAHABI KAMRAN 2021 FFS RENDERING AGE 21+ 48 261 1 1 24 94 30 30
1518422740 MENG BO 2021 FFS RENDERING AGE 0-20 362 3,181 292 1,387 236 740 317 346
1518422740 MENG BO 2021 FFS RENDERING AGE 21+ 661 3,536 122 199 470 1,833 490 492
1518447929 SOROUR DENTAL PRACTICE CORP 2021 FFS RENDERING AGE 0-20 1 1 1 1 1 1 0 0
1518462449 NEIMAR TIFFANY A 2021 FFS RENDERING AGE 0-20 1 2 0 0 1 2 0 0
1518479757 RWIGEMA DENTAL CORPORATION 2021 FFS RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1518504497 DYE JONATHAN M 2021 FFS RENDERING AGE 0-20 317 2,375 140 742 214 537 88 89
1518504497 DYE JONATHAN M 2021 FFS RENDERING AGE 21+ 393 1,435 0 0 391 1,209 0 0
1518541242 TRAN STEVEN D 2021 FFS RENDERING AGE 0-20 94 636 90 199 41 113 84 84
1518541242 TRAN STEVEN D 2021 FFS RENDERING AGE 21+ 111 548 41 82 79 276 53 53
1518541242 TRAN STEVEN D 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1518553551 GARSDEAN RAMY A 2021 FFS RENDERING AGE 0-20 58 364 31 65 27 66 32 32
1518553551 GARSDEAN RAMY A 2021 FFS RENDERING AGE 21+ 130 581 15 30 94 221 53 53
1518553551 GARSDEAN RAMY A 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1518577055 SHIM JOSEPH H 2021 FFS RENDERING AGE 0-20 592 2,782 337 713 292 596 433 433
1518577055 SHIM JOSEPH H 2021 FFS RENDERING AGE 21+ 637 1,953 107 211 294 645 370 370
1518583764 LEE, SEUNG YEOP, DDS INC 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 0 0
1518585116 KHORRAM, NASRIN, DENTAL CORP 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1518633403 MIRZOYAN KALACH ARAXI 2021 FFS RENDERING AGE 0-20 105 622 86 207 53 145 86 86
1518942432 WILLIAMS-TREESH MARY N 2021 FFS RENDERING AGE 0-20 175 1,464 168 596 56 222 159 214
1518956986 HTOO, MYAT DDS 2021 FFS RENDERING AGE 0-20 39 418 39 109 18 72 36 37
1518956986 HTOO, MYAT DDS 2021 FFS RENDERING AGE 21+ 67 627 59 109 39 168 59 59
1518995729 POAGE, JEFFREY A MD 2021 FFS RENDERING AGE 0-20 172 361 0 0 172 361 0 0
1518998442 SOMANI NEETA 2021 FFS RENDERING AGE 0-20 18 227 17 69 1 2 18 29
1518998442 SOMANI NEETA 2021 FFS RENDERING AGE 21+ 44 492 28 56 35 206 30 30
1518998442 SOMANI NEETA 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1528007234 LAU, BRUCE, DDS 2021 FFS RENDERING AGE 0-20 1 1 1 1 1 1 0 0
1528007234 LAU, BRUCE, DDS 2021 FFS RENDERING AGE 21+ 61 265 20 21 45 149 33 33
1528020971 MAYEDA CHRIS Y 2021 FFS RENDERING AGE 0-20 2,030 14,229 1,392 4,073 1,443 4,666 1,498 1,667
1528020971 MAYEDA CHRIS Y 2021 FFS RENDERING AGE 21+ 15 47 1 2 1 1 1 1
1528020971 MAYEDA CHRIS Y 2021 PHP RENDERING AGE 0-20 1 1 1 1 1 1 1 1
1528025798 SUAREZ, HERNANDO, DDS 2021 FFS RENDERING AGE 0-20 260 1,307 161 380 134 280 169 180
1528025798 SUAREZ, HERNANDO, DDS 2021 FFS RENDERING AGE 21+ 325 1,476 65 65 234 632 153 153
1528025798 SUAREZ, HERNANDO, DDS 2021 PHP RENDERING AGE 0-20 140 681 98 215 68 120 102 105
1528025798 SUAREZ, HERNANDO, DDS 2021 PHP RENDERING AGE 21+ 94 416 28 30 70 211 37 37
1528031788 ESPARZA, BLANCA DDS 2021 FFS RENDERING AGE 0-20 32 298 27 78 1 2 27 27
1528031788 ESPARZA, BLANCA DDS 2021 FFS RENDERING AGE 21+ 25 92 1 1 1 2 13 13
1528035839 KHALILI, SUZANNE DDS 2021 FFS RENDERING AGE 0-20 36 394 31 60 21 113 25 26
1528035839 KHALILI, SUZANNE DDS 2021 FFS RENDERING AGE 21+ 29 211 17 28 14 96 20 20
1528039138 MOSHIRI SOHRAB 2021 FFS RENDERING AGE 0-20 156 863 0 0 82 579 142 142
1528039138 MOSHIRI SOHRAB 2021 FFS RENDERING AGE 21+ 335 1,284 0 0 123 654 314 314
1528045184 GOLLA KEERTHI 2021 FFS RENDERING AGE 0-20 28 131 24 62 1 2 13 13
1528045184 GOLLA KEERTHI 2021 GMC RENDERING AGE 0-20 1 1 1 1 1 1 0 0
1528069259 PAIK, RICHARD S DDS 2021 FFS RENDERING AGE 0-20 355 2,780 239 665 132 325 249 260
1528069259 PAIK, RICHARD S DDS 2021 FFS RENDERING AGE 21+ 664 3,936 161 322 462 1,607 357 359
1528070703 KAPLAN, GREGORY D DDS 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1528072410 LOPEZ, JOSE L DDS 2021 FFS RENDERING AGE 0-20 315 4,771 286 1,080 164 766 289 336
1528072410 LOPEZ, JOSE L DDS 2021 FFS RENDERING AGE 21+ 924 10,539 668 1,027 669 3,133 789 789
1528075967 LIU STEVEN K 2021 FFS RENDERING AGE 0-20 11 121 1 2 1 2 1 2
1528075967 LIU STEVEN K 2021 FFS RENDERING AGE 21+ 38 468 36 71 35 230 36 36
1528081817 ALVAREZ MARTHA L 2021 FFS RENDERING AGE 0-20 90 1,027 74 226 58 456 84 105
1528081817 ALVAREZ MARTHA L 2021 FFS RENDERING AGE 21+ 125 1,715 75 129 100 1,146 100 100
1528105079 VERT MICHAEL S 2021 FFS RENDERING AGE 0-20 1,044 7,963 750 1,984 655 2,338 631 674
1528105079 VERT MICHAEL S 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1528105079 VERT MICHAEL S 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1528105277 MIZRAJI GABRIEL M 2021 FFS RENDERING AGE 0-20 430 514 0 0 84 140 0 0
1528105277 MIZRAJI GABRIEL M 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1528105715 LEE RYAN SEIN C 2021 FFS RENDERING AGE 0-20 330 2,095 180 646 104 344 170 201
1528105715 LEE RYAN SEIN C 2021 FFS RENDERING AGE 21+ 577 2,608 38 73 260 1,187 198 198
1528105715 LEE RYAN SEIN C 2021 PHP RENDERING AGE 0-20 127 1,103 104 420 49 115 90 104
1528105715 LEE RYAN SEIN C 2021 PHP RENDERING AGE 21+ 164 808 19 23 84 263 86 93
1528107208 BAKER, TIMOTHY GEORGE, DDS 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1528109725 HONG, JAMES 2021 FFS RENDERING AGE 0-20 334 3,145 263 762 169 573 260 283
1528109725 HONG, JAMES 2021 FFS RENDERING AGE 21+ 378 2,442 147 292 292 1,030 170 170
1528109725 HONG, JAMES 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1528114063 SALES ANNA I 2021 FFS RENDERING AGE 0-20 38 197 27 73 25 46 27 27
1528115425 MEHTA MAYUR B 2021 FFS RENDERING AGE 0-20 391 5,532 346 1,434 161 491 371 477
1528115425 MEHTA MAYUR B 2021 FFS RENDERING AGE 21+ 187 1,710 115 223 122 408 153 153
1528117165 ABBASSI FARAH 2021 FFS RENDERING AGE 0-20 58 221 0 0 31 41 55 55
1528117165 ABBASSI FARAH 2021 FFS RENDERING AGE 21+ 13 41 0 0 0 0 13 13
1528120797 TONG, HONGSHENG, DDS 2021 FFS RENDERING AGE 0-20 592 1,611 0 0 278 898 0 0
1528121357 PEREIRA VALERIA R 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 2 1 1
1528123981 KASHANI OMID R 2021 FFS RENDERING AGE 0-20 66 377 51 143 26 84 59 73
1528123981 KASHANI OMID R 2021 FFS RENDERING AGE 21+ 118 465 46 84 70 204 52 53
1528127024 THIEDE,CRAIG C DDS 2021 FFS RENDERING AGE 0-20 22 53 0 0 12 38 1 1
1528127024 THIEDE,CRAIG C DDS 2021 FFS RENDERING AGE 21+ 13 25 0 0 1 2 1 1
1528129822 GREENBERG VICKIE S 2021 FFS RENDERING AGE 0-20 27 47 0 0 11 20 0 0
1528129822 GREENBERG VICKIE S 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1528130986 JOVEN PIERRE JOJO D 2021 FFS RENDERING AGE 0-20 94 754 75 175 39 130 85 97
1528130986 JOVEN PIERRE JOJO D 2021 FFS RENDERING AGE 21+ 240 1,627 88 174 150 578 181 181
1528134202 KAHNG JAMES Y 2021 FFS RENDERING AGE 0-20 21 123 21 34 12 36 21 22
1528134202 KAHNG JAMES Y 2021 FFS RENDERING AGE 21+ 87 498 58 58 55 303 61 61
1528136876 ORTIZ-LUIS JOHN H 2021 FFS RENDERING AGE 0-20 17 141 17 48 1 2 16 21
1528136876 ORTIZ-LUIS JOHN H 2021 FFS RENDERING AGE 21+ 32 214 30 53 15 59 31 31
1528137775 GOLDSTEIN ROSEMARIE 2021 FFS RENDERING AGE 0-20 33 676 33 77 33 425 33 33
1528138286 NGUYEN AN D 2021 FFS RENDERING AGE 0-20 17 42 1 1 1 1 1 1
1528138286 NGUYEN AN D 2021 FFS RENDERING AGE 21+ 52 143 1 1 31 70 21 21
1528138286 NGUYEN AN D 2021 GMC RENDERING AGE 0-20 1,122 3,908 152 315 723 1,267 390 395
1528138286 NGUYEN AN D 2021 GMC RENDERING AGE 21+ 480 2,400 60 66 269 505 184 185
1528138286 NGUYEN AN D 2021 PHP RENDERING AGE 0-20 1 1 1 1 1 1 1 1
1528143310 GLASS GREGORY R 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1528143310 GLASS GREGORY R 2021 FFS RENDERING AGE 21+ 17 76 1 1 11 28 1 1
1528143690 AHMADPOUR, FIROOZEH, DDS 2021 FFS RENDERING AGE 0-20 79 655 69 175 23 88 78 85
1528143690 AHMADPOUR, FIROOZEH, DDS 2021 FFS RENDERING AGE 21+ 348 1,275 168 177 99 362 316 316
1528155421 HANKINS JR WILLARD 2021 FFS RENDERING AGE 0-20 84 594 67 176 36 131 60 74
1528155421 HANKINS JR WILLARD 2021 FFS RENDERING AGE 21+ 208 1,131 132 261 125 370 122 122
1528155819 KIM JOHNNY K 2021 FFS RENDERING AGE 0-20 151 1,213 125 368 108 511 129 159
1528155819 KIM JOHNNY K 2021 FFS RENDERING AGE 21+ 393 3,959 241 458 349 2,633 303 303
1528155819 KIM, JOHN, DDS INC 2021 FFS RENDERING AGE 0-20 151 1,213 125 368 108 511 129 159
1528155819 KIM, JOHN, DDS INC 2021 FFS RENDERING AGE 21+ 393 3,959 241 458 349 2,633 303 303
1528156049 HANNA IHAB M 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1528156049 HANNA IHAB M 2021 PHP RENDERING AGE 0-20 1 2 0 0 1 2 1 1
1528156338 GABRIEL EMERENCIANA G 2021 FFS RENDERING AGE 0-20 199 2,254 177 718 99 339 187 272
1528156338 GABRIEL EMERENCIANA G 2021 FFS RENDERING AGE 21+ 273 1,986 175 338 183 699 216 216
1528156338 GABRIEL EMERENCIANA G 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1528156338 GABRIEL EMERENCIANA G 2021 PHP RENDERING AGE 21+ 35 297 29 58 25 119 32 32
1528162641 ALVAREZ BATLLE, MARINA, DDS 2021 FFS RENDERING AGE 0-20 15 340 15 64 1 2 15 34
1528162641 ALVAREZ BATLLE, MARINA, DDS 2021 FFS RENDERING AGE 21+ 61 982 39 78 27 158 57 114
1528163813 MKRTCHYAN, ARUTYUN, DDS 2021 FFS RENDERING AGE 0-20 249 1,589 185 613 77 175 187 187
1528163813 MKRTCHYAN, ARUTYUN, DDS 2021 FFS RENDERING AGE 21+ 158 733 59 121 104 223 71 71
1528170917 SEPEHRIOUR BEHNAZ DDS 2021 FFS RENDERING AGE 0-20 548 7,530 489 1,435 247 750 498 619
1528170917 SEPEHRIOUR BEHNAZ DDS 2021 FFS RENDERING AGE 21+ 567 5,084 224 438 355 1,298 346 348
1528171915 KOUZ RAMI 2021 FFS RENDERING AGE 0-20 19 72 11 19 1 2 13 13
1528171915 KOUZ RAMI 2021 FFS RENDERING AGE 21+ 39 94 1 1 24 29 12 12
1528180866 KANG APRIL F 2021 FFS RENDERING AGE 0-20 247 4,146 243 1,109 109 340 244 368
1528180866 KANG APRIL F 2021 FFS RENDERING AGE 21+ 232 2,660 191 377 138 542 205 207
1528181641 QUEIROZ LUCIANE I 2021 FFS RENDERING AGE 0-20 424 4,336 371 1,386 198 838 392 485
1528181641 QUEIROZ LUCIANE I 2021 FFS RENDERING AGE 21+ 599 3,922 328 658 392 1,755 428 429
1528183316 HENKEN EDMOND H 2021 FFS RENDERING AGE 0-20 108 159 0 0 34 61 0 0
1528183316 HENKEN EDMOND H 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1528183316 HENKEN EDMOND H 2021 GMC RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1528194289 BANEZ FELIZA H 2021 FFS RENDERING AGE 0-20 384 3,043 285 571 200 647 283 295
1528194289 BANEZ FELIZA H 2021 FFS RENDERING AGE 21+ 580 3,351 159 259 390 1,480 332 336
1528195088 DUENES, ANGELA DDS 2021 FFS RENDERING AGE 0-20 84 564 76 171 11 41 74 82
1528195088 DUENES, ANGELA DDS 2021 FFS RENDERING AGE 21+ 96 404 57 86 52 108 53 53
1528199270 KUNIHIRA, RICHARD, DDS 2021 FFS RENDERING AGE 0-20 178 1,634 160 509 70 528 163 225
1528199270 KUNIHIRA, RICHARD, DDS 2021 FFS RENDERING AGE 21+ 104 565 84 155 31 166 89 89
1528205804 HUYNH TU V 2021 FFS RENDERING AGE 0-20 59 656 53 166 26 60 53 58
1528205804 HUYNH TU V 2021 FFS RENDERING AGE 21+ 102 851 73 145 80 257 85 85
1528214228 OLIMPIADA JORN N 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1528224078 HERRERA BRENDA L 2021 FFS RENDERING AGE 21+ 1,215 6,263 702 2,031 1,215 3,321 833 833
1528224078 HERRERA BRENDA L 2021 GMC RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1528241841 DONG, HUI, DDS 2021 FFS RENDERING AGE 0-20 809 4,807 766 2,374 214 433 755 894
1528241841 DONG, HUI, DDS 2021 FFS RENDERING AGE 21+ 392 1,381 260 264 165 372 314 314
1528247061 JACKSON MARYAM 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1528247061 JACKSON MARYAM 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1528253903 RUDOY, LEO ARONI DDS 2021 FFS RENDERING AGE 0-20 604 9,156 555 2,490 286 1,235 554 803
1528253903 RUDOY, LEO ARONI DDS 2021 FFS RENDERING AGE 21+ 431 3,555 258 487 290 1,286 237 237
1528261534 NASHED, MEDHAT N, DDS MS INC 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1528264173 JOHAL INAKSH 2021 GMC RENDERING AGE 21+ 1 2 1 1 1 2 0 0
1528272093 HONG BRIAN Y 2021 FFS RENDERING AGE 0-20 394 3,308 342 977 187 742 366 477
1528272093 HONG BRIAN Y 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1528274412 GEE JASON M 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1528274412 GEE JASON M 2021 FFS RENDERING AGE 21+ 13 67 1 1 1 2 1 1
1528275021 PHAM KIM T 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1528275021 PHAM KIM T 2021 FFS RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1528275021 PHAM KIM T 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1528275021 PHAM KIM T 2021 PHP RENDERING AGE 21+ 1 1 1 1 1 1 0 0
1528275492 PRATT DOREEN M 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1528280252 VO, DINH L H, DDS 2021 FFS RENDERING AGE 21+ 153 305 1 1 60 117 123 123
1528282373 AHDOUT NADER 2021 FFS RENDERING AGE 0-20 26 149 16 52 23 54 15 15
1528282373 AHDOUT NADER 2021 FFS RENDERING AGE 21+ 182 1,706 58 58 168 1,094 100 100
1528282373 AHDOUT, NADER, DDS 2021 FFS RENDERING AGE 0-20 26 149 16 52 23 54 15 15
1528282373 AHDOUT, NADER, DDS 2021 FFS RENDERING AGE 21+ 182 1,706 58 58 168 1,094 100 100
1528289030 WU ANDREW C 2021 FFS RENDERING AGE 0-20 37 219 36 72 12 33 28 30
1528289030 WU ANDREW C 2021 FFS RENDERING AGE 21+ 119 661 82 136 55 140 89 89
1528290699 REDDY SMITHA M 2021 GMC RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1528290699 REDDY SMITHA M 2021 PHP RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1528290699 REDDY SMITHA M 2021 PHP RENDERING AGE 21+ 16 132 1 2 11 76 11 11
1528292158 SINGH RAMAN 2021 FFS RENDERING AGE 0-20 782 8,438 499 1,529 458 1,853 644 752
1528292158 SINGH RAMAN 2021 FFS RENDERING AGE 21+ 845 8,395 326 651 563 3,059 603 605
1528294709 SHADI JONATHAN R 2021 FFS RENDERING AGE 0-20 318 1,513 0 0 272 1,274 118 118
1528294709 SHADI JONATHAN R 2021 FFS RENDERING AGE 21+ 200 1,014 0 0 158 752 117 119
1528294709 SHADI JONATHAN R 2021 PHP RENDERING AGE 0-20 1 2 0 0 1 2 1 1
1528294709 SHADI JONATHAN R 2021 PHP RENDERING AGE 21+ 13 49 0 0 1 2 12 12
1528299260 SAVAGE JONATHAN R 2021 FFS RENDERING AGE 0-20 1,019 5,036 443 838 1,005 3,275 1 1
1528316205 BABAYAN TAMAR S 2021 FFS RENDERING AGE 0-20 230 769 0 0 93 290 1 1
1528316205 BABAYAN TAMAR S 2021 FFS RENDERING AGE 21+ 1 2 0 0 0 0 1 1
1528317070 MA CHERRY L 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1528317070 MA CHERRY L 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1528317070 MA CHERRY L 2021 PHP RENDERING AGE 21+ 55 204 1 1 36 103 33 34
1528333275 DENLEY ERICA M 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1528333275 DENLEY ERICA M 2021 PHP RENDERING AGE 21+ 41 339 13 15 25 86 26 26
1528336906 TREJO CANCHOLA JUAN ANTONIO 2021 FFS RENDERING AGE 0-20 114 1,340 103 359 59 307 99 113
1528336906 TREJO CANCHOLA JUAN ANTONIO 2021 FFS RENDERING AGE 21+ 267 2,795 190 369 175 1,063 232 232
1528342573 BEHDIN VARAHRAM 2021 FFS RENDERING AGE 0-20 767 13,963 725 2,992 511 2,548 761 969
1528342573 BEHDIN VARAHRAM 2021 FFS RENDERING AGE 21+ 602 8,463 519 1,031 327 1,365 548 548
1528346657 NASIBI, PEJMAN DDS 2021 FFS RENDERING AGE 0-20 175 382 1 1 23 55 0 0
1528346657 NASIBI, PEJMAN DDS 2021 FFS RENDERING AGE 21+ 13 25 1 1 1 1 0 0
1528363207 COHEN, SEDGH, MANAVI & PAKRA 2021 PHP RENDERING AGE 0-20 51 242 27 77 1 2 23 23
1528363207 COHEN, SEDGH, MANAVI & PAKRA 2021 PHP RENDERING AGE 21+ 59 225 12 19 20 42 24 24
1528366143 SAKAI NICOLE C 2021 FFS RENDERING AGE 0-20 484 780 0 0 377 571 0 0
1528377355 ALBELAIS AUSTREBERTO B 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1528377355 ALBELAIS AUSTREBERTO B 2021 FFS RENDERING AGE 21+ 30 168 11 11 19 68 20 20
1528398864 THURMAN MICHAEL M 2021 FFS RENDERING AGE 0-20 1,612 6,617 0 0 270 909 0 0
1528398864 THURMAN MICHAEL M 2021 FFS RENDERING AGE 21+ 303 890 0 0 1 1 0 0
1528400561 MESERKHANI ARTIN 2021 FFS RENDERING AGE 0-20 260 771 0 0 81 245 0 0
1528400561 MESERKHANI ARTIN 2021 FFS RENDERING AGE 21+ 25 48 0 0 1 1 1 1
1528409075 TRAN JOHN Q 2021 FFS RENDERING AGE 0-20 77 1,216 74 230 47 172 74 93
1528409075 TRAN JOHN Q 2021 FFS RENDERING AGE 21+ 249 2,557 168 339 177 729 181 182
1528409869 CHEK ROBERTA VAN 2021 GMC RENDERING AGE 21+ 1 2 1 1 0 0 1 1
1528413234 PARK LYDIA E 2021 FFS RENDERING AGE 0-20 945 5,825 761 1,943 544 821 728 753
1528413705 BARR PEDRAM 2021 FFS RENDERING AGE 0-20 687 1,476 1 1 132 288 1 1
1528413705 BARR PEDRAM 2021 FFS RENDERING AGE 21+ 31 50 0 0 1 1 0 0
1528413705 BARR PEDRAM 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1528413705 BARR PEDRAM 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1528427853 ONG SIOE HWA 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1528430121 ELY JOSHUA 2021 FFS RENDERING AGE 0-20 120 345 1 1 119 334 1 1
1528430121 ELY JOSHUA 2021 FFS RENDERING AGE 21+ 118 312 1 1 116 303 1 1
1528434537 NASSIRIPOUR SEPEHR 2021 FFS RENDERING AGE 0-20 3,157 27,834 2,709 8,041 1,927 4,791 2,674 3,128
1528434537 NASSIRIPOUR SEPEHR 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1528447398 CALCAGNO JACQUELINE A 2021 FFS RENDERING AGE 0-20 173 958 128 303 61 261 105 106
1528459559 PALAU MANUEL J 2021 FFS RENDERING AGE 0-20 514 9,886 475 1,643 348 1,637 482 648
1528459559 PALAU MANUEL J 2021 FFS RENDERING AGE 21+ 268 3,766 127 188 215 1,289 210 210
1528485901 PASHKOWSKY LAURA K 2021 FFS RENDERING AGE 0-20 49 197 0 0 49 196 0 0
1528485901 PASHKOWSKY LAURA K 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 2 0 0
1528494085 KWON JOHN HEE C 2021 PHP RENDERING AGE 0-20 1 2 1 2 1 2 1 1
1528494085 KWON JOHN HEE C 2021 PHP RENDERING AGE 21+ 24 134 1 2 20 88 1 1
1528502648 KIM BOUNG Y 2021 FFS RENDERING AGE 0-20 83 465 63 182 44 92 50 58
1528502648 KIM BOUNG Y 2021 FFS RENDERING AGE 21+ 308 1,416 154 279 201 505 159 161
1528502648 KIM BOUNG Y 2021 PHP RENDERING AGE 21+ 1 2 0 0 1 1 0 0
1528510799 YOON SEONGRO A 2021 FFS RENDERING AGE 0-20 946 8,973 651 1,898 471 1,150 675 722
1528510799 YOON SEONGRO A 2021 FFS RENDERING AGE 21+ 637 4,356 224 356 423 1,179 332 338
1528531621 BELAYA ALESIA 2021 FFS RENDERING AGE 0-20 247 1,206 168 446 160 372 89 90
1528531621 BELAYA ALESIA 2021 FFS RENDERING AGE 21+ 360 1,207 69 129 283 763 86 86
1528531621 BELAYA ALESIA 2021 PHP RENDERING AGE 0-20 35 189 23 71 19 57 21 21
1528531621 BELAYA ALESIA 2021 PHP RENDERING AGE 21+ 32 122 1 2 25 80 1 1
1528534963 DR HUANG'S DENTAL CORP 2021 PHP RENDERING AGE 0-20 1 2 1 1 0 0 1 1
1528534963 DR HUANG'S DENTAL CORP 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1528535515 GUTIERREZ JENNIE M 2021 FFS RENDERING AGE 0-20 114 820 80 160 59 241 107 113
1528535515 GUTIERREZ JENNIE M 2021 FFS RENDERING AGE 21+ 246 1,319 60 63 175 722 191 191
1528535515 GUTIERREZ JENNIE M 2021 PHP RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1528535515 GUTIERREZ JENNIE M 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1528572625 LE RICHARD H 2021 FFS RENDERING AGE 0-20 3,595 34,888 2,789 8,474 2,094 5,346 2,722 3,024
1528572625 LE RICHARD H 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1528578036 SARRAF, KEIVAN, DDS INC 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1528590064 LEE PRISCILA 2021 FFS RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1528590064 LEE PRISCILA 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1528590064 LEE PRISCILA 2021 GMC RENDERING AGE 0-20 369 2,814 279 786 172 346 280 333
1528590064 LEE PRISCILA 2021 GMC RENDERING AGE 21+ 699 4,447 278 554 497 1,284 373 374
1528595972 SENAR MARTHA V 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1528595972 SENAR MARTHA V 2021 PHP RENDERING AGE 0-20 44 352 32 105 40 69 23 24
1528595972 SENAR MARTHA V 2021 PHP RENDERING AGE 21+ 62 292 17 53 43 124 22 22
1528607876 KACHI NATALIA Z 2021 FFS RENDERING AGE 0-20 1 1 1 1 1 1 0 0
1528607876 KACHI NATALIA Z 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1528612041 TRAN JIMMY 2021 FFS RENDERING AGE 0-20 1 2 1 2 0 0 1 1
1528612041 TRAN JIMMY 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1528612041 TRAN JIMMY 2021 GMC RENDERING AGE 0-20 307 2,134 195 739 179 328 223 242
1528612041 TRAN JIMMY 2021 GMC RENDERING AGE 21+ 731 3,795 196 462 628 1,467 331 332
1528615614 COMROE MICHELLE R 2021 FFS RENDERING AGE 0-20 449 1,808 207 463 69 120 398 412
1528615614 COMROE MICHELLE R 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 1 0 0
1528620234 EDALATPAJOUH RYAN 2021 FFS RENDERING AGE 0-20 997 10,495 738 2,578 556 1,489 860 880
1528620234 EDALATPAJOUH RYAN 2021 FFS RENDERING AGE 21+ 768 6,793 234 458 439 1,389 562 571
1528620234 EDALATPAJOUH RYAN 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1528665981 SEKAYAN NAIRY 2021 FFS RENDERING AGE 0-20 225 1,240 172 483 80 189 186 200
1528665981 SEKAYAN NAIRY 2021 FFS RENDERING AGE 21+ 99 395 14 27 58 182 56 57
1528665981 SEKAYAN NAIRY 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1528665981 SEKAYAN NAIRY 2021 PHP RENDERING AGE 0-20 312 1,769 141 384 197 599 145 150
1528665981 SEKAYAN NAIRY 2021 PHP RENDERING AGE 21+ 247 936 1 1 164 402 34 35
1528667524 THOPPIYIL SHAYMA L 2021 FFS RENDERING AGE 0-20 175 1,641 117 331 98 248 108 108
1528667524 THOPPIYIL SHAYMA L 2021 FFS RENDERING AGE 21+ 99 566 22 25 70 176 25 25
1528720042 GAUCHAN KRISTINA 2021 FFS RENDERING AGE 0-20 51 340 41 86 25 68 46 46
1528720042 GAUCHAN KRISTINA 2021 FFS RENDERING AGE 21+ 93 737 54 106 67 273 80 80
1538118880 COCCHI, MARK E, DDS 2021 FFS RENDERING AGE 0-20 1 1 1 1 1 1 0 0
1538118880 COCCHI, MARK E, DDS 2021 FFS RENDERING AGE 21+ 13 34 11 11 1 2 0 0
1538128624 HABIBI SAMAN 2021 FFS RENDERING AGE 0-20 167 681 115 269 40 93 139 150
1538128624 HABIBI SAMAN 2021 FFS RENDERING AGE 21+ 250 691 52 55 137 343 151 151
1538128624 HABIBI SAMAN 2021 PHP RENDERING AGE 0-20 25 97 14 27 1 2 20 20
1538128624 HABIBI SAMAN 2021 PHP RENDERING AGE 21+ 18 47 1 1 1 2 12 12
1538129572 BERMAN, MARTHA, DDS 2021 FFS RENDERING AGE 0-20 124 907 84 463 65 237 94 94
1538129572 BERMAN, MARTHA, DDS 2021 FFS RENDERING AGE 21+ 340 1,332 59 93 192 744 263 264
1538129572 BERMAN, MARTHA, DDS 2021 PHP RENDERING AGE 0-20 1 1 1 1 1 1 1 1
1538129572 BERMAN, MARTHA, DDS 2021 PHP RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1538129663 CHAN JOHN KWOK Y 2021 FFS RENDERING AGE 0-20 6,902 45,538 6,337 18,224 3,700 9,895 6,078 6,493
1538129663 CHAN JOHN KWOK Y 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1538139043 FORD HELEN E 2021 FFS RENDERING AGE 0-20 1,018 9,257 903 2,364 323 989 894 896
1538142849 SINGHAL, TARSEM & SINGHAL, S 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1538142849 SINGHAL, TARSEM & SINGHAL, S 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1538146618 TRAN, DON QUY DMD 2021 FFS RENDERING AGE 0-20 2,211 32,439 2,155 9,393 975 3,899 2,159 3,294
1538146618 TRAN, DON QUY DMD 2021 FFS RENDERING AGE 21+ 127 1,106 101 198 83 342 103 103
1538152350 GARCIA-GUZMAN, FRANCISCO J, 2021 FFS RENDERING AGE 0-20 18 116 15 17 1 2 11 11
1538152350 GARCIA-GUZMAN, FRANCISCO J, 2021 FFS RENDERING AGE 21+ 48 417 28 29 36 110 28 28
1538162425 POPE, BRUCE M DDS 2021 FFS RENDERING AGE 0-20 992 9,862 879 2,857 283 1,357 966 1,478
1538162425 POPE, BRUCE M DDS 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1538170519 NGUYEN LANKHANH D 2021 FFS RENDERING AGE 0-20 619 6,986 604 2,006 184 448 597 846
1538170519 NGUYEN LANKHANH D 2021 FFS RENDERING AGE 21+ 14 105 14 27 1 1 14 14
1538173018 TRAN, THANG DINH, DDS 2021 FFS RENDERING AGE 0-20 46 280 45 159 13 32 46 59
1538173018 TRAN, THANG DINH, DDS 2021 FFS RENDERING AGE 21+ 116 591 94 129 71 214 101 101
1538175781 FRAKER STEVEN D 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1538175781 FRAKER STEVEN D 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1538176425 WASSEM, JEFF D, DDS 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1538176425 WASSEM, JEFF D, DDS 2021 FFS RENDERING AGE 21+ 114 396 89 89 35 75 97 97
1538177340 KHALIL, MAMOUN, DDS 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1538183967 FARIGHI ALIREZA 2021 FFS RENDERING AGE 0-20 196 2,957 188 758 63 201 184 245
1538183967 FARIGHI ALIREZA 2021 FFS RENDERING AGE 21+ 357 4,670 164 324 280 1,546 271 271
1538185376 PECK LEON R 2021 FFS RENDERING AGE 0-20 226 1,042 0 0 197 581 194 194
1538185376 PECK LEON R 2021 FFS RENDERING AGE 21+ 589 2,399 0 0 495 1,157 504 504
1538188016 LIGHT, JEFFREY G, DDS 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1538188149 SINAIRAD JOSEPH 2021 FFS RENDERING AGE 0-20 2,295 16,865 320 559 269 368 142 142
1538188149 SINAIRAD JOSEPH 2021 FFS RENDERING AGE 21+ 1,093 4,413 44 89 178 557 63 63
1538188149 SINAIRAD JOSEPH 2021 PHP RENDERING AGE 0-20 152 1,058 125 416 67 167 132 158
1538188149 SINAIRAD JOSEPH 2021 PHP RENDERING AGE 21+ 107 502 30 44 76 269 67 67
1538188263 CHONG CARLOS R 2021 FFS RENDERING AGE 0-20 146 1,377 134 334 50 110 140 175
1538188263 CHONG CARLOS R 2021 FFS RENDERING AGE 21+ 221 1,730 91 158 150 464 150 150
1538208426 NGUYEN MINH T 2021 FFS RENDERING AGE 0-20 33 323 30 59 1 2 33 36
1538208426 NGUYEN MINH T 2021 FFS RENDERING AGE 21+ 90 871 37 37 38 106 46 46
1538208426 NGUYEN, MINH T, DDS 2021 FFS RENDERING AGE 0-20 33 323 30 59 1 2 33 36
1538208426 NGUYEN, MINH T, DDS 2021 FFS RENDERING AGE 21+ 90 871 37 37 38 106 46 46
1538208467 ARCE AILEEN L 2021 FFS RENDERING AGE 0-20 41 596 37 138 22 80 38 50
1538208467 ARCE AILEEN L 2021 FFS RENDERING AGE 21+ 325 2,836 141 273 271 1,495 207 207
1538212790 KHORRAM NASRIN 2021 FFS RENDERING AGE 0-20 63 522 28 53 27 111 53 57
1538212790 KHORRAM NASRIN 2021 FFS RENDERING AGE 21+ 383 2,440 20 21 252 1,157 255 267
1538212790 KHORRAM NASRIN 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1538212790 KHORRAM NASRIN 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1538214846 GROSSMAN, JOHN ROBERT DDS 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 1 1
1538214846 GROSSMAN, JOHN ROBERT DDS 2021 FFS RENDERING AGE 21+ 995 2,999 0 0 992 2,160 839 839
1538216536 HONG STANLEY S 2021 FFS RENDERING AGE 0-20 482 4,269 383 1,212 166 405 412 493
1538216536 HONG STANLEY S 2021 FFS RENDERING AGE 21+ 612 2,971 125 247 399 1,047 330 332
1538217344 KIM, YOHAN DMD 2021 FFS RENDERING AGE 0-20 125 1,467 111 144 55 192 118 148
1538217344 KIM, YOHAN DMD 2021 FFS RENDERING AGE 21+ 160 1,362 89 90 96 298 131 131
1538220314 WONG, LOWRY Y, DDS 2021 FFS RENDERING AGE 0-20 192 782 85 192 55 132 143 145
1538220314 WONG, LOWRY Y, DDS 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1538221742 LAUREOLA MICHAEL V 2021 FFS RENDERING AGE 0-20 3,490 28,003 2,219 7,249 2,146 12,817 929 1,078
1538221742 LAUREOLA MICHAEL V 2021 FFS RENDERING AGE 21+ 1 2 1 1 0 0 1 1
1538221742 LAUREOLA MICHAEL V 2021 PHP RENDERING AGE 0-20 48 547 25 73 45 261 0 0
1538224001 DUONG, TRI DUC DDS 2021 FFS RENDERING AGE 0-20 14 92 14 27 1 2 13 13
1538224001 DUONG, TRI DUC DDS 2021 FFS RENDERING AGE 21+ 115 590 84 84 72 298 97 97
1538224001 DUONG, TRI DUC, DDS 2021 FFS RENDERING AGE 0-20 14 92 14 27 1 2 13 13
1538224001 DUONG, TRI DUC, DDS 2021 FFS RENDERING AGE 21+ 115 590 84 84 72 298 97 97
1538224456 ZHONG WEIQIANG 2021 FFS RENDERING AGE 0-20 287 1,279 161 472 16 43 248 277
1538224456 ZHONG WEIQIANG 2021 FFS RENDERING AGE 21+ 644 2,276 184 348 196 718 515 515
1538224456 ZHONG WEIQIANG 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1538231592 CHEN RICHARD Z 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1538233093 AGUSTIN MARIA A 2021 FFS RENDERING AGE 0-20 67 646 61 179 35 94 60 73
1538233093 AGUSTIN MARIA A 2021 FFS RENDERING AGE 21+ 113 813 87 178 66 202 94 96
1538233432 BRAR JASLEEN K 2021 FFS RENDERING AGE 0-20 53 387 50 129 22 69 44 49
1538233432 BRAR JASLEEN K 2021 FFS RENDERING AGE 21+ 121 595 65 121 57 203 92 92
1538233556 JAWALE RESHMA R 2021 FFS RENDERING AGE 0-20 2,382 22,212 2,002 5,373 997 1,973 2,027 2,371
1538233556 JAWALE RESHMA R 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1538234919 PATEL, ANJANA A, DDS 2021 FFS RENDERING AGE 0-20 1 2 1 1 0 0 1 1
1538234919 PATEL, ANJANA A, DDS 2021 FFS RENDERING AGE 21+ 33 146 16 16 13 22 1 1
1538235320 HARIZ, SAM H, DDS 2021 FFS RENDERING AGE 0-20 35 220 35 109 1 2 35 52
1538235320 HARIZ, SAM H, DDS 2021 FFS RENDERING AGE 21+ 59 268 46 46 24 38 50 50
1538237953 MIRANDA JOSE FERDINA S 2021 FFS RENDERING AGE 0-20 14 121 11 19 1 2 1 1
1538237953 MIRANDA JOSE FERDINA S 2021 FFS RENDERING AGE 21+ 19 107 1 1 1 2 12 12
1538238290 LOK LAWRENCE WIN C 2021 FFS RENDERING AGE 0-20 304 3,367 267 885 144 438 268 361
1538238290 LOK LAWRENCE WIN C 2021 FFS RENDERING AGE 21+ 360 3,242 175 375 281 1,209 233 235
1538240247 ETEMADI DENTAL CORPORATION 2021 FFS RENDERING AGE 0-20 177 1,800 154 452 89 362 156 189
1538240247 ETEMADI DENTAL CORPORATION 2021 FFS RENDERING AGE 21+ 404 3,916 224 486 295 1,417 286 286
1538240247 ETEMADI DENTAL CORPORATION 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1538240247 ETEMADI KHASHAYAR 2021 FFS RENDERING AGE 0-20 177 1,800 154 452 89 362 156 189
1538240247 ETEMADI KHASHAYAR 2021 FFS RENDERING AGE 21+ 404 3,916 224 486 295 1,417 286 286
1538240247 ETEMADI KHASHAYAR 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1538247754 TETRADIS SOTIRIOS 2021 FFS RENDERING AGE 0-20 442 639 0 0 0 0 0 0
1538247754 TETRADIS SOTIRIOS 2021 FFS RENDERING AGE 21+ 618 746 0 0 0 0 0 0
1538248703 NGUYEN, LIEU K, DDS 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1538248703 NGUYEN, LIEU K, DDS 2021 FFS RENDERING AGE 21+ 47 169 15 27 35 75 17 17
1538252382 CARLIN, GREG P 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1538252382 CARLIN, GREG P 2021 FFS RENDERING AGE 21+ 64 345 38 38 45 123 42 42
1538255435 LEE, STEVE SIWOO, DDS 2021 FFS RENDERING AGE 0-20 82 579 62 73 20 68 73 85
1538255435 LEE, STEVE SIWOO, DDS 2021 FFS RENDERING AGE 21+ 168 1,197 67 68 63 233 127 129
1538259908 GRAY TODD A 2021 FFS RENDERING AGE 0-20 17 311 17 46 17 203 16 16
1538274998 MEJIA MOLINA JOSE M 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1538277165 NAJMABADI, PEGGY DDS 2021 FFS RENDERING AGE 0-20 966 12,723 941 4,113 645 2,364 944 1,273
1538277165 NAJMABADI, PEGGY DDS 2021 FFS RENDERING AGE 21+ 74 544 69 138 27 67 70 70
1538280185 PARHAM SOHAIL 2021 FFS RENDERING AGE 0-20 117 1,171 80 249 56 204 91 113
1538280185 PARHAM SOHAIL 2021 FFS RENDERING AGE 21+ 135 698 13 19 83 289 91 91
1538280185 PARHAM SOHAIL 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1538280185 PARHAM SOHAIL 2021 PHP RENDERING AGE 21+ 29 71 1 1 17 48 13 13
1538284583 CHIU, CATHERINE, DDS 2021 FFS RENDERING AGE 0-20 1,231 14,162 1,221 4,740 444 1,117 1,212 1,987
1538284583 CHIU, CATHERINE, DDS 2021 FFS RENDERING AGE 21+ 47 279 40 74 14 21 41 41
1538291869 PINEDA MARITESS S 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1538298260 LE DANIEL T 2021 FFS RENDERING AGE 0-20 70 791 55 185 44 167 55 56
1538298260 LE DANIEL T 2021 FFS RENDERING AGE 21+ 270 3,208 149 300 260 1,576 148 150
1538300249 KHADAVI RAHIMZA NATALIE D 2021 FFS RENDERING AGE 0-20 198 1,703 182 563 88 266 154 204
1538300249 KHADAVI RAHIMZA NATALIE D 2021 FFS RENDERING AGE 21+ 130 714 50 79 90 286 77 77
1538303516 ALTAMED HEALTH SERVICES CORP 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 2 1 1
1538303516 ALTAMED HEALTH SERVICES CORP 2021 PHP RENDERING AGE 21+ 1 1 1 1 0 0 0 0
1538308473 SADRI IMAN 2021 FFS RENDERING AGE 0-20 439 1,458 70 172 1 1 423 456
1538308473 SADRI IMAN 2021 FFS RENDERING AGE 21+ 1,040 2,628 43 81 156 223 855 855
1538308473 SADRI IMAN 2021 PHP RENDERING AGE 0-20 11 79 1 2 0 0 1 1
1538308473 SADRI IMAN 2021 PHP RENDERING AGE 21+ 37 147 1 1 1 2 24 24
1538322763 RUBIO MARTHA P 2021 FFS RENDERING AGE 0-20 33 153 1 1 22 68 1 1
1538322763 RUBIO MARTHA P 2021 FFS RENDERING AGE 21+ 74 240 1 1 54 143 21 21
1538324306 OHANIAN DENTAL CORP 2021 PHP RENDERING AGE 0-20 13 128 13 63 1 1 13 14
1538324306 OHANIAN DENTAL CORP 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1538329123 DABIRI, MEHRTAJ, DENTAL CORP 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 0 0
1538330386 CAWTHON III FLOYD J 2021 FFS RENDERING AGE 0-20 106 145 0 0 12 17 0 0
1538330386 CAWTHON III FLOYD J 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1538330386 CAWTHON III FLOYD J 2021 PHP RENDERING AGE 0-20 1 2 0 0 1 2 0 0
1538333919 HENAO, GABRIEL 2021 FFS RENDERING AGE 0-20 506 4,514 404 1,500 301 1,025 391 585
1538333919 HENAO, GABRIEL 2021 FFS RENDERING AGE 21+ 351 2,440 187 366 274 1,191 200 200
1538333919 HENAO, GABRIEL 2021 PHP RENDERING AGE 0-20 18 166 16 53 1 2 16 23
1538333919 HENAO, GABRIEL 2021 PHP RENDERING AGE 21+ 13 77 1 2 1 2 1 1
1538352471 HAN DAVID S 2021 FFS RENDERING AGE 0-20 52 148 1 2 11 29 1 1
1538352471 HAN DAVID S 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1538352471 HAN DAVID S 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1538359377 THOMAS, MARK 2021 FFS RENDERING AGE 0-20 1,640 18,407 1,314 4,386 1,047 3,620 1,328 1,570
1538359377 THOMAS, MARK 2021 FFS RENDERING AGE 21+ 305 2,026 133 252 212 683 194 194
1538360235 GESICHO GLADYS K 2021 FFS RENDERING AGE 0-20 346 2,251 200 614 156 383 262 301
1538360235 GESICHO GLADYS K 2021 FFS RENDERING AGE 21+ 828 3,796 335 662 460 1,331 571 573
1538360631 AVANTINO, KAREN, DDS 2021 FFS RENDERING AGE 21+ 42 138 0 0 34 81 30 30
1538366125 LE QUYNHCHAU H 2021 FFS RENDERING AGE 0-20 199 2,037 177 446 62 127 178 208
1538366125 LE QUYNHCHAU H 2021 FFS RENDERING AGE 21+ 480 3,916 298 593 336 1,250 348 348
1538372420 KABAKIAN NANOR 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 2 1 2
1538372420 KABAKIAN NANOR 2021 FFS RENDERING AGE 21+ 69 769 43 86 60 284 49 49
1538376058 MOISIUC ANDREEA 2021 FFS RENDERING AGE 0-20 191 2,622 172 578 110 395 175 236
1538376058 MOISIUC ANDREEA 2021 FFS RENDERING AGE 21+ 251 2,047 110 170 190 920 183 183
1538376520 COLLANTES ANA MARIA T 2021 FFS RENDERING AGE 0-20 376 5,159 351 1,332 200 522 346 427
1538376520 COLLANTES ANA MARIA T 2021 FFS RENDERING AGE 21+ 527 5,383 362 722 407 1,837 406 406
1538378179 LUZAR JEFFERY R 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1538378179 LUZAR JEFFERY R 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1538378328 MONG SEAN S 2021 FFS RENDERING AGE 0-20 397 2,038 286 758 266 699 269 275
1538378328 MONG SEAN S 2021 FFS RENDERING AGE 21+ 3,849 18,296 1,858 2,917 2,920 9,411 2,272 2,272
1538378328 MONG SEAN S 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1538379409 DELA FUENTE SUSANA G 2021 FFS RENDERING AGE 0-20 29 284 19 38 16 52 20 20
1538379409 DELA FUENTE SUSANA G 2021 FFS RENDERING AGE 21+ 34 236 1 2 18 44 17 17
1538381645 GRIFFITH, KENNETH C DDS 2021 FFS RENDERING AGE 0-20 102 1,944 67 168 102 1,171 95 103
1538382825 GHASEMYEH MARYAM 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1538382825 GHASEMYEH MARYAM 2021 FFS RENDERING AGE 21+ 1 2 1 2 1 2 1 1
1538384870 CHERUKURI, SIVA S DDS 2021 FFS RENDERING AGE 0-20 4,219 42,677 3,986 11,613 478 656 3,987 5,337
1538384870 CHERUKURI, SIVA S DDS 2021 FFS RENDERING AGE 21+ 113 804 91 177 21 31 89 89
1538385133 TAY PATRICIA 2021 FFS RENDERING AGE 0-20 1,873 31,079 1,811 8,855 1,319 4,788 1,789 2,935
1538385133 TAY PATRICIA 2021 FFS RENDERING AGE 21+ 1 2 1 1 0 0 1 1
1538391263 SAPIR BENJAMIN P 2021 FFS RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1538427182 CHHOTU KRUPAL B 2021 FFS RENDERING AGE 0-20 172 1,492 140 397 91 365 144 174
1538427182 CHHOTU KRUPAL B 2021 FFS RENDERING AGE 21+ 454 2,828 164 328 344 1,311 338 338
1538447149 GOLSHANI ZARRIN 2021 FFS RENDERING AGE 0-20 100 1,034 80 220 40 94 89 89
1538447149 GOLSHANI ZARRIN 2021 FFS RENDERING AGE 21+ 59 392 1 2 34 110 35 35
1538453956 KAUR SUKHMEET 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1538456108 KADKHODA AFSANEH 2021 FFS RENDERING AGE 0-20 12 52 1 2 1 1 1 1
1538456108 KADKHODA AFSANEH 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1538457775 VAN SICKLEN ANDREW J 2021 FFS RENDERING AGE 0-20 1,734 20,123 1,405 5,070 1,470 7,062 1,242 1,502
1538457775 VAN SICKLEN ANDREW J 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1538462916 LIU JIN 2021 FFS RENDERING AGE 0-20 11 88 11 47 1 2 1 2
1538462916 LIU JIN 2021 FFS RENDERING AGE 21+ 20 119 16 32 11 45 19 19
1538464771 KIM HYUN-JUNG 2021 FFS RENDERING AGE 0-20 304 2,738 223 582 170 449 209 225
1538464771 KIM HYUN-JUNG 2021 FFS RENDERING AGE 21+ 122 641 35 71 89 260 50 50
1538490008 NGUYEN DUONG Q 2021 FFS RENDERING AGE 0-20 134 2,507 131 362 77 641 124 171
1538490008 NGUYEN DUONG Q 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1538490214 MOMANI, AHMAD, DDS 2021 FFS RENDERING AGE 0-20 1,097 15,932 491 3,102 693 5,018 820 1,760
1538490214 MOMANI, AHMAD, DDS 2021 FFS RENDERING AGE 21+ 2,383 25,758 388 1,464 1,563 14,522 1,528 3,068
1538490214 MOMANI, AHMAD, DDS 2021 GMC RENDERING AGE 0-20 14 268 1 2 1 2 12 28
1538490214 MOMANI, AHMAD, DDS 2021 GMC RENDERING AGE 21+ 43 456 1 2 23 220 40 86
1538507322 GARDNER MICHAEL D 2021 FFS RENDERING AGE 0-20 117 1,377 96 352 56 152 101 129
1538507322 GARDNER MICHAEL D 2021 FFS RENDERING AGE 21+ 160 993 63 111 101 364 124 124
1538507322 GARDNER MICHAEL D 2021 PHP RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1538507322 GARDNER MICHAEL D 2021 PHP RENDERING AGE 21+ 18 116 1 1 12 57 14 16
1538536719 NGUYEN DAO A 2021 FFS RENDERING AGE 0-20 361 2,301 268 1,011 153 299 291 295
1538536719 NGUYEN DAO A 2021 FFS RENDERING AGE 21+ 433 1,378 105 202 185 408 268 268
1538541438 BUNNELL TIMOTHY J 2021 FFS RENDERING AGE 0-20 29 124 0 0 29 109 15 15
1538541438 BUNNELL TIMOTHY J 2021 FFS RENDERING AGE 21+ 25 153 0 0 24 134 19 19
1538541701 VAHDATINIA SINA 2021 FFS RENDERING AGE 0-20 647 5,017 551 2,225 282 966 594 714
1538541701 VAHDATINIA SINA 2021 FFS RENDERING AGE 21+ 924 4,087 270 302 553 2,027 700 700
1538542980 CHOW OLIVIA 2021 FFS RENDERING AGE 21+ 19 51 0 0 11 27 1 1
1538544630 NGUYEN ANDREW T 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 1 1 1
1538544887 PATEL TEJAL P 2021 FFS RENDERING AGE 0-20 329 1,598 214 522 121 297 246 262
1538544887 PATEL TEJAL P 2021 FFS RENDERING AGE 21+ 933 3,120 291 522 387 981 624 634
1538544887 PATEL TEJAL P 2021 PHP RENDERING AGE 0-20 1 2 0 0 1 1 1 1
1538544887 PATEL TEJAL P 2021 PHP RENDERING AGE 21+ 1 2 0 0 1 1 1 1
1538549605 BOUSHABA MOKHTAR 2021 FFS RENDERING AGE 0-20 14 61 1 1 12 38 1 1
1538549605 BOUSHABA MOKHTAR 2021 FFS RENDERING AGE 21+ 30 69 1 1 25 32 1 1
1538551171 ZAKI, IRENE, DDS INC 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 0 0
1538552351 KAUR CHETAN D 2021 FFS RENDERING AGE 0-20 82 666 50 102 39 136 51 51
1538552351 KAUR CHETAN D 2021 FFS RENDERING AGE 21+ 21 89 1 1 11 22 11 11
1538552351 KAUR CHETAN D 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1538555313 BASSON ROHIT 2021 FFS RENDERING AGE 0-20 131 1,672 115 478 64 288 113 130
1538555313 BASSON ROHIT 2021 FFS RENDERING AGE 21+ 216 2,463 93 179 176 1,092 163 164
1538556683 MARQUEZ NEIL PATRICK E 2021 FFS RENDERING AGE 0-20 610 7,642 507 1,533 324 1,025 548 704
1538556683 MARQUEZ NEIL PATRICK E 2021 FFS RENDERING AGE 21+ 543 3,982 221 439 422 1,342 324 324
1538559877 PANCHAL NANDITA R 2021 FFS RENDERING AGE 0-20 418 3,100 367 724 157 442 211 211
1538559877 PANCHAL NANDITA R 2021 FFS RENDERING AGE 21+ 387 1,919 189 242 230 668 184 184
1538568522 NGUYEN PHUONG T 2021 FFS RENDERING AGE 0-20 110 249 0 0 106 216 1 1
1538568522 NGUYEN PHUONG T 2021 FFS RENDERING AGE 21+ 318 857 0 0 310 783 1 1
1538568522 NGUYEN PHUONG T 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1538568522 NGUYEN PHUONG T 2021 PHP RENDERING AGE 21+ 1 2 0 0 1 1 1 1
1538578984 SIDDIQI AMMAR 2021 FFS RENDERING AGE 0-20 558 1,146 0 0 61 138 0 0
1538578984 SIDDIQI AMMAR 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1538582564 AMBATA, NARISSA BAWALAN DDS 2021 FFS RENDERING AGE 0-20 101 794 91 280 54 125 81 103
1538582564 AMBATA, NARISSA BAWALAN DDS 2021 FFS RENDERING AGE 21+ 158 1,092 100 200 116 345 105 105
1538582564 AMBATA, NARISSA BAWALAN DDS 2021 PHP RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1538592639 GANDHI ANERI D 2021 FFS RENDERING AGE 0-20 13 71 13 30 1 1 13 15
1538592639 GANDHI ANERI D 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1538592639 GANDHI ANERI D 2021 PHP RENDERING AGE 0-20 65 591 50 217 51 117 43 48
1538601745 ANANYAN LIANA 2021 FFS RENDERING AGE 0-20 190 2,724 179 763 131 713 186 259
1538601745 ANANYAN LIANA 2021 FFS RENDERING AGE 21+ 121 1,115 77 153 94 632 106 106
1538605829 CHIANG SAMANTHA H 2021 FFS RENDERING AGE 0-20 17 90 14 29 1 1 15 15
1538605829 CHIANG SAMANTHA H 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1538610142 SONG JASON 2021 GMC RENDERING AGE 0-20 111 474 57 107 29 59 84 84
1538610142 SONG JASON 2021 GMC RENDERING AGE 21+ 200 785 59 101 144 382 94 95
1538624176 JOSSERAND ANDEE D 2021 FFS RENDERING AGE 0-20 3,054 26,735 2,639 8,223 2,122 7,097 2,652 2,811
1538624176 JOSSERAND ANDEE D 2021 FFS RENDERING AGE 21+ 142 756 67 132 93 252 68 68
1538632013 BASTA HANY 2021 FFS RENDERING AGE 0-20 4,290 50,041 3,738 11,738 2,183 7,477 3,750 5,015
1538632013 BASTA HANY 2021 FFS RENDERING AGE 21+ 42 334 26 51 23 62 27 27
1538632013 BASTA HANY 2021 GMC RENDERING AGE 0-20 1 2 1 1 0 0 1 1
1538645353 SHAYEGHI MARQUE AMABELLE 2021 FFS RENDERING AGE 0-20 126 479 37 82 58 112 69 70
1538645353 SHAYEGHI MARQUE AMABELLE 2021 FFS RENDERING AGE 21+ 153 458 20 39 97 208 56 56
1538659206 LIM ASHLEY S 2021 PHP RENDERING AGE 0-20 106 853 99 350 38 48 88 108
1538659206 LIM ASHLEY S 2021 PHP RENDERING AGE 21+ 75 497 56 124 53 115 54 62
1538665799 DUONG JULIA T 2021 FFS RENDERING AGE 0-20 358 1,555 95 224 276 826 156 157
1538665799 DUONG JULIA T 2021 FFS RENDERING AGE 21+ 361 1,440 1 1 229 811 239 242
1538696935 LEE MICHAEL 2021 FFS RENDERING AGE 0-20 375 573 0 0 33 62 0 0
1538696935 LEE MICHAEL 2021 FFS RENDERING AGE 21+ 12 16 0 0 1 1 1 1
1538696935 LEE MICHAEL 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1538696935 LEE MICHAEL 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1538701057 SONG, YUN, DDS PROFESSIONAL 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1538727466 KHANBABAKHANI SINA 2021 FFS RENDERING AGE 0-20 629 3,238 418 1,410 246 460 396 405
1538727466 KHANBABAKHANI SINA 2021 FFS RENDERING AGE 21+ 640 1,904 136 258 321 743 327 327
1538731138 NIAKAN MAHSA 2021 FFS RENDERING AGE 0-20 61 288 44 103 18 36 48 48
1538731138 NIAKAN MAHSA 2021 FFS RENDERING AGE 21+ 152 464 33 40 83 154 70 70
1538731138 NIAKAN MAHSA 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1538753280 ERUM SAIMA 2021 FFS RENDERING AGE 0-20 431 1,726 220 578 238 545 210 211
1538753280 ERUM SAIMA 2021 FFS RENDERING AGE 21+ 701 2,173 76 133 490 1,280 272 272
1538763743 KIM, ELIES H, DDS INC 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1538775028 SRAVAN KUMAR MEERA 2021 FFS RENDERING AGE 0-20 565 2,279 329 728 267 632 227 229
1538775028 SRAVAN KUMAR MEERA 2021 FFS RENDERING AGE 21+ 940 2,786 261 470 537 1,276 302 305
1538779780 KANG HEEYUN 2021 FFS RENDERING AGE 0-20 658 4,143 413 1,119 222 504 602 658
1538779780 KANG HEEYUN 2021 FFS RENDERING AGE 21+ 823 3,152 236 472 337 837 676 679
1538835731 SHEIKHOLAEMMEH FARNAZ 2021 FFS RENDERING AGE 0-20 164 883 113 331 62 87 130 130
1538835731 SHEIKHOLAEMMEH FARNAZ 2021 FFS RENDERING AGE 21+ 93 236 11 17 31 54 57 57
1538835731 SHEIKHOLAEMMEH FARNAZ 2021 PHP RENDERING AGE 0-20 14 110 1 2 1 1 11 13
1538835731 SHEIKHOLAEMMEH FARNAZ 2021 PHP RENDERING AGE 21+ 12 29 0 0 1 1 1 1
1548242415 SAPER CLIFFORD D 2021 FFS RENDERING AGE 0-20 26 37 0 0 1 2 0 0
1548277510 SOLIMAN SHAWKY A 2021 FFS RENDERING AGE 0-20 58 404 45 105 29 77 30 34
1548277510 SOLIMAN SHAWKY A 2021 FFS RENDERING AGE 21+ 206 1,393 88 172 170 650 72 72
1548278500 YEH HUEY-JU G 2021 PHP RENDERING AGE 0-20 50 252 22 121 38 87 1 1
1548289002 WEISENBERG MARK J 2021 FFS RENDERING AGE 0-20 72 102 0 0 1 1 0 0
1548300403 OH, STEPHEN DDS 2021 FFS RENDERING AGE 0-20 59 615 54 245 40 153 47 61
1548300403 OH, STEPHEN DDS 2021 FFS RENDERING AGE 21+ 192 1,660 151 302 123 692 166 166
1548300403 OH, STEPHEN, DDS 2021 FFS RENDERING AGE 0-20 59 1,230 54 490 40 306 47 122
1548300403 OH, STEPHEN, DDS 2021 FFS RENDERING AGE 21+ 192 3,320 151 604 123 1,384 166 332
1548306996 NGUYEN TU-UYEN P 2021 FFS RENDERING AGE 0-20 506 3,290 417 1,545 156 183 477 520
1548306996 NGUYEN TU-UYEN P 2021 FFS RENDERING AGE 21+ 689 1,943 78 154 164 201 500 500
1548307101 RUIZ JOSE L 2021 FFS RENDERING AGE 0-20 18 97 1 2 1 2 13 13
1548307101 RUIZ JOSE L 2021 FFS RENDERING AGE 21+ 31 115 1 1 19 39 11 11
1548309677 MOE THOMAS K 2021 FFS RENDERING AGE 0-20 267 3,567 221 587 173 692 228 260
1548309677 MOE THOMAS K 2021 FFS RENDERING AGE 21+ 329 3,708 125 246 244 1,254 223 223
1548309677 MOE THOMAS K 2021 PHP RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1548310790 YASHMERANI, FARJAM S DDS 2021 FFS RENDERING AGE 0-20 232 5,053 216 650 188 1,361 224 311
1548310790 YASHMERANI, FARJAM S DDS 2021 FFS RENDERING AGE 21+ 214 3,311 160 321 178 1,085 175 175
1548311715 LIGAD MARIA MAGDAL 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 2 1 1
1548311715 LIGAD MARIA MAGDAL 2021 FFS RENDERING AGE 21+ 22 137 15 28 16 68 17 17
1548315567 GIAHI, HAMID DDS 2021 FFS RENDERING AGE 0-20 44 331 40 144 21 65 43 47
1548315567 GIAHI, HAMID DDS 2021 FFS RENDERING AGE 21+ 78 505 49 98 48 209 58 58
1548315567 GIAHI, HAMID DDS 2021 PHP RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1548315567 GIAHI, HAMID DDS 2021 PHP RENDERING AGE 21+ 12 70 1 2 1 2 1 1
1548316391 MCGRADY JODI A 2021 FFS RENDERING AGE 0-20 884 10,644 796 2,489 775 4,012 751 864
1548316391 MCGRADY JODI A 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1548316649 YIN, XIAOCHEN DDS 2021 FFS RENDERING AGE 0-20 60 435 50 129 30 111 56 61
1548316649 YIN, XIAOCHEN DDS 2021 FFS RENDERING AGE 21+ 215 1,022 135 138 148 400 169 170
1548316862 ZALTASH FALAMACK 2021 FFS RENDERING AGE 0-20 50 348 41 122 22 53 46 57
1548316862 ZALTASH FALAMACK 2021 FFS RENDERING AGE 21+ 84 473 45 45 51 190 67 67
1548318660 BILECA, HRISTU DDS 2021 FFS RENDERING AGE 0-20 141 1,368 123 546 63 176 125 142
1548318660 BILECA, HRISTU DDS 2021 FFS RENDERING AGE 21+ 340 2,670 225 444 226 755 224 224
1548321979 FOLMSBEE DIANA 2021 FFS RENDERING AGE 0-20 154 731 91 287 52 98 126 126
1548321979 FOLMSBEE DIANA 2021 FFS RENDERING AGE 21+ 158 521 48 85 82 168 105 105
1548321979 FOLMSBEE DIANA 2021 PHP RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1548321979 FOLMSBEE DIANA 2021 PHP RENDERING AGE 21+ 1 1 1 1 1 1 0 0
1548323231 POURYAVARI ROYA 2021 FFS RENDERING AGE 0-20 386 1,910 228 619 190 467 266 266
1548323231 POURYAVARI ROYA 2021 FFS RENDERING AGE 21+ 476 1,440 50 85 211 604 278 280
1548323231 POURYAVARI ROYA 2021 PHP RENDERING AGE 0-20 84 576 54 243 33 99 58 60
1548323231 POURYAVARI ROYA 2021 PHP RENDERING AGE 21+ 116 622 25 35 83 350 70 70
1548323397 JAHROMI MARJON B 2021 FFS RENDERING AGE 0-20 268 1,495 1 2 268 1,443 0 0
1548326572 BAUGH JR, WILSON B, DDS 2021 FFS RENDERING AGE 0-20 256 1,623 0 0 177 1,099 223 223
1548326572 BAUGH JR, WILSON B, DDS 2021 FFS RENDERING AGE 21+ 422 2,634 0 0 306 1,731 343 343
1548326598 MARQUEZ, ELIZABETH DDS 2021 FFS RENDERING AGE 0-20 756 9,774 718 2,531 337 914 721 1,051
1548326598 MARQUEZ, ELIZABETH DDS 2021 FFS RENDERING AGE 21+ 620 5,824 439 864 479 1,989 481 481
1548328966 NAWABI FEROZ M 2021 FFS RENDERING AGE 0-20 16 189 16 32 16 86 16 16
1548328966 NAWABI FEROZ M 2021 FFS RENDERING AGE 21+ 42 379 39 39 42 193 29 29
1548328966 NAWABI FEROZ M 2021 GMC RENDERING AGE 0-20 1 2 1 1 1 2 1 1
1548328966 NAWABI FEROZ M 2021 GMC RENDERING AGE 21+ 12 228 12 13 12 99 12 12
1548329311 LEE JAMES H 2021 FFS RENDERING AGE 0-20 157 1,584 123 274 77 223 120 140
1548329311 LEE JAMES H 2021 FFS RENDERING AGE 21+ 381 3,215 195 199 275 976 250 250
1548332562 ROTTER, MARIA P, DMD 2021 FFS RENDERING AGE 0-20 22 195 17 56 13 57 19 22
1548332562 ROTTER, MARIA P, DMD 2021 FFS RENDERING AGE 21+ 64 408 20 21 44 222 51 51
1548332562 ROTTER, MARIA P, DMD 2021 PHP RENDERING AGE 0-20 1 2 1 2 1 2 1 1
1548332562 ROTTER, MARIA P, DMD 2021 PHP RENDERING AGE 21+ 13 75 1 1 1 2 13 13
1548334949 CAMPOS-CORTES ARIADNA 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1548335615 JAWALE SHAILESH 2021 FFS RENDERING AGE 0-20 636 5,945 528 1,634 201 521 564 716
1548335615 JAWALE SHAILESH 2021 FFS RENDERING AGE 21+ 1,178 8,435 458 775 813 2,808 647 647
1548336548 LAM LAURA T 2021 FFS RENDERING AGE 0-20 193 2,224 192 923 88 218 192 304
1548336548 LAM LAURA T 2021 FFS RENDERING AGE 21+ 164 1,152 137 272 93 356 139 139
1548337140 ZAPANTA ARLENE A 2021 FFS RENDERING AGE 0-20 16 111 13 27 1 2 13 14
1548337140 ZAPANTA ARLENE A 2021 FFS RENDERING AGE 21+ 86 464 37 37 55 229 56 56
1548337983 JOSON GLENDA M 2021 FFS RENDERING AGE 0-20 84 833 60 255 43 138 83 112
1548337983 JOSON GLENDA M 2021 FFS RENDERING AGE 21+ 138 1,345 92 180 98 528 113 113
1548349459 THU, ZAW MIN DDS 2021 FFS RENDERING AGE 0-20 174 3,161 161 487 159 1,895 137 175
1548349459 THU, ZAW MIN DDS 2021 FFS RENDERING AGE 21+ 159 3,067 100 142 150 2,470 103 103
1548352685 FAJARDO, HENRY D, DMD 2021 FFS RENDERING AGE 0-20 88 504 82 104 37 109 77 97
1548352685 FAJARDO, HENRY D, DMD 2021 FFS RENDERING AGE 21+ 255 1,082 91 91 168 559 106 106
1548356686 POKALA PARVATHI 2021 FFS RENDERING AGE 0-20 434 5,030 397 1,672 299 1,454 366 523
1548356686 POKALA PARVATHI 2021 FFS RENDERING AGE 21+ 1 2 1 2 1 2 1 1
1548357262 RODEF, FARIBORZ 2021 FFS RENDERING AGE 0-20 2,212 16,884 1,702 4,848 1,663 4,044 1,505 1,565
1548357262 RODEF, FARIBORZ 2021 FFS RENDERING AGE 21+ 12 72 1 2 1 2 1 1
1548357262 RODEF, FARIBORZ 2021 PHP RENDERING AGE 0-20 141 998 59 149 124 501 31 32
1548359227 VU, TOM 2021 FFS RENDERING AGE 0-20 138 1,416 130 517 85 212 129 168
1548359227 VU, TOM 2021 FFS RENDERING AGE 21+ 249 1,998 167 295 214 786 201 201
1548364607 LOUIE-AU, MAY CHONG, DDS 2021 FFS RENDERING AGE 0-20 18 96 16 17 1 2 13 14
1548364607 LOUIE-AU, MAY CHONG, DDS 2021 FFS RENDERING AGE 21+ 52 234 25 25 34 77 28 28
1548372550 PORCARO II, VINCENT J DDS 2021 FFS RENDERING AGE 0-20 58 182 37 39 31 68 32 33
1548372550 PORCARO II, VINCENT J DDS 2021 FFS RENDERING AGE 21+ 499 2,214 149 151 449 1,620 148 150
1548372550 PORCARO II, VINCENT JOSEPH, 2021 FFS RENDERING AGE 0-20 58 182 37 39 31 68 32 33
1548372550 PORCARO II, VINCENT JOSEPH, 2021 FFS RENDERING AGE 21+ 499 2,214 149 151 449 1,620 148 150
1548376957 FORTNEY-CICCARELLA, CHRISTIA 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 2 1 1
1548383383 OHANIAN, ARMINE 2021 FFS RENDERING AGE 0-20 92 1,094 89 399 47 167 90 113
1548383383 OHANIAN, ARMINE 2021 FFS RENDERING AGE 21+ 145 1,575 102 209 115 728 112 116
1548383383 OHANIAN, ARMINE 2021 PHP RENDERING AGE 0-20 14 104 14 47 1 1 14 14
1548383383 OHANIAN, ARMINE 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1548384902 DOAN LAMMAN T 2021 FFS RENDERING AGE 0-20 1,499 19,205 1,352 3,543 639 1,518 1,408 1,770
1548384902 DOAN LAMMAN T 2021 FFS RENDERING AGE 21+ 284 2,044 132 273 202 470 147 147
1548386543 VILLAR MARIA G 2021 FFS RENDERING AGE 0-20 299 3,137 281 1,067 202 944 293 383
1548386543 VILLAR MARIA G 2021 FFS RENDERING AGE 21+ 202 1,083 56 107 139 542 158 158
1548392160 CHUNG YOON S 2021 PHP RENDERING AGE 0-20 1 1 0 0 0 0 1 1
1548392160 CHUNG YOON S 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 1 1 2
1548399348 CATUIRA EVELYN V 2021 FFS RENDERING AGE 0-20 28 177 26 67 13 41 23 28
1548399348 CATUIRA EVELYN V 2021 FFS RENDERING AGE 21+ 83 620 60 120 67 277 57 57
1548414147 LIANG HOWARD C 2021 FFS RENDERING AGE 0-20 189 860 0 0 146 221 175 175
1548414147 LIANG HOWARD C 2021 FFS RENDERING AGE 21+ 571 2,203 0 0 96 124 537 537
1548414147 LIANG HOWARD C 2021 PHP RENDERING AGE 0-20 1 2 0 0 1 2 0 0
1548414147 LIANG HOWARD C 2021 PHP RENDERING AGE 21+ 104 215 0 0 73 95 90 92
1548414352 ROBIN STEPHEN L 2021 FFS RENDERING AGE 0-20 22 26 0 0 1 1 18 18
1548414352 ROBIN STEPHEN L 2021 FFS RENDERING AGE 21+ 52 59 0 0 11 15 42 42
1548414352 ROBIN STEPHEN L 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1548430580 BRAZA EDNA P 2021 FFS RENDERING AGE 0-20 22 124 19 34 1 2 21 22
1548430580 BRAZA EDNA P 2021 FFS RENDERING AGE 21+ 79 338 51 51 45 119 63 63
1548438393 RAMYAR MEZGAN N 2021 FFS RENDERING AGE 0-20 292 2,676 252 770 157 357 247 306
1548438393 RAMYAR MEZGAN N 2021 FFS RENDERING AGE 21+ 227 1,289 143 284 125 402 159 164
1548441942 KHALAF, JOHN PATRICK DDS 2021 FFS RENDERING AGE 0-20 97 514 1 1 97 512 1 1
1548442387 SINGH VINEETA 2021 FFS RENDERING AGE 0-20 487 2,130 287 759 133 240 340 348
1548442387 SINGH VINEETA 2021 FFS RENDERING AGE 21+ 812 2,586 163 310 461 1,050 371 371
1548460785 SANTACRUZ FRANCISCO J 2021 FFS RENDERING AGE 0-20 49 733 47 140 20 117 46 69
1548460785 SANTACRUZ FRANCISCO J 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1548468143 LEE SIMON H 2021 FFS RENDERING AGE 0-20 1 2 0 0 1 2 0 0
1548468143 LEE SIMON H 2021 FFS RENDERING AGE 21+ 95 264 0 0 91 160 1 1
1548477904 OCAMPO GARRY P 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1548477904 OCAMPO GARRY P 2021 FFS RENDERING AGE 21+ 23 121 16 16 1 2 16 16
1548478399 GUSHANSKY LARISSA 2021 FFS RENDERING AGE 0-20 170 1,690 112 355 83 242 139 148
1548478399 GUSHANSKY LARISSA 2021 FFS RENDERING AGE 21+ 192 1,700 51 99 137 627 120 120
1548478399 GUSHANSKY LARISSA 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1548478399 GUSHANSKY LARISSA 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1548478886 KARAPETIAN OGANES 2021 FFS RENDERING AGE 0-20 101 562 50 130 51 200 91 104
1548478886 KARAPETIAN OGANES 2021 FFS RENDERING AGE 21+ 659 3,752 121 241 474 2,034 518 518
1548482292 NGUYEN PHUONGTHAO N 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1548482292 NGUYEN PHUONGTHAO N 2021 FFS RENDERING AGE 21+ 83 229 0 0 83 221 0 0
1548486707 SHARIFF FARHEEN 2021 FFS RENDERING AGE 0-20 85 1,342 81 318 47 168 80 123
1548486707 SHARIFF FARHEEN 2021 FFS RENDERING AGE 21+ 77 532 33 33 52 244 63 63
1548489057 DELOS REYES NOEL M 2021 FFS RENDERING AGE 0-20 136 1,371 96 238 57 165 89 93
1548489057 DELOS REYES NOEL M 2021 FFS RENDERING AGE 21+ 370 2,399 145 238 199 576 189 189
1548489974 ECHEVERRIA JULIETA Y 2021 FFS RENDERING AGE 0-20 286 4,004 275 788 117 305 274 362
1548489974 ECHEVERRIA JULIETA Y 2021 FFS RENDERING AGE 21+ 217 1,780 158 166 126 423 175 177
1548490410 KOHANZADEH YORAM 2021 FFS RENDERING AGE 0-20 31 58 0 0 12 28 0 0
1548490410 KOHANZADEH YORAM 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1548506512 DONG, MICHAEL CUONG, DMD 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1548506512 DONG, MICHAEL CUONG, DMD 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1548507239 EHAB SAMAAN DDS,INC 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1548507239 EHAB SAMAAN DDS,INC 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1548507239 SAMAAN, EHAB, DDS INC 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1548507239 SAMAAN, EHAB, DDS INC 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1548512254 CRAWFORD, VICTOR XAVIER DDS 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1548519051 AGHAJANI KOOSHA 2021 FFS RENDERING AGE 0-20 869 10,910 794 3,889 435 1,008 833 1,172
1548519051 AGHAJANI KOOSHA 2021 FFS RENDERING AGE 21+ 741 4,937 380 627 439 1,421 610 610
1548519051 AGHAJANI KOOSHA 2021 PHP RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1548543077 LIM ROBERT S 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1548563059 LEONG JEFFREY W 2021 FFS RENDERING AGE 0-20 277 494 0 0 89 238 0 0
1548563059 LEONG JEFFREY W 2021 FFS RENDERING AGE 21+ 23 23 0 0 0 0 0 0
1548582026 MASTOUR PEDRAM E 2021 FFS RENDERING AGE 0-20 200 2,343 170 530 98 237 165 210
1548582026 MASTOUR PEDRAM E 2021 FFS RENDERING AGE 21+ 346 2,237 104 171 241 941 195 195
1548583636 SAADATMANDI HOSSEIN 2021 FFS RENDERING AGE 0-20 17 37 0 0 17 24 0 0
1548583636 SAADATMANDI HOSSEIN 2021 FFS RENDERING AGE 21+ 137 347 0 0 127 212 1 1
1548588486 LAALY FARAZ F 2021 FFS RENDERING AGE 0-20 20 140 1 2 1 2 12 12
1548588486 LAALY FARAZ F 2021 FFS RENDERING AGE 21+ 29 153 1 2 19 74 1 1
1548594682 EMAMI SASCHA 2021 FFS RENDERING AGE 0-20 110 279 15 32 78 165 29 29
1548594682 EMAMI SASCHA 2021 FFS RENDERING AGE 21+ 595 1,631 16 31 539 1,447 53 53
1548600844 CHOUDHRY VANILA 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1548600844 CHOUDHRY VANILA 2021 FFS RENDERING AGE 21+ 14 56 1 1 1 2 13 13
1548608425 PATEL AJAYKUMAR 2021 FFS RENDERING AGE 0-20 23 186 15 39 1 2 17 17
1548608425 PATEL AJAYKUMAR 2021 FFS RENDERING AGE 21+ 78 669 20 40 51 266 48 48
1548612963 PATEL DAVINA R 2021 GMC RENDERING AGE 0-20 1 1 1 1 1 1 0 0
1548616972 YOUN KIWON 2021 FFS RENDERING AGE 0-20 280 2,920 235 707 151 466 245 288
1548616972 YOUN KIWON 2021 FFS RENDERING AGE 21+ 785 5,443 315 568 609 2,580 590 590
1548618648 VAJDA DEREK L 2021 FFS RENDERING AGE 0-20 52 145 1 1 48 126 1 1
1548618648 VAJDA DEREK L 2021 FFS RENDERING AGE 21+ 158 500 0 0 153 474 1 1
1548629223 SIHOTA NAVJOT S 2021 FFS RENDERING AGE 0-20 492 3,698 429 1,701 249 614 430 522
1548629223 SIHOTA NAVJOT S 2021 FFS RENDERING AGE 21+ 120 533 82 172 67 137 85 85
1548642846 DE LEON, MARIA P, DDS INC 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 0 0
1548643521 HSIN HONG-YUAN 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1548669534 HILO II, ELMER ENERIO DMD 2021 FFS RENDERING AGE 0-20 407 4,112 211 659 316 2,116 308 347
1548669534 HILO II, ELMER ENERIO DMD 2021 FFS RENDERING AGE 21+ 468 3,101 152 278 380 1,881 333 333
1548669534 HILO II, ELMER ENERIO DMD 2021 GMC RENDERING AGE 0-20 902 4,322 902 3,422 1 1 0 0
1548669534 HILO II, ELMER ENERIO DMD 2021 GMC RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1548669534 HILO II, ELMER ENERIO DMD 2021 PHP RENDERING AGE 0-20 1 2 1 2 1 2 1 1
1548669534 HILO II, ELMER ENERIO DMD 2021 PHP RENDERING AGE 21+ 20 187 1 2 11 137 17 17
1548673015 AHUJA DENTAL CORPORATION 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1548676190 MARINI, SHABNAM 2021 FFS RENDERING AGE 0-20 2,726 32,929 2,575 12,597 2,183 9,589 2,401 2,982
1548676190 MARINI, SHABNAM 2021 FFS RENDERING AGE 21+ 96 260 1 2 54 132 43 44
1548676190 MARINI, SHABNAM 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1548682768 ZIED HEBA 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1548682768 ZIED HEBA 2021 FFS RENDERING AGE 21+ 195 865 28 30 155 558 72 72
1548692643 CAPULONG REGINA A 2021 FFS RENDERING AGE 0-20 3,604 32,082 2,568 6,008 1,688 6,293 2,398 2,574
1548701378 WESTERN DENTAL SERVICES INC 2021 PHP RENDERING AGE 0-20 12 124 11 30 1 1 12 12
1548701378 WESTERN DENTAL SERVICES INC 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1548701378 WESTERN DENTAL SERVICES, INC. 2021 PHP RENDERING AGE 0-20 12 124 11 30 1 1 12 12
1548701378 WESTERN DENTAL SERVICES, INC. 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1548701626 PARK, DAVID, MPH DDS PROFESS 2021 PHP RENDERING AGE 0-20 56 391 43 178 30 43 40 40
1548701626 PARK, DAVID, MPH DDS PROFESS 2021 PHP RENDERING AGE 21+ 38 133 11 21 31 55 1 1
1548718661 TORRES RAMON E 2021 FFS RENDERING AGE 0-20 43 179 19 46 26 52 21 25
1548718661 TORRES RAMON E 2021 FFS RENDERING AGE 21+ 73 284 1 1 51 151 39 39
1548749187 HOOSHMAND PARIA 2021 FFS RENDERING AGE 0-20 3,573 23,849 2,441 5,672 1,775 3,827 2,428 2,458
1548764392 ST JOHN'S WELL CHILD & FAMIL 2021 PHP RENDERING AGE 0-20 14 154 13 57 13 36 1 1
1548764392 ST JOHN'S WELL CHILD & FAMIL 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 2 0 0
1548764392 ST. JOHN'S WELL CHILD AND FAMILY CENTER, INC. 2021 PHP RENDERING AGE 0-20 14 154 13 57 13 36 1 1
1548764392 ST. JOHN'S WELL CHILD AND FAMILY CENTER, INC. 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 2 0 0
1548801558 LU XUANYU 2021 FFS RENDERING AGE 0-20 202 428 1 1 126 286 1 1
1548808678 ANSARI BITA 2021 FFS RENDERING AGE 0-20 1,267 12,508 906 2,649 853 2,471 876 954
1548808678 ANSARI BITA 2021 FFS RENDERING AGE 21+ 191 1,424 95 192 109 330 100 102
1548813116 EBRAHIM ARASH 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1548814841 YANG PAUL 2021 FFS RENDERING AGE 0-20 43 158 14 37 31 60 22 22
1548814841 YANG PAUL 2021 FFS RENDERING AGE 21+ 203 698 1 2 169 397 71 71
1548872997 SIDAROUS NANCY M 2021 FFS RENDERING AGE 0-20 156 814 81 227 108 287 71 72
1548872997 SIDAROUS NANCY M 2021 FFS RENDERING AGE 21+ 290 990 35 69 192 516 111 111
1548877483 GILL JANAM 2021 FFS RENDERING AGE 0-20 29 221 25 68 14 53 23 23
1548877483 GILL JANAM 2021 FFS RENDERING AGE 21+ 62 270 21 21 37 116 34 34
1548884109 SAWIRES SOPHIA A 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1548884109 SAWIRES SOPHIA A 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 2 1 1
1548934342 TCHIROYAN SARINE W 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 1 1
1548934342 TCHIROYAN SARINE W 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1548938749 CHANG NAI-YUAN N 2021 FFS RENDERING AGE 0-20 20 106 12 37 16 54 1 1
1548938749 CHANG NAI-YUAN N 2021 FFS RENDERING AGE 21+ 68 246 19 36 61 179 1 1
1558036459 DALLALZADEH STACEY L 2021 FFS RENDERING AGE 0-20 78 347 47 97 35 97 41 41
1558036459 DALLALZADEH STACEY L 2021 FFS RENDERING AGE 21+ 133 380 24 50 52 127 60 60
1558322636 TRAN PHUONG N 2021 FFS RENDERING AGE 0-20 818 3,302 725 2,640 230 609 1 1
1558322636 TRAN PHUONG N 2021 FFS RENDERING AGE 21+ 697 2,158 379 749 554 1,291 0 0
1558322636 TRAN PHUONG N 2021 GMC RENDERING AGE 21+ 1 1 1 1 1 1 0 0
1558343715 PHAN KHANHLAM K 2021 FFS RENDERING AGE 0-20 941 5,766 386 1,036 802 3,499 164 165
1558343715 PHAN KHANHLAM K 2021 FFS RENDERING AGE 21+ 221 758 47 82 138 373 80 80
1558343715 PHAN KHANHLAM K 2021 PHP RENDERING AGE 0-20 63 283 38 100 48 163 1 1
1558351502 CAI, XIAOPANG 2021 FFS RENDERING AGE 0-20 344 2,848 312 1,061 207 700 308 357
1558351502 CAI, XIAOPANG 2021 FFS RENDERING AGE 21+ 658 4,198 459 770 444 1,720 551 552
1558361691 SHAW, HARRY, DDS 2021 FFS RENDERING AGE 0-20 83 653 81 269 28 102 75 89
1558361691 SHAW, HARRY, DDS 2021 FFS RENDERING AGE 21+ 61 441 46 92 36 182 52 52
1558371831 AKKAS ABDULLAH A 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 2 1 1
1558371831 AKKAS ABDULLAH A 2021 FFS RENDERING AGE 21+ 1 2 1 2 1 2 1 1
1558401018 LEE DAVID H 2021 FFS RENDERING AGE 0-20 31 34 0 0 1 1 0 0
1558401018 LEE DAVID H 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1558401018 LEE DAVID H 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1558403386 SUCHAK ATUL J 2021 FFS RENDERING AGE 0-20 84 471 77 211 33 72 70 100
1558403386 SUCHAK ATUL J 2021 FFS RENDERING AGE 21+ 23 73 1 2 1 2 15 15
1558403386 SUCHAK ATUL J 2021 PHP RENDERING AGE 0-20 119 738 105 352 46 89 97 129
1558403386 SUCHAK ATUL J 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1558403386 SUCHAK, ATUL J, DDS 2021 FFS RENDERING AGE 0-20 84 471 77 211 33 72 70 100
1558403386 SUCHAK, ATUL J, DDS 2021 FFS RENDERING AGE 21+ 23 73 1 2 1 2 15 15
1558403386 SUCHAK, ATUL J, DDS 2021 PHP RENDERING AGE 0-20 119 738 105 352 46 89 97 129
1558403386 SUCHAK, ATUL J, DDS 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1558404897 NIP, CHARLES, DDS 2021 FFS RENDERING AGE 0-20 32 79 1 2 28 38 1 1
1558404897 NIP, CHARLES, DDS 2021 FFS RENDERING AGE 21+ 53 196 15 17 41 51 15 15
1558406520 MOGHIMI DAVID K 2021 FFS RENDERING AGE 0-20 182 911 78 142 75 175 148 155
1558406520 MOGHIMI DAVID K 2021 FFS RENDERING AGE 21+ 448 2,254 78 110 229 716 310 310
1558406520 MOGHIMI DAVID K 2021 PHP RENDERING AGE 0-20 19 82 1 2 1 1 18 19
1558406520 MOGHIMI DAVID K 2021 PHP RENDERING AGE 21+ 38 169 18 23 1 2 31 35
1558409458 LEE JUDY HAN 2021 FFS RENDERING AGE 0-20 136 890 109 275 81 223 94 116
1558409458 LEE JUDY HAN 2021 FFS RENDERING AGE 21+ 258 1,215 147 289 159 355 168 168
1558410589 PHAN VINH D 2021 FFS RENDERING AGE 0-20 24 125 11 29 1 2 20 22
1558410589 PHAN VINH D 2021 FFS RENDERING AGE 21+ 204 1,139 113 208 141 420 112 112
1558410589 PHAN VINH D 2021 GMC RENDERING AGE 0-20 162 1,121 148 466 88 157 151 167
1558410589 PHAN VINH D 2021 GMC RENDERING AGE 21+ 252 1,560 161 343 161 510 191 194
1558413450 LE TRAM K 2021 FFS RENDERING AGE 0-20 42 290 32 97 24 70 29 29
1558413450 LE TRAM K 2021 FFS RENDERING AGE 21+ 123 631 33 66 99 302 68 68
1558416065 TARSITANO, BEN F MD 2021 FFS RENDERING AGE 0-20 819 4,412 0 0 720 4,155 21 21
1558416065 TARSITANO, BEN F MD 2021 FFS RENDERING AGE 21+ 25 84 0 0 20 69 1 1
1558416065 TARSITANO, BEN F, DDS 2021 FFS RENDERING AGE 0-20 819 4,412 0 0 720 4,155 21 21
1558416065 TARSITANO, BEN F, DDS 2021 FFS RENDERING AGE 21+ 25 84 0 0 20 69 1 1
1558422246 AMOUR PIERRE J 2021 FFS RENDERING AGE 0-20 938 4,431 487 1,275 211 263 881 966
1558422246 AMOUR PIERRE J 2021 FFS RENDERING AGE 21+ 1,612 5,192 174 294 648 1,403 1,244 1,246
1558422246 AMOUR PIERRE J 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1558422246 AMOUR PIERRE J 2021 PHP RENDERING AGE 0-20 91 437 44 157 25 35 73 78
1558422246 AMOUR PIERRE J 2021 PHP RENDERING AGE 21+ 121 419 14 28 76 190 71 72
1558426783 TRAN KIMDUNG T 2021 FFS RENDERING AGE 0-20 492 4,923 432 1,414 244 707 418 584
1558426783 TRAN KIMDUNG T 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1558428748 KHATTAB, MOSTAFA, DDS 2021 FFS RENDERING AGE 0-20 60 524 49 131 34 112 53 57
1558428748 KHATTAB, MOSTAFA, DDS 2021 FFS RENDERING AGE 21+ 176 1,277 85 140 127 520 118 118
1558431627 HERNANE, JANE DOLORES A, DDS 2021 PHP RENDERING AGE 0-20 97 579 92 339 29 60 94 118
1558450957 DE LA CRUZ JR MICHAEL M 2021 FFS RENDERING AGE 0-20 38 348 33 127 23 82 32 37
1558450957 DE LA CRUZ JR MICHAEL M 2021 FFS RENDERING AGE 21+ 75 408 49 97 41 118 54 54
1558452607 JACOBS, MURRAY K DDS 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1558452607 JACOBS, MURRAY K DDS 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 2 0 0
1558454199 NGUYEN NOLEEN 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1558454199 NGUYEN NOLEEN 2021 FFS RENDERING AGE 21+ 42 284 26 48 13 46 33 33
1558466128 CAVE MARK D 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1558469890 GUTIERREZ, RICHARD, DDS 2021 FFS RENDERING AGE 0-20 500 1,324 0 0 251 809 0 0
1558473652 HERNANDEZ CARMEN L 2021 FFS RENDERING AGE 0-20 243 3,169 229 973 111 514 227 266
1558473652 HERNANDEZ CARMEN L 2021 FFS RENDERING AGE 21+ 440 4,327 327 729 308 1,702 370 371
1558481721 HERRERA, RENE DDS 2021 FFS RENDERING AGE 0-20 232 1,870 81 210 114 531 195 212
1558481721 HERRERA, RENE DDS 2021 FFS RENDERING AGE 21+ 288 2,459 1 1 201 1,259 202 202
1558482158 TOLENTINO, GREGORIO V DDS 2021 FFS RENDERING AGE 0-20 24 117 19 38 1 2 21 21
1558482158 TOLENTINO, GREGORIO V DDS 2021 FFS RENDERING AGE 21+ 36 144 32 32 1 2 34 34
1558486860 NAMIAN & BORJIAN DENTAL CORP 2021 PHP RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1558496174 PHAN PETER B 2021 PHP RENDERING AGE 0-20 20 210 17 86 11 21 19 21
1558496174 PHAN PETER B 2021 PHP RENDERING AGE 21+ 67 386 19 95 46 139 48 90
1558498162 AL JIDUI, ABBAS HATIM DDS 2021 FFS RENDERING AGE 0-20 91 718 58 105 41 105 80 87
1558498162 AL JIDUI, ABBAS HATIM DDS 2021 FFS RENDERING AGE 21+ 322 1,948 61 71 231 871 181 181
1558508978 POLLACK MICHAEL S 2021 FFS RENDERING AGE 0-20 183 351 0 0 108 203 0 0
1558508978 POLLACK MICHAEL S 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1558516971 PELAEZ ADRIAN H 2021 FFS RENDERING AGE 0-20 16 121 15 53 1 1 15 15
1558516971 PELAEZ ADRIAN H 2021 FFS RENDERING AGE 21+ 86 459 44 84 50 141 61 61
1558517342 MEDINA DAVID O 2021 FFS RENDERING AGE 0-20 356 4,375 298 968 177 701 317 385
1558517342 MEDINA DAVID O 2021 FFS RENDERING AGE 21+ 664 5,007 350 698 472 1,841 453 456
1558528380 ANOSH, MOHAMMAD DR 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1558528380 ANOSH, MOHAMMAD DR 2021 FFS RENDERING AGE 21+ 62 228 1 1 48 103 14 14
1558528380 ANOSH, MOHAMMAD DR 2021 GMC RENDERING AGE 0-20 101 468 56 123 63 79 54 55
1558528380 ANOSH, MOHAMMAD DR 2021 GMC RENDERING AGE 21+ 264 1,010 58 61 194 320 96 97
1558531483 BORISSON SILVIA T 2021 FFS RENDERING AGE 0-20 391 3,017 355 1,165 134 284 357 367
1558531483 BORISSON SILVIA T 2021 FFS RENDERING AGE 21+ 188 824 77 145 118 304 96 96
1558537597 SPERO VINCENT 2021 FFS RENDERING AGE 0-20 42 358 40 76 20 87 41 48
1558537597 SPERO VINCENT 2021 FFS RENDERING AGE 21+ 186 1,691 122 123 139 693 145 145
1558548362 VARELA DAVID G 2021 FFS RENDERING AGE 21+ 4,703 23,505 1,563 2,693 4,383 8,238 3,466 3,466
1558548362 VARELA DAVID G 2021 GMC RENDERING AGE 21+ 50 279 32 43 49 106 46 47
1558552901 LEY BRIAN E 2021 FFS RENDERING AGE 0-20 45 635 38 146 35 173 40 64
1558552901 LEY BRIAN E 2021 FFS RENDERING AGE 21+ 144 2,019 88 156 130 1,032 99 99
1558559401 OH JOOYOUNG 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1558559401 OH JOOYOUNG 2021 FFS RENDERING AGE 21+ 20 46 1 1 15 17 1 1
1558559401 OH JOOYOUNG 2021 GMC RENDERING AGE 0-20 343 2,427 267 990 190 282 234 243
1558559401 OH JOOYOUNG 2021 GMC RENDERING AGE 21+ 512 2,035 281 520 321 493 205 210
1558566737 BETITA GINA M 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1558572859 ESPEJO JR ROBERTO V 2021 FFS RENDERING AGE 0-20 106 848 85 178 32 76 79 84
1558572859 ESPEJO JR ROBERTO V 2021 FFS RENDERING AGE 21+ 196 1,043 79 79 129 289 70 70
1558573519 AN, SCOTT, DDS INC 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1558573931 POWER, DAWN 2021 FFS RENDERING AGE 0-20 293 6,061 275 1,149 211 1,107 281 402
1558573931 POWER, DAWN 2021 FFS RENDERING AGE 21+ 135 1,713 57 100 105 527 104 104
1558576447 GONG RONG 2021 FFS RENDERING AGE 0-20 18 115 17 52 1 2 17 19
1558576447 GONG RONG 2021 FFS RENDERING AGE 21+ 143 754 118 234 62 233 131 131
1558579144 WOO, BRIAN MICHAEL MD 2021 FFS RENDERING AGE 0-20 529 2,732 0 0 325 1,790 365 365
1558579144 WOO, BRIAN MICHAEL MD 2021 FFS RENDERING AGE 21+ 537 2,355 1 1 360 1,571 354 354
1558580233 WESTCHESTER DENTAL CARE 2021 PHP RENDERING AGE 21+ 1 1 1 1 0 0 0 0
1558584433 HARDER, CORIE GRACE, DDS 2021 FFS RENDERING AGE 0-20 28 277 26 76 11 47 28 39
1558584433 HARDER, CORIE GRACE, DDS 2021 FFS RENDERING AGE 21+ 76 385 25 41 33 155 67 67
1558585109 MANAVI, F, DDS INC 2021 PHP RENDERING AGE 0-20 52 268 28 93 1 2 26 26
1558585109 MANAVI, F, DDS INC 2021 PHP RENDERING AGE 21+ 34 129 1 1 17 58 12 12
1558585117 KAZAZIAN, SONA, DDS 2021 FFS RENDERING AGE 0-20 45 719 44 128 23 110 42 56
1558585117 KAZAZIAN, SONA, DDS 2021 FFS RENDERING AGE 21+ 125 1,298 79 154 104 466 75 75
1558587121 PATEL SHAILESH K 2021 FFS RENDERING AGE 0-20 949 17,046 552 1,489 942 11,866 891 892
1558593277 SIDHU HARDEEP K 2021 FFS RENDERING AGE 0-20 116 1,137 104 368 41 148 102 126
1558593277 SIDHU HARDEEP K 2021 FFS RENDERING AGE 21+ 341 2,512 262 520 191 1,042 295 295
1558593277 SIDHU HARDEEP K 2021 GMC RENDERING AGE 0-20 787 5,928 309 1,028 580 2,802 366 421
1558593277 SIDHU HARDEEP K 2021 GMC RENDERING AGE 21+ 561 4,333 300 539 383 2,361 402 411
1558593277 SIDHU HARDEEP K 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 2 1 1
1558593590 AMATYA LIZA 2021 FFS RENDERING AGE 0-20 550 3,156 372 1,196 114 331 507 560
1558593590 AMATYA LIZA 2021 FFS RENDERING AGE 21+ 959 3,302 186 341 404 1,013 701 702
1558594648 RAHIMIAN ABTIN 2021 FFS RENDERING AGE 0-20 841 5,160 589 1,357 480 894 511 517
1558594648 RAHIMIAN ABTIN 2021 FFS RENDERING AGE 21+ 27 101 11 22 12 27 19 19
1558595298 JADID ALI C 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1558596395 KHAEF RAMTIN 2021 FFS RENDERING AGE 0-20 189 980 125 332 77 183 162 162
1558596395 KHAEF RAMTIN 2021 FFS RENDERING AGE 21+ 776 3,428 311 600 484 1,605 518 520
1558607739 MACIAS TORRES CESAR 2021 FFS RENDERING AGE 0-20 65 473 59 164 41 154 44 66
1558607739 MACIAS TORRES CESAR 2021 FFS RENDERING AGE 21+ 41 237 27 27 31 136 26 26
1558615559 COHEN-GADOL VICTORIA 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1558615559 COHEN-GADOL VICTORIA 2021 FFS RENDERING AGE 21+ 12 41 1 1 1 1 11 11
1558615559 COHEN-GADOL VICTORIA 2021 PHP RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1558615559 COHEN-GADOL VICTORIA 2021 PHP RENDERING AGE 21+ 43 190 30 36 15 32 43 45
1558625996 SONNICHSEN BRITTANY 2021 FFS RENDERING AGE 0-20 68 252 0 0 68 250 0 0
1558625996 SONNICHSEN BRITTANY 2021 FFS RENDERING AGE 21+ 117 370 0 0 117 368 0 0
1558625996 SONNICHSEN BRITTANY 2021 PHP RENDERING AGE 0-20 11 56 0 0 11 56 0 0
1558625996 SONNICHSEN BRITTANY 2021 PHP RENDERING AGE 21+ 37 213 0 0 28 190 20 20
1558631234 RODRIGUEZ SANDRA Y 2021 FFS RENDERING AGE 0-20 225 1,545 199 475 121 459 203 253
1558631234 RODRIGUEZ SANDRA Y 2021 FFS RENDERING AGE 21+ 197 1,302 117 218 134 565 155 155
1558641720 VASA ANKIT J 2021 FFS RENDERING AGE 0-20 140 1,904 130 491 70 267 129 178
1558641720 VASA ANKIT J 2021 FFS RENDERING AGE 21+ 331 3,387 197 383 224 817 218 218
1558641720 VASA ANKIT J 2021 PHP RENDERING AGE 0-20 16 166 14 65 1 1 15 23
1558641720 VASA ANKIT J 2021 PHP RENDERING AGE 21+ 43 375 38 97 26 103 32 34
1558649830 TRINH AN N 2021 FFS RENDERING AGE 0-20 151 215 0 0 20 38 0 0
1558649830 TRINH AN N 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1558649830 TRINH AN N 2021 GMC RENDERING AGE 0-20 43 174 0 0 42 139 0 0
1558649863 FRANCIS MARK LEE 2021 GMC RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1558651950 ARNOUK MAHER S 2021 GMC RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1558651950 ARNOUK MAHER S 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1558651950 ARNOUK MAHER S 2021 PHP RENDERING AGE 21+ 1 2 0 0 1 2 0 0
1558652966 HANNANVASH NAJMEH 2021 FFS RENDERING AGE 0-20 264 3,466 203 1,037 170 610 262 420
1558671065 WOOD MARK C 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1558671065 WOOD MARK C 2021 GMC RENDERING AGE 0-20 169 353 0 0 169 345 1 1
1558671065 WOOD MARK C 2021 GMC RENDERING AGE 21+ 485 1,174 0 0 344 927 227 228
1558671065 WOOD MARK C 2021 PHP RENDERING AGE 0-20 14 45 0 0 14 45 0 0
1558671065 WOOD MARK C 2021 PHP RENDERING AGE 21+ 34 92 0 0 20 56 30 31
1558679795 NG JULIA S 2021 FFS RENDERING AGE 0-20 124 1,550 101 363 52 159 104 130
1558679795 NG JULIA S 2021 FFS RENDERING AGE 21+ 486 4,533 241 478 379 1,789 264 264
1558684365 AHMED, MOHAMED HAFEZ DDS 2021 FFS RENDERING AGE 0-20 17 120 1 2 13 48 11 12
1558684365 AHMED, MOHAMED HAFEZ DDS 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1558684365 AHMED, MOHAMED HAFEZ DDS 2021 GMC RENDERING AGE 0-20 175 1,517 146 484 111 355 124 145
1558685248 TRINH THOMAS 2021 FFS RENDERING AGE 0-20 72 792 69 295 17 69 68 89
1558685248 TRINH THOMAS 2021 FFS RENDERING AGE 21+ 118 1,011 85 168 70 263 90 90
1558685248 TRINH THOMAS 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1558685248 TRINH THOMAS 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1558727453 DE LOS SANTOS, VICTOR, DDS I 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 2 1 1
1558727453 DE LOS SANTOS, VICTOR, DDS I 2021 PHP RENDERING AGE 21+ 45 149 1 2 22 59 29 29
1558727453 VICTOR DE LOS SANTOS DDS INC 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 2 1 1
1558727453 VICTOR DE LOS SANTOS DDS INC 2021 PHP RENDERING AGE 21+ 45 149 1 2 22 59 29 29
1558730192 ALYESH BENJAMIN 2021 FFS RENDERING AGE 0-20 60 625 49 245 29 101 56 76
1558730192 ALYESH BENJAMIN 2021 FFS RENDERING AGE 21+ 205 1,548 64 128 172 834 161 161
1558730192 ALYESH BENJAMIN 2021 PHP RENDERING AGE 0-20 1 1 0 0 0 0 1 1
1558763771 S PARK DDS INC 2021 GMC RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1558763771 S PARK DDS INC 2021 GMC RENDERING AGE 21+ 16 37 1 1 14 24 1 1
1558775718 SIMEL OZ 2021 FFS RENDERING AGE 0-20 58 309 0 0 58 305 0 0
1558775718 SIMEL OZ 2021 FFS RENDERING AGE 21+ 69 329 0 0 69 326 0 0
1558779504 MA MICHELLE J 2021 FFS RENDERING AGE 0-20 253 1,905 231 711 92 289 240 274
1558779504 MA MICHELLE J 2021 FFS RENDERING AGE 21+ 137 704 52 66 78 244 98 100
1558779504 MA MICHELLE J 2021 GMC RENDERING AGE 0-20 1 1 1 1 1 1 1 1
1558779504 MA MICHELLE J 2021 GMC RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1558779504 MA MICHELLE J 2021 PHP RENDERING AGE 0-20 418 2,666 203 695 236 769 223 225
1558779504 MA MICHELLE J 2021 PHP RENDERING AGE 21+ 281 1,231 46 109 134 338 124 125
1558785949 CHAU DEBORAH H 2021 FFS RENDERING AGE 0-20 127 661 93 237 58 124 77 82
1558785949 CHAU DEBORAH H 2021 FFS RENDERING AGE 21+ 128 434 29 45 70 165 77 77
1558791079 ZAK DENTAL CORP 2021 PHP RENDERING AGE 21+ 1 2 0 0 1 1 0 0
1558819706 NGUYEN ANTHONY 2021 FFS RENDERING AGE 0-20 273 1,193 228 522 70 136 232 248
1558819706 NGUYEN ANTHONY 2021 FFS RENDERING AGE 21+ 234 766 114 126 131 256 133 133
1558833434 ALAZZAWI FARKAD K 2021 FFS RENDERING AGE 0-20 192 654 78 178 49 79 150 151
1558833434 ALAZZAWI FARKAD K 2021 FFS RENDERING AGE 21+ 451 1,148 39 72 154 314 285 285
1558833434 ALAZZAWI FARKAD K 2021 GMC RENDERING AGE 0-20 1 2 1 1 0 0 1 1
1558833434 ALAZZAWI FARKAD K 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1558848861 AL-ANI ASMAA HIKMAT I 2021 FFS RENDERING AGE 0-20 172 929 96 276 89 211 110 112
1558848861 AL-ANI ASMAA HIKMAT I 2021 FFS RENDERING AGE 21+ 325 1,217 66 126 163 462 170 172
1558848861 AL-ANI ASMAA HIKMAT I 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1558848861 AL-ANI ASMAA HIKMAT I 2021 PHP RENDERING AGE 21+ 12 48 1 1 1 2 1 1
1558852350 HUANG SHOU CHIA 2021 FFS RENDERING AGE 0-20 67 581 60 202 36 83 61 84
1558852350 HUANG SHOU CHIA 2021 FFS RENDERING AGE 21+ 209 1,666 153 281 142 551 161 161
1558861138 BUI, VU, DDS INC 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 0 0
1558867291 PARTI AMBIKA 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1558867473 PARAJON-AFLATOO ELLIE 2021 FFS RENDERING AGE 0-20 268 2,953 227 1,194 202 669 249 369
1558867473 PARAJON-AFLATOO ELLIE 2021 FFS RENDERING AGE 21+ 98 756 30 54 82 485 62 62
1558875633 SANDHU MANBIR K 2021 FFS RENDERING AGE 0-20 1,347 12,304 1,224 4,406 856 2,672 1,223 1,459
1558875633 SANDHU MANBIR K 2021 FFS RENDERING AGE 21+ 271 1,424 98 191 206 551 142 142
1558881151 CHONG ISAAC 2021 FFS RENDERING AGE 0-20 171 1,469 133 385 77 144 132 132
1558881151 CHONG ISAAC 2021 FFS RENDERING AGE 21+ 385 1,827 79 152 301 945 132 132
1558889055 LE VIVIAN T 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1558913533 ARNOLD MARA 2021 FFS RENDERING AGE 0-20 235 1,361 183 480 64 130 197 213
1558913533 ARNOLD MARA 2021 FFS RENDERING AGE 21+ 392 1,503 173 339 164 425 262 262
1558933424 ALRZOOG RANA S 2021 FFS RENDERING AGE 0-20 1 1 0 0 0 0 1 1
1558973230 ARORA JATIN 2021 GMC RENDERING AGE 0-20 95 465 61 140 20 37 67 67
1558973230 ARORA JATIN 2021 GMC RENDERING AGE 21+ 244 1,034 50 101 136 216 129 129
1568016574 PATEL SHINALI 2021 FFS RENDERING AGE 0-20 228 1,329 186 557 115 258 137 144
1568016574 PATEL SHINALI 2021 FFS RENDERING AGE 21+ 312 1,097 114 197 196 537 122 122
1568023265 FLORES ALICE KHIEU 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1568058725 CAPOTE CABRERA RONNYS 2021 FFS RENDERING AGE 0-20 105 582 40 136 60 137 64 64
1568058725 CAPOTE CABRERA RONNYS 2021 FFS RENDERING AGE 21+ 257 1,078 38 68 170 591 134 134
1568078335 JAHANGIRI FARNAZ 2021 FFS RENDERING AGE 0-20 356 4,423 303 956 296 1,334 305 313
1568078335 JAHANGIRI FARNAZ 2021 FFS RENDERING AGE 21+ 200 1,698 97 227 159 800 99 99
1568472991 KELLEYAN ANTRANIG G 2021 FFS RENDERING AGE 0-20 46 342 35 60 17 109 45 53
1568472991 KELLEYAN ANTRANIG G 2021 FFS RENDERING AGE 21+ 78 395 1 1 42 220 62 62
1568472991 KELLEYAN ANTRANIG G 2021 PHP RENDERING AGE 0-20 28 113 17 23 1 2 27 28
1568472991 KELLEYAN ANTRANIG G 2021 PHP RENDERING AGE 21+ 1 2 0 0 1 1 1 1
1568485209 NGUYEN DUC H 2021 GMC RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1568490167 KU, MIN HYUN, DDS 2021 FFS RENDERING AGE 0-20 888 7,666 799 2,915 553 1,145 770 973
1568490167 KU, MIN HYUN, DDS 2021 FFS RENDERING AGE 21+ 496 3,407 268 504 389 1,271 274 274
1568500627 ASADI, HOLLY 2021 FFS RENDERING AGE 0-20 62 265 48 52 13 19 27 27
1568500627 ASADI, HOLLY 2021 FFS RENDERING AGE 21+ 43 146 16 16 1 1 30 30
1568500627 ASADI, HOLLY, DDS 2021 FFS RENDERING AGE 0-20 62 265 48 52 13 19 27 27
1568500627 ASADI, HOLLY, DDS 2021 FFS RENDERING AGE 21+ 43 146 16 16 1 1 30 30
1568501047 CHUN JIHEE H 2021 FFS RENDERING AGE 0-20 1,935 24,203 1,564 4,652 1,381 5,628 1,551 1,672
1568501872 ROH, DEOGSOO DDS 2021 FFS RENDERING AGE 0-20 1,684 25,644 1,360 4,555 1,167 4,974 1,518 2,034
1568501872 ROH, DEOGSOO DDS 2021 FFS RENDERING AGE 21+ 466 4,561 227 238 259 797 336 336
1568503142 SAUNDERS ROBIN G 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 2 1 1
1568503142 SAUNDERS ROBIN G 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1568505030 CONTOMPASIS PETER H 2021 PHP RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1568505303 MANAVI FARHAD 2021 FFS RENDERING AGE 0-20 649 1,582 71 205 1 2 21 23
1568505303 MANAVI FARHAD 2021 FFS RENDERING AGE 21+ 682 1,305 44 67 53 93 21 21
1568505303 MANAVI FARHAD 2021 PHP RENDERING AGE 0-20 647 1,916 91 207 30 62 91 91
1568505303 MANAVI FARHAD 2021 PHP RENDERING AGE 21+ 750 1,604 45 63 47 139 79 82
1568506798 SARKISSIAN RUZAN 2021 FFS RENDERING AGE 0-20 60 1,055 56 258 34 154 54 79
1568506798 SARKISSIAN RUZAN 2021 FFS RENDERING AGE 21+ 291 3,082 198 310 244 1,417 227 228
1568506798 SARKISSIAN RUZAN 2021 PHP RENDERING AGE 0-20 35 343 27 128 18 56 35 50
1568506798 SARKISSIAN RUZAN 2021 PHP RENDERING AGE 21+ 16 119 12 24 13 61 14 14
1568510725 DABBAGH, KYORK NERSES, DDS 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1568510725 DABBAGH, KYORK NERSES, DDS 2021 FFS RENDERING AGE 21+ 108 678 36 36 99 476 97 97
1568512697 RAZI ARASH 2021 FFS RENDERING AGE 0-20 114 710 55 161 72 248 75 88
1568512697 RAZI ARASH 2021 FFS RENDERING AGE 21+ 173 860 33 65 99 388 112 112
1568515906 FLORES, MICHAEL A, DDS 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 0 0
1568515906 FLORES, MICHAEL A, DDS 2021 PHP RENDERING AGE 0-20 31 222 26 94 30 33 19 19
1568515906 FLORES, MICHAEL A, DDS 2021 PHP RENDERING AGE 21+ 25 98 1 2 17 29 1 1
1568520328 FOSMAN CODRUTA I 2021 FFS RENDERING AGE 0-20 141 906 99 303 46 151 119 137
1568520328 FOSMAN CODRUTA I 2021 FFS RENDERING AGE 21+ 458 2,413 112 174 234 1,027 289 289
1568522126 WRIGHT RONALD L 2021 FFS RENDERING AGE 0-20 26 131 0 0 26 131 0 0
1568522126 WRIGHT RONALD L 2021 FFS RENDERING AGE 21+ 75 308 0 0 75 304 0 0
1568527521 GUERGUIS IHAAB W 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1568527521 GUERGUIS IHAAB W 2021 FFS RENDERING AGE 21+ 57 407 26 36 31 149 42 42
1568527760 BUI TRINH T 2021 FFS RENDERING AGE 0-20 591 7,345 505 1,507 337 1,356 524 560
1568527760 BUI TRINH T 2021 FFS RENDERING AGE 21+ 311 3,355 84 167 201 988 220 220
1568531986 FAYNGOR LEONARD N 2021 FFS RENDERING AGE 0-20 33 264 32 134 1 2 32 41
1568531986 FAYNGOR LEONARD N 2021 FFS RENDERING AGE 21+ 48 205 29 29 21 42 42 42
1568532323 FRANK STEVEN 2021 FFS RENDERING AGE 0-20 151 297 0 0 64 103 0 0
1568532323 FRANK STEVEN 2021 FFS RENDERING AGE 21+ 21 43 0 0 0 0 0 0
1568532323 FRANK STEVEN 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1568535987 EATON JEFF M 2021 FFS RENDERING AGE 0-20 33 305 26 72 1 1 30 30
1568535987 EATON JEFF M 2021 FFS RENDERING AGE 21+ 17 71 0 0 1 2 1 1
1568539856 GENDY, SAMEH 2021 FFS RENDERING AGE 0-20 72 1,105 69 258 30 105 72 101
1568539856 GENDY, SAMEH 2021 FFS RENDERING AGE 21+ 112 1,124 66 77 87 453 84 86
1568541191 NGUYEN KHOI N 2021 FFS RENDERING AGE 0-20 108 1,130 87 247 48 135 99 121
1568541191 NGUYEN KHOI N 2021 FFS RENDERING AGE 21+ 189 1,218 18 20 123 489 132 132
1568541191 NGUYEN KHOI N 2021 PHP RENDERING AGE 0-20 130 1,015 107 301 45 141 122 143
1568541191 NGUYEN KHOI N 2021 PHP RENDERING AGE 21+ 387 2,063 44 47 212 875 312 339
1568550036 JACOUB, FAKHRY AZER DDS 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1568550952 AU, PHILIP W, DDS 2021 FFS RENDERING AGE 0-20 45 201 36 92 16 24 45 56
1568550952 AU, PHILIP W, DDS 2021 FFS RENDERING AGE 21+ 176 819 120 222 98 260 157 157
1568559334 YAU LUCIA 2021 FFS RENDERING AGE 0-20 192 2,941 184 945 101 304 183 261
1568559334 YAU LUCIA 2021 FFS RENDERING AGE 21+ 249 2,388 197 387 174 710 206 206
1568573327 MORARASU GEORGE M 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 1 1 1
1568581262 JULIAN, DR BENITO BUENO DMD 2021 FFS RENDERING AGE 0-20 231 3,278 218 882 89 259 218 269
1568581262 JULIAN, DR BENITO BUENO DMD 2021 FFS RENDERING AGE 21+ 473 4,380 329 655 275 1,028 379 381
1568582534 CHOCKALINGAM, CHANDRA, DDS 2021 FFS RENDERING AGE 0-20 107 1,446 103 482 73 172 103 130
1568582534 CHOCKALINGAM, CHANDRA, DDS 2021 FFS RENDERING AGE 21+ 261 2,746 153 306 205 892 208 209
1568582922 PILONES, MICHELLE A, DMD 2021 FFS RENDERING AGE 0-20 111 638 98 249 31 71 80 87
1568582922 PILONES, MICHELLE A, DMD 2021 FFS RENDERING AGE 21+ 336 1,735 212 413 171 501 240 240
1568584555 KY, VEROCK DDS 2021 FFS RENDERING AGE 0-20 1,096 18,903 1,059 4,351 841 3,797 1,058 1,751
1568584555 KY, VEROCK DDS 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1568589208 JOHNSON JR, RAYMONT H DDS 2021 PHP RENDERING AGE 0-20 23 75 18 23 1 2 16 19
1568589208 JOHNSON JR, RAYMONT H DDS 2021 PHP RENDERING AGE 21+ 60 186 24 29 32 108 19 20
1568595692 MUCCI JAMES 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1568595692 MUCCI JAMES 2021 GMC RENDERING AGE 21+ 1 2 1 1 0 0 1 1
1568599165 HWANG, JUSTIN DUCKSIN DDS 2021 FFS RENDERING AGE 0-20 31 233 25 56 13 69 28 32
1568599165 HWANG, JUSTIN DUCKSIN DDS 2021 FFS RENDERING AGE 21+ 541 4,077 281 555 353 1,800 421 421
1568619443 BHAT CHAITRA K 2021 FFS RENDERING AGE 0-20 51 274 38 82 17 35 37 38
1568619443 BHAT CHAITRA K 2021 FFS RENDERING AGE 21+ 230 1,443 122 125 119 255 125 125
1568633139 NOSRATI-JAHROMI MAHIN 2021 FFS RENDERING AGE 0-20 19 132 16 40 1 2 15 15
1568633139 NOSRATI-JAHROMI MAHIN 2021 FFS RENDERING AGE 21+ 119 949 78 162 81 412 97 99
1568633295 AGUSTIN MARIA VICTOR L 2021 FFS RENDERING AGE 0-20 1,181 5,921 584 1,354 380 792 1,138 1,283
1568633295 AGUSTIN MARIA VICTOR L 2021 FFS RENDERING AGE 21+ 1,393 4,755 210 385 389 1,399 1,243 1,247
1568634384 AGUILAR CHAVEZ MYRNA L 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1568637023 JUAREZ WILLIAM 2021 FFS RENDERING AGE 0-20 1 2 1 1 0 0 1 1
1568637023 JUAREZ WILLIAM 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 2 0 0
1568640308 APUY CHRISTOPHER R 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1568642924 JOSEPH, DAVID B, A PROF DENT 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1568654986 HUTTO, BRIAN K, DDS 2021 FFS RENDERING AGE 0-20 1 2 0 0 1 1 1 1
1568654986 HUTTO, BRIAN K, DDS 2021 FFS RENDERING AGE 21+ 22 53 0 0 15 37 1 1
1568654986 HUTTO, BRIAN K, DDS 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1568665909 NAZIRI PEYMAN 2021 FFS RENDERING AGE 0-20 219 2,982 196 760 163 713 200 235
1568665909 NAZIRI PEYMAN 2021 FFS RENDERING AGE 21+ 471 4,509 224 449 443 2,341 267 268
1568665909 NAZIRI PEYMAN 2021 PHP RENDERING AGE 0-20 17 164 17 56 1 2 17 17
1568665909 NAZIRI PEYMAN 2021 PHP RENDERING AGE 21+ 22 207 14 26 15 80 18 18
1568668044 TOM VIVIAN 2021 FFS RENDERING AGE 0-20 43 211 28 78 16 39 25 25
1568668150 CHANG SOONHYUK 2021 FFS RENDERING AGE 0-20 730 9,903 647 2,230 425 1,022 665 866
1568668150 CHANG SOONHYUK 2021 FFS RENDERING AGE 21+ 379 2,703 131 250 230 699 273 273
1568668606 LEEDS LEYLA A 2021 PHP RENDERING AGE 0-20 27 165 24 93 17 19 11 11
1568668606 LEEDS LEYLA A 2021 PHP RENDERING AGE 21+ 69 386 48 123 53 97 41 41
1568674539 TRINH PHUC P 2021 FFS RENDERING AGE 0-20 396 3,769 353 740 219 647 372 498
1568674539 TRINH PHUC P 2021 FFS RENDERING AGE 21+ 451 3,184 306 307 288 726 351 352
1568678332 LY TUAN Q 2021 FFS RENDERING AGE 0-20 20 274 17 47 1 2 17 17
1568678332 LY TUAN Q 2021 FFS RENDERING AGE 21+ 13 148 1 2 1 2 11 11
1568679280 GOMEZ-BABA SUSAN S 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1568679280 GOMEZ-BABA SUSAN S 2021 FFS RENDERING AGE 21+ 17 55 1 2 1 1 1 1
1568679371 KARIA ATUL V DDS 2021 FFS RENDERING AGE 0-20 313 3,249 244 888 188 582 263 276
1568679371 KARIA ATUL V DDS 2021 FFS RENDERING AGE 21+ 732 6,051 257 260 558 1,849 466 466
1568682003 HO, CECILLE DMD 2021 FFS RENDERING AGE 0-20 1,216 15,254 1,086 3,661 633 1,702 1,080 1,277
1568682003 HO, CECILLE DMD 2021 FFS RENDERING AGE 21+ 174 1,465 64 125 68 139 127 127
1568683142 HAVENS BRUCE A 2021 FFS RENDERING AGE 0-20 334 1,073 0 0 247 738 0 0
1568683142 HAVENS BRUCE A 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1568687382 NASHED MEDHAT N 2021 FFS RENDERING AGE 0-20 666 7,275 401 1,005 376 2,484 503 587
1568687382 NASHED MEDHAT N 2021 FFS RENDERING AGE 21+ 111 720 33 57 62 225 85 85
1568687382 NASHED MEDHAT N 2021 PHP RENDERING AGE 0-20 75 1,036 32 66 75 756 1 1
1568688554 FARRELL TIM A 2021 FFS RENDERING AGE 0-20 1 1 0 0 0 0 1 1
1568688554 FARRELL TIM A 2021 PHP RENDERING AGE 0-20 125 748 103 351 33 47 81 90
1568688554 FARRELL TIM A 2021 PHP RENDERING AGE 21+ 12 56 1 2 1 1 1 1
1568689800 KELLY, TROY VINCENT 2021 FFS RENDERING AGE 0-20 409 3,546 385 1,423 235 864 393 450
1568689800 KELLY, TROY VINCENT 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1568691848 BHATIA MITIN 2021 FFS RENDERING AGE 0-20 28 167 11 28 16 39 16 16
1568691848 BHATIA MITIN 2021 FFS RENDERING AGE 21+ 92 324 21 31 66 149 42 42
1568717858 AGHBASHIAN, NOVA, DDS 2021 FFS RENDERING AGE 0-20 65 556 62 214 26 89 61 98
1568717858 AGHBASHIAN, NOVA, DDS 2021 FFS RENDERING AGE 21+ 295 2,084 226 396 212 1,009 246 247
1568717858 AGHBASHIAN, NOVA, DDS 2021 PHP RENDERING AGE 0-20 1 1 0 0 0 0 1 1
1568719011 PARK ALLYSON J 2021 FFS RENDERING AGE 21+ 39 129 1 1 31 76 14 14
1568752384 GARCIA JOSE L 2021 FFS RENDERING AGE 0-20 955 2,795 0 0 228 426 0 0
1568752384 GARCIA JOSE L 2021 FFS RENDERING AGE 21+ 166 332 0 0 0 0 0 0
1568766012 MAHFOUZ GEREIS DDS INC 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1568787919 LAO ANTONIO A 2021 FFS RENDERING AGE 0-20 4,868 46,881 4,014 11,378 2,767 7,403 4,035 4,661
1568802130 KAUR HARMINDER 2021 FFS RENDERING AGE 0-20 310 1,239 222 739 169 388 35 35
1568802130 KAUR HARMINDER 2021 FFS RENDERING AGE 21+ 993 3,478 142 211 876 2,962 116 116
1568835981 NAND SHIVAM S 2021 FFS RENDERING AGE 0-20 1 1 1 1 1 1 0 0
1568835981 NAND SHIVAM S 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1568835981 NAND SHIVAM S 2021 GMC RENDERING AGE 0-20 744 7,731 728 3,555 401 660 715 861
1568835981 NAND SHIVAM S 2021 GMC RENDERING AGE 21+ 742 4,598 557 1,150 505 1,484 423 424
1568848174 KU MARISSA F 2021 FFS RENDERING AGE 0-20 41 325 32 118 20 49 34 35
1568848174 KU MARISSA F 2021 FFS RENDERING AGE 21+ 85 669 37 76 65 227 46 46
1568867596 GO JEONG CHUL 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1568868149 LUONG BRIAN T 2021 FFS RENDERING AGE 0-20 358 714 0 0 110 328 0 0
1568871127 BURHOP VINCENT W 2021 FFS RENDERING AGE 0-20 15 104 11 42 1 1 12 12
1568871127 BURHOP VINCENT W 2021 FFS RENDERING AGE 21+ 57 188 13 20 19 40 39 43
1568871127 BURHOP VINCENT W 2021 PHP RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1568871143 EL PROYECTO DEL BARRIO INC 2021 PHP RENDERING AGE 0-20 62 1,050 61 478 20 120 55 116
1568891794 LAI JOSEPH H 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1568891794 LAI JOSEPH H 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1568896264 JARED GEORGE C 2021 FFS RENDERING AGE 0-20 101 659 80 288 52 190 65 77
1568896264 JARED GEORGE C 2021 FFS RENDERING AGE 21+ 461 2,028 173 205 276 1,039 241 241
1568903318 WESTERN DENTAL SERVICES INC 2021 PHP RENDERING AGE 0-20 29 219 19 59 1 1 26 27
1568903318 WESTERN DENTAL SERVICES INC 2021 PHP RENDERING AGE 21+ 13 67 1 1 1 1 12 12
1568903318 WESTERN DENTAL SERVICES, INC. 2021 PHP RENDERING AGE 0-20 29 219 19 59 1 1 26 27
1568903318 WESTERN DENTAL SERVICES, INC. 2021 PHP RENDERING AGE 21+ 13 67 1 1 1 1 12 12
1568908481 HAGYEGI AUSTIN A 2021 FFS RENDERING AGE 0-20 21 86 1 2 14 46 1 1
1568908481 HAGYEGI AUSTIN A 2021 FFS RENDERING AGE 21+ 40 151 0 0 33 105 1 1
1568917110 GHERMEZI, MORRIS NIMA DDS 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1568935252 MERCADO VICTOR A 2021 FFS RENDERING AGE 0-20 791 4,804 610 1,442 357 809 738 779
1568935252 MERCADO VICTOR A 2021 FFS RENDERING AGE 21+ 951 3,580 245 503 418 1,154 729 731
1568938520 MALLAVARAPU CHANDRIKA P 2021 FFS RENDERING AGE 0-20 568 2,110 292 612 155 323 362 370
1568938520 MALLAVARAPU CHANDRIKA P 2021 FFS RENDERING AGE 21+ 659 1,709 142 273 234 496 365 365
1568940120 DIONISIO LADY ANN S 2021 FFS RENDERING AGE 0-20 1,532 19,803 1,233 3,460 1,173 7,758 1,147 1,324
1568940120 DIONISIO LADY ANN S 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 0 0
1568947042 SIBAL NIKHIL 2021 FFS RENDERING AGE 0-20 276 2,723 197 469 149 529 243 295
1568947042 SIBAL NIKHIL 2021 FFS RENDERING AGE 21+ 802 4,506 273 282 471 1,848 636 637
1568956308 MANOSOV RONEN 2021 FFS RENDERING AGE 0-20 1 1 0 0 0 0 1 1
1568957983 NAMIRI-KALANTAR RYAN 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1568961787 CHEN MICHELLE G 2021 FFS RENDERING AGE 0-20 369 1,668 143 449 49 113 307 331
1568961787 CHEN MICHELLE G 2021 FFS RENDERING AGE 21+ 1,079 3,112 200 387 204 438 792 793
1568972917 KAHEN AARON 2021 FFS RENDERING AGE 0-20 53 361 29 57 27 74 35 35
1568972917 KAHEN AARON 2021 FFS RENDERING AGE 21+ 96 476 21 38 63 185 51 51
1568987188 CHOW JOSHUA 2021 FFS RENDERING AGE 0-20 81 371 63 136 22 44 65 68
1568987188 CHOW JOSHUA 2021 FFS RENDERING AGE 21+ 217 854 53 86 124 351 126 126
1578000204 PERRY-RUSSELL ANGELLIQUE 2021 PHP RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1578000204 PERRY-RUSSELL ANGELLIQUE 2021 PHP RENDERING AGE 21+ 1 1 1 1 0 0 0 0
1578002044 DAVYDOV ANNA 2021 PHP RENDERING AGE 0-20 99 518 83 235 44 104 88 94
1578002044 DAVYDOV ANNA 2021 PHP RENDERING AGE 21+ 141 806 62 138 122 483 76 76
1578002291 KAKAR LILA 2021 FFS RENDERING AGE 0-20 263 1,933 190 548 138 441 215 264
1578002291 KAKAR LILA 2021 FFS RENDERING AGE 21+ 383 1,738 138 253 216 670 292 292
1578003463 GAGGI DINA S 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1578003463 GAGGI DINA S 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1578035333 YANG MICHAEL 2021 FFS RENDERING AGE 0-20 174 1,774 126 266 84 305 132 134
1578035333 YANG MICHAEL 2021 FFS RENDERING AGE 21+ 262 1,682 89 162 158 693 134 134
1578040135 NGO TRACY M 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1578040135 NGO TRACY M 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1578040135 NGO TRACY M 2021 GMC RENDERING AGE 0-20 608 3,990 409 1,661 361 611 331 338
1578040135 NGO TRACY M 2021 GMC RENDERING AGE 21+ 622 2,847 134 286 508 1,456 234 234
1578088779 PARK SUNG WOOK 2021 FFS RENDERING AGE 0-20 47 550 45 125 22 104 47 62
1578088779 PARK SUNG WOOK 2021 FFS RENDERING AGE 21+ 93 817 49 97 58 259 87 87
1578092854 RAM SHANNON C 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1578092854 RAM SHANNON C 2021 GMC RENDERING AGE 0-20 51 394 38 113 27 44 38 38
1578092854 RAM SHANNON C 2021 GMC RENDERING AGE 21+ 98 463 40 78 47 74 66 66
1578098349 HARDY CHRISTOPHER M 2021 FFS RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1578108981 LAUREOLA, MICHAEL VINCENT, D 2021 PHP RENDERING AGE 0-20 1 2 0 0 1 1 1 1
1578108981 MICHAEL VINCENT LAUREOLA DDS INC 2021 PHP RENDERING AGE 0-20 1 2 0 0 1 1 1 1
1578126793 JOSEPH EVAN M 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1578126793 JOSEPH EVAN M 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1578136818 LOMELI RAQUEL 2021 FFS RENDERING AGE 0-20 17 56 1 2 1 2 13 13
1578136818 LOMELI RAQUEL 2021 FFS RENDERING AGE 21+ 29 79 1 1 16 56 15 15
1578152302 SALIM HARITH 2021 FFS RENDERING AGE 0-20 428 4,860 361 1,278 260 1,114 414 479
1578152302 SALIM HARITH 2021 FFS RENDERING AGE 21+ 765 7,328 432 836 600 3,140 672 674
1578165247 YANG MAICHAO 2021 FFS RENDERING AGE 0-20 349 1,650 234 645 155 376 171 172
1578165247 YANG MAICHAO 2021 FFS RENDERING AGE 21+ 495 1,511 112 212 316 716 180 180
1578178109 MOSHREFI LINDA 2021 FFS RENDERING AGE 0-20 182 1,610 135 415 74 205 146 148
1578178109 MOSHREFI LINDA 2021 FFS RENDERING AGE 21+ 256 1,156 49 89 178 412 115 124
1578512737 REZAIAMIRI, NADIA, DDS 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 2 1 2
1578512737 REZAIAMIRI, NADIA, DDS 2021 FFS RENDERING AGE 21+ 36 606 27 54 26 310 31 62
1578534046 GIANQUINTO JARED R 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1578544300 CODEL ADRIAN M 2021 FFS RENDERING AGE 0-20 2,581 13,659 1,577 4,231 1,852 5,019 1,127 1,161
1578544300 CODEL ADRIAN M 2021 FFS RENDERING AGE 21+ 135 388 28 49 93 214 47 47
1578556650 YANG, JOSEPH FU-SHOU, DDS 2021 FFS RENDERING AGE 0-20 88 1,208 83 466 32 174 78 178
1578556650 YANG, JOSEPH FU-SHOU, DDS 2021 FFS RENDERING AGE 21+ 486 5,610 216 438 357 3,082 370 744
1578556650 YANG, JOSEPH FU-SHOU, DDS 2021 PHP RENDERING AGE 0-20 14 228 14 84 1 1 14 34
1578556650 YANG, JOSEPH FU-SHOU, DDS 2021 PHP RENDERING AGE 21+ 26 272 14 32 16 120 21 42
1578573507 SCHNIEROW BURTON D 2021 FFS RENDERING AGE 0-20 186 296 168 198 21 60 1 1
1578573507 SCHNIEROW BURTON D 2021 FFS RENDERING AGE 21+ 693 1,884 327 328 444 1,451 23 23
1578575643 LI, CASSY Y, DDS 2021 FFS RENDERING AGE 0-20 34 333 34 129 13 21 34 53
1578575643 LI, CASSY Y, DDS 2021 FFS RENDERING AGE 21+ 62 456 27 28 41 165 51 55
1578575643 LI, CASSY Y, DDS 2021 PHP RENDERING AGE 0-20 80 556 78 219 28 59 72 78
1578575643 LI, CASSY Y, DDS 2021 PHP RENDERING AGE 21+ 38 235 31 51 17 34 32 32
1578576294 GONZALEZ-DIAZ, GRISEL DDS 2021 FFS RENDERING AGE 0-20 307 2,993 233 650 194 422 233 240
1578576294 GONZALEZ-DIAZ, GRISEL DDS 2021 FFS RENDERING AGE 21+ 236 1,797 78 156 158 430 117 117
1578591459 LEE, MICHAEL C MD 2021 FFS RENDERING AGE 0-20 342 1,266 1 1 342 1,264 0 0
1578591459 LEE, MICHAEL C MD 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1578602637 KARNAKOVA OLGA 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 0 0
1578610903 JACINTO RUSSEL R 2021 FFS RENDERING AGE 0-20 1 2 1 2 0 0 1 1
1578610903 JACINTO RUSSEL R 2021 FFS RENDERING AGE 21+ 31 118 16 16 11 38 20 20
1578611216 BUI CECILIA M 2021 FFS RENDERING AGE 0-20 341 2,936 318 989 184 529 326 454
1578611216 BUI CECILIA M 2021 FFS RENDERING AGE 21+ 617 5,299 498 910 449 2,223 516 516
1578611356 KIM KWANG-JIN 2021 FFS RENDERING AGE 0-20 35 271 32 70 1 2 33 33
1578611356 KIM KWANG-JIN 2021 FFS RENDERING AGE 21+ 102 768 64 88 66 208 79 79
1578611356 KIM, KWANG JIN, DDS 2021 FFS RENDERING AGE 0-20 35 271 32 70 1 2 33 33
1578611356 KIM, KWANG JIN, DDS 2021 FFS RENDERING AGE 21+ 102 768 64 88 66 208 79 79
1578620407 SHAHROKH HEYDAR 2021 FFS RENDERING AGE 0-20 185 1,085 28 92 130 426 132 132
1578620407 SHAHROKH HEYDAR 2021 FFS RENDERING AGE 21+ 565 3,300 107 218 461 1,559 351 355
1578620407 SHAHROKH HEYDAR 2021 PHP RENDERING AGE 0-20 70 717 62 240 38 57 64 64
1578620407 SHAHROKH HEYDAR 2021 PHP RENDERING AGE 21+ 45 382 31 60 20 68 33 34
1578620407 SHAHROKH, HEYDAR, DDS 2021 FFS RENDERING AGE 0-20 185 1,085 28 92 130 426 132 132
1578620407 SHAHROKH, HEYDAR, DDS 2021 FFS RENDERING AGE 21+ 565 3,300 107 218 461 1,559 351 355
1578620407 SHAHROKH, HEYDAR, DDS 2021 PHP RENDERING AGE 0-20 70 717 62 240 38 57 64 64
1578620407 SHAHROKH, HEYDAR, DDS 2021 PHP RENDERING AGE 21+ 45 382 31 60 20 68 33 34
1578621801 SORRELL MARVIS Y 2021 FFS RENDERING AGE 0-20 26 57 0 0 21 52 0 0
1578622304 PARIKH SUJAL H 2021 FFS RENDERING AGE 0-20 473 7,335 451 1,742 209 687 458 582
1578622304 PARIKH SUJAL H 2021 FFS RENDERING AGE 21+ 56 509 40 45 25 79 44 44
1578627592 KALEBJIAN, DENNIS M, DDS 2021 FFS RENDERING AGE 21+ 16 43 14 15 1 1 13 13
1578629283 TIEN TIMOTHY H 2021 FFS RENDERING AGE 0-20 295 1,974 252 615 122 351 258 318
1578629283 TIEN TIMOTHY H 2021 FFS RENDERING AGE 21+ 512 3,021 343 593 309 999 374 376
1578629614 LI FENG-CHIA 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1578631503 KIM EMMA Y 2021 FFS RENDERING AGE 0-20 55 347 36 66 42 108 36 40
1578631503 KIM EMMA Y 2021 FFS RENDERING AGE 21+ 120 854 46 51 104 398 62 64
1578631800 REZKALLA ATEF R 2021 FFS RENDERING AGE 0-20 110 1,117 99 251 39 74 103 122
1578631800 REZKALLA ATEF R 2021 FFS RENDERING AGE 21+ 239 1,272 109 143 122 247 179 181
1578631800 REZKALLA ATEF R 2021 PHP RENDERING AGE 21+ 1 2 1 1 0 0 1 1
1578642393 HAME HEIDI 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 2 1 1
1578642393 HEIDI'S CHILDRENS DENTAL CNT 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 2 1 1
1578657110 WRIGHT CARTER R 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 0 0
1578657110 WRIGHT CARTER R 2021 GMC RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1578661617 VONTELA, VIMALA DEVI, DDS 2021 FFS RENDERING AGE 0-20 215 3,024 212 1,024 133 496 209 311
1578661617 VONTELA, VIMALA DEVI, DDS 2021 FFS RENDERING AGE 21+ 374 4,425 316 605 267 1,626 336 336
1578673802 BUHLER, RONALD E, DDS 2021 FFS RENDERING AGE 0-20 38 332 21 48 29 90 31 42
1578673802 BUHLER, RONALD E, DDS 2021 FFS RENDERING AGE 21+ 313 2,253 115 118 225 979 217 221
1578678389 SREENIVASAN DEEPA S 2021 FFS RENDERING AGE 0-20 1 2 0 0 1 2 0 0
1578678389 SREENIVASAN DEEPA S 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1578684080 LEE KEUN C 2021 FFS RENDERING AGE 0-20 13 41 0 0 13 41 0 0
1578684080 LEE KEUN C 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 2 0 0
1578684346 MALEK SHAUN 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 1 1 1
1578685236 HARTOONIAN, ARMEN DMD CAGS 2021 FFS RENDERING AGE 0-20 413 3,590 325 673 74 117 349 357
1578685236 HARTOONIAN, ARMEN DMD CAGS 2021 FFS RENDERING AGE 21+ 902 4,103 92 180 504 1,302 519 519
1578685236 HARTOONIAN, ARMEN DMD CAGS 2021 PHP RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1578685236 HARTOONIAN, ARMEN DMD CAGS 2021 PHP RENDERING AGE 21+ 46 168 1 1 29 93 26 26
1578686945 TOMA THOMAS 2021 FFS RENDERING AGE 0-20 34 261 27 57 12 26 27 29
1578686945 TOMA THOMAS 2021 FFS RENDERING AGE 21+ 50 343 29 61 25 39 36 38
1578687570 PATEL PANKAJ K 2021 FFS RENDERING AGE 0-20 1,081 3,578 13 41 1,077 3,457 19 19
1578687570 PATEL PANKAJ K 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1578698783 DASHIELL LILLIAN F 2021 FFS RENDERING AGE 0-20 2,698 21,661 2,169 4,764 656 1,124 2,539 2,684
1578698783 DASHIELL LILLIAN F 2021 FFS RENDERING AGE 21+ 278 2,071 112 223 179 584 198 198
1578698858 PATEL PRAKASH P 2021 FFS RENDERING AGE 0-20 48 459 40 105 22 74 42 55
1578698858 PATEL PRAKASH P 2021 FFS RENDERING AGE 21+ 103 884 37 37 68 281 76 76
1578698858 PATEL, PRAKASH P, DDS 2021 FFS RENDERING AGE 0-20 48 459 40 105 22 74 42 55
1578698858 PATEL, PRAKASH P, DDS 2021 FFS RENDERING AGE 21+ 103 884 37 37 68 281 76 76
1578709283 EMRANI JINUS 2021 FFS RENDERING AGE 0-20 66 109 11 12 25 50 33 33
1578709283 EMRANI JINUS 2021 FFS RENDERING AGE 21+ 184 369 1 1 134 280 55 55
1578711701 JOHNSTON ZINA F 2021 FFS RENDERING AGE 0-20 47 143 23 41 20 33 1 1
1578711701 JOHNSTON ZINA F 2021 FFS RENDERING AGE 21+ 197 331 1 1 90 161 20 20
1578732582 RAVEENDRANATH SWAPNA 2021 FFS RENDERING AGE 0-20 29 143 29 65 1 1 23 25
1578732582 RAVEENDRANATH SWAPNA 2021 FFS RENDERING AGE 21+ 119 504 75 149 31 69 86 87
1578742789 TER POGHOSSIAN VARTAN 2021 FFS RENDERING AGE 0-20 20 88 12 20 1 2 16 17
1578742789 TER POGHOSSIAN VARTAN 2021 FFS RENDERING AGE 21+ 609 2,023 210 211 335 614 379 379
1578742953 DERAGOBIAN, RITA DDS 2021 FFS RENDERING AGE 0-20 92 789 80 270 34 133 85 113
1578742953 DERAGOBIAN, RITA DDS 2021 FFS RENDERING AGE 21+ 197 1,378 94 119 148 850 145 145
1578745931 GANJU PRIYA T 2021 FFS RENDERING AGE 0-20 101 613 70 154 47 83 61 61
1578747820 SAUCEDO SERGIO P 2021 FFS RENDERING AGE 0-20 512 3,916 104 308 383 1,226 264 290
1578747820 SAUCEDO SERGIO P 2021 FFS RENDERING AGE 21+ 746 4,661 43 44 543 1,971 415 416
1578749610 PARK ROBERT TAE H 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1578751046 DELOS REYES IMELDA F 2021 FFS RENDERING AGE 21+ 18 38 1 1 11 13 1 1
1578752333 HINTON JULIANN M 2021 FFS RENDERING AGE 0-20 532 1,096 1 2 77 210 12 12
1578752333 HINTON JULIANN M 2021 FFS RENDERING AGE 21+ 21 30 1 1 1 1 1 1
1578767604 LUDLOW THOMAS NELSON 2021 GMC RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1578770723 HALLORAN DOUGLAS R 2021 FFS RENDERING AGE 0-20 22 93 16 36 12 40 1 1
1578770723 HALLORAN DOUGLAS R 2021 FFS RENDERING AGE 21+ 14 50 11 11 1 2 1 1
1578777272 AKHAVAN MOJDAH M 2021 FFS RENDERING AGE 0-20 74 98 0 0 37 42 0 0
1578778825 KIM JEONG D 2021 FFS RENDERING AGE 0-20 494 2,766 0 0 473 2,727 26 26
1578778825 KIM JEONG D 2021 FFS RENDERING AGE 21+ 613 2,731 0 0 582 2,650 41 41
1578778825 KIM JEONG D 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1578778825 KIM JEONG D 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1578781118 MAI VU V 2021 FFS RENDERING AGE 0-20 159 2,095 135 423 53 139 149 182
1578781118 MAI VU V 2021 FFS RENDERING AGE 21+ 444 5,255 305 607 227 877 361 362
1578781548 NGUYEN TOAN D 2021 FFS RENDERING AGE 0-20 179 2,744 173 609 73 220 176 247
1578781548 NGUYEN TOAN D 2021 FFS RENDERING AGE 21+ 368 3,324 275 549 247 881 318 318
1578781712 VANG, KAO N, DDS 2021 FFS RENDERING AGE 0-20 414 5,264 380 1,207 292 1,221 388 415
1578781712 VANG, KAO N, DDS 2021 FFS RENDERING AGE 21+ 513 3,402 356 554 403 1,238 358 358
1578783916 LIM JOHN SANCHO 2021 PHP RENDERING AGE 0-20 17 70 12 33 1 2 15 17
1578783916 LIM JOHN SANCHO 2021 PHP RENDERING AGE 21+ 31 62 1 1 1 2 25 25
1578787842 SUBRAMANIAN BRINDHA K 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 2 0 0
1578790465 LEE DIANA C 2021 FFS RENDERING AGE 0-20 11 37 1 2 1 2 0 0
1578790465 LEE DIANA C 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 0 0
1578791430 BARROW NATASHA C 2021 FFS RENDERING AGE 0-20 227 1,849 143 331 89 217 178 180
1578791430 BARROW NATASHA C 2021 FFS RENDERING AGE 21+ 365 1,828 74 133 172 385 185 185
1578791430 BARROW NATASHA C 2021 PHP RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1578791430 BARROW NATASHA C 2021 PHP RENDERING AGE 21+ 19 40 1 2 1 2 13 13
1578808788 YOUNG RAE KIM, DDS INC 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1578811683 RIMAN RAWAD M 2021 FFS RENDERING AGE 0-20 724 1,640 0 0 260 300 664 665
1578811683 RIMAN RAWAD M 2021 FFS RENDERING AGE 21+ 854 2,203 0 0 355 693 749 750
1578832630 SKINNER, ROCHELLE 2021 FFS RENDERING AGE 0-20 48 656 41 208 28 124 42 59
1578832630 SKINNER, ROCHELLE 2021 FFS RENDERING AGE 21+ 221 2,480 176 331 156 965 186 186
1578836706 ARRONA, RENEE 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1578845277 LEE WOONG 2021 FFS RENDERING AGE 0-20 3,813 22,897 3,186 8,192 1,880 4,060 3,113 3,279
1578847430 LIPPMAN-HOSKINS BONITA S 2021 FFS RENDERING AGE 0-20 516 1,041 0 0 231 586 0 0
1578847430 LIPPMAN-HOSKINS BONITA S 2021 FFS RENDERING AGE 21+ 15 15 0 0 0 0 0 0
1578852448 PHAM, ANH TU, DDS INC 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 0 0
1578855474 MARTINEZ ARIANNA G 2021 FFS RENDERING AGE 0-20 559 9,656 532 2,701 359 1,582 541 851
1578855474 MARTINEZ ARIANNA G 2021 FFS RENDERING AGE 21+ 63 596 45 89 37 115 50 50
1578859567 HARTUNIAN ARINA V 2021 FFS RENDERING AGE 0-20 895 6,405 798 2,279 431 755 753 840
1578859567 HARTUNIAN ARINA V 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1578859567 HARTUNIAN ARINA V 2021 PHP RENDERING AGE 0-20 1 1 1 1 1 1 0 0
1578866430 CARMONA ENRIQUETA 2021 FFS RENDERING AGE 0-20 27 249 23 47 16 69 22 22
1578866430 CARMONA ENRIQUETA 2021 FFS RENDERING AGE 21+ 64 590 17 31 48 240 43 43
1578872313 BONG JESSICA W 2021 FFS RENDERING AGE 0-20 131 860 63 290 99 403 50 50
1578872313 BONG JESSICA W 2021 FFS RENDERING AGE 21+ 11 25 1 1 1 2 0 0
1578890950 LALWANI RENUKA D 2021 FFS RENDERING AGE 0-20 44 290 24 52 29 92 24 24
1578890950 LALWANI RENUKA D 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1578893939 DE GUZMAN ANNA LYNN 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 0 0
1578896494 CHAUHAN ANURADHA 2021 FFS RENDERING AGE 0-20 3,612 22,524 3,411 8,923 1,472 1,756 3,486 3,841
1578896494 CHAUHAN ANURADHA 2021 GMC RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1578898318 RASHTIAN, ROYA, DDS APC 2021 PHP RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1578899886 YOCHIM JI M 2021 FFS RENDERING AGE 0-20 25 127 23 54 1 1 16 17
1578902128 CHRISTENSEN NATHAN F 2021 FFS RENDERING AGE 0-20 408 2,553 345 883 128 476 309 324
1578905253 ESCARENO JEANETTE 2021 PHP RENDERING AGE 0-20 92 566 49 72 88 256 48 49
1578905253 ESCARENO JEANETTE 2021 PHP RENDERING AGE 21+ 127 594 1 1 125 423 1 1
1578908240 NGUYEN DO ANH N 2021 FFS RENDERING AGE 0-20 110 597 0 0 110 595 0 0
1578908240 NGUYEN DO ANH N 2021 FFS RENDERING AGE 21+ 146 785 0 0 145 783 0 0
1578908240 NGUYEN DO ANH N 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1578934717 REESOR JASON D 2021 FFS RENDERING AGE 0-20 471 2,657 194 334 238 707 362 371
1578934717 REESOR JASON D 2021 FFS RENDERING AGE 21+ 2,444 13,850 311 347 1,140 3,899 1,829 1,829
1578937272 JHAWAR HARBIR S 2021 FFS RENDERING AGE 0-20 2,652 19,960 2,003 5,770 1,910 4,790 1,953 2,256
1578937272 JHAWAR HARBIR S 2021 FFS RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1578942025 MORGAN BROOKS T 2021 FFS RENDERING AGE 0-20 103 621 53 126 45 97 63 63
1578942025 MORGAN BROOKS T 2021 FFS RENDERING AGE 21+ 319 1,366 43 80 249 774 109 110
1578955100 TREVINO VASQUEZ MARIA D 2021 FFS RENDERING AGE 0-20 50 148 25 50 27 42 20 20
1578955100 TREVINO VASQUEZ MARIA D 2021 FFS RENDERING AGE 21+ 21 42 1 1 1 2 1 1
1578959342 LOPEZ LESLIE GRACE Q 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 2 1 1
1578959342 LOPEZ LESLIE GRACE Q 2021 FFS RENDERING AGE 21+ 17 174 1 2 13 113 13 13
1578964730 LOGRASSO RACHEL L 2021 FFS RENDERING AGE 0-20 1,884 22,215 1,688 5,738 1,110 3,663 1,677 1,866
1578964730 LOGRASSO RACHEL L 2021 FFS RENDERING AGE 21+ 325 2,016 142 285 182 378 184 186
1578975587 WESTERHAUS DAVID JOHN W 2021 FFS RENDERING AGE 0-20 127 267 0 0 127 267 0 0
1578986543 KOH ROY ANTHONY KENNETH 2021 PHP RENDERING AGE 21+ 1 2 0 0 1 1 0 0
1578993812 CHO PYUNG H 2021 FFS RENDERING AGE 0-20 252 1,387 131 303 146 398 153 176
1578993812 CHO PYUNG H 2021 FFS RENDERING AGE 21+ 958 3,650 202 400 695 1,435 464 464
1588001218 AMROLLAHIE ALI 2021 FFS RENDERING AGE 0-20 767 4,900 0 0 686 4,555 169 169
1588001218 AMROLLAHIE ALI 2021 FFS RENDERING AGE 21+ 749 3,377 0 0 572 2,747 309 309
1588007108 SHEHATA CHRISTINE 2021 FFS RENDERING AGE 0-20 1 1 1 1 1 1 1 1
1588007108 SHEHATA CHRISTINE 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 1 1 1
1588013361 ISMAILYAN ANI H 2021 FFS RENDERING AGE 0-20 186 1,495 127 298 87 271 139 147
1588013361 ISMAILYAN ANI H 2021 FFS RENDERING AGE 21+ 225 1,080 125 214 144 299 123 123
1588017107 TRAN CHRISTINA 2021 FFS RENDERING AGE 0-20 101 379 73 159 34 67 71 73
1588017107 TRAN CHRISTINA 2021 FFS RENDERING AGE 21+ 70 201 21 23 52 78 26 26
1588022065 NGUYEN MARILYN M 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1588022065 NGUYEN MARILYN M 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1588029086 SALEM, MEHRSEDEH JASMINE, DD 2021 FFS RENDERING AGE 0-20 1 1 1 1 1 1 1 1
1588029086 SALEM, MEHRSEDEH JASMINE, DD 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1588049332 TRAN, TODD, DDS INC 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1588078224 LUGO, RICARDO MD 2021 FFS RENDERING AGE 0-20 50 164 0 0 50 163 0 0
1588078224 LUGO, RICARDO MD 2021 FFS RENDERING AGE 21+ 204 477 0 0 204 473 0 0
1588078661 LEE JULIA Y 2021 FFS RENDERING AGE 0-20 576 2,513 236 725 301 1,015 556 759
1588078661 LEE JULIA Y 2021 FFS RENDERING AGE 21+ 365 1,519 1 1 284 1,286 226 226
1588094908 PHAM DENNIS 2021 FFS RENDERING AGE 0-20 77 137 0 0 19 59 0 0
1588126189 CHUNG CHRISTOPHER G 2021 FFS RENDERING AGE 0-20 290 2,833 271 779 219 895 271 274
1588126189 CHUNG CHRISTOPHER G 2021 FFS RENDERING AGE 21+ 256 1,692 124 261 161 812 177 185
1588126189 CHUNG CHRISTOPHER G 2021 PHP RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1588136535 KHALILI ABDUL AZEEM M 2021 FFS RENDERING AGE 0-20 3,434 63,325 2,965 11,479 2,559 13,614 2,845 4,172
1588136535 KHALILI ABDUL AZEEM M 2021 FFS RENDERING AGE 21+ 1 2 1 2 1 1 1 1
1588136535 KHALILI ABDUL AZEEM M 2021 GMC RENDERING AGE 0-20 537 6,332 302 542 534 4,086 1 1
1588146559 AGRAWAL MUDITA 2021 FFS RENDERING AGE 0-20 109 455 71 142 53 148 43 43
1588146559 AGRAWAL MUDITA 2021 FFS RENDERING AGE 21+ 290 966 91 166 168 444 109 109
1588161426 DAOUD KHALED I 2021 FFS RENDERING AGE 0-20 339 3,055 254 601 111 231 308 324
1588161426 DAOUD KHALED I 2021 FFS RENDERING AGE 21+ 30 229 26 52 1 2 26 26
1588188353 PHAM FRANCES K 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1588188353 PHAM FRANCES K 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1588189179 KIM HAYEUN 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1588210280 CHAN JANICE K 2021 FFS RENDERING AGE 0-20 26 172 20 42 1 2 23 23
1588210280 CHAN JANICE K 2021 FFS RENDERING AGE 21+ 39 158 1 2 28 54 18 18
1588236236 KHOURY JEANINE C 2021 FFS RENDERING AGE 0-20 19 78 1 1 13 26 1 1
1588236236 KHOURY JEANINE C 2021 FFS RENDERING AGE 21+ 39 165 1 1 21 47 22 23
1588236236 KHOURY JEANINE C 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1588257265 PATEL RADHIKA P 2021 FFS RENDERING AGE 0-20 474 2,379 270 775 217 621 189 189
1588257265 PATEL RADHIKA P 2021 FFS RENDERING AGE 21+ 435 1,634 96 186 279 762 136 136
1588257265 PATEL RADHIKA P 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1588265011 RAMOS ARIAN ISABEL A 2021 FFS RENDERING AGE 0-20 52 395 45 144 31 99 34 34
1588265011 RAMOS ARIAN ISABEL A 2021 FFS RENDERING AGE 21+ 29 143 1 1 20 75 14 14
1588273387 CHOUHAN HARMON 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1588273734 LAU ASHLEY 2021 GMC RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1588278360 HAN EUGENE Y 2021 FFS RENDERING AGE 0-20 525 3,407 369 1,512 140 395 489 537
1588278360 HAN EUGENE Y 2021 FFS RENDERING AGE 21+ 800 3,137 289 571 345 849 615 616
1588279723 SAAD AKRAM A 2021 FFS RENDERING AGE 0-20 972 12,143 890 2,725 723 2,096 967 988
1588279723 SAAD AKRAM A 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1588332191 LE BRIAN P 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 2 0 0
1588616197 NGUYEN CHI Q 2021 FFS RENDERING AGE 0-20 59 459 58 151 1 2 52 65
1588616197 NGUYEN CHI Q 2021 FFS RENDERING AGE 21+ 86 542 85 167 15 39 75 75
1588636310 MONCAYO MAX P 2021 FFS RENDERING AGE 0-20 112 576 0 0 109 568 1 1
1588636310 MONCAYO MAX P 2021 FFS RENDERING AGE 21+ 127 603 0 0 120 581 1 1
1588672695 SAMUEL B BURG DDS & RICK 2021 FFS RENDERING AGE 0-20 1 1 1 1 1 1 0 0
1588672968 GREWAL DEEPINDER S 2021 FFS RENDERING AGE 0-20 4,124 31,267 3,560 11,014 2,483 5,211 3,508 3,872
1588672968 GREWAL DEEPINDER S 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1588672968 GREWAL DEEPINDER S 2021 GMC RENDERING AGE 0-20 1 1 0 0 0 0 1 1
1588684708 PHAM HAI TAN 2021 FFS RENDERING AGE 0-20 188 1,431 174 404 39 65 172 193
1588684708 PHAM HAI TAN 2021 FFS RENDERING AGE 21+ 265 1,647 190 380 130 250 201 201
1588698450 ESCOBAR RONY 2021 FFS RENDERING AGE 0-20 19 102 1 2 12 42 1 1
1588698450 ESCOBAR RONY 2021 FFS RENDERING AGE 21+ 119 668 13 21 94 491 32 32
1588701072 KESHISHYAN SARKIS 2021 FFS RENDERING AGE 0-20 38 336 37 148 11 22 38 57
1588701072 KESHISHYAN SARKIS 2021 FFS RENDERING AGE 21+ 177 1,598 131 257 135 595 138 138
1588703839 RANKOVIC, ANA HELENA DDS 2021 FFS RENDERING AGE 0-20 30 226 29 59 1 2 22 23
1588703839 RANKOVIC, ANA HELENA DDS 2021 FFS RENDERING AGE 21+ 141 935 96 182 78 323 96 96
1588703839 RANKOVIC, ANA HELENA DDS 2021 PHP RENDERING AGE 0-20 25 266 25 72 11 24 24 30
1588703839 RANKOVIC, ANA HELENA DDS 2021 PHP RENDERING AGE 21+ 46 589 34 64 31 118 37 37
1588704233 LEE, KYONG MU, DDS 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1588704233 LEE, KYONG MU, DDS 2021 FFS RENDERING AGE 21+ 14 61 1 1 1 2 1 1
1588705891 KIM YUSEOK 2021 FFS RENDERING AGE 0-20 460 3,872 307 767 262 470 298 310
1588705891 KIM YUSEOK 2021 FFS RENDERING AGE 21+ 577 2,947 36 71 437 1,035 203 204
1588707418 TRAN PHUOC T 2021 FFS RENDERING AGE 0-20 391 3,979 236 675 192 799 349 385
1588707418 TRAN PHUOC T 2021 FFS RENDERING AGE 21+ 850 5,155 147 150 630 2,406 529 530
1588711527 SENZAKI, NORMAN, DDS 2021 FFS RENDERING AGE 0-20 124 540 105 160 53 105 117 141
1588711527 SENZAKI, NORMAN, DDS 2021 FFS RENDERING AGE 21+ 31 85 22 22 1 2 21 21
1588712665 OH, HYUNGRIM DDS 2021 FFS RENDERING AGE 0-20 30 205 24 49 15 35 26 31
1588712665 OH, HYUNGRIM DDS 2021 FFS RENDERING AGE 21+ 101 562 33 33 61 235 77 77
1588718571 HUANG, RAYMOND S, DDS 2021 FFS RENDERING AGE 0-20 42 172 36 67 1 2 38 49
1588718571 HUANG, RAYMOND S, DDS 2021 FFS RENDERING AGE 21+ 466 2,243 358 358 266 774 396 396
1588720536 KITTO, ROBERT DUDLEY, DDS 2021 FFS RENDERING AGE 0-20 14 58 13 30 1 1 1 2
1588720536 KITTO, ROBERT DUDLEY, DDS 2021 FFS RENDERING AGE 21+ 21 77 14 14 1 2 1 1
1588723415 LOERA, JAIME ACUNA DDS 2021 FFS RENDERING AGE 0-20 297 3,959 247 837 154 572 281 355
1588723415 LOERA, JAIME ACUNA DDS 2021 FFS RENDERING AGE 21+ 972 8,692 405 601 742 3,151 711 712
1588726673 ROFAEL RAFIK R 2021 FFS RENDERING AGE 0-20 33 93 0 0 33 86 0 0
1588726673 ROFAEL RAFIK R 2021 FFS RENDERING AGE 21+ 49 134 0 0 49 119 0 0
1588727556 BIGDELI, DR. FORUZAN DDS 2021 FFS RENDERING AGE 0-20 29 428 24 66 14 63 23 25
1588727556 BIGDELI, DR. FORUZAN DDS 2021 FFS RENDERING AGE 21+ 155 1,395 48 95 128 569 62 62
1588732218 COBB, RODNEY LAMONT DDS 2021 FFS RENDERING AGE 0-20 47 382 25 112 33 113 30 33
1588732218 COBB, RODNEY LAMONT DDS 2021 FFS RENDERING AGE 21+ 153 912 32 45 119 397 88 88
1588732218 COBB, RODNEY LAMONT DDS 2021 PHP RENDERING AGE 0-20 46 332 41 129 36 71 20 21
1588732218 COBB, RODNEY LAMONT DDS 2021 PHP RENDERING AGE 21+ 184 1,018 102 227 151 350 89 91
1588732218 UNKNOWN 2021 FFS RENDERING AGE 0-20 47 382 25 112 33 113 30 33
1588732218 UNKNOWN 2021 FFS RENDERING AGE 21+ 153 912 32 45 119 397 88 88
1588732218 UNKNOWN 2021 PHP RENDERING AGE 0-20 46 332 41 129 36 71 20 21
1588732218 UNKNOWN 2021 PHP RENDERING AGE 21+ 184 1,018 102 227 151 350 89 91
1588732358 HAFFAR, SAMAR O, DDS 2021 FFS RENDERING AGE 0-20 169 1,935 137 472 65 201 156 184
1588732358 HAFFAR, SAMAR O, DDS 2021 FFS RENDERING AGE 21+ 293 2,005 111 115 183 621 216 216
1588736755 ZAMANI, NAVID, DMD 2021 FFS RENDERING AGE 0-20 67 1,012 57 312 1 1 63 164
1588736755 ZAMANI, NAVID, DMD 2021 FFS RENDERING AGE 21+ 574 3,414 89 182 108 964 481 962
1588737407 DESAI BHAKTI K 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1588737407 DESAI BHAKTI K 2021 FFS RENDERING AGE 21+ 14 76 1 1 1 2 1 1
1588748750 LIN THERESA P 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1588748750 LIN THERESA P 2021 PHP RENDERING AGE 21+ 20 58 1 1 12 26 1 1
1588756530 SACRAMENTO NATIVE 2021 GMC RENDERING AGE 0-20 27 740 19 270 1 2 19 100
1588756530 SACRAMENTO NATIVE 2021 GMC RENDERING AGE 21+ 74 1,245 16 235 57 555 14 70
1588763155 CLIFF WILLIAM CHRISTOPHER 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 2 0 0
1588767669 ZURMATI FARID A 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1588771505 CHANG PHILIP M 2021 FFS RENDERING AGE 0-20 63 416 55 149 27 63 50 64
1588771505 CHANG PHILIP M 2021 FFS RENDERING AGE 21+ 125 606 50 100 76 274 62 64
1588779144 SAFFARI-NAZARI, ABDOLREZA, D 2021 FFS RENDERING AGE 0-20 27 61 0 0 27 61 0 0
1588779144 SAFFARI-NAZARI, ABDOLREZA, D 2021 FFS RENDERING AGE 21+ 1,333 6,418 41 48 1,316 5,346 282 283
1588779144 SAFFARI-NAZARI, ABDOLREZA, D 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1588779144 SAFFARI-NAZARI, ABDOLREZA, D 2021 PHP RENDERING AGE 21+ 14 102 1 1 12 79 1 1
1588781637 MROCH, MARK J, DDS DENTAL CO 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1588781637 MROCH, MARK J, DDS DENTAL CO 2021 FFS RENDERING AGE 21+ 173 1,047 126 248 168 509 134 134
1588783690 RAFIE REZA 2021 FFS RENDERING AGE 0-20 13 48 1 2 1 2 1 1
1588783690 RAFIE REZA 2021 FFS RENDERING AGE 21+ 45 119 1 1 41 89 1 1
1588784185 LEE, JOON YEOB, DDS 2021 FFS RENDERING AGE 0-20 114 1,892 97 448 20 128 107 244
1588784185 LEE, JOON YEOB, DDS 2021 FFS RENDERING AGE 21+ 439 5,960 247 980 268 2,000 338 676
1588793277 BARAKAT, JOHN H DDS 2021 FFS RENDERING AGE 0-20 70 384 49 125 39 109 54 66
1588793277 BARAKAT, JOHN H DDS 2021 FFS RENDERING AGE 21+ 539 3,685 203 404 451 2,176 321 324
1588793277 BARAKAT, JOHN H DDS 2021 GMC RENDERING AGE 0-20 1 1 1 1 1 1 1 1
1588794945 PAISO IRIS M 2021 PHP RENDERING AGE 0-20 61 560 56 353 50 79 55 62
1588794945 PAISO IRIS M 2021 PHP RENDERING AGE 21+ 105 775 72 319 95 256 69 69
1588796874 YEE THOMAS L 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1588796874 YEE THOMAS L 2021 GMC RENDERING AGE 0-20 948 10,847 779 4,147 330 724 732 867
1588803449 SAGHEZCHI, SOHAIL S MD 2021 FFS RENDERING AGE 0-20 74 261 1 1 44 193 37 37
1588803449 SAGHEZCHI, SOHAIL S MD 2021 FFS RENDERING AGE 21+ 167 724 0 0 105 591 77 77
1588812853 TSAI PATRICK 2021 GMC RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1588821052 JOHNSON PAUL W 2021 FFS RENDERING AGE 21+ 2,593 14,369 878 1,425 2,368 4,886 1,667 1,667
1588821052 JOHNSON PAUL W 2021 GMC RENDERING AGE 21+ 54 391 39 54 53 103 45 45
1588825863 NOORI MEHRDAD 2021 FFS RENDERING AGE 0-20 241 2,749 162 632 150 650 170 199
1588825863 NOORI MEHRDAD 2021 FFS RENDERING AGE 21+ 441 3,409 194 386 310 1,264 251 251
1588830962 SHAH NEAL P 2021 FFS RENDERING AGE 0-20 59 439 52 203 21 64 50 64
1588830962 SHAH NEAL P 2021 FFS RENDERING AGE 21+ 105 482 30 30 56 185 84 84
1588835334 MOJICA JUDY L 2021 FFS RENDERING AGE 0-20 201 1,662 192 586 76 206 186 235
1588835334 MOJICA JUDY L 2021 FFS RENDERING AGE 21+ 115 610 64 128 64 170 73 73
1588845564 BECK YANINA D 2021 FFS RENDERING AGE 0-20 164 863 101 245 93 227 103 109
1588845564 BECK YANINA D 2021 FFS RENDERING AGE 21+ 204 760 33 63 122 388 102 102
1588860142 NAZARIAN, CARINEH DDS 2021 FFS RENDERING AGE 0-20 1,748 27,361 1,537 8,472 967 5,580 1,508 2,838
1588860142 NAZARIAN, CARINEH DDS 2021 FFS RENDERING AGE 21+ 405 2,406 20 29 29 66 31 31
1588860142 NAZARIAN, CARINEH DDS 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1588864417 CHEN, JAMES CHAISHIN DDS 2021 FFS RENDERING AGE 0-20 172 1,271 148 373 73 245 161 205
1588864417 CHEN, JAMES CHAISHIN DDS 2021 FFS RENDERING AGE 21+ 365 1,889 81 81 272 1,048 272 272
1588864417 CHEN, JAMES CHAISHIN DDS 2021 GMC RENDERING AGE 0-20 304 2,509 264 1,231 103 287 266 292
1588864417 CHEN, JAMES CHAISHIN DDS 2021 GMC RENDERING AGE 21+ 472 2,513 186 189 347 1,164 286 289
1588870356 KOTAK, JAYANTI L, DDS 2021 FFS RENDERING AGE 0-20 1 2 1 1 0 0 1 1
1588870356 KOTAK, JAYANTI L, DDS 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1588875116 KIM DONG J 2021 FFS RENDERING AGE 0-20 70 603 54 163 45 145 60 72
1588875116 KIM DONG J 2021 FFS RENDERING AGE 21+ 255 2,079 102 211 204 1,055 159 171
1588875173 EVANS-LOUKA BRENDA 2021 FFS RENDERING AGE 0-20 83 609 59 166 31 123 74 83
1588875173 EVANS-LOUKA BRENDA 2021 FFS RENDERING AGE 21+ 422 1,891 113 131 240 751 321 323
1588877997 NGUYEN OLIVIA LAN H 2021 FFS RENDERING AGE 0-20 1,004 12,524 956 3,036 432 1,828 928 1,005
1588877997 NGUYEN OLIVIA LAN H 2021 FFS RENDERING AGE 21+ 191 1,540 125 250 103 248 127 128
1588879100 ABADI, BEHZAD, DMD 2021 FFS RENDERING AGE 0-20 94 2,452 90 648 39 294 80 240
1588879100 ABADI, BEHZAD, DMD 2021 FFS RENDERING AGE 21+ 305 4,106 206 656 186 1,522 221 442
1588879100 ABADI, BEHZAD, DMD 2021 PHP RENDERING AGE 0-20 15 218 11 76 1 2 13 32
1588879100 ABADI, BEHZAD, DMD 2021 PHP RENDERING AGE 21+ 52 818 41 156 29 370 47 96
1588901979 ZAK, I, DDS PROF DENTAL CORP 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1588908305 SOUTH CENTRAL FAMILY HEALTH 2021 GMC RENDERING AGE 21+ 1 2 0 0 0 0 1 1
1588943088 MAMALIGER, JOSEF, DDS 2021 FFS RENDERING AGE 0-20 1 2 1 2 0 0 1 1
1588943088 MAMALIGER, JOSEF, DDS 2021 FFS RENDERING AGE 21+ 63 239 16 18 35 96 34 34
1588967582 DURAN BENJAMIN A 2021 FFS RENDERING AGE 0-20 78 919 54 135 53 201 59 71
1588967582 DURAN BENJAMIN A 2021 FFS RENDERING AGE 21+ 95 524 1 1 82 222 36 36
1588969703 KERI, N, DDS A PROF CORP 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1588971949 HOTHI MANMEET K 2021 FFS RENDERING AGE 0-20 321 1,239 164 381 185 428 92 92
1588971949 HOTHI MANMEET K 2021 FFS RENDERING AGE 21+ 766 2,469 103 205 624 1,774 126 126
1588979744 KIM JOEL C 2021 FFS RENDERING AGE 0-20 943 11,610 868 2,429 551 1,929 883 925
1588979744 KIM JOEL C 2021 FFS RENDERING AGE 21+ 103 734 64 126 44 131 74 74
1588995898 CHOI JAY W 2021 FFS RENDERING AGE 0-20 490 655 0 0 72 165 0 0
1588995898 CHOI JAY W 2021 FFS RENDERING AGE 21+ 27 27 0 0 0 0 0 0
1598015257 NICHELINI JEFFREY A 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1598015257 NICHELINI JEFFREY A 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 2 0 0
1598019036 DR A CHANG DDS INC 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1598019739 ETEMADIEH ALI-REZA 2021 FFS RENDERING AGE 0-20 156 988 142 346 47 118 142 173
1598019739 ETEMADIEH ALI-REZA 2021 FFS RENDERING AGE 21+ 247 1,266 137 150 155 472 156 156
1598043671 ATTRI BIRDEVINDER 2021 FFS RENDERING AGE 0-20 455 1,973 254 584 105 167 386 423
1598043671 ATTRI BIRDEVINDER 2021 FFS RENDERING AGE 21+ 1,008 3,121 246 471 282 616 732 732
1598059339 DUGHMAN WADIE O 2021 FFS RENDERING AGE 0-20 45 320 29 69 21 67 33 33
1598059339 DUGHMAN WADIE O 2021 FFS RENDERING AGE 21+ 341 1,998 92 185 263 882 150 151
1598069791 KOHANDEL-SHIRAZ ASAL S 2021 FFS RENDERING AGE 0-20 39 434 36 83 1 2 35 38
1598069791 KOHANDEL-SHIRAZ ASAL S 2021 FFS RENDERING AGE 21+ 84 718 44 85 26 102 75 75
1598071516 YEN ALLISON S 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1598071516 YEN ALLISON S 2021 FFS RENDERING AGE 21+ 49 89 0 0 49 89 0 0
1598071516 YEN ALLISON S 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1598078966 LE, LYAN, RDHAP 2021 FFS RENDERING AGE 21+ 554 2,866 513 920 554 1,946 0 0
1598084832 SHAHGALDIAN CHRISTINE 2021 FFS RENDERING AGE 0-20 14 57 1 1 1 2 1 1
1598093643 TIEP SAMBATH S 2021 FFS RENDERING AGE 0-20 2,712 23,908 2,116 6,534 1,769 4,758 2,007 2,190
1598093643 TIEP SAMBATH S 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1598095572 TAHERI, MARK 2021 FFS RENDERING AGE 0-20 113 1,791 105 426 52 236 107 149
1598095572 TAHERI, MARK 2021 FFS RENDERING AGE 21+ 316 3,278 224 424 222 1,092 237 237
1598095572 TAHERI, MARK 2021 PHP RENDERING AGE 0-20 25 137 21 56 1 1 24 27
1598095572 TAHERI, MARK 2021 PHP RENDERING AGE 21+ 46 199 34 67 11 21 40 47
1598100810 OROZCO MANLIO F 2021 FFS RENDERING AGE 0-20 203 2,063 188 561 94 232 194 253
1598100810 OROZCO MANLIO F 2021 FFS RENDERING AGE 21+ 239 1,485 146 292 161 382 170 170
1598102790 RUIZ GERALDINE E 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1598103947 ALEISSA DINA 2021 FFS RENDERING AGE 0-20 331 3,143 300 1,152 165 408 293 370
1598103947 ALEISSA DINA 2021 FFS RENDERING AGE 21+ 562 3,757 305 565 395 1,522 371 371
1598120305 SAMI HAITHAM A 2021 FFS RENDERING AGE 0-20 3,152 29,296 2,296 7,490 1,871 6,405 2,301 2,553
1598120305 SAMI HAITHAM A 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1598120305 SAMI HAITHAM A 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1598126070 KHAUV DDS INC 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1598127052 PANNU VARINDER 2021 FFS RENDERING AGE 0-20 508 5,625 425 1,474 275 596 374 453
1598127052 PANNU VARINDER 2021 FFS RENDERING AGE 21+ 410 2,597 113 222 244 663 234 234
1598131302 CHOE JEESOO J 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1598134769 CHOI SIDNEY S 2021 FFS RENDERING AGE 0-20 284 3,490 248 690 116 316 258 316
1598134769 CHOI SIDNEY S 2021 FFS RENDERING AGE 21+ 627 6,522 334 673 381 1,082 429 429
1598137051 ELFERSI TALI 2021 FFS RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1598141137 MOQATTASH ALEXANDER S 2021 FFS RENDERING AGE 0-20 105 701 76 205 31 72 74 85
1598141137 MOQATTASH ALEXANDER S 2021 FFS RENDERING AGE 21+ 162 726 34 36 69 194 112 113
1598143208 GEREN VICTORIA 2021 FFS RENDERING AGE 0-20 18 38 0 0 16 29 0 0
1598145898 LIN CHRISTOPHER C 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 2 1 1
1598145898 LIN CHRISTOPHER C 2021 FFS RENDERING AGE 21+ 53 302 12 24 50 168 13 13
1598147506 CHO JESSICA J 2021 FFS RENDERING AGE 0-20 503 6,096 423 1,197 284 864 430 540
1598147506 CHO JESSICA J 2021 FFS RENDERING AGE 21+ 214 1,485 77 134 122 334 130 130
1598149627 SAHAWNEH DENTAL CORPORATION 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1598192668 JI SHANSHAN 2021 FFS RENDERING AGE 0-20 126 908 102 308 58 178 112 121
1598192668 JI SHANSHAN 2021 FFS RENDERING AGE 21+ 62 272 19 34 38 103 36 36
1598192668 JI SHANSHAN 2021 GMC RENDERING AGE 0-20 1 1 0 0 1 1 1 1
1598192668 JI SHANSHAN 2021 PHP RENDERING AGE 0-20 158 915 68 189 110 334 72 72
1598192668 JI SHANSHAN 2021 PHP RENDERING AGE 21+ 105 411 1 2 76 178 19 19
1598197592 KAUR NAVNEET 2021 FFS RENDERING AGE 0-20 273 1,413 178 561 82 203 196 203
1598197592 KAUR NAVNEET 2021 FFS RENDERING AGE 21+ 500 1,482 86 169 258 566 254 258
1598197592 KAUR NAVNEET 2021 GMC RENDERING AGE 0-20 18 36 1 1 13 22 1 1
1598197592 KAUR NAVNEET 2021 GMC RENDERING AGE 21+ 19 65 1 1 17 58 1 1
1598220790 MCLAREN SANDRA A 2021 FFS RENDERING AGE 0-20 61 227 35 42 52 112 34 34
1598220790 MCLAREN SANDRA A 2021 FFS RENDERING AGE 21+ 617 3,004 149 152 562 1,733 344 344
1598232308 JIMENEZ, PETER N, DDS A PROF 2021 FFS RENDERING AGE 0-20 1 1 1 1 1 1 0 0
1598239170 KIM, JAMES MYUNG-JU, DDS INC 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1598248841 SOLER GEISER C 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1598248841 SOLER GEISER C 2021 FFS RENDERING AGE 21+ 71 281 0 0 70 264 1 1
1598249609 NGUYEN, LINH H, RDHAP 2021 FFS RENDERING AGE 21+ 1 1 1 1 1 1 0 0
1598251324 SULAEMAN AARON A 2021 FFS RENDERING AGE 0-20 33 49 0 0 33 47 0 0
1598251324 SULAEMAN AARON A 2021 FFS RENDERING AGE 21+ 59 192 1 1 58 186 0 0
1598268849 BAKER, RYAN B, DMD A PROFESS 2021 FFS RENDERING AGE 0-20 1 1 1 1 1 1 0 0
1598277550 JANG, S, DDS INCORPORATED 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1598277550 S. JANG DDS INCORPORATED 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1598283525 BUI RACHEL B 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1598288664 TRAN AIMY T 2021 FFS RENDERING AGE 0-20 353 2,225 275 799 174 421 281 281
1598288664 TRAN AIMY T 2021 FFS RENDERING AGE 21+ 216 901 65 125 132 332 134 136
1598302432 TORRES ALIX A 2021 FFS RENDERING AGE 0-20 65 448 25 42 35 106 38 40
1598302432 TORRES ALIX A 2021 FFS RENDERING AGE 21+ 470 2,827 85 131 230 641 287 291
1598302432 TORRES ALIX A 2021 GMC RENDERING AGE 0-20 62 216 1 2 54 136 1 1
1598302432 TORRES ALIX A 2021 GMC RENDERING AGE 21+ 986 7,251 947 1,605 587 1,481 561 574
1598312209 SHARMA ROMA 2021 FFS RENDERING AGE 0-20 458 2,299 306 665 199 540 356 360
1598312209 SHARMA ROMA 2021 FFS RENDERING AGE 21+ 561 2,223 154 301 294 969 362 363
1598312209 SHARMA ROMA 2021 GMC RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1598313918 KIM JAESUNG 2021 FFS RENDERING AGE 0-20 34 178 24 49 17 47 27 27
1598313918 KIM JAESUNG 2021 FFS RENDERING AGE 21+ 218 1,099 141 270 120 419 172 172
1598315384 HESHMATI AREZOO 2021 FFS RENDERING AGE 0-20 1,728 16,844 1,448 5,012 1,106 3,716 1,414 1,653
1598315384 HESHMATI AREZOO 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1598320921 CHAW KYLE JASON 2021 GMC RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1598327710 ELLOWAY NATASHA N 2021 FFS RENDERING AGE 0-20 76 742 50 133 30 64 67 80
1598327710 ELLOWAY NATASHA N 2021 FFS RENDERING AGE 21+ 158 818 24 35 95 234 99 101
1598327710 ELLOWAY NATASHA N 2021 PHP RENDERING AGE 0-20 17 127 16 46 1 2 16 16
1598327710 ELLOWAY NATASHA N 2021 PHP RENDERING AGE 21+ 16 64 13 15 1 2 11 11
1598335275 MOHAMED EMAN N 2021 FFS RENDERING AGE 0-20 207 770 90 177 56 110 171 171
1598335275 MOHAMED EMAN N 2021 FFS RENDERING AGE 21+ 361 969 27 51 98 200 263 263
1598356636 AHMED IMRAN 2021 PHP RENDERING AGE 0-20 52 470 43 201 48 85 37 37
1598373243 BHARMAL UMAIMA 2021 FFS RENDERING AGE 0-20 32 200 20 43 22 43 20 20
1598373243 BHARMAL UMAIMA 2021 FFS RENDERING AGE 21+ 82 317 20 38 54 106 35 35
1598373243 BHARMAL UMAIMA 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1598373243 BHARMAL UMAIMA 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1598384935 JACKSON CYNTHIA L 2021 FFS RENDERING AGE 0-20 644 872 1 1 181 247 0 0
1598395741 CANACARI, DENISE MARIE, RDHA 2021 GMC RENDERING AGE 0-20 17 64 17 64 0 0 0 0
1598396681 SEELI DIVYA R 2021 FFS RENDERING AGE 0-20 1 1 0 0 0 0 1 1
1598396681 SEELI DIVYA R 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1598396681 SEELI DIVYA R 2021 GMC RENDERING AGE 0-20 88 144 0 0 83 124 1 1
1598396681 SEELI DIVYA R 2021 GMC RENDERING AGE 21+ 29 111 0 0 16 24 1 1
1598438855 HASAN HASAN S 2021 FFS RENDERING AGE 0-20 76 280 41 81 35 68 44 44
1598438855 HASAN HASAN S 2021 FFS RENDERING AGE 21+ 119 418 37 74 73 170 59 59
1598700361 SHAY IRIS S 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1598700361 SHAY IRIS S 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1598728347 LAD CHIMAN 2021 PHP RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1598733727 MACHADO, LESTER MD 2021 FFS RENDERING AGE 0-20 26 133 0 0 17 99 18 18
1598733727 MACHADO, LESTER, DDS MD 2021 FFS RENDERING AGE 0-20 26 133 0 0 17 99 18 18
1598758427 WADDY, SAVANNAH, DDS 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 2 0 0
1598784696 DR LIN DDS INC 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1598784696 DR LIN DDS INC 2021 FFS RENDERING AGE 21+ 110 437 73 143 52 121 70 70
1598799199 WELIKALA MANOHARA 2021 FFS RENDERING AGE 0-20 740 7,690 711 2,778 160 313 687 1,071
1598799199 WELIKALA MANOHARA 2021 FFS RENDERING AGE 21+ 318 2,109 238 242 141 274 234 236
1598802704 KHOSHROZEH MEHRDAD M 2021 FFS RENDERING AGE 0-20 556 1,747 26 58 278 430 316 317
1598802704 KHOSHROZEH MEHRDAD M 2021 FFS RENDERING AGE 21+ 1,076 3,404 30 57 648 1,258 511 511
1598802704 KHOSHROZEH MEHRDAD M 2021 PHP RENDERING AGE 0-20 15 75 12 26 1 2 12 12
1598802704 KHOSHROZEH MEHRDAD M 2021 PHP RENDERING AGE 21+ 153 786 104 213 71 286 130 132
1598803116 PARK DANIEL C 2021 FFS RENDERING AGE 0-20 304 2,310 266 742 182 441 279 335
1598803116 PARK DANIEL C 2021 FFS RENDERING AGE 21+ 417 2,549 165 304 310 1,104 295 295
1598803801 REDJO - SETYONO, MELLISRI 2021 FFS RENDERING AGE 0-20 346 2,860 164 638 212 790 297 326
1598803801 REDJO - SETYONO, MELLISRI 2021 FFS RENDERING AGE 21+ 358 3,541 212 417 241 1,193 289 289
1598804163 YOON DENTAL CORPORATION 2021 FFS RENDERING AGE 0-20 11 30 1 1 1 2 1 1
1598804163 YOON DENTAL CORPORATION 2021 FFS RENDERING AGE 21+ 84 225 29 34 30 52 53 53
1598804163 YOON DENTAL CORPORATION 2021 PHP RENDERING AGE 21+ 1 1 1 1 1 1 0 0
1598806051 CHANG, CRISPIN M, DDS 2021 FFS RENDERING AGE 0-20 209 1,136 182 214 45 140 147 162
1598806051 CHANG, CRISPIN M, DDS 2021 FFS RENDERING AGE 21+ 215 914 115 115 109 234 132 132
1598807489 BUYAMA ROLAND M 2021 FFS RENDERING AGE 0-20 1,353 13,957 1,341 5,863 551 1,532 1,345 2,191
1598811408 AUERBACH TODD 2021 FFS RENDERING AGE 0-20 234 2,322 170 440 126 357 184 190
1598811408 AUERBACH TODD 2021 FFS RENDERING AGE 21+ 484 3,055 43 84 377 1,252 259 260
1598812737 BARAIYA, RAMJIBHAI H DDS 2021 FFS RENDERING AGE 0-20 684 10,179 591 1,698 442 1,941 621 757
1598812737 BARAIYA, RAMJIBHAI H DDS 2021 FFS RENDERING AGE 21+ 979 11,225 279 541 816 4,276 691 693
1598812802 HART, HARRY A, DDS 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1598812802 HART, HARRY A, DDS 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1598816217 DUONG HOA Q 2021 FFS RENDERING AGE 0-20 61 1,043 59 199 56 317 55 62
1598816217 DUONG HOA Q 2021 FFS RENDERING AGE 21+ 194 2,755 132 262 183 1,363 140 140
1598817546 BAIK JAMES Y 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1598818148 TON THANH TAM N 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 2 1 1
1598819070 THAI HUNG M 2021 FFS RENDERING AGE 0-20 303 2,715 213 504 104 299 216 226
1598819070 THAI HUNG M 2021 FFS RENDERING AGE 21+ 115 975 72 145 49 148 69 70
1598819120 POISET, MITCHELL, DDS A PROF 2021 FFS RENDERING AGE 0-20 354 3,769 286 847 292 1,675 231 283
1598819120 POISET, MITCHELL, DDS A PROF 2021 FFS RENDERING AGE 21+ 15 62 15 28 1 2 11 11
1598819880 LE, TU C, DDS 2021 FFS RENDERING AGE 0-20 132 1,284 121 591 36 60 129 187
1598819880 LE, TU C, DDS 2021 FFS RENDERING AGE 21+ 199 995 152 303 85 209 175 175
1598820953 PETCHPUD APIRADA K 2021 FFS RENDERING AGE 0-20 1 1 1 1 1 1 1 1
1598820953 PETCHPUD APIRADA K 2021 GMC RENDERING AGE 0-20 1 1 0 0 0 0 1 1
1598820953 PETCHPUD APIRADA K 2021 PHP RENDERING AGE 0-20 116 659 98 304 56 79 57 59
1598820953 PETCHPUD APIRADA K 2021 PHP RENDERING AGE 21+ 1 2 1 2 1 1 1 1
1598822462 WAINWRIGHT, CLIFFORD, DDS 2021 FFS RENDERING AGE 0-20 15 82 1 2 1 2 12 13
1598822462 WAINWRIGHT, CLIFFORD, DDS 2021 FFS RENDERING AGE 21+ 154 689 1 2 124 293 111 111
1598825507 GAFF NAZITA R 2021 FFS RENDERING AGE 0-20 52 360 32 63 20 38 37 38
1598825507 GAFF NAZITA R 2021 FFS RENDERING AGE 21+ 82 315 13 26 56 128 35 35
1598828717 AKHAVAN TARLAN P 2021 FFS RENDERING AGE 0-20 308 3,086 266 798 199 353 268 284
1598828717 AKHAVAN TARLAN P 2021 FFS RENDERING AGE 21+ 355 2,154 135 273 247 638 187 191
1598839102 AMERICAN DENTAL CENTER 2021 FFS RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1598839102 AMERICAN DENTAL CENTER 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1598839920 ZAND SUSAN K 2021 FFS RENDERING AGE 0-20 487 955 17 39 70 210 20 22
1598839920 ZAND SUSAN K 2021 FFS RENDERING AGE 21+ 1 2 0 0 0 0 1 1
1598848079 SARAFIAN NORMAN 2021 FFS RENDERING AGE 0-20 157 1,655 154 770 52 137 153 213
1598848079 SARAFIAN NORMAN 2021 FFS RENDERING AGE 21+ 186 1,401 158 309 94 318 172 172
1598848079 SARAFIAN, NORMAN, DDS INC 2021 FFS RENDERING AGE 0-20 157 1,655 154 770 52 137 153 213
1598848079 SARAFIAN, NORMAN, DDS INC 2021 FFS RENDERING AGE 21+ 186 1,401 158 309 94 318 172 172
1598853061 DURKIN, ANNA V DDS 2021 FFS RENDERING AGE 0-20 79 485 65 213 23 80 72 80
1598853061 DURKIN, ANNA V DDS 2021 FFS RENDERING AGE 21+ 301 1,401 109 216 153 671 235 236
1598854580 NGUYEN CANG H 2021 FFS RENDERING AGE 0-20 87 730 81 198 34 98 85 103
1598854580 NGUYEN CANG H 2021 FFS RENDERING AGE 21+ 343 3,223 268 536 245 1,062 288 288
1598854648 BOBY, SEENA DDS 2021 FFS RENDERING AGE 0-20 234 2,220 223 715 66 172 209 268
1598854648 BOBY, SEENA DDS 2021 FFS RENDERING AGE 21+ 335 1,684 117 221 236 770 183 183
1598854648 BOBY, SEENA, DDS 2021 FFS RENDERING AGE 0-20 234 2,220 223 715 66 172 209 268
1598854648 BOBY, SEENA, DDS 2021 FFS RENDERING AGE 21+ 335 1,684 117 221 236 770 183 183
1598856957 MACHULE DARREN 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1598859910 OKTANYAN HAMBIK 2021 PHP RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1598873853 WICK, ROBERT V 2021 FFS RENDERING AGE 0-20 24 88 1 1 14 39 18 18
1598873853 WICK, ROBERT V 2021 FFS RENDERING AGE 21+ 176 895 55 87 116 452 163 164
1598878381 CHOU, KEVIN, DDS 2021 FFS RENDERING AGE 0-20 505 6,039 433 1,136 212 748 481 618
1598878381 CHOU, KEVIN, DDS 2021 FFS RENDERING AGE 21+ 742 5,887 374 744 540 2,407 583 583
1598881831 PARTIYELI BITA K 2021 FFS RENDERING AGE 0-20 2,239 24,309 886 2,577 2,207 16,748 49 51
1598881831 PARTIYELI BITA K 2021 PHP RENDERING AGE 0-20 1 2 0 0 1 2 0 0
1598881872 TAMADDON MOJGAN 2021 FFS RENDERING AGE 0-20 89 621 54 143 37 85 54 54
1598881872 TAMADDON MOJGAN 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1598884876 CLIGHER EDWARD D 2021 FFS RENDERING AGE 0-20 12 36 1 1 1 1 1 1
1598884876 CLIGHER EDWARD D 2021 FFS RENDERING AGE 21+ 71 249 40 40 25 62 51 51
1598891988 LE, KHOA DAI DDS 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1598891988 LE, KHOA DAI DDS 2021 FFS RENDERING AGE 21+ 74 583 49 87 46 110 57 57
1598897779 ALONZO OSCAR E 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1598899049 THEODOROU PETER J 2021 FFS RENDERING AGE 0-20 86 86 0 0 0 0 0 0
1598900680 HUANG STEVE C 2021 FFS RENDERING AGE 0-20 390 4,776 348 1,016 164 651 307 359
1598900680 HUANG STEVE C 2021 FFS RENDERING AGE 21+ 519 4,184 329 628 303 1,173 405 405
1598902967 NGUYEN, DR KIET TUAN DMD 2021 FFS RENDERING AGE 0-20 220 1,998 219 781 44 99 219 285
1598902967 NGUYEN, DR KIET TUAN DMD 2021 FFS RENDERING AGE 21+ 385 2,342 338 342 194 448 354 354
1598904922 QUAN LAWRENCE D 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1598904922 QUAN LAWRENCE D 2021 FFS RENDERING AGE 21+ 15 36 1 1 14 25 1 1
1598912362 SAHL ERIK F 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 0 0
1598912362 SAHL ERIK F 2021 FFS RENDERING AGE 21+ 120 367 16 16 90 285 1 1
1598916058 KEAN KEVIN C 2021 FFS RENDERING AGE 0-20 123 902 77 176 33 80 92 92
1598916058 KEAN KEVIN C 2021 FFS RENDERING AGE 21+ 237 884 68 133 119 248 143 143
1598925000 KATBAMNA, DIPAK, DDS 2021 FFS RENDERING AGE 0-20 418 3,466 329 1,134 241 755 181 202
1598925000 KATBAMNA, DIPAK, DDS 2021 FFS RENDERING AGE 21+ 448 2,851 218 428 344 1,349 178 180
1598936676 SHIVANNA, SOUMYA, DDS 2021 FFS RENDERING AGE 0-20 94 1,058 89 248 1 2 90 113
1598936676 SHIVANNA, SOUMYA, DDS 2021 FFS RENDERING AGE 21+ 233 2,306 169 333 138 645 200 200
1598938326 NAZERI MARYAM 2021 FFS RENDERING AGE 0-20 83 1,145 76 311 72 156 80 113
1598938326 NAZERI MARYAM 2021 FFS RENDERING AGE 21+ 141 2,057 116 317 127 534 116 134
1598947681 TRANSITO NICOLAS 2021 FFS RENDERING AGE 0-20 96 649 87 247 27 62 92 113
1598947681 TRANSITO NICOLAS 2021 FFS RENDERING AGE 21+ 82 343 27 54 36 98 63 63
1598947913 HO MONGLAN 2021 FFS RENDERING AGE 0-20 742 8,701 709 2,211 371 1,233 717 946
1598947913 HO MONGLAN 2021 FFS RENDERING AGE 21+ 711 8,317 572 1,118 508 1,991 616 617
1598952525 AUGER TIM A 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 0 0
1598955874 LI SUM 2021 FFS RENDERING AGE 0-20 32 151 28 67 11 17 25 25
1598955874 LI SUM 2021 FFS RENDERING AGE 21+ 187 1,021 125 125 122 343 57 57
1598958506 GEREB TODD A 2021 FFS RENDERING AGE 0-20 228 382 0 0 81 186 0 0
1598958506 GEREB TODD A 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1598960445 HAMMAM MOHAMED A 2021 FFS RENDERING AGE 0-20 102 880 64 122 53 136 74 74
1598960445 HAMMAM MOHAMED A 2021 FFS RENDERING AGE 21+ 184 891 33 57 121 257 87 87
1598960445 HAMMAM MOHAMED A 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1598960445 HAMMAM MOHAMED A 2021 PHP RENDERING AGE 21+ 12 44 1 2 1 1 1 1
1598960676 CLUFF ANA I 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1598960676 CLUFF ANA I 2021 FFS RENDERING AGE 21+ 20 122 1 1 11 72 18 18
1598962144 HUYNH JULIE L 2021 FFS RENDERING AGE 0-20 1,656 17,466 1,318 4,528 1,357 3,748 1,263 1,595
1598962144 HUYNH JULIE L 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1598962441 SALDANA, RONALDO DDS 2021 FFS RENDERING AGE 0-20 120 1,622 114 441 59 212 112 174
1598962441 SALDANA, RONALDO DDS 2021 FFS RENDERING AGE 21+ 351 3,411 242 486 267 1,178 268 268
1598963373 NGUYEN THACHTU L 2021 FFS RENDERING AGE 0-20 1 2 1 1 0 0 1 1
1598963373 NGUYEN THACHTU L 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1598964736 SANCHEZ GRACE T 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 2 0 0
1598965469 TANIOKA RALPH Y 2021 FFS RENDERING AGE 0-20 1,045 12,346 915 2,824 388 819 918 1,046
1598965469 TANIOKA RALPH Y 2021 FFS RENDERING AGE 21+ 272 1,990 72 143 160 377 163 163
1598965915 GHORBANI MAJID 2021 FFS RENDERING AGE 0-20 59 289 15 41 38 77 45 45
1598965915 GHORBANI MAJID 2021 FFS RENDERING AGE 21+ 199 1,074 42 84 159 501 105 105
1598970923 MELGOZA JOSE L 2021 FFS RENDERING AGE 0-20 595 5,346 420 1,266 329 598 417 429
1598970923 MELGOZA JOSE L 2021 FFS RENDERING AGE 21+ 581 3,841 179 317 371 888 273 273
1598973752 CHIEN CHEN-FONG 2021 FFS RENDERING AGE 0-20 111 1,110 93 362 71 181 94 104
1598973752 CHIEN CHEN-FONG 2021 FFS RENDERING AGE 21+ 457 5,141 219 437 425 2,416 293 293
1598975344 SEGOVIA RANDALL A 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1598975344 SEGOVIA RANDALL A 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 2 0 0
1598975476 SANTOS SHIRLEY O 2021 FFS RENDERING AGE 0-20 286 3,673 276 1,314 136 412 278 407
1598975476 SANTOS SHIRLEY O 2021 FFS RENDERING AGE 21+ 17 101 15 30 1 1 12 12
1598975724 VERGARA HELEN T 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1598976029 PHAN HUY B 2021 FFS RENDERING AGE 0-20 186 1,916 172 478 51 105 163 180
1598976029 PHAN HUY B 2021 FFS RENDERING AGE 21+ 395 3,471 285 567 277 990 100 100
1598986978 RAJASEKARAN, ANU 2021 FFS RENDERING AGE 0-20 17 242 16 106 1 1 17 21
1598986978 RAJASEKARAN, ANU 2021 FFS RENDERING AGE 21+ 69 653 22 44 52 166 48 48
1598989436 ARTEAGA ANAMARIA 2021 FFS RENDERING AGE 0-20 189 1,454 118 360 101 311 135 135
1598989436 ARTEAGA ANAMARIA 2021 FFS RENDERING AGE 21+ 167 727 28 33 110 362 63 64
1598991457 YAGHOUBI EDMOND 2021 FFS RENDERING AGE 0-20 6,712 58,432 6,074 17,301 3,255 4,049 6,422 7,492
1598991457 YAGHOUBI EDMOND 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 1 1 1
1598991457 YAGHOUBI EDMOND 2021 PHP RENDERING AGE 0-20 1 1 1 1 1 1 1 1
1598993602 CHOI ANGELA J 2021 FFS RENDERING AGE 0-20 229 1,202 210 503 61 187 183 191
1598993602 CHOI ANGELA J 2021 PHP RENDERING AGE 0-20 1 1 1 1 1 1 0 0
1598993792 SOLOUKI, SHERRY DDS 2021 FFS RENDERING AGE 0-20 109 945 64 166 57 152 76 82
1598993792 SOLOUKI, SHERRY DDS 2021 FFS RENDERING AGE 21+ 183 1,093 43 86 93 193 99 99
1598998817 SUE EUNSOO KO DDS, INC 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1609009729 NGUYEN, BAOCHI, RDHAP 2021 FFS RENDERING AGE 0-20 1 1 1 1 1 1 0 0
1609009729 NGUYEN, BAOCHI, RDHAP 2021 FFS RENDERING AGE 21+ 71 509 66 310 70 199 0 0
1609010115 DANISHWAR AFSANA 2021 FFS RENDERING AGE 0-20 84 557 67 178 38 180 74 97
1609010115 DANISHWAR AFSANA 2021 FFS RENDERING AGE 21+ 212 1,285 62 107 126 698 161 161
1609010115 DANISHWAR AFSANA 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1609013366 SAMARAJ JAYAPRIYA 2021 FFS RENDERING AGE 0-20 85 655 41 115 55 198 35 37
1609013366 SAMARAJ JAYAPRIYA 2021 FFS RENDERING AGE 21+ 362 2,827 105 183 325 1,640 104 104
1609022490 MEJIA JUAN M 2021 FFS RENDERING AGE 0-20 203 2,033 139 305 94 254 148 158
1609022490 MEJIA JUAN M 2021 FFS RENDERING AGE 21+ 365 3,039 116 230 286 940 159 161
1609045939 SEPEHRIPOUR, BEHNAZ, DDS A P 2021 FFS RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1609049949 SOSA-TURCIOS LUIS F 2021 FFS RENDERING AGE 0-20 528 8,307 515 1,948 270 908 522 661
1609049949 SOSA-TURCIOS LUIS F 2021 FFS RENDERING AGE 21+ 189 2,144 148 305 99 341 161 166
1609059070 MA MAY THET NAING DDS INC 2021 FFS RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1609067586 ESHAGHIAN ROGER 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1609067586 ESHAGHIAN ROGER 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 1 1 1
1609068097 YOUNG, CHARLES J, DDS 2021 FFS RENDERING AGE 0-20 72 921 67 171 43 107 69 83
1609068097 YOUNG, CHARLES J, DDS 2021 FFS RENDERING AGE 21+ 256 2,942 119 232 208 970 185 185
1609068576 GONZALEZ JACQUELINE M D 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1609071216 NADI MARIAM 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1609076199 IMRY EMESE T 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1609076199 IMRY EMESE T 2021 FFS RENDERING AGE 21+ 25 94 1 1 23 65 1 1
1609077981 CHIEN, YIN 2021 FFS RENDERING AGE 0-20 214 2,352 178 262 93 303 205 241
1609077981 CHIEN, YIN 2021 FFS RENDERING AGE 21+ 438 4,229 308 308 307 1,755 361 361
1609078138 OKUI MATTHEW JAMES 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1609078435 LAI YONG 2021 FFS RENDERING AGE 0-20 140 189 0 0 30 73 0 0
1609078435 LAI YONG 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1609078435 LAI YONG 2021 PHP RENDERING AGE 0-20 1 2 0 0 1 2 0 0
1609078716 NGUYEN PHUONG-HANH N 2021 FFS RENDERING AGE 0-20 635 3,151 333 823 268 732 440 463
1609078716 NGUYEN PHUONG-HANH N 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 0 0
1609081132 ASATRYAN MHER 2021 FFS RENDERING AGE 0-20 55 452 43 156 27 80 53 59
1609081132 ASATRYAN MHER 2021 FFS RENDERING AGE 21+ 209 1,576 118 234 161 718 131 132
1609081132 ASATRYAN MHER 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1609081454 KHAN FARAH S 2021 PHP RENDERING AGE 21+ 19 71 1 1 13 30 11 12
1609082148 ABANILLA BELENDA V 2021 FFS RENDERING AGE 0-20 31 96 29 44 1 2 29 30
1609082148 ABANILLA BELENDA V 2021 FFS RENDERING AGE 21+ 109 418 70 70 65 169 88 88
1609086966 ALVARENGA DAISY P 2021 FFS RENDERING AGE 0-20 441 5,839 429 1,968 260 813 427 624
1609086966 ALVARENGA DAISY P 2021 FFS RENDERING AGE 21+ 264 1,749 178 353 172 475 203 203
1609090968 LAWRENCE R CHURCH DDS INC 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 2 0 0
1609096395 ISTAPHANOUS, GEORGE K MD 2021 FFS RENDERING AGE 0-20 366 1,239 0 0 366 1,239 0 0
1609096395 ISTAPHANOUS, GEORGE K MD 2021 FFS RENDERING AGE 21+ 47 215 0 0 47 215 0 0
1609097757 MIKHASKO, OLGA, DDS 2021 FFS RENDERING AGE 0-20 46 301 42 144 15 46 43 61
1609097757 MIKHASKO, OLGA, DDS 2021 FFS RENDERING AGE 21+ 168 857 84 168 83 285 132 132
1609097757 MIKHASKO, OLGA, DDS 2021 GMC RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1609097757 MIKHASKO, OLGA, DDS 2021 PHP RENDERING AGE 0-20 40 312 39 197 1 2 39 55
1609097757 MIKHASKO, OLGA, DDS 2021 PHP RENDERING AGE 21+ 91 449 71 189 30 90 80 83
1609117043 HUH YOO KYEOM 2021 GMC RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1609117043 HUH YOO KYEOM 2021 PHP RENDERING AGE 0-20 26 31 0 0 26 31 0 0
1609117043 HUH YOO KYEOM 2021 PHP RENDERING AGE 21+ 91 131 0 0 90 128 1 1
1609160498 RAAD VERA F 2021 FFS RENDERING AGE 0-20 60 386 44 107 25 41 46 56
1609160498 RAAD VERA F 2021 FFS RENDERING AGE 21+ 71 294 20 32 37 67 45 45
1609160498 RAAD VERA F 2021 PHP RENDERING AGE 0-20 109 638 89 223 43 107 98 118
1609160498 RAAD VERA F 2021 PHP RENDERING AGE 21+ 108 477 31 55 69 182 74 74
1609176460 OMOTO KEVIN S 2021 FFS RENDERING AGE 0-20 43 181 40 86 1 2 40 46
1609176460 OMOTO KEVIN S 2021 FFS RENDERING AGE 21+ 69 276 46 88 31 82 47 47
1609176478 KEYASHIAN JUSTIN M 2021 FFS RENDERING AGE 0-20 133 1,108 111 318 53 145 119 152
1609176478 KEYASHIAN JUSTIN M 2021 FFS RENDERING AGE 21+ 259 1,188 83 83 143 385 201 205
1609188994 KALANTARI MIKAEYA R 2021 FFS RENDERING AGE 0-20 304 3,062 290 967 220 716 295 442
1609200492 NIEMANN DANIEL E 2021 FFS RENDERING AGE 0-20 106 363 0 0 105 330 24 24
1609200492 NIEMANN DANIEL E 2021 FFS RENDERING AGE 21+ 60 192 0 0 57 163 17 17
1609200492 NIEMANN DANIEL E 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1609217736 LEE JAE B 2021 FFS RENDERING AGE 0-20 97 736 77 263 36 95 88 108
1609217736 LEE JAE B 2021 FFS RENDERING AGE 21+ 559 3,739 340 678 348 1,122 450 452
1609223023 FARKASH JOSEPH M 2021 FFS RENDERING AGE 0-20 30 73 0 0 29 67 0 0
1609223023 FARKASH JOSEPH M 2021 FFS RENDERING AGE 21+ 151 392 0 0 145 357 1 1
1609223023 FARKASH JOSEPH M 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 1 1
1609223023 FARKASH JOSEPH M 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1609226497 AGAHI SHAHRIAR H 2021 FFS RENDERING AGE 0-20 39 145 1 2 14 24 30 32
1609226497 AGAHI SHAHRIAR H 2021 FFS RENDERING AGE 21+ 93 273 1 1 51 156 47 47
1609227842 BERGUIA CHRISTOPHER L 2021 FFS RENDERING AGE 0-20 3,078 20,759 2,118 5,654 2,424 7,049 1,434 1,472
1609228527 LIN THOMAS 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1609243617 TRINH TAN D 2021 FFS RENDERING AGE 0-20 583 3,258 452 1,073 198 381 525 594
1609243617 TRINH TAN D 2021 FFS RENDERING AGE 21+ 688 2,388 198 390 263 615 501 501
1609246008 DERONIAN CHRISTIN V 2021 FFS RENDERING AGE 0-20 73 1,137 60 162 57 335 59 68
1609246008 DERONIAN CHRISTIN V 2021 FFS RENDERING AGE 21+ 281 3,437 149 268 246 1,545 199 202
1609246792 HACOPIAN NINETTE 2021 FFS RENDERING AGE 0-20 1,316 2,750 1 1 420 855 0 0
1609246792 HACOPIAN NINETTE 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1609254143 SHEIKH AND SHELAT DDS INC 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1609272939 CUMBY RYAN J 2021 FFS RENDERING AGE 0-20 11 44 1 2 1 1 1 1
1609272939 CUMBY RYAN J 2021 FFS RENDERING AGE 21+ 14 47 1 1 1 2 1 1
1609272939 CUMBY RYAN J 2021 GMC RENDERING AGE 0-20 1,778 11,494 1,217 4,864 522 975 792 843
1609272939 CUMBY RYAN J 2021 GMC RENDERING AGE 21+ 77 281 33 64 49 92 33 33
1609273101 CHILDREN'S DENTISTRY AND ORT 2021 FFS RENDERING AGE 0-20 1 2 0 0 0 0 0 0
1609276591 LE LINDA T 2021 FFS RENDERING AGE 0-20 204 1,757 184 683 81 321 197 241
1609276591 LE LINDA T 2021 FFS RENDERING AGE 21+ 303 1,845 225 372 154 718 276 278
1609281443 YEE VIVIAN E 2021 FFS RENDERING AGE 0-20 832 3,380 591 1,418 358 1,117 621 668
1609281443 YEE VIVIAN E 2021 PHP RENDERING AGE 0-20 1 2 1 2 1 2 1 1
1609285691 DADGAR-YEGANEH, AMIR DDS 2021 FFS RENDERING AGE 0-20 221 496 0 0 59 97 0 0
1609285691 DADGAR-YEGANEH, AMIR DDS 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1609311042 KHALID HASAN W 2021 FFS RENDERING AGE 0-20 326 2,421 265 647 152 426 271 302
1609311042 KHALID HASAN W 2021 FFS RENDERING AGE 21+ 1,202 8,392 635 1,119 833 3,229 818 823
1609319011 BALIAN, KAREEN, DMD 2021 FFS RENDERING AGE 0-20 897 9,095 762 2,346 277 670 842 1,035
1609319011 BALIAN, KAREEN, DMD 2021 FFS RENDERING AGE 21+ 542 3,646 310 615 302 808 388 389
1609320241 DOUSTI MAHSA 2021 FFS RENDERING AGE 0-20 393 602 1 1 67 111 1 1
1609320241 DOUSTI MAHSA 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1609320241 DOUSTI MAHSA 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1609365675 JAMEEL SAM H 2021 FFS RENDERING AGE 0-20 325 1,826 249 744 133 231 250 251
1609365675 JAMEEL SAM H 2021 FFS RENDERING AGE 21+ 345 1,061 73 133 190 458 126 126
1609365675 JAMEEL SAM H 2021 GMC RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1609365675 JAMEEL SAM H 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1609366186 JHALA TORAL N 2021 FFS RENDERING AGE 0-20 335 1,989 220 869 109 260 295 297
1609366186 JHALA TORAL N 2021 FFS RENDERING AGE 21+ 911 2,943 138 267 351 926 633 636
1609366186 JHALA TORAL N 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1609366186 JHALA TORAL N 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1609372598 JEON JENNY J 2021 FFS RENDERING AGE 0-20 403 482 0 0 288 347 0 0
1609391549 SINGH SOORAJ 2021 GMC RENDERING AGE 0-20 671 4,034 453 992 172 293 571 667
1609391549 SINGH SOORAJ 2021 GMC RENDERING AGE 21+ 1,274 7,853 509 1,020 803 1,741 866 874
1609429273 JAMPALA NAVYA Y 2021 FFS RENDERING AGE 0-20 166 782 81 210 59 163 130 130
1609429273 JAMPALA NAVYA Y 2021 FFS RENDERING AGE 21+ 486 1,694 114 207 217 570 345 347
1609429273 JAMPALA NAVYA Y 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1609445857 KOHANOFF MELODY 2021 FFS RENDERING AGE 0-20 208 1,312 166 434 110 274 164 164
1609445857 KOHANOFF MELODY 2021 FFS RENDERING AGE 21+ 198 924 79 81 155 447 85 85
1609447036 MUBARIK JAMSHID 2021 FFS RENDERING AGE 0-20 110 545 23 52 68 162 42 42
1609447036 MUBARIK JAMSHID 2021 FFS RENDERING AGE 21+ 203 794 18 33 144 417 76 76
1609479724 GOYAL RUCHI 2021 FFS RENDERING AGE 0-20 108 706 57 243 61 253 62 62
1609479724 GOYAL RUCHI 2021 FFS RENDERING AGE 21+ 238 1,047 91 180 114 485 152 152
1609542422 OCHOA ALCALA BERNARDO 2021 FFS RENDERING AGE 0-20 18 135 13 27 1 1 13 13
1609542422 OCHOA ALCALA BERNARDO 2021 FFS RENDERING AGE 21+ 14 71 1 1 1 2 1 1
1609800762 GUPTA REENA 2021 FFS RENDERING AGE 0-20 173 1,362 157 581 79 174 145 184
1609800762 GUPTA REENA 2021 FFS RENDERING AGE 21+ 408 2,339 297 582 226 627 321 321
1609830603 CHEN PETER 2021 FFS RENDERING AGE 0-20 63 774 60 272 29 85 62 106
1609830603 CHEN PETER 2021 FFS RENDERING AGE 21+ 74 527 63 125 44 179 68 68
1609831783 SANTIAGO FAITH V 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1609831783 SANTIAGO FAITH V 2021 FFS RENDERING AGE 21+ 1 2 0 0 0 0 1 1
1609861814 YANG, JUNGCHUN, DDS 2021 FFS RENDERING AGE 0-20 42 416 38 92 13 31 37 37
1609861814 YANG, JUNGCHUN, DDS 2021 FFS RENDERING AGE 21+ 38 251 11 22 24 66 11 11
1609866888 BEAN, JEFFREY D, DDS 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1609866888 BEAN, JEFFREY D, DDS 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1609867480 THAI, LINDA T, DDS 2021 FFS RENDERING AGE 0-20 26 131 23 53 1 1 22 26
1609867480 THAI, LINDA T, DDS 2021 FFS RENDERING AGE 21+ 83 511 61 120 57 122 63 63
1609873876 SHIFLETT KANOKNUCH S 2021 FFS RENDERING AGE 0-20 1,585 24,107 1,500 6,071 1,035 3,224 1,246 1,810
1609873876 SHIFLETT KANOKNUCH S 2021 FFS RENDERING AGE 21+ 1 2 1 2 1 1 1 1
1609873876 SHIFLETT KANOKNUCH S 2021 PHP RENDERING AGE 0-20 13 107 1 2 13 71 0 0
1609890631 LEE, DAVID B, DDS 2021 FFS RENDERING AGE 0-20 266 1,526 154 525 107 302 194 205
1609890631 LEE, DAVID B, DDS 2021 FFS RENDERING AGE 21+ 106 709 71 143 71 222 76 76
1609895184 LE DIEP H 2021 FFS RENDERING AGE 0-20 332 3,181 310 1,214 169 416 315 421
1609895184 LE DIEP H 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1609895184 LE, DIEP H, DDS DENTAL CORPO 2021 FFS RENDERING AGE 0-20 332 3,181 310 1,214 169 416 315 421
1609895184 LE, DIEP H, DDS DENTAL CORPO 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1609904366 VASQUEZ JERSON M 2021 FFS RENDERING AGE 0-20 463 3,176 307 690 119 261 396 415
1609904366 VASQUEZ JERSON M 2021 FFS RENDERING AGE 21+ 765 3,442 162 302 376 1,128 575 581
1609904366 VASQUEZ JERSON M 2021 GMC RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1609905850 PHAN MINDY T 2021 FFS RENDERING AGE 0-20 1,473 18,714 1,300 5,069 1,070 4,110 1,274 1,813
1609905850 PHAN MINDY T 2021 FFS RENDERING AGE 21+ 1 2 1 2 1 2 1 1
1609906403 HERNANDEZ-ZAMUDIO, JORGE, DD 2021 FFS RENDERING AGE 0-20 104 1,852 66 332 67 442 87 196
1609906403 HERNANDEZ-ZAMUDIO, JORGE, DD 2021 FFS RENDERING AGE 21+ 145 1,828 21 82 123 906 78 156
1609906775 ZARRINNAM LILA 2021 FFS RENDERING AGE 0-20 64 387 57 171 25 76 52 60
1609906775 ZARRINNAM LILA 2021 FFS RENDERING AGE 21+ 99 496 45 77 66 211 73 73
1609911361 GARMESTANI MARJAN 2021 FFS RENDERING AGE 0-20 837 6,478 592 1,460 471 1,400 557 559
1609911361 GARMESTANI MARJAN 2021 FFS RENDERING AGE 21+ 367 1,618 40 80 247 559 145 145
1609911361 GARMESTANI MARJAN 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1609911361 GARMESTANI MARJAN 2021 PHP RENDERING AGE 0-20 26 170 20 64 18 48 16 16
1609911361 GARMESTANI MARJAN 2021 PHP RENDERING AGE 21+ 29 97 1 2 20 42 13 13
1609911965 BROCKMAN LAWRENCE ARTHUR 2021 PHP RENDERING AGE 0-20 1 2 0 0 1 2 1 1
1609911965 BROCKMAN LAWRENCE ARTHUR 2021 PHP RENDERING AGE 21+ 79 232 0 0 50 103 74 90
1609914209 EDWARDS JAMES B 2021 FFS RENDERING AGE 0-20 467 3,105 0 0 461 3,095 1 1
1609914209 EDWARDS JAMES B 2021 FFS RENDERING AGE 21+ 616 4,461 0 0 594 4,390 37 37
1609919240 CONDE, NIMFA DDS 2021 FFS RENDERING AGE 0-20 410 5,925 384 1,276 276 1,321 391 588
1609919240 CONDE, NIMFA DDS 2021 FFS RENDERING AGE 21+ 232 2,631 159 316 160 1,051 180 180
1609925320 KAM, CURTIS P., DDS 2021 FFS RENDERING AGE 0-20 678 2,986 339 786 295 692 434 442
1609925320 KAM, CURTIS P., DDS 2021 FFS RENDERING AGE 21+ 11 24 1 1 1 1 1 1
1609925411 KIM, MICHELE DDS 2021 FFS RENDERING AGE 0-20 80 767 71 294 57 152 72 107
1609925411 KIM, MICHELE DDS 2021 FFS RENDERING AGE 21+ 59 451 37 74 51 197 38 41
1609929934 LAT MARIA CRISTI C 2021 FFS RENDERING AGE 0-20 115 1,132 108 300 42 186 113 149
1609929934 LAT MARIA CRISTI C 2021 FFS RENDERING AGE 21+ 96 878 66 70 50 204 81 81
1609930585 PETERS SANGLIM L 2021 FFS RENDERING AGE 0-20 385 3,855 315 782 211 814 326 374
1609930585 PETERS SANGLIM L 2021 FFS RENDERING AGE 21+ 279 1,709 133 268 161 578 209 210
1609930700 ZOBAER MOHAMMED A 2021 FFS RENDERING AGE 0-20 55 245 40 132 1 2 47 48
1609930700 ZOBAER MOHAMMED A 2021 FFS RENDERING AGE 21+ 195 718 98 187 63 170 166 166
1609931203 DICKEY, JAMES DDS 2021 FFS RENDERING AGE 0-20 867 10,466 750 2,126 564 2,426 676 874
1609931203 DICKEY, JAMES DDS 2021 FFS RENDERING AGE 21+ 297 2,507 117 232 202 739 153 153
1609931203 DICKEY, JAMES E, DDS 2021 FFS RENDERING AGE 0-20 867 10,466 750 2,126 564 2,426 676 874
1609931203 DICKEY, JAMES E, DDS 2021 FFS RENDERING AGE 21+ 297 2,507 117 232 202 739 153 153
1609942168 DINKHA, WILLIAM Z, DDS 2021 FFS RENDERING AGE 0-20 235 1,973 198 716 83 182 228 257
1609942168 DINKHA, WILLIAM Z, DDS 2021 FFS RENDERING AGE 21+ 549 3,315 363 698 335 1,284 518 518
1609943125 ASUNCION, RAMIL LIMCAOCO DDM 2021 FFS RENDERING AGE 0-20 47 303 37 94 19 51 38 45
1609943125 ASUNCION, RAMIL LIMCAOCO DDM 2021 FFS RENDERING AGE 21+ 268 1,314 158 309 141 426 184 184
1609945070 SANDOVAL QUINTERO PROF DENTA 2021 FFS RENDERING AGE 0-20 84 917 67 228 60 243 70 85
1609945070 SANDOVAL QUINTERO PROF DENTA 2021 FFS RENDERING AGE 21+ 127 1,339 55 87 108 781 99 100
1609949635 AMISOLA, SHEILA 2021 FFS RENDERING AGE 0-20 1,621 22,794 1,525 6,186 1,098 4,832 1,514 2,059
1609949635 AMISOLA, SHEILA 2021 FFS RENDERING AGE 21+ 54 355 47 94 18 89 49 49
1609952084 LE, YEN P DDS 2021 FFS RENDERING AGE 0-20 419 1,207 0 0 226 788 0 0
1609952084 LE, YEN P DDS 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1609960632 CHOI, CHRISTOPHER B DDS 2021 FFS RENDERING AGE 0-20 72 985 68 195 22 106 66 76
1609960632 CHOI, CHRISTOPHER B DDS 2021 FFS RENDERING AGE 21+ 488 6,070 328 329 289 1,816 422 422
1609961911 COLEMAN JR PAUL H 2021 FFS RENDERING AGE 0-20 30 73 17 32 1 2 21 21
1609961911 COLEMAN JR PAUL H 2021 FFS RENDERING AGE 21+ 21 40 1 1 1 2 19 19
1609965821 NGUYEN NGOC CHI T 2021 FFS RENDERING AGE 0-20 83 560 64 287 38 87 67 71
1609965821 NGUYEN NGOC CHI T 2021 FFS RENDERING AGE 21+ 129 656 80 152 73 250 94 94
1609965821 NGUYEN NGOC CHI T 2021 PHP RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1609966464 ACUMAN FRANCISCA G 2021 FFS RENDERING AGE 0-20 696 6,912 615 1,947 229 583 650 891
1609966464 ACUMAN FRANCISCA G 2021 FFS RENDERING AGE 21+ 372 2,304 225 447 228 760 269 269
1609967173 AWBREY, LAWRENCE S, DDS 2021 FFS RENDERING AGE 0-20 15 109 15 30 1 1 15 17
1609967173 AWBREY, LAWRENCE S, DDS 2021 FFS RENDERING AGE 21+ 116 936 88 88 71 330 90 90
1609976307 LIN, WILLIAM W, DDS 2021 FFS RENDERING AGE 0-20 23 176 19 57 13 40 22 27
1609976307 LIN, WILLIAM W, DDS 2021 FFS RENDERING AGE 21+ 72 412 55 104 30 111 65 65
1609978121 MAKADIA, DINESH 2021 FFS RENDERING AGE 0-20 905 15,200 793 2,871 596 2,576 862 1,084
1609978121 MAKADIA, DINESH 2021 FFS RENDERING AGE 21+ 1,054 14,619 370 729 837 4,695 781 782
1609985860 DE JOYA, RUTH S DMD 2021 FFS RENDERING AGE 0-20 214 1,683 212 822 69 170 211 256
1609985860 DE JOYA, RUTH S DMD 2021 FFS RENDERING AGE 21+ 339 2,531 237 463 263 948 247 247
1609996107 ALCANTARA-BUENO MARIA S 2021 PHP RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1609996107 ALCANTARA-BUENO MARIA S 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1609998319 YAVARI FOROUZAN 2021 FFS RENDERING AGE 0-20 21 145 20 78 1 2 20 23
1609998319 YAVARI FOROUZAN 2021 FFS RENDERING AGE 21+ 91 493 38 38 64 227 63 63
1619001500 RODRIGUEZ, CRISTINA DDS 2021 FFS RENDERING AGE 0-20 59 486 43 160 20 63 47 50
1619001500 RODRIGUEZ, CRISTINA DDS 2021 FFS RENDERING AGE 21+ 77 571 32 44 56 210 43 43
1619006400 NGUYEN ELIZABETH T 2021 FFS RENDERING AGE 0-20 99 888 82 236 51 171 87 111
1619007598 ASSATOURIANS ALBERT 2021 FFS RENDERING AGE 0-20 229 3,025 199 609 107 317 214 253
1619007598 ASSATOURIANS ALBERT 2021 FFS RENDERING AGE 21+ 255 1,704 92 166 181 681 152 153
1619007598 ASSATOURIANS, ALBERT, DDS 2021 FFS RENDERING AGE 0-20 229 3,025 199 609 107 317 214 253
1619007598 ASSATOURIANS, ALBERT, DDS 2021 FFS RENDERING AGE 21+ 255 1,704 92 166 181 681 152 153
1619013570 MIRAI ARMAN 2021 FFS RENDERING AGE 0-20 42 354 24 50 24 50 28 28
1619013570 MIRAI ARMAN 2021 FFS RENDERING AGE 21+ 40 165 1 1 30 45 11 11
1619013570 MIRAI ARMAN 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 1 1
1619013570 MIRAI ARMAN 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1619018967 CHANG, SZU-TSUNG, DDS 2021 FFS RENDERING AGE 0-20 265 2,871 192 682 161 492 198 220
1619018967 CHANG, SZU-TSUNG, DDS 2021 FFS RENDERING AGE 21+ 511 3,306 195 395 383 1,059 250 253
1619018967 CHANG, SZU-TSUNG, DDS 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1619018967 UNKNOWN 2021 FFS RENDERING AGE 0-20 265 2,871 192 682 161 492 198 220
1619018967 UNKNOWN 2021 FFS RENDERING AGE 21+ 511 3,306 195 395 383 1,059 250 253
1619018967 UNKNOWN 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1619021318 EFTEKHARZADEH SINA 2021 FFS RENDERING AGE 0-20 14 100 14 39 1 1 12 13
1619021318 EFTEKHARZADEH SINA 2021 FFS RENDERING AGE 21+ 79 540 26 33 47 256 53 53
1619023983 MARTINEZ DANIEL 2021 FFS RENDERING AGE 0-20 4,332 43,014 3,968 11,698 2,652 8,690 3,976 4,955
1619023983 MARTINEZ DANIEL 2021 FFS RENDERING AGE 21+ 75 598 44 87 38 85 51 51
1619023983 MARTINEZ DANIEL 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1619024775 BOUTROS ATEF A 2021 FFS RENDERING AGE 0-20 227 1,589 33 88 115 218 128 128
1619024775 BOUTROS ATEF A 2021 FFS RENDERING AGE 21+ 96 623 17 29 49 102 50 50
1619025277 VAISMAN ANATOLY 2021 FFS RENDERING AGE 0-20 22 200 17 35 1 2 14 14
1619025277 VAISMAN ANATOLY 2021 FFS RENDERING AGE 21+ 118 887 45 45 67 237 56 56
1619026374 WONG DAVID G 2021 FFS RENDERING AGE 0-20 228 311 0 0 18 24 0 0
1619026374 WONG DAVID G 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1619026895 OSMOLINSKI ERIC A 2021 FFS RENDERING AGE 0-20 333 1,512 0 0 317 1,275 42 45
1619026895 OSMOLINSKI ERIC A 2021 FFS RENDERING AGE 21+ 441 2,021 0 0 419 1,587 79 81
1619026895 OSMOLINSKI ERIC A 2021 GMC RENDERING AGE 0-20 92 623 0 0 91 569 1 1
1619026895 OSMOLINSKI ERIC A 2021 GMC RENDERING AGE 21+ 275 1,506 0 0 153 1,088 220 220
1619031119 WESTERN DENTAL SERVICES INC 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1619031119 WESTERN DENTAL SERVICES, INC. 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1619033255 HAGEY, DEBORAH A, RDHAP 2021 FFS RENDERING AGE 0-20 45 291 44 184 0 0 0 0
1619033255 HAGEY, DEBORAH A, RDHAP 2021 FFS RENDERING AGE 21+ 1 2 1 1 0 0 0 0
1619034998 SUH, INAE J DDS 2021 FFS RENDERING AGE 0-20 87 761 79 217 57 241 78 100
1619034998 SUH, INAE J DDS 2021 FFS RENDERING AGE 21+ 105 757 66 67 90 464 71 71
1619035920 TRAN NGOC K 2021 FFS RENDERING AGE 0-20 238 1,511 185 495 98 285 191 216
1619035920 TRAN NGOC K 2021 FFS RENDERING AGE 21+ 442 2,041 139 213 283 916 307 310
1619036472 YE CHONG K 2021 FFS RENDERING AGE 0-20 709 4,851 612 1,979 268 493 675 797
1619036472 YE CHONG K 2021 FFS RENDERING AGE 21+ 903 3,792 255 501 434 1,291 676 677
1619036472 YE CHONG K 2021 PHP RENDERING AGE 0-20 16 106 12 33 1 2 11 12
1619036472 YE CHONG K 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1619041001 TRAN MUN N 2021 FFS RENDERING AGE 0-20 167 2,094 155 626 87 261 146 191
1619041001 TRAN MUN N 2021 FFS RENDERING AGE 21+ 201 1,306 140 283 135 355 55 55
1619053170 HACKMAN JESSICA Y 2021 FFS RENDERING AGE 0-20 79 245 1 1 75 235 0 0
1619053170 HACKMAN JESSICA Y 2021 FFS RENDERING AGE 21+ 204 499 1 1 199 468 1 1
1619053501 CADAVID, FREDIA ISIS, DDS 2021 FFS RENDERING AGE 0-20 83 1,179 79 295 68 386 76 91
1619053501 CADAVID, FREDIA ISIS, DDS 2021 FFS RENDERING AGE 21+ 133 1,459 85 170 116 873 103 103
1619056736 HONG, JUSTIN S DDS 2021 FFS RENDERING AGE 0-20 181 742 0 0 68 232 0 0
1619056736 HONG, JUSTIN S DDS 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1619060118 VITAL, JORGE E DDS 2021 FFS RENDERING AGE 0-20 249 1,261 217 505 88 198 231 284
1619060118 VITAL, JORGE E DDS 2021 FFS RENDERING AGE 21+ 266 900 86 86 184 489 161 164
1619062619 FANAIAN, MASOUD DDS 2021 FFS RENDERING AGE 0-20 1,149 10,338 1,088 3,487 507 1,315 957 1,378
1619062619 FANAIAN, MASOUD DDS 2021 FFS RENDERING AGE 21+ 282 1,625 168 176 137 424 230 236
1619065653 DUONG, BICH-HAI THI, DDS 2021 FFS RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1619071883 RIVERA OSCAR R 2021 FFS RENDERING AGE 0-20 70 1,229 17 33 70 1,008 0 0
1619084621 SELIVERSTOVA VIKTORIYA V 2021 FFS RENDERING AGE 0-20 214 1,766 183 546 73 286 178 205
1619084621 SELIVERSTOVA VIKTORIYA V 2021 FFS RENDERING AGE 21+ 19 74 13 26 1 1 14 14
1619084985 MCQUIRTER, JOSEPH L, DDS 2021 FFS RENDERING AGE 0-20 37 134 0 0 25 75 25 25
1619084985 MCQUIRTER, JOSEPH L, DDS 2021 FFS RENDERING AGE 21+ 103 473 0 0 82 281 76 76
1619084985 MCQUIRTER, JOSEPH L, DDS 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1619096914 ARAKAKI JR HENRY Y 2021 FFS RENDERING AGE 0-20 4,692 37,141 4,141 11,729 2,666 5,844 3,878 4,209
1619100088 DESABELLE ALESSANDRA G 2021 FFS RENDERING AGE 0-20 1,465 13,803 1,381 5,152 695 1,758 1,405 1,753
1619100088 DESABELLE ALESSANDRA G 2021 FFS RENDERING AGE 21+ 1,038 5,631 400 800 554 1,941 813 813
1619111465 CHUNG CHARLES H 2021 FFS RENDERING AGE 0-20 105 285 47 94 37 91 41 41
1619111465 CHUNG CHARLES H 2021 FFS RENDERING AGE 21+ 261 564 45 61 129 293 101 101
1619111465 CHUNG CHARLES H 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 0 0
1619111465 CHUNG CHARLES H 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 2 0 0
1619120250 JANG SAEHOON 2021 FFS RENDERING AGE 0-20 622 6,384 520 1,630 383 1,111 566 706
1619120250 JANG SAEHOON 2021 FFS RENDERING AGE 21+ 869 8,453 284 575 777 3,197 294 295
1619124203 BELLI DIANA M 2021 FFS RENDERING AGE 0-20 563 1,818 0 0 563 1,818 0 0
1619126943 BOLOORCHI, NEGAR DDS 2021 FFS RENDERING AGE 0-20 328 2,318 156 387 194 1,103 181 181
1619127180 SAFARI MEHRI 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1619127180 SAFARI MEHRI 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1619131307 ADEL M FRANSIS DDS INC 2021 PHP RENDERING AGE 0-20 30 219 25 90 12 27 27 27
1619131307 ADEL M FRANSIS DDS INC 2021 PHP RENDERING AGE 21+ 19 79 1 1 1 2 16 16
1619132057 SERVAN DIAZ, EDUARDO W DDS 2021 FFS RENDERING AGE 0-20 337 5,340 331 1,430 204 561 334 468
1619132057 SERVAN DIAZ, EDUARDO W DDS 2021 FFS RENDERING AGE 21+ 339 3,741 225 449 291 1,372 247 247
1619132057 SERVAN DIAZ, EDUARDO W DDS 2021 PHP RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1619136512 MOLAYEM ARASH D 2021 FFS RENDERING AGE 0-20 1,690 18,433 1,470 4,332 917 3,802 1,407 1,533
1619136512 MOLAYEM ARASH D 2021 FFS RENDERING AGE 21+ 115 682 31 62 43 115 74 74
1619136512 MOLAYEM ARASH D 2021 PHP RENDERING AGE 0-20 1 2 1 2 1 2 1 1
1619136512 MOLAYEM ARASH D 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1619149333 YAVARI MANSOUREH 2021 FFS RENDERING AGE 0-20 822 13,572 501 2,076 726 4,722 594 674
1619149333 YAVARI MANSOUREH 2021 FFS RENDERING AGE 21+ 483 7,295 104 183 413 3,629 331 332
1619154507 PHAM MICHAEL T 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1619161361 YAZDANI FARZAD 2021 FFS RENDERING AGE 0-20 358 2,910 315 1,363 78 222 332 430
1619161361 YAZDANI FARZAD 2021 FFS RENDERING AGE 21+ 538 2,406 264 502 286 953 380 382
1619167053 DANOUKH VACHIK G 2021 FFS RENDERING AGE 0-20 136 1,085 118 371 60 199 127 172
1619167053 DANOUKH VACHIK G 2021 FFS RENDERING AGE 21+ 481 3,622 298 529 376 1,686 339 339
1619171733 BANERJEE SHIKHA 2021 FFS RENDERING AGE 0-20 73 888 60 210 32 87 65 91
1619171733 BANERJEE SHIKHA 2021 FFS RENDERING AGE 21+ 167 1,521 120 195 110 443 124 126
1619175452 HAN XIANG N 2021 FFS RENDERING AGE 0-20 110 792 94 308 73 185 103 116
1619175452 HAN XIANG N 2021 FFS RENDERING AGE 21+ 214 1,256 110 220 138 517 181 183
1619176252 CUA GRACIA B 2021 FFS RENDERING AGE 0-20 240 290 0 0 24 34 0 0
1619176252 CUA GRACIA B 2021 FFS RENDERING AGE 21+ 24 25 0 0 0 0 0 0
1619179900 CHOI HAROLD 2021 FFS RENDERING AGE 0-20 99 811 71 209 37 134 90 106
1619179900 CHOI HAROLD 2021 FFS RENDERING AGE 21+ 604 3,634 223 425 333 1,098 403 403
1619179900 CHOI HAROLD 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1619180023 YANG THEODORE M 2021 FFS RENDERING AGE 0-20 87 558 75 225 42 119 78 104
1619180023 YANG THEODORE M 2021 FFS RENDERING AGE 21+ 209 971 119 238 118 247 147 147
1619180098 PATEL HIRENKUMAR 2021 FFS RENDERING AGE 0-20 101 1,195 95 352 38 114 94 102
1619180098 PATEL HIRENKUMAR 2021 FFS RENDERING AGE 21+ 190 2,023 133 254 118 488 157 157
1619181070 DONG, MOO GIL, DDS 2021 FFS RENDERING AGE 0-20 44 263 41 102 1 2 40 43
1619181070 DONG, MOO GIL, DDS 2021 FFS RENDERING AGE 21+ 77 391 62 62 32 113 65 65
1619181138 BLANCO-SPAETH, LIGIA IDALIA, 2021 FFS RENDERING AGE 0-20 258 1,883 232 600 89 322 235 294
1619181138 BLANCO-SPAETH, LIGIA IDALIA, 2021 FFS RENDERING AGE 21+ 296 2,164 220 419 193 1,009 246 246
1619181138 BLANCO-SPAETH, LIGIA IDALIA, 2021 PHP RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1619182037 SORIANO, ROY DAGAMAT DDS 2021 FFS RENDERING AGE 0-20 488 6,247 441 1,500 230 829 460 567
1619182037 SORIANO, ROY DAGAMAT DDS 2021 FFS RENDERING AGE 21+ 914 9,109 332 671 723 3,187 717 723
1619182110 WONG, STEPHEN, DDS 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1619184223 REYES, MARTIN DDS 2021 FFS RENDERING AGE 0-20 247 2,501 210 591 127 424 198 221
1619184223 REYES, MARTIN DDS 2021 FFS RENDERING AGE 21+ 472 4,047 173 280 332 1,609 278 278
1619184223 REYES, MARTIN DDS 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1619184223 REYES, MARTIN DDS 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1619187390 MAUSETH SPENCER E 2021 FFS RENDERING AGE 0-20 236 2,297 228 951 154 463 203 281
1619187440 CHIU LI-CHUN 2021 FFS RENDERING AGE 0-20 69 384 66 190 21 52 64 91
1619187440 CHIU LI-CHUN 2021 FFS RENDERING AGE 21+ 197 873 149 149 136 401 162 162
1619188638 ORTEGA, RODRIGO DDS 2021 FFS RENDERING AGE 0-20 73 592 46 73 27 74 56 61
1619188638 ORTEGA, RODRIGO DDS 2021 FFS RENDERING AGE 21+ 213 1,664 13 18 122 415 132 133
1619188638 ORTEGA, RODRIGO DDS 2021 PHP RENDERING AGE 0-20 33 184 26 68 15 20 26 29
1619188638 ORTEGA, RODRIGO DDS 2021 PHP RENDERING AGE 21+ 22 77 1 2 12 15 12 12
1619196318 BUENAVENTURA ESPERANZA S 2021 PHP RENDERING AGE 0-20 120 567 97 267 61 76 52 53
1619196318 BUENAVENTURA ESPERANZA S 2021 PHP RENDERING AGE 21+ 11 41 1 2 1 1 1 1
1619199668 JOHNSON ELIZABETH A 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1619199668 JOHNSON ELIZABETH A 2021 GMC RENDERING AGE 0-20 1,037 5,341 589 1,959 217 300 452 460
1619227352 LEE PAUL C 2021 FFS RENDERING AGE 0-20 523 1,310 0 0 235 711 0 0
1619227352 LEE PAUL C 2021 FFS RENDERING AGE 21+ 17 23 0 0 17 17 0 0
1619230836 NOURI NILOUFAR 2021 FFS RENDERING AGE 0-20 269 399 0 0 53 116 1 1
1619230836 NOURI NILOUFAR 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1619230836 NOURI NILOUFAR 2021 PHP RENDERING AGE 0-20 19 70 0 0 18 58 0 0
1619230836 NOURI NILOUFAR 2021 PHP RENDERING AGE 21+ 1 2 0 0 1 2 0 0
1619243227 FATTOUCH, ROBERT DMD P.C. 2021 FFS RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1619255692 SANDU RUBEN C 2021 FFS RENDERING AGE 0-20 2,227 23,650 1,836 5,744 1,349 3,940 1,752 2,000
1619255692 SANDU RUBEN C 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1619265410 MONIZ STEPHANIE D 2021 FFS RENDERING AGE 0-20 126 2,557 122 339 126 1,527 118 118
1619281722 AWAD PAUL YOUSSEF 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 1 1
1619285566 HUANG JANICE J 2021 FFS RENDERING AGE 0-20 29 90 0 0 29 90 0 0
1619289600 SABO JANA 2021 FFS RENDERING AGE 0-20 176 356 0 0 176 356 0 0
1619290905 WHYTE FADRA M 2021 FFS RENDERING AGE 0-20 15 76 11 24 1 2 1 1
1619296480 TRAN, JAMES HAI DDS 2021 FFS RENDERING AGE 0-20 81 733 76 266 43 122 71 87
1619296480 TRAN, JAMES HAI DDS 2021 FFS RENDERING AGE 21+ 197 1,174 142 283 140 494 152 154
1619310430 AGUILAR RIOS CARLOS F 2021 FFS RENDERING AGE 0-20 151 814 94 225 74 234 112 116
1619310430 AGUILAR RIOS CARLOS F 2021 FFS RENDERING AGE 21+ 413 1,848 85 85 253 962 291 291
1619317666 HUNG ERINA Y 2021 FFS RENDERING AGE 0-20 1,159 8,058 936 2,423 657 1,568 847 885
1619326279 SANDHU SAMITA 2021 GMC RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1619335254 LEE DEANNA S 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1619335254 LEE DEANNA S 2021 GMC RENDERING AGE 0-20 19 93 1 2 1 2 13 13
1619335254 LEE DEANNA S 2021 GMC RENDERING AGE 21+ 22 109 0 0 14 46 1 1
1619335254 LEE DEANNA S 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1619336153 SALVANI ANGELINE M 2021 FFS RENDERING AGE 0-20 566 6,620 517 1,704 259 580 541 663
1619336153 SALVANI ANGELINE M 2021 FFS RENDERING AGE 21+ 635 5,139 368 721 355 1,140 496 498
1619344710 PENAMON, BRITTNEY, RDHAP 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1619344710 PENAMON, BRITTNEY, RDHAP 2021 FFS RENDERING AGE 21+ 1 2 1 2 0 0 0 0
1619346517 AHMED DDS PC 2021 GMC RENDERING AGE 0-20 65 435 43 162 19 62 48 49
1619346517 AHMED DDS PC 2021 GMC RENDERING AGE 21+ 83 418 16 30 41 160 45 47
1619350345 GAERLAN MARY LOU R 2021 FFS RENDERING AGE 0-20 84 478 49 86 51 148 48 48
1619350345 GAERLAN MARY LOU R 2021 FFS RENDERING AGE 21+ 38 181 17 17 30 70 17 17
1619372570 OH SAEWON 2021 FFS RENDERING AGE 0-20 1,591 13,454 1,443 4,604 1,082 3,674 1,448 1,580
1619372570 OH SAEWON 2021 FFS RENDERING AGE 21+ 168 739 107 213 82 248 117 117
1619372570 OH SAEWON 2021 PHP RENDERING AGE 0-20 1 1 1 1 1 1 1 1
1619376027 FAIT RYAN J 2021 FFS RENDERING AGE 0-20 41 309 40 106 1 2 39 39
1619386174 CHO, HYUNBAE DDS 2021 FFS RENDERING AGE 0-20 1,538 15,103 736 3,028 1,114 7,494 687 774
1619386174 CHO, HYUNBAE DDS 2021 FFS RENDERING AGE 21+ 363 3,072 94 261 305 1,932 94 94
1619388238 NAIR, CYNTHIA LYNN, RDHAP 2021 FFS RENDERING AGE 21+ 20 70 20 40 20 30 0 0
1619399326 SANDHU JASWINDER 2021 FFS RENDERING AGE 0-20 27 224 23 73 1 2 22 27
1619399326 SANDHU JASWINDER 2021 FFS RENDERING AGE 21+ 110 789 64 119 61 218 80 80
1619400595 CHAMBERLAIN ANNA PAULA G 2021 FFS RENDERING AGE 0-20 367 2,344 301 931 274 538 274 320
1619400595 CHAMBERLAIN ANNA PAULA G 2021 PHP RENDERING AGE 0-20 19 94 12 33 19 58 0 0
1619422540 BABA DANA M 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1619431483 MARQUEZ, ADRIANA, RDHAP 2021 FFS RENDERING AGE 0-20 23 58 23 58 0 0 0 0
1619431483 MARQUEZ, ADRIANA, RDHAP 2021 FFS RENDERING AGE 21+ 42 95 41 80 1 2 0 0
1619433562 YOUSEF MADONA 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1619450020 PONI CARLOS A 2021 FFS RENDERING AGE 0-20 549 2,022 1 2 549 1,958 1 1
1619450020 PONI CARLOS A 2021 FFS RENDERING AGE 21+ 91 246 0 0 91 246 0 0
1619450715 KIM ANNE 2021 FFS RENDERING AGE 0-20 461 1,606 175 540 192 506 433 526
1619450715 KIM ANNE 2021 FFS RENDERING AGE 21+ 324 1,197 1 1 248 988 203 203
1619454253 RUIZ BYRON A 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 1 1
1619454253 RUIZ BYRON A 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1619454253 RUIZ BYRON A 2021 GMC RENDERING AGE 0-20 325 3,164 257 1,341 236 592 220 244
1619454253 RUIZ BYRON A 2021 GMC RENDERING AGE 21+ 528 3,149 153 475 358 1,339 238 238
1619456928 WHITE MEMORIAL COMMUNITY 2021 PHP RENDERING AGE 0-20 174 686 166 209 13 17 164 179
1619456928 WHITE MEMORIAL COMMUNITY 2021 PHP RENDERING AGE 21+ 18 76 1 1 1 1 1 1
1619464542 WISSA RAMY N 2021 FFS RENDERING AGE 0-20 235 1,297 133 302 100 223 192 192
1619464542 WISSA RAMY N 2021 FFS RENDERING AGE 21+ 262 834 38 70 139 234 155 155
1619476470 LEE JUNG Y 2021 FFS RENDERING AGE 0-20 29 79 0 0 29 79 0 0
1619476470 LEE JUNG Y 2021 FFS RENDERING AGE 21+ 148 528 0 0 148 528 0 0
1619488319 CHUNG MICHAEL L 2021 FFS RENDERING AGE 0-20 65 728 48 135 33 146 47 55
1619488319 CHUNG MICHAEL L 2021 FFS RENDERING AGE 21+ 283 2,501 83 127 163 609 207 211
1619492469 JARA CASTRO RICARDO F 2021 FFS RENDERING AGE 0-20 29 201 14 42 24 105 14 14
1619492469 JARA CASTRO RICARDO F 2021 FFS RENDERING AGE 21+ 82 768 40 77 74 426 48 48
1619494739 AVEDIAN SANGEBARANI TADEH 2021 PHP RENDERING AGE 21+ 1 2 0 0 1 1 0 0
1619518289 PHAM RONALD 2021 FFS RENDERING AGE 0-20 154 635 99 203 47 117 121 122
1619518289 PHAM RONALD 2021 FFS RENDERING AGE 21+ 804 3,106 286 525 426 1,194 557 557
1619518321 PARK JUN S 2021 FFS RENDERING AGE 0-20 16 66 1 2 11 15 1 1
1619518321 PARK JUN S 2021 FFS RENDERING AGE 21+ 18 66 1 2 11 22 1 1
1619518321 PARK JUN S 2021 PHP RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1619518321 PARK JUN S 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1619548930 JOGLEKAR ANAGHA M 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1619548930 JOGLEKAR ANAGHA M 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1619549573 SADIGHIM ARYAN 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1619549573 SADIGHIM ARYAN 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 1 1 1
1619568847 VIRAMONTES VIRA EDUARDO 2021 FFS RENDERING AGE 0-20 462 3,251 260 476 218 621 353 356
1619568847 VIRAMONTES VIRA EDUARDO 2021 FFS RENDERING AGE 21+ 602 2,714 110 126 354 855 384 388
1619640653 GUTIERREZ LUZ C 2021 PHP RENDERING AGE 0-20 1 2 1 2 1 2 1 1
1619640653 GUTIERREZ LUZ C 2021 PHP RENDERING AGE 21+ 22 59 1 1 16 29 1 1
1619939709 MACH, JANITA RDH DDS 2021 FFS RENDERING AGE 0-20 151 1,220 148 482 66 189 145 215
1619939709 MACH, JANITA RDH DDS 2021 FFS RENDERING AGE 21+ 99 693 79 154 40 118 71 71
1619997517 SHIMIZU, PETER A, DDS 2021 FFS RENDERING AGE 0-20 354 1,797 322 911 165 217 176 187
1619997517 SHIMIZU, PETER A, DDS 2021 FFS RENDERING AGE 21+ 1 1 1 1 1 1 0 0
1619997889 YOUNG, EDWARD Y DDS 2021 FFS RENDERING AGE 0-20 180 1,086 169 434 69 140 171 225
1619997889 YOUNG, EDWARD Y DDS 2021 FFS RENDERING AGE 21+ 431 2,003 323 324 266 590 325 325
1629005335 BISHAY, PETER, DDS 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 2 1 2
1629005335 BISHAY, PETER, DDS 2021 FFS RENDERING AGE 21+ 58 624 19 66 39 336 46 92
1629007166 NAFISI SHOHREH 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1629027537 NIKRAZ, AMIR HOSSEIN DDS 2021 FFS RENDERING AGE 0-20 105 975 105 504 34 108 97 138
1629027537 NIKRAZ, AMIR HOSSEIN DDS 2021 FFS RENDERING AGE 21+ 190 1,262 162 279 103 371 155 158
1629027537 NIKRAZ, AMIR HOSSEIN DDS 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1629038625 MARTIN MICHELE G 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1629038625 MARTIN MICHELE G 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 2 0 0
1629053798 MAC DOWELL JAMES H 2021 FFS RENDERING AGE 0-20 536 2,936 1 1 532 2,914 1 1
1629053798 MAC DOWELL JAMES H 2021 FFS RENDERING AGE 21+ 1,051 5,034 0 0 1,044 4,994 1 1
1629053798 MAC DOWELL JAMES H 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1629062757 TRASK PHILIP A 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1629078795 YANG EUGENE Y 2021 FFS RENDERING AGE 0-20 36 247 32 95 11 38 34 42
1629078795 YANG EUGENE Y 2021 FFS RENDERING AGE 21+ 100 544 74 74 54 175 90 90
1629079447 FENN KIRSTEN M 2021 FFS RENDERING AGE 0-20 214 399 0 0 53 123 60 60
1629079447 FENN KIRSTEN M 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1629091186 CHANG, CLIFF F, DDS 2021 FFS RENDERING AGE 21+ 31 540 21 42 29 178 28 28
1629093463 SAAKIAN, YOURI 2021 FFS RENDERING AGE 0-20 16 142 14 57 12 55 15 16
1629093463 SAAKIAN, YOURI 2021 FFS RENDERING AGE 21+ 249 2,216 159 314 220 1,369 204 204
1629100433 CHEE HUGH T 2021 FFS RENDERING AGE 0-20 344 3,186 309 819 192 701 196 257
1629100433 CHEE HUGH T 2021 FFS RENDERING AGE 21+ 1 2 1 1 0 0 1 1
1629100896 VU CHAU H 2021 FFS RENDERING AGE 0-20 272 2,682 245 801 108 398 250 302
1629100896 VU CHAU H 2021 FFS RENDERING AGE 21+ 211 1,706 100 182 126 652 159 159
1629103395 TORRES, ANTHONY M, DDS 2021 FFS RENDERING AGE 0-20 330 954 0 0 138 363 291 292
1629103395 TORRES, ANTHONY M, DDS 2021 FFS RENDERING AGE 21+ 227 655 0 0 92 225 196 196
1629103395 TORRES, ANTHONY M, DDS 2021 PHP RENDERING AGE 0-20 26 118 0 0 26 117 1 1
1629103395 TORRES, ANTHONY M, DDS 2021 PHP RENDERING AGE 21+ 79 349 0 0 45 272 66 69
1629107230 WESTWOOD NICHOLAS R 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1629107230 WESTWOOD NICHOLAS R 2021 FFS RENDERING AGE 21+ 212 1,241 74 137 140 758 168 168
1629109996 KHORSANDI SAM S 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1629109996 KHORSANDI SAM S 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1629109996 KHORSANDI, SAM S, DDS A PROF 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1629109996 KHORSANDI, SAM S, DDS A PROF 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1629113857 KIM MICHELLE K 2021 FFS RENDERING AGE 0-20 61 422 54 140 23 72 52 63
1629113857 KIM MICHELLE K 2021 FFS RENDERING AGE 21+ 199 1,133 95 114 111 477 153 153
1629115423 BEEDUBAIL RASHMI B 2021 FFS RENDERING AGE 0-20 24 169 22 65 14 41 23 29
1629115423 BEEDUBAIL RASHMI B 2021 FFS RENDERING AGE 21+ 19 81 16 29 1 2 18 18
1629123633 NGUYEN, HOANG H, DDS 2021 FFS RENDERING AGE 0-20 133 561 109 134 42 106 129 155
1629123633 NGUYEN, HOANG H, DDS 2021 FFS RENDERING AGE 21+ 421 1,633 263 263 186 437 385 385
1629128681 HONG, LOUIS DDS 2021 FFS RENDERING AGE 0-20 719 6,967 681 1,947 291 1,229 711 1,022
1629128681 HONG, LOUIS DDS 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1629128897 ASHTIANI SHAHRAM S 2021 FFS RENDERING AGE 0-20 328 2,110 206 549 134 446 282 313
1629128897 ASHTIANI SHAHRAM S 2021 FFS RENDERING AGE 21+ 430 1,857 54 59 288 990 263 265
1629132063 SIMONIAN ROGER B 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 1 1
1629132063 SIMONIAN ROGER B 2021 FFS RENDERING AGE 21+ 43 86 0 0 43 43 43 43
1629136080 YEE, WINSTON F DDS 2021 FFS RENDERING AGE 0-20 237 1,278 211 511 68 116 215 257
1629136080 YEE, WINSTON F DDS 2021 FFS RENDERING AGE 21+ 435 2,207 231 459 271 515 264 268
1629137435 O'DONNELL RYAN DANIEL 2021 GMC RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1629139811 JAHANBANI SAFAEDDIN DDS 2021 FFS RENDERING AGE 0-20 187 2,858 172 637 71 239 173 246
1629139811 JAHANBANI SAFAEDDIN DDS 2021 FFS RENDERING AGE 21+ 388 4,720 202 241 305 1,157 263 263
1629147038 YETENEKIAN-GETT ARAXI 2021 FFS RENDERING AGE 0-20 363 4,695 318 948 150 436 281 305
1629147038 YETENEKIAN-GETT ARAXI 2021 FFS RENDERING AGE 21+ 473 3,595 207 371 239 784 306 307
1629152251 MINOOFAR ROBERT 2021 FFS RENDERING AGE 0-20 2,686 41,311 2,429 8,541 967 5,061 2,454 3,222
1629152251 MINOOFAR ROBERT 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1629154166 SAUZA SAMUEL I 2021 FFS RENDERING AGE 0-20 520 7,424 510 1,503 197 655 440 658
1629154166 SAUZA SAMUEL I 2021 FFS RENDERING AGE 21+ 185 1,108 73 74 90 303 65 65
1629160023 JERNIGAN JOAN Y 2021 FFS RENDERING AGE 0-20 382 6,358 370 1,611 145 485 377 565
1629160023 JERNIGAN JOAN Y 2021 FFS RENDERING AGE 21+ 266 2,534 187 376 179 784 212 212
1629160023 JERNIGAN JOAN Y 2021 PHP RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1629160023 JERNIGAN JOAN Y 2021 PHP RENDERING AGE 21+ 21 183 19 40 12 62 18 18
1629161351 SUNG ERIC C 2021 FFS RENDERING AGE 0-20 47 279 22 37 37 171 24 24
1629161351 SUNG ERIC C 2021 FFS RENDERING AGE 21+ 394 2,251 165 214 316 1,464 251 252
1629162110 WU AVA J 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 1 1 1
1629191457 HOM, HARRY Y, DDS 2021 FFS RENDERING AGE 21+ 3,303 15,191 1,719 4,724 3,303 8,248 2,167 2,167
1629197330 SNYDER JAMES C 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 1 1
1629197330 SNYDER JAMES C 2021 FFS RENDERING AGE 21+ 1,674 4,664 1 2 1,660 3,793 856 856
1629205174 DENTICO-OLIN, MARC MD 2021 FFS RENDERING AGE 0-20 99 464 0 0 76 355 65 65
1629205174 DENTICO-OLIN, MARC MD 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 2 1 1
1629209341 KIM JIN Y 2021 FFS RENDERING AGE 0-20 16 32 0 0 1 1 0 0
1629209341 KIM JIN Y 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1629215660 FAN KEVIN Y 2021 FFS RENDERING AGE 0-20 76 747 70 357 22 56 71 94
1629215660 FAN KEVIN Y 2021 FFS RENDERING AGE 21+ 235 1,578 171 345 157 586 183 185
1629218003 SALISBURY JUSTIN P 2021 GMC RENDERING AGE 0-20 1 2 1 1 1 2 1 1
1629220868 POLICARPIO JAIME L 2021 FFS RENDERING AGE 0-20 33 254 22 44 18 56 17 19
1629220868 POLICARPIO JAIME L 2021 FFS RENDERING AGE 21+ 60 295 1 1 43 131 22 22
1629247390 GUIRGUIS HEBA T 2021 FFS RENDERING AGE 0-20 19 133 18 50 1 2 18 20
1629247390 GUIRGUIS HEBA T 2021 FFS RENDERING AGE 21+ 48 354 1 1 40 147 36 36
1629253679 GALSTIAN MARINA 2021 FFS RENDERING AGE 0-20 59 658 56 250 27 62 57 73
1629253679 GALSTIAN MARINA 2021 FFS RENDERING AGE 21+ 363 3,078 262 514 248 993 294 296
1629257795 AHMADI MIKE M 2021 FFS RENDERING AGE 0-20 322 4,409 259 838 178 611 233 292
1629257795 AHMADI MIKE M 2021 FFS RENDERING AGE 21+ 710 5,907 208 381 460 1,154 422 422
1629257795 AHMADI MIKE M 2021 PHP RENDERING AGE 0-20 15 108 14 36 1 1 14 16
1629260153 TIRGARI ASHKAN 2021 FFS RENDERING AGE 0-20 1,452 9,598 1,405 4,141 387 409 1,415 1,507
1629264031 PHAM, CAROL HUONG, DDS 2021 FFS RENDERING AGE 0-20 12 102 12 29 1 1 12 16
1629264031 PHAM, CAROL HUONG, DDS 2021 FFS RENDERING AGE 21+ 27 217 23 40 13 27 1 1
1629265087 HATTAR ELAINE G 2021 FFS RENDERING AGE 0-20 299 3,859 262 986 146 415 259 325
1629265087 HATTAR ELAINE G 2021 FFS RENDERING AGE 21+ 271 1,944 89 174 207 801 159 162
1629265178 FONG CLARK L 2021 FFS RENDERING AGE 0-20 25 141 23 55 1 1 23 23
1629265178 FONG CLARK L 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1629265723 CACERES, JULIO DDS 2021 FFS RENDERING AGE 0-20 176 1,958 167 532 86 160 139 178
1629265723 CACERES, JULIO DDS 2021 FFS RENDERING AGE 21+ 137 885 115 118 47 93 116 117
1629266408 DEL ROSARIO MAY J 2021 PHP RENDERING AGE 0-20 35 164 33 81 1 2 33 33
1629266408 DEL ROSARIO MAY J 2021 PHP RENDERING AGE 21+ 65 307 39 40 33 176 49 50
1629277199 LUONG, TIEN, DDS 2021 FFS RENDERING AGE 0-20 181 1,581 172 676 74 166 175 234
1629277199 LUONG, TIEN, DDS 2021 FFS RENDERING AGE 21+ 55 303 40 40 34 77 47 47
1629282611 BABADJANIAN EDWIN 2021 FFS RENDERING AGE 0-20 13 45 0 0 13 26 0 0
1629282611 BABADJANIAN EDWIN 2021 FFS RENDERING AGE 21+ 50 110 0 0 50 63 0 0
1629282611 BABADJANIAN EDWIN 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1629282801 SCHMITT DONALD C 2021 FFS RENDERING AGE 0-20 141 833 131 255 51 139 128 186
1629282801 SCHMITT DONALD C 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1629284617 JANJIK TALIN 2021 FFS RENDERING AGE 0-20 3,009 26,182 2,801 8,077 1,331 2,595 2,799 3,271
1629287131 TOM JAMES W 2021 FFS RENDERING AGE 0-20 237 476 0 0 237 476 0 0
1629287131 TOM JAMES W 2021 FFS RENDERING AGE 21+ 119 238 0 0 119 238 0 0
1629289798 TATULYAN SERGEY 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1629289798 TATULYAN SERGEY 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1629290846 HERNANDEZ SILVIA C 2021 FFS RENDERING AGE 0-20 453 5,556 389 941 217 785 379 488
1629290846 HERNANDEZ SILVIA C 2021 FFS RENDERING AGE 21+ 378 2,921 202 204 220 739 246 246
1629293865 LIM HYUN-SOOK 2021 FFS RENDERING AGE 0-20 58 806 57 188 28 131 55 75
1629293865 LIM HYUN-SOOK 2021 FFS RENDERING AGE 21+ 220 2,450 169 337 189 1,199 182 183
1629293865 LIM HYUN-SOOK 2021 PHP RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1629293865 LIM HYUN-SOOK 2021 PHP RENDERING AGE 21+ 1 2 1 2 1 2 1 1
1629294608 JOE SOOHO 2021 FFS RENDERING AGE 0-20 1,600 22,371 1,474 6,371 910 2,832 1,467 1,669
1629294608 JOE SOOHO 2021 FFS RENDERING AGE 21+ 751 7,272 378 756 579 1,887 466 466
1629295290 OKONKWO, EMMANUEL NNAJI DDS 2021 FFS RENDERING AGE 0-20 25 193 23 112 1 1 22 22
1629295290 OKONKWO, EMMANUEL NNAJI DDS 2021 FFS RENDERING AGE 21+ 112 551 69 91 52 161 80 80
1629295290 OKONKWO, EMMANUEL NNAJI DDS 2021 PHP RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1629296199 ZAPANTA, ZAFIRO Q, DDS 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1629296199 ZAPANTA, ZAFIRO Q, DDS 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1629297403 NGUYEN, LOAN MAI, DDS 2021 FFS RENDERING AGE 0-20 310 5,502 275 906 151 966 223 542
1629297403 NGUYEN, LOAN MAI, DDS 2021 FFS RENDERING AGE 21+ 678 9,630 489 978 458 3,068 479 958
1629302138 KIM JASON 2021 FFS RENDERING AGE 0-20 55 470 49 109 22 69 49 57
1629302138 KIM JASON 2021 FFS RENDERING AGE 21+ 178 1,186 104 158 103 311 128 128
1629309042 PRAKASH PREETI 2021 FFS RENDERING AGE 21+ 12 27 0 0 1 1 1 1
1629323043 RATIA HARPRADEEP 2021 FFS RENDERING AGE 0-20 866 4,103 597 1,302 339 576 683 702
1629323043 RATIA HARPRADEEP 2021 FFS RENDERING AGE 21+ 923 2,795 197 353 339 765 513 513
1629325725 LU XIAOFANG Y 2021 FFS RENDERING AGE 0-20 89 930 81 297 60 207 78 97
1629325725 LU XIAOFANG Y 2021 FFS RENDERING AGE 21+ 110 633 19 19 72 277 87 87
1629330972 HAN, PHUU P DDS 2021 FFS RENDERING AGE 0-20 101 949 95 361 56 171 93 113
1629330972 HAN, PHUU P DDS 2021 FFS RENDERING AGE 21+ 137 854 95 176 105 378 100 100
1629336417 PHAN DEANA A 2021 FFS RENDERING AGE 0-20 232 1,439 218 481 67 140 161 171
1629336417 PHAN DEANA A 2021 FFS RENDERING AGE 21+ 341 1,565 282 283 136 362 124 124
1629366240 MEADOR MATTHEW J 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 2 0 0
1629372669 FLORES, LIEZL S, DDS 2021 PHP RENDERING AGE 0-20 343 2,711 285 1,154 250 413 181 207
1629372669 FLORES, LIEZL S, DDS 2021 PHP RENDERING AGE 21+ 94 548 65 146 82 155 21 23
1629403522 TENG CONAN J 2021 FFS RENDERING AGE 0-20 429 1,395 1 1 424 1,048 22 22
1629403522 TENG CONAN J 2021 FFS RENDERING AGE 21+ 1,555 5,560 1 2 1,533 4,538 75 75
1629403522 TENG CONAN J 2021 GMC RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1629403522 TENG CONAN J 2021 GMC RENDERING AGE 21+ 27 73 0 0 25 68 1 1
1629403522 TENG CONAN J 2021 PHP RENDERING AGE 0-20 378 2,965 294 1,042 218 763 331 417
1629403522 TENG CONAN J 2021 PHP RENDERING AGE 21+ 568 3,375 143 282 457 2,070 341 380
1629408489 HAMILTON LANCE D 2021 FFS RENDERING AGE 0-20 120 1,192 111 465 23 63 115 154
1629408489 HAMILTON LANCE D 2021 FFS RENDERING AGE 21+ 364 2,541 247 498 207 708 293 295
1629435649 JAMIL MARWAN A 2021 FFS RENDERING AGE 0-20 79 718 46 122 58 306 62 67
1629435649 JAMIL MARWAN A 2021 FFS RENDERING AGE 21+ 421 3,842 189 372 304 1,992 312 312
1629444898 VO ANDREW T 2021 FFS RENDERING AGE 0-20 855 7,264 680 1,740 418 1,142 642 649
1629444898 VO ANDREW T 2021 FFS RENDERING AGE 21+ 1 2 1 1 0 0 1 1
1629459227 SAPPAL HARKEET 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1629474572 BOSTRE JERRY 2021 PHP RENDERING AGE 21+ 23 76 23 56 1 2 0 0
1629509609 WOO SEUNG HEE 2021 PHP RENDERING AGE 0-20 1 1 1 1 1 1 0 0
1629514997 DOWLATY MOHAMMAD M 2021 FFS RENDERING AGE 0-20 2,390 29,578 2,044 7,665 1,881 7,903 1,946 2,374
1629521703 POERWANTO HANSEL D 2021 FFS RENDERING AGE 0-20 226 1,300 159 344 108 165 186 196
1629521703 POERWANTO HANSEL D 2021 FFS RENDERING AGE 21+ 571 2,302 94 170 406 830 239 239
1629521703 POERWANTO HANSEL D 2021 GMC RENDERING AGE 0-20 626 4,438 491 1,818 339 614 475 552
1629521703 POERWANTO HANSEL D 2021 GMC RENDERING AGE 21+ 510 2,709 255 573 403 992 247 252
1629535463 ELNOKRASHY MONA R 2021 FFS RENDERING AGE 0-20 1 2 0 0 1 1 0 0
1629554530 ADAMS, EVA M, RDHAP 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1629554530 ADAMS, EVA M, RDHAP 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 0 0
1629560727 LAM JESSICA M 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1629560727 LAM JESSICA M 2021 PHP RENDERING AGE 0-20 1 1 1 1 1 1 1 1
1629594940 DAVIDOWITZ RACHELLE A 2021 FFS RENDERING AGE 0-20 1,346 10,644 1,114 3,179 792 1,595 1,106 1,208
1629594940 DAVIDOWITZ RACHELLE A 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1629594940 DAVIDOWITZ RACHELLE A 2021 PHP RENDERING AGE 0-20 23 147 13 22 22 87 1 1
1629597562 NILAM SUPRITHA 2021 FFS RENDERING AGE 0-20 1 2 0 0 1 2 1 1
1629597562 NILAM SUPRITHA 2021 FFS RENDERING AGE 21+ 50 108 0 0 50 108 0 0
1629621206 GUTIERREZ STEPHANIE 2021 FFS RENDERING AGE 0-20 94 702 77 260 38 85 80 89
1629621206 GUTIERREZ STEPHANIE 2021 FFS RENDERING AGE 21+ 143 846 81 142 102 338 82 82
1629622022 PATEL SHANE B 2021 FFS RENDERING AGE 0-20 100 822 78 235 45 135 95 118
1629622022 PATEL SHANE B 2021 FFS RENDERING AGE 21+ 126 667 28 43 81 337 108 109
1629633037 I ZAK DDS PROF DENTAL CORP 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1629633037 ZAK, I, DDS PROF DENTAL CORP 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1629667720 WRIGHT KELI A 2021 FFS RENDERING AGE 0-20 111 994 85 177 43 98 92 92
1629667720 WRIGHT KELI A 2021 FFS RENDERING AGE 21+ 67 479 29 56 42 92 39 39
1629675681 LI CALVIN K 2021 FFS RENDERING AGE 0-20 239 1,050 136 312 81 170 181 182
1629675681 LI CALVIN K 2021 FFS RENDERING AGE 21+ 622 1,936 137 250 283 672 333 333
1629675681 LI CALVIN K 2021 PHP RENDERING AGE 0-20 1 2 1 2 1 2 1 1
1629675681 LI CALVIN K 2021 PHP RENDERING AGE 21+ 12 55 1 1 1 2 1 1
1629680053 SON IN GI 2021 FFS RENDERING AGE 0-20 2,242 29,240 2,083 6,050 1,704 5,286 2,115 2,239
1629680053 SON IN GI 2021 FFS RENDERING AGE 21+ 42 420 25 52 21 87 33 33
1639131865 BUBLIK, OKSANA DDS 2021 FFS RENDERING AGE 0-20 246 2,019 235 948 100 228 239 280
1639131865 BUBLIK, OKSANA DDS 2021 FFS RENDERING AGE 21+ 535 4,492 371 668 387 2,054 430 432
1639137284 LAMBERT, MICHAEL B, DDS 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1639177389 PABLO CAROLINA G 2021 FFS RENDERING AGE 0-20 15 98 14 44 1 2 13 16
1639177389 PABLO CAROLINA G 2021 FFS RENDERING AGE 21+ 56 374 41 80 31 156 50 50
1639180490 NGUYEN KIMCHI T 2021 FFS RENDERING AGE 0-20 19 91 14 34 1 1 14 15
1639180490 NGUYEN KIMCHI T 2021 FFS RENDERING AGE 21+ 79 430 35 35 34 82 46 47
1639187800 LUNDGREN-KOSZEGHY KRISTIAN 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1639193774 UPADHYAYA, AMISHA DDS 2021 FFS RENDERING AGE 0-20 28 271 24 57 1 2 28 30
1639193774 UPADHYAYA, AMISHA DDS 2021 FFS RENDERING AGE 21+ 31 279 23 46 11 44 28 28
1639200298 TRAN, CUC THI, DDS 2021 FFS RENDERING AGE 0-20 82 1,034 79 312 26 71 80 96
1639200298 TRAN, CUC THI, DDS 2021 FFS RENDERING AGE 21+ 240 2,560 175 349 155 552 194 194
1639202195 RIOS SANDRA L 2021 FFS RENDERING AGE 0-20 339 4,426 292 946 197 596 307 414
1639202195 RIOS SANDRA L 2021 FFS RENDERING AGE 21+ 749 4,888 592 1,174 508 1,802 689 689
1639204217 LOW GARY K 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 2 1 1
1639204217 LOW GARY K 2021 FFS RENDERING AGE 21+ 35 101 11 11 25 50 12 12
1639205867 ALLEN ROSALINDA 2021 FFS RENDERING AGE 0-20 94 950 88 307 45 75 87 121
1639205867 ALLEN ROSALINDA 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1639211899 RAVARI SAHAR N 2021 PHP RENDERING AGE 0-20 113 632 94 271 44 71 64 71
1639215536 H. REZA SHAHMOHAMADI DENTAL CORPORATION 2021 PHP RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1639215536 H. REZA SHAHMOHAMADI DENTAL CORPORATION 2021 PHP RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1639215536 REZA, H, A DENTAL CORPORATIO 2021 PHP RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1639215536 REZA, H, A DENTAL CORPORATIO 2021 PHP RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1639216245 LEE MI-A 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1639217243 NGUYEN THIEN AN H 2021 FFS RENDERING AGE 0-20 39 234 26 57 29 89 1 1
1639217243 NGUYEN THIEN AN H 2021 FFS RENDERING AGE 21+ 198 797 84 84 115 297 65 65
1639217318 HOLLOWAY TREVOR K 2021 FFS RENDERING AGE 0-20 406 1,798 0 0 406 1,798 0 0
1639219090 UDIN RICHARD D 2021 FFS RENDERING AGE 0-20 25 25 0 0 25 25 0 0
1639219090 UDIN RICHARD D 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1639219306 PESTANA FRANCISCO J 2021 FFS RENDERING AGE 0-20 299 1,585 0 0 187 1,120 232 232
1639219306 PESTANA FRANCISCO J 2021 FFS RENDERING AGE 21+ 590 2,744 0 0 413 1,729 508 508
1639219306 PESTANA FRANCISCO J 2021 GMC RENDERING AGE 0-20 47 136 1 1 45 78 17 17
1639219306 PESTANA FRANCISCO J 2021 GMC RENDERING AGE 21+ 123 509 0 0 104 282 110 113
1639221112 TAROIAN, HARMICK, DDS 2021 FFS RENDERING AGE 0-20 161 980 94 238 78 193 98 119
1639221112 TAROIAN, HARMICK, DDS 2021 FFS RENDERING AGE 21+ 542 2,838 129 129 382 1,162 282 282
1639221112 TAROIAN, HARMICK, DDS 2021 PHP RENDERING AGE 0-20 138 800 115 271 37 135 126 138
1639221112 TAROIAN, HARMICK, DDS 2021 PHP RENDERING AGE 21+ 425 2,156 187 220 196 783 338 357
1639222953 CHUNG MI Y 2021 FFS RENDERING AGE 0-20 234 2,031 220 781 159 441 58 60
1639222953 CHUNG MI Y 2021 FFS RENDERING AGE 21+ 259 1,836 157 308 170 627 107 107
1639223803 LUGTU JOCELYN S 2021 FFS RENDERING AGE 0-20 410 4,330 385 1,379 150 648 389 464
1639223803 LUGTU JOCELYN S 2021 FFS RENDERING AGE 21+ 254 1,804 161 321 111 455 208 208
1639225089 FERNANDES ANTONE L 2021 FFS RENDERING AGE 0-20 1 2 0 0 1 2 0 0
1639226327 BASCH, ALEXANDER, DDS 2021 FFS RENDERING AGE 21+ 13 51 1 1 1 2 1 1
1639230311 RABBANI SHIMON 2021 FFS RENDERING AGE 0-20 109 1,047 77 241 94 250 81 91
1639230311 RABBANI SHIMON 2021 FFS RENDERING AGE 21+ 189 1,273 63 120 180 630 106 106
1639230311 RABBANI SHIMON 2021 PHP RENDERING AGE 0-20 12 130 1 2 1 2 1 1
1639230311 RABBANI SHIMON 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1639230311 RABBANI, SHIMON, DMD 2021 FFS RENDERING AGE 0-20 109 1,047 77 241 94 250 81 91
1639230311 RABBANI, SHIMON, DMD 2021 FFS RENDERING AGE 21+ 189 1,273 63 120 180 630 106 106
1639230311 RABBANI, SHIMON, DMD 2021 PHP RENDERING AGE 0-20 12 130 1 2 1 2 1 1
1639230311 RABBANI, SHIMON, DMD 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1639235245 HAN EDISON S 2021 FFS RENDERING AGE 0-20 66 465 51 150 29 97 58 63
1639235245 HAN EDISON S 2021 FFS RENDERING AGE 21+ 257 1,318 98 191 178 483 153 153
1639235245 HAN EDISON S 2021 PHP RENDERING AGE 0-20 96 763 86 269 37 84 83 99
1639235245 HAN EDISON S 2021 PHP RENDERING AGE 21+ 252 1,114 104 217 143 311 172 175
1639236870 SHODHAN HARIN P 2021 FFS RENDERING AGE 0-20 268 3,233 207 798 132 675 256 319
1639236870 SHODHAN HARIN P 2021 FFS RENDERING AGE 21+ 589 4,940 278 466 411 2,311 489 489
1639240856 MIR MOHSEN 2021 FFS RENDERING AGE 0-20 249 2,184 107 131 24 69 122 145
1639240856 MIR MOHSEN 2021 FFS RENDERING AGE 21+ 340 1,816 51 51 140 461 219 219
1639241888 QUEENSCARE HEALTH CENTERS 2021 PHP RENDERING AGE 0-20 1 2 1 1 0 0 1 1
1639241888 QUEENSCARE HEALTH CENTERS 2021 PHP RENDERING AGE 21+ 1 2 0 0 1 2 1 1
1639251135 ILIUTA, CRISTI-ANA, DDS 2021 FFS RENDERING AGE 0-20 221 1,502 211 767 68 145 190 229
1639251135 ILIUTA, CRISTI-ANA, DDS 2021 FFS RENDERING AGE 21+ 145 942 125 240 53 190 113 113
1639275050 SHAH KIRAN K 2021 FFS RENDERING AGE 0-20 691 4,446 538 2,018 211 326 618 683
1639275050 SHAH KIRAN K 2021 FFS RENDERING AGE 21+ 973 3,409 276 529 307 881 720 720
1639285190 PHAN, TINH T, DDS 2021 FFS RENDERING AGE 0-20 601 4,229 564 1,477 259 730 583 628
1639285190 PHAN, TINH T, DDS 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1639292659 SON SEUNG CHEON 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 2 0 0
1639292659 SON SEUNG CHEON 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1639293996 HASAN, SYED M, DDS 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 2 1 1
1639293996 HASAN, SYED M, DDS 2021 FFS RENDERING AGE 21+ 46 233 19 19 28 76 29 29
1639295793 MERCADO DOLLY ESTABILLO 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1639297757 PHAM, MARLEEN DDS 2021 FFS RENDERING AGE 0-20 12 80 11 23 1 2 1 2
1639297757 PHAM, MARLEEN DDS 2021 FFS RENDERING AGE 21+ 127 1,367 103 104 109 701 107 107
1639298425 NGUYEN, HA HEATHER, DDS 2021 FFS RENDERING AGE 0-20 218 5,835 195 2,088 100 723 205 810
1639298425 NGUYEN, HA HEATHER, DDS 2021 FFS RENDERING AGE 21+ 837 28,269 630 3,786 689 10,848 688 2,070
1639301716 NG CHARMAINE G 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1639301716 NG CHARMAINE G 2021 FFS RENDERING AGE 21+ 217 457 0 0 208 240 1 1
1639325350 ANAND SAVNEET 2021 FFS RENDERING AGE 0-20 1,240 16,884 1,138 4,142 835 2,645 1,119 1,358
1639325350 ANAND SAVNEET 2021 FFS RENDERING AGE 21+ 146 948 70 139 98 225 88 88
1639325731 WILLIAMS ROLAND P 2021 FFS RENDERING AGE 0-20 21 50 0 0 1 2 14 14
1639325731 WILLIAMS ROLAND P 2021 FFS RENDERING AGE 21+ 100 314 0 0 92 221 1 1
1639325731 WILLIAMS ROLAND P 2021 PHP RENDERING AGE 0-20 1 2 0 0 1 2 0 0
1639325731 WILLIAMS ROLAND P 2021 PHP RENDERING AGE 21+ 13 75 0 0 12 55 1 1
1639327836 LE TOMMY C 2021 FFS RENDERING AGE 0-20 486 7,414 464 1,512 229 866 474 664
1639327836 LE TOMMY C 2021 FFS RENDERING AGE 21+ 296 2,874 196 395 212 1,024 235 236
1639330962 WILLIAMS NICHOLAS J 2021 FFS RENDERING AGE 0-20 2,898 30,539 2,563 7,964 837 2,750 2,581 2,901
1639330962 WILLIAMS NICHOLAS J 2021 FFS RENDERING AGE 21+ 15 39 1 1 13 18 1 1
1639330962 WILLIAMS NICHOLAS J 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1639334212 LANDA GENNADY 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1639340235 ROSE, CHADRON M MD 2021 FFS RENDERING AGE 0-20 13 26 0 0 13 26 0 0
1639345721 GUARIN, ADELAIDA R, DDS INC 2021 FFS RENDERING AGE 0-20 100 484 69 153 41 97 72 72
1639345721 GUARIN, ADELAIDA R, DDS INC 2021 FFS RENDERING AGE 21+ 227 667 49 90 122 298 96 96
1639345721 GUARIN, ADELAIDA R, DDS INC 2021 PHP RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1639345721 GUARIN, ADELAIDA R, DDS INC 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1639350739 BAKHTAMIAN ALEN 2021 FFS RENDERING AGE 0-20 59 401 41 132 18 73 45 52
1639350739 BAKHTAMIAN ALEN 2021 FFS RENDERING AGE 21+ 234 987 55 104 108 290 167 167
1639350739 BAKHTAMIAN ALEN 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 2 1 1
1639350739 BAKHTAMIAN ALEN 2021 PHP RENDERING AGE 21+ 16 81 1 2 1 2 11 12
1639359862 JOKMELS NALINI M 2021 FFS RENDERING AGE 0-20 172 1,200 156 453 67 200 117 120
1639359862 JOKMELS NALINI M 2021 FFS RENDERING AGE 21+ 373 1,955 201 201 207 716 263 263
1639362270 LY TUAN T 2021 FFS RENDERING AGE 0-20 1,460 22,049 1,391 6,175 947 4,232 1,394 2,057
1639362270 LY TUAN T 2021 FFS RENDERING AGE 21+ 11 71 1 2 1 1 1 1
1639362270 LY TUAN T 2021 GMC RENDERING AGE 0-20 1 1 0 0 0 0 1 1
1639369812 HAMER, SVETLANA DDS 2021 FFS RENDERING AGE 0-20 978 11,862 782 2,651 642 2,894 744 820
1639369812 HAMER, SVETLANA DDS 2021 FFS RENDERING AGE 21+ 1 2 1 1 0 0 1 1
1639369812 HAMER, SVETLANA DDS 2021 PHP RENDERING AGE 0-20 53 577 23 66 49 395 0 0
1639373400 FARHOUMAND MAHSHID 2021 FFS RENDERING AGE 0-20 62 889 51 216 33 91 52 67
1639373400 FARHOUMAND MAHSHID 2021 FFS RENDERING AGE 21+ 290 7,687 187 332 260 2,330 186 186
1639375488 DENTALVILLE 2021 FFS RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1639375488 GLOSMAN, LEONID M, DDS A DEN 2021 FFS RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1639379142 SHAHANGIAN SEYED J 2021 FFS RENDERING AGE 0-20 88 822 73 284 46 207 65 72
1639383870 ESPINOZA, SOFIA, DDS 2021 FFS RENDERING AGE 0-20 465 4,756 435 1,738 120 213 451 648
1639383870 ESPINOZA, SOFIA, DDS 2021 FFS RENDERING AGE 21+ 304 2,239 261 522 111 227 272 272
1639387079 AZAD MESHIA 2021 FFS RENDERING AGE 0-20 339 3,100 253 874 224 830 254 313
1639388838 MADRILEJO PERPETUA G 2021 FFS RENDERING AGE 0-20 53 214 48 64 17 41 24 26
1639388838 MADRILEJO PERPETUA G 2021 FFS RENDERING AGE 21+ 212 977 166 166 113 351 114 114
1639390107 PEREZ MARVIN D 2021 FFS RENDERING AGE 0-20 233 2,079 169 361 76 163 169 174
1639390107 PEREZ MARVIN D 2021 FFS RENDERING AGE 21+ 384 1,700 73 80 267 564 126 126
1639390172 DIXON CHRISTOPHER L 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1639398522 REYES, OLGA L DDS 2021 FFS RENDERING AGE 0-20 204 2,611 183 672 91 314 181 216
1639398522 REYES, OLGA L DDS 2021 FFS RENDERING AGE 21+ 249 1,746 143 255 127 385 184 184
1639398522 REYES, OLGA L, DDS 2021 FFS RENDERING AGE 0-20 204 2,611 183 672 91 314 181 216
1639398522 REYES, OLGA L, DDS 2021 FFS RENDERING AGE 21+ 249 1,746 143 255 127 385 184 184
1639451198 LEE RICHIE 2021 FFS RENDERING AGE 0-20 206 1,341 173 703 72 158 167 176
1639451198 LEE RICHIE 2021 FFS RENDERING AGE 21+ 360 1,651 225 435 208 463 254 254
1639463888 IZVERNARI PAULA M 2021 FFS RENDERING AGE 0-20 36 199 24 62 20 44 18 19
1639463888 IZVERNARI PAULA M 2021 FFS RENDERING AGE 21+ 54 287 23 43 34 107 31 31
1639464597 TRAVERS GRACE 2021 FFS RENDERING AGE 0-20 18 356 1 1 17 327 1 1
1639465784 CHIANG JER-WEI 2021 FFS RENDERING AGE 0-20 169 1,946 146 549 114 339 151 188
1639465784 CHIANG JER-WEI 2021 FFS RENDERING AGE 21+ 202 1,556 118 237 155 617 133 135
1639466568 ALI HINA S 2021 FFS RENDERING AGE 0-20 1,932 30,931 1,846 7,897 1,345 4,059 1,873 2,661
1639466568 ALI HINA S 2021 FFS RENDERING AGE 21+ 113 1,221 38 76 60 238 99 99
1639475023 TEVES SALAZAR GUSTAVO 2021 FFS RENDERING AGE 0-20 665 2,602 400 1,047 288 694 273 275
1639475023 TEVES SALAZAR GUSTAVO 2021 FFS RENDERING AGE 21+ 1,975 7,361 261 476 1,681 6,046 305 305
1639485162 WESTFALL, APRIL LYN DMD 2021 FFS RENDERING AGE 0-20 980 9,748 912 2,618 81 105 930 1,191
1639485162 WESTFALL, APRIL LYN DMD 2021 FFS RENDERING AGE 21+ 301 1,329 60 112 239 489 58 58
1639488034 EBRAHIMI NIMA 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1639496318 ELMAKI TELAL A 2021 FFS RENDERING AGE 0-20 141 1,039 77 171 74 220 80 81
1639496318 ELMAKI TELAL A 2021 FFS RENDERING AGE 21+ 540 3,362 193 390 375 1,539 219 219
1639500242 SATTOUT OMAR 2021 FFS RENDERING AGE 0-20 123 297 1 1 122 284 1 1
1639500242 SATTOUT OMAR 2021 FFS RENDERING AGE 21+ 852 2,478 17 19 833 2,391 21 21
1639500242 SATTOUT OMAR 2021 GMC RENDERING AGE 0-20 318 2,467 291 1,393 116 312 301 341
1639500242 SATTOUT OMAR 2021 GMC RENDERING AGE 21+ 769 3,450 641 827 317 998 716 787
1639508278 ASHTIANY AZADEH 2021 FFS RENDERING AGE 0-20 19 111 1 2 17 51 1 1
1639508278 ASHTIANY AZADEH 2021 FFS RENDERING AGE 21+ 84 529 19 31 70 291 47 47
1639514789 DAMASCUS ALEXANDER P 2021 FFS RENDERING AGE 21+ 765 2,016 0 0 764 1,228 751 751
1639521404 KHAMO TARA 2021 FFS RENDERING AGE 0-20 1 2 0 0 1 1 1 1
1639521404 KHAMO TARA 2021 FFS RENDERING AGE 21+ 13 30 0 0 1 1 11 11
1639522428 YASMEEN FARAH 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1639522428 YASMEEN FARAH 2021 GMC RENDERING AGE 0-20 530 6,435 511 2,161 361 890 509 672
1639522428 YASMEEN FARAH 2021 GMC RENDERING AGE 21+ 535 4,712 296 527 397 1,753 417 421
1639527328 NAM CHRISTINE K 2021 FFS RENDERING AGE 0-20 428 4,656 394 1,184 316 1,352 389 497
1639527328 NAM CHRISTINE K 2021 FFS RENDERING AGE 21+ 109 569 25 48 74 259 74 74
1639538994 HARLAN MIA 2021 PHP RENDERING AGE 0-20 21 122 19 59 17 24 14 14
1639538994 HARLAN MIA 2021 PHP RENDERING AGE 21+ 45 301 32 91 35 97 23 23
1639557739 KIM HYUNJI 2021 FFS RENDERING AGE 0-20 75 408 52 106 36 135 59 59
1639557739 KIM HYUNJI 2021 FFS RENDERING AGE 21+ 332 1,244 124 235 178 459 214 215
1639557861 SCHAEFFER JAMES P 2021 FFS RENDERING AGE 0-20 36 143 1 1 34 96 1 1
1639557861 SCHAEFFER JAMES P 2021 FFS RENDERING AGE 21+ 94 239 1 1 91 170 1 1
1639577182 HEDAYAT LALEH 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1639577182 HEDAYAT LALEH 2021 FFS RENDERING AGE 21+ 23 81 0 0 23 81 0 0
1639592371 DESAI MONICA J 2021 FFS RENDERING AGE 0-20 652 4,495 592 1,969 379 772 559 688
1639592371 DESAI MONICA J 2021 FFS RENDERING AGE 21+ 17 63 1 2 1 2 1 1
1639592371 DESAI MONICA J 2021 PHP RENDERING AGE 0-20 56 390 52 173 33 56 47 53
1639592371 DESAI MONICA J 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1639599376 NGUYEN JUSTIN L 2021 FFS RENDERING AGE 0-20 49 175 0 0 49 173 0 0
1639599376 NGUYEN JUSTIN L 2021 FFS RENDERING AGE 21+ 27 79 0 0 27 74 0 0
1639637986 PLEASANT KRISTY C 2021 FFS RENDERING AGE 0-20 1,124 5,168 577 1,244 538 958 870 908
1639637986 PLEASANT KRISTY C 2021 FFS RENDERING AGE 21+ 934 3,130 165 323 464 1,072 567 567
1639648454 TRUONG KEN 2021 FFS RENDERING AGE 0-20 140 1,594 133 463 41 103 127 155
1639648454 TRUONG KEN 2021 FFS RENDERING AGE 21+ 322 3,843 247 489 221 813 252 252
1639692692 PATEL ASMA M 2021 FFS RENDERING AGE 0-20 391 4,017 335 1,296 236 607 358 440
1639692692 PATEL ASMA M 2021 FFS RENDERING AGE 21+ 713 4,133 388 751 484 1,501 518 528
1639695950 MOK SEEUN 2021 FFS RENDERING AGE 0-20 297 1,974 250 701 142 420 244 244
1639695950 MOK SEEUN 2021 FFS RENDERING AGE 21+ 305 1,421 148 154 208 566 158 158
1639696396 SURA AMISHA A 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1639704422 ARCALA ELLEN V 2021 FFS RENDERING AGE 0-20 1 2 1 1 0 0 1 1
1639704422 ARCALA ELLEN V 2021 FFS RENDERING AGE 21+ 13 37 1 2 1 1 1 1
1639737414 TAN KATHERINE C 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1639771256 BOOSTANI NIMA 2021 FFS RENDERING AGE 0-20 293 2,714 218 496 114 253 242 242
1639771256 BOOSTANI NIMA 2021 FFS RENDERING AGE 21+ 497 2,906 223 434 341 815 259 259
1639776073 BAUMAN STEPHANIE 2021 FFS RENDERING AGE 0-20 400 2,344 346 709 154 273 342 342
1639776073 BAUMAN STEPHANIE 2021 FFS RENDERING AGE 21+ 166 734 69 135 129 295 75 75
1639785223 VAEZ MERCEDEH N 2021 FFS RENDERING AGE 0-20 14 36 1 1 14 18 1 1
1639785223 VAEZ MERCEDEH N 2021 FFS RENDERING AGE 21+ 193 653 13 14 164 212 31 31
1639785223 VAEZ MERCEDEH N 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1639793284 LENNEY ALEXIA E 2021 FFS RENDERING AGE 0-20 21 94 20 40 1 2 1 1
1639793284 LENNEY ALEXIA E 2021 FFS RENDERING AGE 21+ 62 241 23 41 37 96 36 36
1639794266 MADDOX MATTHEW I 2021 FFS RENDERING AGE 0-20 69 305 26 53 39 85 38 38
1639794266 MADDOX MATTHEW I 2021 FFS RENDERING AGE 21+ 104 467 26 48 59 158 69 69
1649207440 SHAY, FRANK, DDS 2021 FFS RENDERING AGE 0-20 26 238 25 63 17 80 22 29
1649207440 SHAY, FRANK, DDS 2021 FFS RENDERING AGE 21+ 89 475 73 73 57 180 31 31
1649228628 YANG JIN H 2021 FFS RENDERING AGE 0-20 82 641 70 169 11 19 73 90
1649228628 YANG JIN H 2021 FFS RENDERING AGE 21+ 61 482 42 67 16 35 56 56
1649228628 YANG JIN H 2021 PHP RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1649228628 YANG JIN H 2021 PHP RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1649230319 ACOSTA ADRIAN 2021 GMC RENDERING AGE 0-20 122 1,285 116 436 46 73 116 120
1649230319 ACOSTA ADRIAN 2021 GMC RENDERING AGE 21+ 75 500 42 83 48 103 43 44
1649275074 SCIARRA, JOSEPH P, DDS 2021 FFS RENDERING AGE 0-20 283 1,863 256 669 110 476 234 297
1649275074 SCIARRA, JOSEPH P, DDS 2021 FFS RENDERING AGE 21+ 23 91 15 29 13 31 14 14
1649275223 HONGO GARY S. 2021 GMC RENDERING AGE 0-20 1 1 0 0 0 0 1 1
1649280686 IRASUSTA CATHERINE S 2021 FFS RENDERING AGE 0-20 848 10,435 801 3,230 439 1,139 767 1,099
1649280686 IRASUSTA CATHERINE S 2021 FFS RENDERING AGE 21+ 581 3,908 446 853 330 1,210 450 450
1649280686 IRASUSTA CATHERINE S 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1649290487 BELGUM, CYNTHIA LEIGH, DDS 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 2 1 1
1649290487 BELGUM, CYNTHIA LEIGH, DDS 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1649298639 CHAVEZ, CARLOS DDS MS 2021 FFS RENDERING AGE 0-20 100 707 92 375 40 112 92 113
1649298639 CHAVEZ, CARLOS DDS MS 2021 FFS RENDERING AGE 21+ 193 1,221 140 267 134 522 153 153
1649302126 RAKSHAK BHARAT 2021 FFS RENDERING AGE 0-20 69 647 52 122 26 112 55 67
1649302126 RAKSHAK BHARAT 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1649302126 RAKSHAK, BHARAT, DDS 2021 FFS RENDERING AGE 0-20 69 647 52 122 26 112 55 67
1649302126 RAKSHAK, BHARAT, DDS 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1649303389 CHEN RONNIE HONG J 2021 FFS RENDERING AGE 0-20 24 186 23 50 11 23 23 31
1649303389 CHEN RONNIE HONG J 2021 FFS RENDERING AGE 21+ 71 360 49 49 38 108 19 19
1649309436 NGUYEN JOHN T 2021 FFS RENDERING AGE 0-20 102 737 79 183 54 196 77 86
1649309436 NGUYEN JOHN T 2021 FFS RENDERING AGE 21+ 1 1 1 1 1 1 0 0
1649310269 CHUN FAITH H 2021 FFS RENDERING AGE 0-20 916 4,038 287 670 211 737 843 974
1649310269 CHUN FAITH H 2021 FFS RENDERING AGE 21+ 769 2,384 81 154 253 676 557 559
1649310269 CHUN FAITH H 2021 PHP RENDERING AGE 0-20 107 222 30 71 12 19 100 109
1649310269 CHUN FAITH H 2021 PHP RENDERING AGE 21+ 154 318 15 32 62 166 108 110
1649312018 RAD, MADJID-NOWFAR, DDS 2021 FFS RENDERING AGE 21+ 26 247 15 16 21 157 18 18
1649314691 ALIKPALA ELIZABETH A 2021 FFS RENDERING AGE 0-20 696 6,176 444 1,300 494 1,672 447 521
1649314691 ALIKPALA ELIZABETH A 2021 FFS RENDERING AGE 21+ 419 2,070 130 258 323 964 148 148
1649319765 CHAHAL GURNEET 2021 FFS RENDERING AGE 0-20 1,846 27,103 1,715 5,647 773 2,027 1,752 2,457
1649319765 CHAHAL GURNEET 2021 FFS RENDERING AGE 21+ 55 205 26 27 20 48 53 55
1649321456 MOY, HOWARD WONG DDS 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1649322462 ACAL, ELENA MARIA DMD 2021 FFS RENDERING AGE 0-20 436 4,992 420 1,673 140 386 414 580
1649322462 ACAL, ELENA MARIA DMD 2021 FFS RENDERING AGE 21+ 214 1,520 185 185 76 177 188 188
1649323726 GRIGORYAN MARIYA 2021 FFS RENDERING AGE 0-20 127 1,179 115 239 67 389 111 148
1649323726 GRIGORYAN MARIYA 2021 FFS RENDERING AGE 21+ 154 879 58 58 100 436 110 110
1649332305 BOND, WENDELL B DDS 2021 FFS RENDERING AGE 0-20 449 2,861 401 1,481 165 481 437 543
1649332305 BOND, WENDELL B DDS 2021 FFS RENDERING AGE 21+ 670 3,850 493 980 451 1,742 562 563
1649332305 BOND, WENDELL B, DDS 2021 FFS RENDERING AGE 0-20 449 2,861 401 1,481 165 481 437 543
1649332305 BOND, WENDELL B, DDS 2021 FFS RENDERING AGE 21+ 670 3,850 493 980 451 1,742 562 563
1649335241 OBOH, PHILOMENA O DDS 2021 FFS RENDERING AGE 0-20 175 1,255 83 251 105 273 118 130
1649335241 OBOH, PHILOMENA O DDS 2021 FFS RENDERING AGE 21+ 156 1,044 68 116 119 596 85 85
1649337239 MARTINEZ AQUILEO 2021 FFS RENDERING AGE 0-20 536 2,073 73 170 462 1,167 113 113
1649337239 MARTINEZ AQUILEO 2021 FFS RENDERING AGE 21+ 406 2,031 32 51 368 1,516 69 69
1649338948 SURYA, METTA, DDS 2021 FFS RENDERING AGE 0-20 35 488 27 108 26 107 30 40
1649338948 SURYA, METTA, DDS 2021 FFS RENDERING AGE 21+ 50 374 18 29 34 145 31 31
1649339714 ANGELES DENTAL CORPORATION 2021 FFS RENDERING AGE 0-20 1 1 1 1 1 1 0 0
1649339714 ANGELES DENTAL CORPORATION 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1649339987 NEMAZEE, MASSOUD 2021 FFS RENDERING AGE 0-20 82 898 79 339 41 171 81 109
1649339987 NEMAZEE, MASSOUD 2021 FFS RENDERING AGE 21+ 77 668 55 114 58 323 57 57
1649340761 GALFAYAN RUZANNA 2021 FFS RENDERING AGE 0-20 19 117 1 2 14 65 17 17
1649340761 GALFAYAN RUZANNA 2021 FFS RENDERING AGE 21+ 287 1,727 87 87 249 1,148 191 191
1649340761 GALFAYAN, RUZANNA, DDS 2021 FFS RENDERING AGE 0-20 19 117 1 2 14 65 17 17
1649340761 GALFAYAN, RUZANNA, DDS 2021 FFS RENDERING AGE 21+ 287 1,727 87 87 249 1,148 191 191
1649347907 NGUYEN PHUONGHA L 2021 FFS RENDERING AGE 0-20 155 1,707 153 586 66 188 140 203
1649347907 NGUYEN PHUONGHA L 2021 FFS RENDERING AGE 21+ 17 111 15 30 1 1 14 14
1649349879 KALLAOS STEPHEN S 2021 FFS RENDERING AGE 0-20 1 2 0 0 0 0 1 1
1649349879 KALLAOS STEPHEN S 2021 FFS RENDERING AGE 21+ 60 137 0 0 20 48 44 44
1649352410 EDWARDS THOMAS JOHN 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1649356734 CHAN, HENRY DDS 2021 FFS RENDERING AGE 0-20 69 612 44 96 23 104 61 66
1649356734 CHAN, HENRY DDS 2021 FFS RENDERING AGE 21+ 223 1,902 117 117 134 449 183 183
1649367350 HOGAN EVA L 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1649368655 NGUYEN CAMTAM T 2021 FFS RENDERING AGE 0-20 47 471 46 116 17 60 38 63
1649368655 NGUYEN CAMTAM T 2021 FFS RENDERING AGE 21+ 30 177 27 28 15 42 17 17
1649378886 PHAN, LUONG V, DMD 2021 FFS RENDERING AGE 0-20 63 275 61 129 21 41 54 60
1649378886 PHAN, LUONG V, DMD 2021 FFS RENDERING AGE 21+ 151 686 124 161 90 199 127 127
1649392705 OVANESPOUR, RAZMIK, DDS 2021 FFS RENDERING AGE 0-20 14 80 1 2 1 2 1 2
1649392705 OVANESPOUR, RAZMIK, DDS 2021 FFS RENDERING AGE 21+ 272 2,171 133 228 229 1,242 140 140
1649394222 CHOY NORMAN LEE 2021 PHP RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1649394248 LE LONG HOANG 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1649395690 WALKOW TODD M 2021 FFS RENDERING AGE 0-20 64 118 0 0 1 1 0 0
1649395690 WALKOW TODD M 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1649397530 MORAN LUIS E 2021 FFS RENDERING AGE 0-20 1,383 22,680 1,336 5,810 766 2,308 1,339 1,910
1649397530 MORAN LUIS E 2021 FFS RENDERING AGE 21+ 313 2,656 186 309 203 862 268 268
1649406638 RAHIMI RONAN 2021 FFS RENDERING AGE 21+ 84 225 30 35 84 119 71 71
1649409855 CHOI JULIA J 2021 FFS RENDERING AGE 0-20 246 854 0 0 136 376 0 0
1649409855 CHOI JULIA J 2021 FFS RENDERING AGE 21+ 20 53 0 0 20 20 0 0
1649414871 CORTES, CLAUDIA DDS INC 2021 FFS RENDERING AGE 0-20 1 1 1 1 1 1 0 0
1649419854 LU, JENNIFER C DDS 2021 FFS RENDERING AGE 0-20 923 6,787 662 1,774 356 831 691 719
1649419854 LU, JENNIFER C DDS 2021 FFS RENDERING AGE 21+ 659 2,523 157 275 311 650 330 333
1649419854 LU, JENNIFER C DDS 2021 GMC RENDERING AGE 21+ 1 2 0 0 1 1 1 1
1649419854 LU, JENNIFER C DDS 2021 PHP RENDERING AGE 0-20 483 4,323 391 1,417 197 421 422 512
1649419854 LU, JENNIFER C DDS 2021 PHP RENDERING AGE 21+ 621 3,132 215 500 298 788 421 433
1649425281 GEORGIADES TONI B 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1649425281 GEORGIADES TONI B 2021 FFS RENDERING AGE 21+ 2,613 14,449 1,620 5,608 2,612 7,172 1,431 1,433
1649427147 TRAN, MIKE M, DDS 2021 FFS RENDERING AGE 0-20 247 2,829 222 499 134 480 234 277
1649427147 TRAN, MIKE M, DDS 2021 FFS RENDERING AGE 21+ 505 4,190 371 407 372 1,723 421 427
1649427832 HOSSEINI SHADI 2021 FFS RENDERING AGE 0-20 21 93 1 1 12 37 1 1
1649427832 HOSSEINI SHADI 2021 FFS RENDERING AGE 21+ 79 318 1 2 66 208 22 22
1649430539 BABAKHANOF PAUL 2021 FFS RENDERING AGE 0-20 23 172 16 46 11 45 17 18
1649430539 BABAKHANOF PAUL 2021 FFS RENDERING AGE 21+ 84 444 23 45 58 201 52 52
1649438235 KHAZAEIZADEH REZA 2021 FFS RENDERING AGE 0-20 742 8,972 630 2,582 428 1,497 660 902
1649438235 KHAZAEIZADEH REZA 2021 FFS RENDERING AGE 21+ 521 3,989 179 359 413 1,829 301 304
1649440595 SABAGH SUZAN 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1649440595 SABAGH SUZAN 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 1 1 1
1649445057 HEIR, NIMRAT, DDS 2021 FFS RENDERING AGE 0-20 137 274 0 0 80 193 0 0
1649445057 HEIR, NIMRAT, DDS 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1649445057 HEIR, NIMRAT, DDS 2021 GMC RENDERING AGE 0-20 310 1,778 140 386 305 997 0 0
1649445057 HEIR, NIMRAT, DDS 2021 GMC RENDERING AGE 21+ 1 2 1 1 1 2 0 0
1649445057 HEIR, NIMRAT, DDS 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1649455627 AGGARWAL CHARU 2021 FFS RENDERING AGE 0-20 23 194 19 47 17 82 19 20
1649455627 AGGARWAL CHARU 2021 FFS RENDERING AGE 21+ 45 328 32 32 36 201 40 40
1649455627 AGGARWAL CHARU 2021 PHP RENDERING AGE 0-20 25 218 23 48 15 56 23 29
1649455627 AGGARWAL CHARU 2021 PHP RENDERING AGE 21+ 31 228 24 24 22 122 27 29
1649463233 KAYE, MAUREEN MARIE, RDHAP 2021 FFS RENDERING AGE 0-20 21 135 17 54 21 81 0 0
1649463233 KAYE, MAUREEN MARIE, RDHAP 2021 FFS RENDERING AGE 21+ 395 3,196 388 1,472 395 1,724 0 0
1649465147 DEHNADI BORTAY 2021 FFS RENDERING AGE 0-20 30 71 0 0 30 71 0 0
1649465147 DEHNADI BORTAY 2021 FFS RENDERING AGE 21+ 252 646 0 0 252 646 0 0
1649473083 HAROUNI EDDIE 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1649473083 HAROUNI EDDIE 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1649474891 VALLEJO, RAUL J DDS 2021 FFS RENDERING AGE 0-20 45 409 25 72 18 64 44 51
1649474891 VALLEJO, RAUL J DDS 2021 FFS RENDERING AGE 21+ 112 710 27 52 80 273 94 96
1649474891 VALLEJO, RAUL J DDS 2021 PHP RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1649476672 GUEVARA GABRIEL S 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1649476672 GUEVARA GABRIEL S 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1649476672 GUEVARA GABRIEL S 2021 GMC RENDERING AGE 0-20 334 2,346 230 904 184 323 224 247
1649476672 GUEVARA GABRIEL S 2021 GMC RENDERING AGE 21+ 836 4,505 254 580 698 1,764 352 356
1649478769 SAUCEDO MARTHA V 2021 FFS RENDERING AGE 0-20 389 4,048 306 891 239 522 296 312
1649478769 SAUCEDO MARTHA V 2021 FFS RENDERING AGE 21+ 343 2,547 124 247 233 636 158 158
1649486713 KAZEMI RAY R 2021 FFS RENDERING AGE 0-20 48 618 45 128 26 104 46 66
1649486713 KAZEMI RAY R 2021 FFS RENDERING AGE 21+ 79 592 33 65 44 172 59 59
1649489279 GEVORGYAN NAIRA 2021 FFS RENDERING AGE 0-20 229 1,527 23 54 154 511 193 196
1649489279 GEVORGYAN NAIRA 2021 FFS RENDERING AGE 21+ 174 1,141 110 217 117 465 137 137
1649489279 GEVORGYAN NAIRA 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1649490202 RAMIREZ, MONICA E, DDS 2021 FFS RENDERING AGE 0-20 580 5,845 399 1,194 395 1,190 386 414
1649490202 RAMIREZ, MONICA E, DDS 2021 FFS RENDERING AGE 21+ 284 2,219 95 179 228 904 126 127
1649490202 RAMIREZ, MONICA E, DDS 2021 PHP RENDERING AGE 0-20 58 623 53 179 42 123 53 64
1649490202 RAMIREZ, MONICA E, DDS 2021 PHP RENDERING AGE 21+ 61 393 15 17 44 164 43 44
1649491077 YUN, HYUN SOO 2021 FFS RENDERING AGE 0-20 171 1,787 163 413 104 509 152 165
1649491077 YUN, HYUN SOO 2021 FFS RENDERING AGE 21+ 165 2,034 135 266 118 960 122 122
1649491093 BARRETO, FERNANDO, DDS 2021 FFS RENDERING AGE 0-20 13 85 13 32 1 1 13 15
1649491093 BARRETO, FERNANDO, DDS 2021 FFS RENDERING AGE 21+ 53 302 31 47 29 97 41 41
1649495383 DILLWORTH DONALD A 2021 FFS RENDERING AGE 0-20 275 2,636 76 212 146 489 228 240
1649495383 DILLWORTH DONALD A 2021 FFS RENDERING AGE 21+ 947 11,443 73 138 680 2,941 726 728
1649495987 JANFAZA, EDMOND, DDS 2021 FFS RENDERING AGE 0-20 102 943 101 326 52 118 100 131
1649495987 JANFAZA, EDMOND, DDS 2021 FFS RENDERING AGE 21+ 125 864 102 201 69 228 75 75
1649496290 ALTAMIMI WESAM M 2021 FFS RENDERING AGE 0-20 109 875 60 163 76 260 78 79
1649496290 ALTAMIMI WESAM M 2021 FFS RENDERING AGE 21+ 317 2,112 136 271 261 1,089 161 161
1649498296 BARKY ALICE 2021 FFS RENDERING AGE 0-20 198 1,555 136 426 100 207 189 249
1649498296 BARKY ALICE 2021 FFS RENDERING AGE 21+ 169 773 46 91 87 182 127 127
1649498817 B. DEIRMENJIAN, DDS, INC. 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1649498817 B. DEIRMENJIAN, DDS, INC. 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1649498817 DEIRMENJIAN, B, DDS INC 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1649498817 DEIRMENJIAN, B, DDS INC 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1649499328 ANACTA TIU, MARIA ARLENE DDS 2021 FFS RENDERING AGE 0-20 1,095 18,966 1,063 4,923 650 1,669 1,074 1,636
1649499328 ANACTA TIU, MARIA ARLENE DDS 2021 FFS RENDERING AGE 21+ 392 4,046 291 586 207 555 334 335
1649549130 REZAEI KALANTAR DANIAL 2021 FFS RENDERING AGE 0-20 403 6,129 355 1,434 285 1,288 371 510
1649549130 REZAEI KALANTAR DANIAL 2021 FFS RENDERING AGE 21+ 397 3,095 221 446 271 1,060 282 282
1649562182 CITRUS HEIGHTS DENTAL 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1649565557 HERNANDEZ JERRY 2021 FFS RENDERING AGE 0-20 302 3,913 238 658 163 658 250 296
1649565557 HERNANDEZ JERRY 2021 FFS RENDERING AGE 21+ 553 5,087 240 256 436 1,792 161 161
1649583931 KAVETY PALLAVI 2021 FFS RENDERING AGE 0-20 4,192 32,933 3,710 10,374 1,738 2,924 3,910 4,299
1649583931 KAVETY PALLAVI 2021 FFS RENDERING AGE 21+ 16 67 1 2 1 1 12 12
1649583931 KAVETY PALLAVI 2021 PHP RENDERING AGE 0-20 17 63 1 1 11 11 1 1
1649615030 FARAHANI ATOUSA 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1649622887 ARUNACHALAM RAJI 2021 PHP RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1649622887 ARUNACHALAM RAJI 2021 PHP RENDERING AGE 21+ 18 204 1 2 1 1 17 21
1649648825 KHEYRDAN FERESHTEH 2021 FFS RENDERING AGE 0-20 214 1,191 102 316 185 426 29 30
1649648825 KHEYRDAN FERESHTEH 2021 FFS RENDERING AGE 21+ 18 90 1 1 17 44 1 1
1649657388 LEDESMA NELDA LIM 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1649657388 LEDESMA NELDA LIM 2021 FFS RENDERING AGE 21+ 16 127 1 1 11 33 1 1
1649659665 OBEIDAT BATOOL S 2021 FFS RENDERING AGE 0-20 182 470 1 2 179 437 1 1
1649659665 OBEIDAT BATOOL S 2021 FFS RENDERING AGE 21+ 1,107 3,394 0 0 1,104 3,338 1 1
1649659665 OBEIDAT BATOOL S 2021 PHP RENDERING AGE 21+ 15 42 0 0 15 42 0 0
1649670837 KUCHARSKI KAREN 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1649702556 LIN SEAN H 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1649702556 LIN SEAN H 2021 FFS RENDERING AGE 21+ 24 54 1 1 1 2 17 17
1649714247 HANNA MICHAEL G 2021 FFS RENDERING AGE 0-20 170 1,097 108 394 68 209 158 162
1649714247 HANNA MICHAEL G 2021 FFS RENDERING AGE 21+ 504 3,003 262 488 312 1,298 426 426
1649715863 NADEEM MUHAMMAD 2021 FFS RENDERING AGE 0-20 677 3,010 1 1 497 1,464 597 599
1649715863 NADEEM MUHAMMAD 2021 FFS RENDERING AGE 21+ 2,713 14,061 0 0 2,131 6,790 2,369 2,376
1649715863 NADEEM MUHAMMAD 2021 GMC RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1649718578 ANSARI MOHAM M 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1649718578 ANSARI MOHAM M 2021 GMC RENDERING AGE 0-20 181 1,277 129 516 129 274 105 105
1649718578 ANSARI MOHAM M 2021 GMC RENDERING AGE 21+ 312 1,389 57 134 248 744 123 123
1649721135 SEFIDPOUR SHAHRYAR 2021 FFS RENDERING AGE 0-20 88 227 0 0 24 78 0 0
1649721135 SEFIDPOUR SHAHRYAR 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1649729831 LUU HARVEY A 2021 FFS RENDERING AGE 0-20 168 311 0 0 50 119 0 0
1649729831 LUU HARVEY A 2021 PHP RENDERING AGE 0-20 49 184 0 0 36 151 0 0
1649729831 LUU HARVEY A 2021 PHP RENDERING AGE 21+ 1 2 0 0 1 2 0 0
1649731936 MERCHANT MOHEET M 2021 FFS RENDERING AGE 0-20 118 826 60 120 77 155 66 66
1649731936 MERCHANT MOHEET M 2021 FFS RENDERING AGE 21+ 264 1,260 65 130 198 512 104 104
1649753849 MAI JENNIFER NA T 2021 FFS RENDERING AGE 0-20 105 948 96 273 56 120 104 107
1649753849 MAI JENNIFER NA T 2021 FFS RENDERING AGE 21+ 426 4,063 304 603 301 1,329 409 409
1649768797 MOORTHY KAVITHA 2021 FFS RENDERING AGE 0-20 45 400 38 84 17 36 38 42
1649768797 MOORTHY KAVITHA 2021 FFS RENDERING AGE 21+ 29 176 16 31 17 34 15 15
1649768862 MEHTA VIDIT H 2021 FFS RENDERING AGE 0-20 746 4,081 473 1,411 278 589 637 647
1649768862 MEHTA VIDIT H 2021 FFS RENDERING AGE 21+ 941 3,252 250 478 391 949 624 625
1649768862 MEHTA VIDIT H 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1649790148 IRANPOUR DEHKOR MAHSA 2021 FFS RENDERING AGE 0-20 358 1,770 283 614 129 353 251 251
1649790148 IRANPOUR DEHKOR MAHSA 2021 FFS RENDERING AGE 21+ 927 2,833 252 420 760 1,297 525 525
1649790148 IRANPOUR DEHKOR MAHSA 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1649791898 AL TEKREETI MOHAMMED 2021 FFS RENDERING AGE 0-20 145 1,055 98 230 82 348 98 104
1649791898 AL TEKREETI MOHAMMED 2021 FFS RENDERING AGE 21+ 849 6,209 385 725 719 3,324 433 433
1649794009 FARGO BASSAM W 2021 FFS RENDERING AGE 0-20 62 288 21 85 24 49 42 44
1649794009 FARGO BASSAM W 2021 FFS RENDERING AGE 21+ 242 965 24 27 119 406 163 163
1649796632 CHU WAYLAND 2021 FFS RENDERING AGE 21+ 82 117 0 0 82 117 0 0
1649823808 MANE RAKSHA 2021 FFS RENDERING AGE 0-20 49 184 31 67 1 1 36 36
1649823808 MANE RAKSHA 2021 FFS RENDERING AGE 21+ 118 299 19 24 25 46 73 73
1649823808 MANE RAKSHA 2021 PHP RENDERING AGE 0-20 19 57 15 34 1 1 18 18
1649823808 MANE RAKSHA 2021 PHP RENDERING AGE 21+ 31 71 17 28 1 2 20 20
1649827924 ZAMA ROBERT I 2021 FFS RENDERING AGE 0-20 1 2 0 0 1 1 0 0
1649827924 ZAMA ROBERT I 2021 FFS RENDERING AGE 21+ 29 76 0 0 28 59 0 0
1649827924 ZAMA ROBERT I 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1649827924 ZAMA ROBERT I 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 2 0 0
1649866831 MAHBUB SYED F 2021 FFS RENDERING AGE 0-20 23 92 1 2 19 50 1 1
1649866831 MAHBUB SYED F 2021 FFS RENDERING AGE 21+ 181 548 1 2 114 311 79 79
1649866831 MAHBUB SYED F 2021 GMC RENDERING AGE 0-20 52 270 1 2 30 74 23 23
1649866831 MAHBUB SYED F 2021 GMC RENDERING AGE 21+ 127 473 1 2 101 292 36 36
1649877994 PHAM DONALD 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1649877994 PHAM DONALD 2021 FFS RENDERING AGE 21+ 16 55 1 1 11 32 1 1
1649881376 NGUYEN IRENE L 2021 FFS RENDERING AGE 0-20 12 114 11 49 1 2 11 12
1649881376 NGUYEN IRENE L 2021 FFS RENDERING AGE 21+ 29 123 1 2 22 52 13 13
1649889239 TUMEN-ULZII TELMEN 2021 FFS RENDERING AGE 0-20 266 2,168 167 430 178 627 207 208
1649889239 TUMEN-ULZII TELMEN 2021 FFS RENDERING AGE 21+ 609 4,352 272 528 480 1,823 373 377
1649943986 OREJUDOS MARIE ANTOIN D 2021 FFS RENDERING AGE 21+ 306 709 16 22 306 572 115 115
1659048163 AL KHAYYAT MUSTAFA 2021 FFS RENDERING AGE 0-20 107 620 70 248 65 162 28 28
1659048163 AL KHAYYAT MUSTAFA 2021 FFS RENDERING AGE 21+ 145 473 50 88 102 236 33 33
1659309300 H REZA SHAHMOHAMMADI DENTAL 2021 PHP RENDERING AGE 0-20 22 122 16 31 1 1 16 16
1659309300 H REZA SHAHMOHAMMADI DENTAL 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1659309300 REZA, H, A DENTAL CORPORATIO 2021 PHP RENDERING AGE 0-20 22 122 16 31 1 1 16 16
1659309300 REZA, H, A DENTAL CORPORATIO 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1659315133 KHALIL MICHAEL E 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1659315133 KHALIL MICHAEL E 2021 FFS RENDERING AGE 21+ 27 123 0 0 26 110 0 0
1659315133 KHALIL MICHAEL E 2021 PHP RENDERING AGE 0-20 1 2 0 0 1 2 1 1
1659315133 KHALIL MICHAEL E 2021 PHP RENDERING AGE 21+ 85 380 1 1 55 217 53 54
1659323269 SUR, DANIEL DDS 2021 FFS RENDERING AGE 0-20 2,851 41,102 2,397 7,335 1,633 5,383 2,321 2,790
1659323269 SUR, DANIEL DDS 2021 FFS RENDERING AGE 21+ 259 2,285 67 134 143 469 159 159
1659323269 SUR, DANIEL DDS 2021 PHP RENDERING AGE 0-20 1 2 1 1 0 0 1 1
1659346013 HARRIS JAMES L 2021 FFS RENDERING AGE 0-20 189 753 54 130 71 184 135 138
1659346013 HARRIS JAMES L 2021 FFS RENDERING AGE 21+ 507 1,510 62 120 241 551 294 294
1659349181 LU HENRY C 2021 FFS RENDERING AGE 0-20 13 74 0 0 12 34 0 0
1659349181 LU HENRY C 2021 FFS RENDERING AGE 21+ 83 622 1 1 81 280 1 1
1659349181 LU HENRY C 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1659349181 LU HENRY C 2021 PHP RENDERING AGE 21+ 1 2 0 0 1 2 0 0
1659388833 AGUILAR, JOSE M, DDS 2021 FFS RENDERING AGE 0-20 119 1,181 82 196 71 239 106 114
1659388833 AGUILAR, JOSE M, DDS 2021 FFS RENDERING AGE 21+ 231 1,475 86 89 154 538 143 143
1659399145 NEEDLE STEPHEN E 2021 FFS RENDERING AGE 0-20 14 42 0 0 1 2 1 1
1659399145 NEEDLE STEPHEN E 2021 FFS RENDERING AGE 21+ 43 173 0 0 39 162 1 1
1659399145 NEEDLE STEPHEN E 2021 PHP RENDERING AGE 0-20 1 2 0 0 1 2 1 1
1659399145 NEEDLE STEPHEN E 2021 PHP RENDERING AGE 21+ 41 148 0 0 24 67 40 40
1659400307 TAMURA SCOTT L 2021 FFS RENDERING AGE 0-20 116 961 69 133 39 76 88 88
1659400307 TAMURA SCOTT L 2021 FFS RENDERING AGE 21+ 221 1,354 35 67 93 226 128 128
1659401743 PATEL, JIGNESH DDS 2021 FFS RENDERING AGE 0-20 120 957 104 248 60 172 101 122
1659401743 PATEL, JIGNESH DDS 2021 FFS RENDERING AGE 21+ 305 1,840 171 280 194 545 201 201
1659401743 PATEL, JIGNESH DDS 2021 PHP RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1659401743 PATEL, JIGNESH DDS 2021 PHP RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1659403301 GONZALEZ, MARIA YASMIN DDS 2021 FFS RENDERING AGE 0-20 88 678 83 201 22 48 74 79
1659403301 GONZALEZ, MARIA YASMIN DDS 2021 FFS RENDERING AGE 21+ 91 472 36 65 63 170 54 54
1659404135 HEISCHOBER DONNA L 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1659404135 HEISCHOBER DONNA L 2021 GMC RENDERING AGE 0-20 616 3,005 282 533 337 999 289 318
1659404135 HEISCHOBER DONNA L 2021 GMC RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1659410199 OKBA ASHRAF M 2021 FFS RENDERING AGE 0-20 392 2,055 73 135 342 909 68 72
1659410199 OKBA ASHRAF M 2021 FFS RENDERING AGE 21+ 297 1,246 16 21 267 552 26 26
1659416758 BHALLA POOJA 2021 FFS RENDERING AGE 0-20 47 324 18 23 16 35 40 46
1659416758 BHALLA POOJA 2021 FFS RENDERING AGE 21+ 288 1,619 37 38 148 402 225 235
1659416998 YEH, WU-MING 2021 FFS RENDERING AGE 0-20 67 675 62 370 21 80 62 86
1659416998 YEH, WU-MING 2021 FFS RENDERING AGE 21+ 283 2,548 216 433 233 1,275 231 252
1659416998 YEH, WU-MING, DDS 2021 FFS RENDERING AGE 0-20 67 675 62 370 21 80 62 86
1659416998 YEH, WU-MING, DDS 2021 FFS RENDERING AGE 21+ 283 2,548 216 433 233 1,275 231 252
1659417400 HAN BOKYUNG 2021 FFS RENDERING AGE 0-20 97 841 94 378 37 100 93 141
1659417400 HAN BOKYUNG 2021 FFS RENDERING AGE 21+ 55 275 46 47 23 71 47 47
1659422194 SHIRAZI DAVID E 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1659423895 NGUYEN LOAN K 2021 FFS RENDERING AGE 0-20 17 125 16 40 1 1 16 20
1659423895 NGUYEN LOAN K 2021 FFS RENDERING AGE 21+ 77 456 64 68 39 108 65 65
1659425247 SAHABI, KAMRAN, DDS A PROF D 2021 PHP RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1659427904 WESTERN DENTAL SERVICES INC 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1659427904 WESTERN DENTAL SERVICES, INC. 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1659438133 TIONOWIDJAJA, ENTY DDS 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1659438133 TIONOWIDJAJA, ENTY DDS 2021 FFS RENDERING AGE 21+ 1 2 1 1 0 0 1 1
1659438166 HUANG YUNGTA 2021 FFS RENDERING AGE 0-20 380 4,795 364 1,470 205 578 377 606
1659438166 HUANG YUNGTA 2021 FFS RENDERING AGE 21+ 330 3,364 278 560 225 959 299 302
1659438901 PHAM DUNG M 2021 FFS RENDERING AGE 0-20 16 43 1 2 0 0 1 1
1659438901 PHAM DUNG M 2021 FFS RENDERING AGE 21+ 23 50 1 1 12 31 0 0
1659439503 REDDY MICHAEL S 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 0 0
1659439503 REDDY MICHAEL S 2021 FFS RENDERING AGE 21+ 44 86 1 1 35 65 1 1
1659440105 PADRON LORENZO MINERVO 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1659440105 PADRON LORENZO MINERVO 2021 GMC RENDERING AGE 0-20 474 4,517 421 1,666 306 702 398 489
1659440105 PADRON LORENZO MINERVO 2021 GMC RENDERING AGE 21+ 201 1,194 100 189 124 369 129 137
1659444214 TRAN TRUNG L 2021 FFS RENDERING AGE 0-20 58 397 42 115 28 69 41 44
1659444214 TRAN TRUNG L 2021 FFS RENDERING AGE 21+ 98 545 40 78 71 209 44 44
1659446862 PAPAZIAN EDWIN 2021 FFS RENDERING AGE 0-20 93 639 72 129 43 114 84 98
1659446862 PAPAZIAN EDWIN 2021 FFS RENDERING AGE 21+ 273 2,067 98 98 185 692 192 192
1659446870 MULCHANDANI, R M, DDS 2021 FFS RENDERING AGE 0-20 47 592 41 117 35 99 38 42
1659446870 MULCHANDANI, R M, DDS 2021 FFS RENDERING AGE 21+ 331 5,085 210 410 320 2,137 243 243
1659446870 MULCHANDANI, RAMESH DDS 2021 FFS RENDERING AGE 0-20 47 592 41 117 35 99 38 42
1659446870 MULCHANDANI, RAMESH DDS 2021 FFS RENDERING AGE 21+ 331 5,085 210 410 320 2,137 243 243
1659448116 NGUYEN RICHARD T 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 2 1 1
1659448116 NGUYEN RICHARD T 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1659452514 ROUHANI MORVARID 2021 FFS RENDERING AGE 0-20 182 995 141 271 66 179 153 187
1659452514 ROUHANI MORVARID 2021 FFS RENDERING AGE 21+ 430 2,160 103 103 207 813 304 309
1659452514 ROUHANI MORVARID 2021 PHP RENDERING AGE 0-20 58 437 49 89 28 92 50 61
1659452514 ROUHANI MORVARID 2021 PHP RENDERING AGE 21+ 191 1,267 74 86 99 361 158 173
1659454643 DUNNE MARTIN 2021 FFS RENDERING AGE 0-20 1 2 1 2 0 0 1 1
1659455434 MANN, HARJIT S DDS 2021 FFS RENDERING AGE 0-20 109 929 95 295 20 79 75 85
1659455434 MANN, HARJIT S DDS 2021 FFS RENDERING AGE 21+ 190 949 93 99 74 330 153 154
1659465391 DANG HUNG N 2021 FFS RENDERING AGE 0-20 648 7,477 589 1,947 398 1,446 594 729
1659465391 DANG HUNG N 2021 FFS RENDERING AGE 21+ 640 6,269 398 785 469 2,717 463 463
1659466456 DOOSTAN, AFSHIN, DDS INC 2021 FFS RENDERING AGE 0-20 145 1,288 137 504 60 194 130 183
1659466456 DOOSTAN, AFSHIN, DDS INC 2021 FFS RENDERING AGE 21+ 317 2,042 191 326 205 803 238 238
1659474229 ANDERSON RACHEL M 2021 FFS RENDERING AGE 0-20 1,606 10,574 1,341 3,459 919 1,503 1,279 1,325
1659487254 ISSUED IN ERROR 2021 FFS RENDERING AGE 0-20 25 368 24 67 1 2 23 25
1659487254 ISSUED IN ERROR 2021 FFS RENDERING AGE 21+ 91 1,214 62 124 63 387 72 72
1659492171 AGPALO NICK A 2021 FFS RENDERING AGE 0-20 31 186 27 31 14 55 24 26
1659492171 AGPALO NICK A 2021 FFS RENDERING AGE 21+ 172 965 106 106 109 406 134 134
1659505980 JULIUS HELENE J 2021 FFS RENDERING AGE 0-20 20 169 12 30 1 2 15 18
1659505980 JULIUS HELENE J 2021 FFS RENDERING AGE 21+ 91 585 39 68 68 308 46 46
1659505980 JULIUS HELENE J 2021 PHP RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1659505980 JULIUS HELENE J 2021 PHP RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1659507440 VILLEGAS GLORIA E 2021 FFS RENDERING AGE 0-20 28 247 22 68 14 40 24 30
1659507440 VILLEGAS GLORIA E 2021 FFS RENDERING AGE 21+ 86 673 33 63 68 420 62 62
1659522811 BOZIR IRENE B 2021 FFS RENDERING AGE 0-20 68 641 64 213 26 70 66 99
1659522985 PUA CHONA L 2021 FFS RENDERING AGE 0-20 123 782 108 236 27 75 103 103
1659526366 PATEL INDRAVADAN D 2021 FFS RENDERING AGE 0-20 147 2,115 131 395 94 436 142 185
1659526366 PATEL INDRAVADAN D 2021 FFS RENDERING AGE 21+ 128 1,303 90 185 71 547 115 117
1659529360 CAPIRAL MARIA RHODOR L 2021 FFS RENDERING AGE 0-20 19 121 15 28 14 43 1 2
1659529360 CAPIRAL MARIA RHODOR L 2021 FFS RENDERING AGE 21+ 33 188 1 1 31 127 1 1
1659529360 CAPIRAL MARIA RHODOR L 2021 PHP RENDERING AGE 21+ 1 2 0 0 1 2 1 1
1659538379 OLAFSEN, GREGORY E, DDS 2021 FFS RENDERING AGE 0-20 377 8,282 326 1,908 178 1,142 344 872
1659538379 OLAFSEN, GREGORY E, DDS 2021 FFS RENDERING AGE 21+ 359 5,614 145 446 268 1,832 249 500
1659561744 LEIZEROVITZ, KIRA, RDHAP 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 2 0 0
1659561744 LEIZEROVITZ, KIRA, RDHAP 2021 FFS RENDERING AGE 21+ 1,258 5,362 1,080 2,356 1,257 2,995 0 0
1659571495 SOSA ROSSANNE M 2021 FFS RENDERING AGE 0-20 302 2,994 289 983 202 781 292 440
1659571495 SOSA ROSSANNE M 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1659573335 IMANUEL, SIMON DMD 2021 FFS RENDERING AGE 0-20 450 3,819 382 1,432 132 332 401 467
1659573335 IMANUEL, SIMON DMD 2021 FFS RENDERING AGE 21+ 471 2,136 81 143 228 672 343 345
1659573939 BAUMAN, JAY E 2021 FFS RENDERING AGE 0-20 1 2 1 1 0 0 1 1
1659573939 BAUMAN, JAY E 2021 FFS RENDERING AGE 21+ 13 50 1 1 1 1 1 1
1659575207 WANG PAUL I 2021 FFS RENDERING AGE 0-20 146 938 126 279 62 199 125 143
1659575207 WANG PAUL I 2021 FFS RENDERING AGE 21+ 242 1,231 174 316 109 360 197 197
1659578953 RASHEDI MARJAN 2021 FFS RENDERING AGE 0-20 6,779 113,041 6,146 29,923 5,348 32,282 6,468 10,311
1659578953 RASHEDI MARJAN 2021 FFS RENDERING AGE 21+ 182 932 41 71 128 386 148 154
1659579407 TUDOSE JULIAN M 2021 FFS RENDERING AGE 0-20 265 2,501 235 1,047 85 192 226 299
1659579407 TUDOSE JULIAN M 2021 FFS RENDERING AGE 21+ 393 2,339 154 154 291 1,178 262 262
1659580710 ANTWAN DUNYA G 2021 FFS RENDERING AGE 0-20 149 1,003 106 327 67 209 130 141
1659580710 ANTWAN DUNYA G 2021 FFS RENDERING AGE 21+ 504 2,748 227 432 302 1,254 409 409
1659586261 DOMINGUEZ LILIAN Z 2021 FFS RENDERING AGE 0-20 39 240 35 67 17 57 34 34
1659586261 DOMINGUEZ LILIAN Z 2021 FFS RENDERING AGE 21+ 79 397 27 28 62 265 34 34
1659586717 RYUMAN, DAVID KEUNJOO 2021 FFS RENDERING AGE 21+ 17 42 1 1 1 2 16 16
1659589257 SLUTSKY DORA 2021 FFS RENDERING AGE 0-20 62 351 57 167 1 2 42 51
1659589257 SLUTSKY DORA 2021 FFS RENDERING AGE 21+ 354 3,029 193 193 255 1,178 54 54
1659591055 HUANG BRIAN C 2021 FFS RENDERING AGE 0-20 141 490 0 0 141 490 0 0
1659591055 HUANG BRIAN C 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1659591055 HUANG BRIAN C 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1659599124 DEIRMENJIAN, SANDRA, DDS INC 2021 PHP RENDERING AGE 21+ 1 2 0 0 1 1 1 1
1659599470 NOROOZI, MARJAN, DDS 2021 FFS RENDERING AGE 0-20 55 651 54 283 25 83 54 64
1659599470 NOROOZI, MARJAN, DDS 2021 FFS RENDERING AGE 21+ 161 1,091 125 244 114 487 139 139
1659600682 PARK SUE J 2021 FFS RENDERING AGE 0-20 14 48 0 0 14 48 0 0
1659613610 HAM SUNDO 2021 FFS RENDERING AGE 0-20 20 167 16 65 16 56 20 20
1659613610 HAM SUNDO 2021 FFS RENDERING AGE 21+ 225 1,200 94 187 110 541 213 213
1659623064 LU KEVIN C 2021 FFS RENDERING AGE 0-20 41 321 34 124 20 73 34 41
1659623064 LU KEVIN C 2021 FFS RENDERING AGE 21+ 167 958 75 75 120 486 108 108
1659632099 RATON REBECCA A 2021 FFS RENDERING AGE 0-20 13 140 1 2 1 2 1 1
1659632099 RATON REBECCA A 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1659637973 DEYO LAURA 2021 FFS RENDERING AGE 0-20 2,963 4,531 0 0 117 365 0 0
1659637973 DEYO LAURA 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1659660835 ISSUED IN ERROR 2021 FFS RENDERING AGE 0-20 253 4,510 244 1,253 77 217 243 384
1659660835 ISSUED IN ERROR 2021 FFS RENDERING AGE 21+ 527 6,342 449 896 369 1,489 448 448
1659662757 CHAWLA HARJOT S 2021 FFS RENDERING AGE 0-20 638 7,006 604 2,416 428 2,078 538 737
1659662757 CHAWLA HARJOT S 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1659671733 SANTILLANA, ERIX F, DDS 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 2 1 1
1659671733 SANTILLANA, ERIX F, DDS 2021 FFS RENDERING AGE 21+ 50 348 1 1 31 259 40 40
1659678779 MILLER KHANDA A 2021 FFS RENDERING AGE 0-20 39 224 31 72 21 54 32 37
1659678779 MILLER KHANDA A 2021 FFS RENDERING AGE 21+ 175 1,041 106 186 111 398 136 136
1659682565 HABASHY JAMES 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1659682565 HABASHY JAMES 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1659682565 HABASHY JAMES 2021 GMC RENDERING AGE 0-20 188 432 0 0 178 390 18 21
1659682565 HABASHY JAMES 2021 GMC RENDERING AGE 21+ 408 891 0 0 263 663 189 190
1659682565 HABASHY JAMES 2021 PHP RENDERING AGE 0-20 1 2 0 0 1 2 0 0
1659682565 HABASHY JAMES 2021 PHP RENDERING AGE 21+ 53 119 0 0 33 73 45 45
1659691616 ETEMAD ABRAK 2021 FFS RENDERING AGE 0-20 29 180 18 43 12 38 25 25
1659691616 ETEMAD ABRAK 2021 FFS RENDERING AGE 21+ 123 783 59 69 84 362 91 93
1659705176 SANDHU GURJOT K 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1659706877 ELNAGGAR TAMER A 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1659709962 NAZARIAN SAMAN 2021 FFS RENDERING AGE 0-20 1,160 13,394 872 2,575 655 2,068 914 998
1659709962 NAZARIAN SAMAN 2021 FFS RENDERING AGE 21+ 718 6,275 103 205 541 2,093 337 337
1659709962 NAZARIAN SAMAN 2021 PHP RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1659710432 MOURADIAN VICTORIA 2021 FFS RENDERING AGE 0-20 1,120 12,560 786 2,236 764 4,452 719 769
1659710432 MOURADIAN VICTORIA 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1659710432 MOURADIAN VICTORIA 2021 PHP RENDERING AGE 0-20 1 2 0 0 1 2 0 0
1659713618 HANNA JOSEPH 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1659730182 SANTOS IVAN J 2021 FFS RENDERING AGE 0-20 135 1,120 76 219 89 365 90 103
1659730182 SANTOS IVAN J 2021 FFS RENDERING AGE 21+ 617 3,647 205 403 496 2,339 284 286
1659757375 SONG JONATHAN T 2021 FFS RENDERING AGE 0-20 14 135 13 47 1 2 11 14
1659757375 SONG JONATHAN T 2021 FFS RENDERING AGE 21+ 23 311 12 21 16 112 12 12
1659768802 RASHEDI DMD PC 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1659768802 RASHEDI DMD PC 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1659778702 NARIN INCI 2021 FFS RENDERING AGE 0-20 316 3,589 286 705 173 713 295 348
1659778702 NARIN INCI 2021 FFS RENDERING AGE 21+ 1,126 9,867 781 1,552 933 5,110 857 857
1659780328 KUO CHLOE N 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1659780328 KUO CHLOE N 2021 PHP RENDERING AGE 0-20 11 50 1 2 1 1 1 1
1659780328 KUO CHLOE N 2021 PHP RENDERING AGE 21+ 97 406 1 1 76 266 51 51
1659789097 HUNG SOOJEONG 2021 FFS RENDERING AGE 0-20 31 299 27 64 16 38 28 34
1659789097 HUNG SOOJEONG 2021 FFS RENDERING AGE 21+ 48 309 18 18 22 42 31 31
1659792927 JUNG SONG W 2021 FFS RENDERING AGE 0-20 124 775 108 348 54 181 116 149
1659792927 JUNG SONG W 2021 FFS RENDERING AGE 21+ 290 1,920 167 248 208 917 233 233
1659801496 HUYNH HAI N 2021 FFS RENDERING AGE 0-20 3,188 31,063 2,734 7,768 1,974 4,645 2,714 2,860
1659808293 HADID LAILA 2021 GMC RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1659808293 HADID LAILA 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1659820637 BAE LIM DENTAL CORPORATION 2021 FFS RENDERING AGE 0-20 1 1 1 1 1 1 0 0
1659829141 LEE, SANG E, DENTAL CORP 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1659832780 KIM JAMIE M 2021 FFS RENDERING AGE 0-20 18 36 0 0 18 33 0 0
1659832780 KIM JAMIE M 2021 GMC RENDERING AGE 0-20 304 762 0 0 304 686 0 0
1659874436 PHAM ANTHONY T 2021 FFS RENDERING AGE 0-20 123 454 35 71 89 177 32 34
1659874436 PHAM ANTHONY T 2021 FFS RENDERING AGE 21+ 214 822 39 70 188 518 46 46
1659885473 HA KYOUNG T 2021 FFS RENDERING AGE 0-20 23 197 19 56 11 25 19 28
1659885473 HA KYOUNG T 2021 FFS RENDERING AGE 21+ 337 1,713 78 128 269 879 190 190
1659890358 CHADHA SHAWN 2021 FFS RENDERING AGE 0-20 2,385 39,830 2,243 9,001 1,607 4,580 2,293 3,273
1659890358 CHADHA SHAWN 2021 FFS RENDERING AGE 21+ 16 66 1 1 12 19 1 1
1659892024 ZAMAN IFRANA 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1659895753 KHOOSHAB SAHAR 2021 FFS RENDERING AGE 0-20 42 397 36 123 13 34 34 34
1659895753 KHOOSHAB SAHAR 2021 FFS RENDERING AGE 21+ 304 2,582 227 446 119 421 273 273
1659924736 ROYEA OLIVIA M 2021 FFS RENDERING AGE 0-20 2,648 41,104 2,544 12,788 1,961 5,997 2,477 3,489
1659924736 ROYEA OLIVIA M 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1659926939 PATEL MANALI S 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1659929149 DANESH DAVITA 2021 FFS RENDERING AGE 0-20 1,041 7,938 660 1,762 787 2,432 489 497
1659933257 ALWARDI AMNA 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1659933257 ALWARDI AMNA 2021 FFS RENDERING AGE 21+ 27 92 15 18 17 43 14 14
1659965309 YOON ANDREW J 2021 FFS RENDERING AGE 0-20 94 579 74 181 29 63 80 84
1659965309 YOON ANDREW J 2021 FFS RENDERING AGE 21+ 63 230 18 33 27 51 51 51
1659965309 YOON ANDREW J 2021 GMC RENDERING AGE 0-20 1 1 1 1 1 1 1 1
1659965309 YOON ANDREW J 2021 PHP RENDERING AGE 0-20 186 1,147 82 300 128 301 96 96
1659965309 YOON ANDREW J 2021 PHP RENDERING AGE 21+ 254 1,124 22 57 226 409 38 39
1659965754 SINGH HARINDER P 2021 FFS RENDERING AGE 0-20 218 627 112 284 146 262 24 24
1659965754 SINGH HARINDER P 2021 FFS RENDERING AGE 21+ 245 605 70 120 186 362 34 34
1659969756 HABEEB HASANAIN M 2021 FFS RENDERING AGE 0-20 11 33 1 1 1 2 1 1
1659969756 HABEEB HASANAIN M 2021 FFS RENDERING AGE 21+ 17 44 1 1 12 24 1 1
1659969756 HABEEB HASANAIN M 2021 GMC RENDERING AGE 0-20 946 4,067 91 253 458 846 499 525
1659969756 HABEEB HASANAIN M 2021 GMC RENDERING AGE 21+ 435 2,546 26 27 306 650 157 160
1659969756 HABEEB HASANAIN M 2021 PHP RENDERING AGE 0-20 1 2 0 0 1 1 1 1
1659970861 CHUANG SHARROW 2021 FFS RENDERING AGE 0-20 276 1,293 143 306 119 306 170 173
1659970861 CHUANG SHARROW 2021 FFS RENDERING AGE 21+ 444 1,422 66 129 210 511 230 231
1669044244 LE AUSTIN N 2021 FFS RENDERING AGE 0-20 163 781 116 283 64 165 102 102
1669044244 LE AUSTIN N 2021 FFS RENDERING AGE 21+ 213 619 45 88 131 260 83 83
1669044244 LE AUSTIN N 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1669083390 PENNER HOPE E 2021 FFS RENDERING AGE 0-20 2,065 16,173 1,746 4,877 1,464 4,796 1,802 1,818
1669099842 DEV MANPREET S 2021 FFS RENDERING AGE 0-20 22 84 12 17 1 2 17 17
1669099842 DEV MANPREET S 2021 FFS RENDERING AGE 21+ 73 202 12 13 44 81 34 34
1669404257 ZEHTAB HAMID R 2021 FFS RENDERING AGE 0-20 40 503 38 166 20 145 39 52
1669404257 ZEHTAB HAMID R 2021 FFS RENDERING AGE 21+ 94 937 69 126 78 546 79 79
1669420303 ELLERTSON III DON R 2021 FFS RENDERING AGE 0-20 250 2,835 214 553 109 348 235 293
1669420303 ELLERTSON III DON R 2021 FFS RENDERING AGE 21+ 406 3,098 62 99 308 1,483 318 318
1669420303 ELLERTSON III DON R 2021 PHP RENDERING AGE 0-20 1 2 1 1 0 0 1 1
1669420303 ELLERTSON III DON R 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1669461802 ALASSY HATEM 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 2 0 0
1669474334 KIM DAN Y 2021 FFS RENDERING AGE 0-20 203 1,114 125 321 43 95 179 195
1669474334 KIM DAN Y 2021 FFS RENDERING AGE 21+ 376 1,295 1 2 212 568 263 270
1669477931 NATH RANJIVENDRA 2021 FFS RENDERING AGE 0-20 69 654 64 180 17 37 64 73
1669477931 NATH RANJIVENDRA 2021 FFS RENDERING AGE 21+ 113 723 60 106 64 192 78 78
1669481297 SLIPOCK BARRY J 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1669481297 SLIPOCK BARRY J 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1669488771 CRANON, DARYL, DDS 2021 FFS RENDERING AGE 0-20 117 434 76 84 50 102 70 70
1669488771 CRANON, DARYL, DDS 2021 FFS RENDERING AGE 21+ 1,028 3,753 346 346 682 1,563 548 548
1669493169 NAVARRO ROSEMARY E 2021 FFS RENDERING AGE 0-20 526 6,736 413 1,245 223 827 461 585
1669493169 NAVARRO ROSEMARY E 2021 FFS RENDERING AGE 21+ 484 3,556 116 215 291 1,018 337 337
1669501482 LASHGARI, NAYER, COSMETIC & 2021 FFS RENDERING AGE 21+ 1 2 0 0 0 0 0 0
1669502753 WARD, MICHAEL R, DDS 2021 FFS RENDERING AGE 0-20 1 2 1 1 0 0 0 0
1669502753 WARD, MICHAEL R, DDS 2021 FFS RENDERING AGE 21+ 16 37 12 12 1 1 1 1
1669503397 SHAH KOSHA J 2021 FFS RENDERING AGE 0-20 111 1,743 101 332 79 421 109 152
1669503397 SHAH KOSHA J 2021 FFS RENDERING AGE 21+ 444 7,541 302 544 383 3,714 324 324
1669503900 TORRES, ARIEL ADEA DMD 2021 FFS RENDERING AGE 0-20 1,073 16,228 1,011 3,271 576 2,051 1,020 1,381
1669503900 TORRES, ARIEL ADEA DMD 2021 FFS RENDERING AGE 21+ 696 6,818 558 1,112 449 2,038 596 597
1669511986 MAKATI, MUSTAFA AHMEDALI 2021 FFS RENDERING AGE 0-20 45 366 39 143 21 45 43 43
1669511986 MAKATI, MUSTAFA AHMEDALI 2021 FFS RENDERING AGE 21+ 138 877 85 163 88 205 110 110
1669511986 MAKATI, MUSTAFA AHMEDALI, DD 2021 FFS RENDERING AGE 0-20 45 366 39 143 21 45 43 43
1669511986 MAKATI, MUSTAFA AHMEDALI, DD 2021 FFS RENDERING AGE 21+ 138 877 85 163 88 205 110 110
1669512349 FERGUSON JAMIE M 2021 FFS RENDERING AGE 0-20 108 975 90 253 47 116 104 123
1669512349 FERGUSON JAMIE M 2021 FFS RENDERING AGE 21+ 342 2,450 190 376 190 832 308 311
1669517009 MEDENCEVIC CATALINA M 2021 FFS RENDERING AGE 0-20 147 1,551 126 343 54 135 128 152
1669517009 MEDENCEVIC CATALINA M 2021 FFS RENDERING AGE 21+ 324 1,886 113 217 240 648 163 163
1669517363 AMERIPOUR SHAHRAM 2021 FFS RENDERING AGE 0-20 892 12,074 808 3,394 479 1,521 791 1,076
1669517363 AMERIPOUR SHAHRAM 2021 FFS RENDERING AGE 21+ 625 4,571 267 280 418 1,291 404 404
1669518098 TAHGHIGHI NASIR 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1669518098 TAHGHIGHI NASIR 2021 FFS RENDERING AGE 21+ 50 190 1 2 29 87 33 33
1669518098 TAHGHIGHI NASIR 2021 PHP RENDERING AGE 0-20 18 161 18 61 1 2 18 19
1669518098 TAHGHIGHI NASIR 2021 PHP RENDERING AGE 21+ 47 464 25 46 36 279 41 45
1669522025 JAMAL MANAR M 2021 FFS RENDERING AGE 0-20 565 4,716 364 1,085 275 841 439 475
1669522025 JAMAL MANAR M 2021 FFS RENDERING AGE 21+ 1,478 9,960 431 600 1,024 3,961 970 974
1669522025 JAMAL MANAR M 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1669522025 JAMAL MANAR M 2021 PHP RENDERING AGE 0-20 75 489 54 96 31 60 57 57
1669522025 JAMAL MANAR M 2021 PHP RENDERING AGE 21+ 67 340 25 25 34 114 45 45
1669523478 SWE MIN 2021 FFS RENDERING AGE 0-20 84 1,103 65 259 51 237 79 82
1669523478 SWE MIN 2021 FFS RENDERING AGE 21+ 256 2,596 143 233 195 757 209 209
1669524153 KIN, JIN-HYUK DDS 2021 FFS RENDERING AGE 0-20 837 8,069 671 1,723 406 757 651 719
1669524153 KIN, JIN-HYUK DDS 2021 FFS RENDERING AGE 21+ 668 3,509 183 365 414 921 356 356
1669530978 YIN LIMIN 2021 FFS RENDERING AGE 0-20 132 1,042 117 396 69 200 122 157
1669530978 YIN LIMIN 2021 FFS RENDERING AGE 21+ 255 1,551 152 302 174 645 222 222
1669532545 NGUYEN BINH H 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1669532545 NGUYEN BINH H 2021 PHP RENDERING AGE 0-20 111 1,249 93 449 101 160 80 83
1669532545 NGUYEN BINH H 2021 PHP RENDERING AGE 21+ 124 779 53 141 87 241 56 56
1669533311 NGUYEN, TUAN H, DDS 2021 FFS RENDERING AGE 0-20 799 10,875 791 3,425 307 990 790 1,248
1669533311 NGUYEN, TUAN H, DDS 2021 FFS RENDERING AGE 21+ 31 242 22 44 15 45 1 1
1669534442 LIU YIWEN 2021 FFS RENDERING AGE 0-20 77 484 72 171 13 29 62 77
1669534442 LIU YIWEN 2021 FFS RENDERING AGE 21+ 80 357 61 61 26 44 58 58
1669534848 EMBRY SHAHRZAD M 2021 FFS RENDERING AGE 0-20 1 2 0 0 1 1 1 1
1669534848 EMBRY SHAHRZAD M 2021 FFS RENDERING AGE 21+ 58 147 1 1 58 139 1 1
1669534848 EMBRY SHAHRZAD M 2021 GMC RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1669534848 EMBRY SHAHRZAD M 2021 GMC RENDERING AGE 21+ 1 2 0 0 1 1 1 1
1669534848 EMBRY SHAHRZAD M 2021 PHP RENDERING AGE 0-20 523 4,050 395 1,401 296 1,100 438 524
1669534848 EMBRY SHAHRZAD M 2021 PHP RENDERING AGE 21+ 465 3,441 161 334 365 2,153 353 375
1669538625 GODFREY JR, M F, DDS 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1669538625 GODFREY JR, M F, DDS 2021 GMC RENDERING AGE 0-20 1,087 8,782 684 1,784 682 2,881 644 690
1669538625 GODFREY JR, M F, DDS 2021 GMC RENDERING AGE 21+ 791 3,359 150 305 522 1,104 295 295
1669538724 PRONSTROLLER JANICE S 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1669538724 PRONSTROLLER JANICE S 2021 FFS RENDERING AGE 21+ 16 236 12 23 14 47 13 13
1669542775 MARASHLI SALAHEDDIN 2021 FFS RENDERING AGE 0-20 91 1,473 87 424 70 295 87 105
1669542775 MARASHLI SALAHEDDIN 2021 FFS RENDERING AGE 21+ 197 2,180 150 385 178 1,026 154 155
1669544862 IBRAHIM ENITAN C 2021 FFS RENDERING AGE 0-20 317 2,063 184 508 131 378 239 263
1669544862 IBRAHIM ENITAN C 2021 FFS RENDERING AGE 21+ 374 1,431 30 35 192 448 219 221
1669544862 IBRAHIM ENITAN C 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1669547816 NOLLIE GLORIA J 2021 GMC RENDERING AGE 0-20 115 433 0 0 115 377 0 0
1669547816 NOLLIE GLORIA J 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1669556445 HEINRICH BRUCE S 2021 FFS RENDERING AGE 0-20 1,109 2,618 0 0 267 812 0 0
1669556445 HEINRICH BRUCE S 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 1 0 0
1669556445 HEINRICH BRUCE S 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1669568168 MORRIS PAUL J 2021 FFS RENDERING AGE 0-20 3,138 34,297 2,572 9,968 2,274 14,705 2,124 2,213
1669568168 MORRIS PAUL J 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1669569463 KANG DAVID M 2021 FFS RENDERING AGE 0-20 420 2,539 310 784 236 1,465 246 258
1669569463 KANG DAVID M 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1669569463 KANG DAVID M 2021 PHP RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1669579330 HUMES ROXAN C 2021 FFS RENDERING AGE 0-20 163 367 0 0 84 233 0 0
1669579330 HUMES ROXAN C 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1669591459 HO BRENDA J 2021 FFS RENDERING AGE 0-20 1,110 13,071 998 3,473 461 2,726 1,064 1,563
1669591459 HO BRENDA J 2021 GMC RENDERING AGE 0-20 299 2,644 140 429 295 1,677 1 1
1669618062 SON CHRISTINE A 2021 FFS RENDERING AGE 0-20 192 906 1 1 192 890 1 1
1669620803 HUE CINDY B 2021 FFS RENDERING AGE 0-20 1 1 1 1 1 1 1 1
1669626511 BAHA JOSEPH S 2021 FFS RENDERING AGE 0-20 144 868 111 259 35 74 121 135
1669626511 BAHA JOSEPH S 2021 FFS RENDERING AGE 21+ 309 1,402 74 125 178 565 216 216
1669626511 BAHA JOSEPH S 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1669626511 BAHA JOSEPH S 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1669628327 LIU ALISON I 2021 FFS RENDERING AGE 0-20 482 3,047 449 1,236 40 44 444 464
1669628327 LIU ALISON I 2021 FFS RENDERING AGE 21+ 207 653 126 127 13 36 152 152
1669629614 DADASHZADEH IRENE T 2021 FFS RENDERING AGE 0-20 173 732 35 82 104 267 119 120
1669629614 DADASHZADEH IRENE T 2021 FFS RENDERING AGE 21+ 358 1,341 1 1 207 577 277 277
1669639548 KAKOLI PAYMAN 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1669639548 KAKOLI PAYMAN 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 1 1
1669639548 KAKOLI PAYMAN 2021 PHP RENDERING AGE 21+ 67 159 0 0 43 60 56 57
1669644969 HOU, JUDY C DDS 2021 FFS RENDERING AGE 0-20 112 334 1 1 50 155 68 68
1669644969 HOU, JUDY C DDS 2021 FFS RENDERING AGE 21+ 11 21 0 0 0 0 11 11
1669648580 EZE KENECHUKWU O 2021 FFS RENDERING AGE 0-20 1,748 22,610 1,543 4,922 926 2,100 1,476 1,843
1669648580 EZE KENECHUKWU O 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1669648580 EZE KENECHUKWU O 2021 GMC RENDERING AGE 0-20 3,931 41,936 3,241 12,451 3,080 7,183 2,899 3,961
1669651337 THAN HOANG T 2021 PHP RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1669651337 THAN HOANG T 2021 PHP RENDERING AGE 21+ 19 71 1 2 11 17 1 1
1669670931 AZZEH EZZ 2021 FFS RENDERING AGE 0-20 307 779 0 0 64 220 0 0
1669670931 AZZEH EZZ 2021 FFS RENDERING AGE 21+ 39 40 0 0 1 1 0 0
1669675005 DR PATEL & DR SITWALA 2021 FFS RENDERING AGE 0-20 78 1,320 69 368 42 109 69 100
1669675005 DR PATEL & DR SITWALA 2021 FFS RENDERING AGE 21+ 85 979 41 83 64 258 45 45
1669675005 SITWALA PREETI R 2021 FFS RENDERING AGE 0-20 78 1,320 69 368 42 109 69 100
1669675005 SITWALA PREETI R 2021 FFS RENDERING AGE 21+ 85 979 41 83 64 258 45 45
1669685228 ROLDAN ROSE E 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1669686614 CHUN CHRISTINA 2021 FFS RENDERING AGE 0-20 15 88 14 32 1 1 13 13
1669688586 PATEL KEYURKUMAR R 2021 FFS RENDERING AGE 0-20 44 293 44 105 20 104 40 49
1669688586 PATEL KEYURKUMAR R 2021 FFS RENDERING AGE 21+ 119 841 41 41 82 576 96 96
1669692091 HOBOCK KIRK M 2021 FFS RENDERING AGE 0-20 560 3,857 433 1,228 234 681 506 601
1669692091 HOBOCK KIRK M 2021 FFS RENDERING AGE 21+ 773 3,363 223 370 439 1,601 545 555
1669693057 GUINN, KAREN E, DDS INC 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1669693198 GALEB, JASNA M, DDS 2021 FFS RENDERING AGE 0-20 50 461 46 195 35 153 42 55
1669693198 GALEB, JASNA M, DDS 2021 FFS RENDERING AGE 21+ 128 768 98 177 70 339 109 109
1669693479 RAVAEI, RAMIN, DMD INC 2021 PHP RENDERING AGE 0-20 20 169 18 56 1 1 20 22
1669693479 RAVAEI, RAMIN, DMD INC 2021 PHP RENDERING AGE 21+ 25 123 1 2 11 21 17 19
1669695292 PHAM CATHERINE C 2021 FFS RENDERING AGE 0-20 93 660 90 215 35 74 86 86
1669695292 PHAM CATHERINE C 2021 FFS RENDERING AGE 21+ 399 2,843 185 370 321 1,184 202 203
1669699815 BUI, TUYET-VAN THI, DDS 2021 FFS RENDERING AGE 0-20 15 118 13 35 1 2 13 17
1669699815 BUI, TUYET-VAN THI, DDS 2021 FFS RENDERING AGE 21+ 63 561 34 35 49 255 44 44
1669713665 AMIN-PATEL SAHIL D 2021 FFS RENDERING AGE 21+ 11 16 0 0 1 1 1 1
1669724589 DENISOV VALERIY 2021 FFS RENDERING AGE 0-20 171 778 104 215 72 149 113 118
1669724589 DENISOV VALERIY 2021 FFS RENDERING AGE 21+ 635 2,531 155 310 437 1,032 339 341
1669724589 DENISOV VALERIY 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1669740429 HAZANY ROBERT 2021 FFS RENDERING AGE 0-20 115 969 99 255 35 117 103 137
1669740429 HAZANY ROBERT 2021 FFS RENDERING AGE 21+ 291 2,447 90 175 182 925 207 210
1669740429 HAZANY ROBERT 2021 PHP RENDERING AGE 0-20 61 368 50 86 14 54 60 73
1669740429 HAZANY ROBERT 2021 PHP RENDERING AGE 21+ 82 529 36 63 33 164 68 69
1669744850 VIRAY CHRISTOPHER Q 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1669750972 ZINABADI ALVAND 2021 FFS RENDERING AGE 0-20 51 225 29 72 19 60 35 35
1669750972 ZINABADI ALVAND 2021 FFS RENDERING AGE 21+ 189 933 38 67 110 462 130 135
1669751640 WU JENNIFER C 2021 FFS RENDERING AGE 0-20 283 3,294 262 838 119 259 224 249
1669751640 WU JENNIFER C 2021 FFS RENDERING AGE 21+ 207 1,381 117 227 125 278 111 111
1669752150 ADAMIAN MELINA 2021 FFS RENDERING AGE 0-20 225 735 0 0 16 55 0 0
1669752150 ADAMIAN MELINA 2021 FFS RENDERING AGE 21+ 66 187 0 0 0 0 0 0
1669752150 ADAMIAN MELINA 2021 PHP RENDERING AGE 0-20 32 166 0 0 30 60 0 0
1669761359 SUDAN ANISHA 2021 FFS RENDERING AGE 0-20 421 4,699 383 1,189 209 835 383 406
1669761359 SUDAN ANISHA 2021 FFS RENDERING AGE 21+ 312 2,916 206 408 214 989 215 215
1669782249 DO MARIA T 2021 FFS RENDERING AGE 0-20 132 1,089 123 368 93 131 107 115
1669786869 FUENTES LILIA 2021 PHP RENDERING AGE 0-20 26 198 20 25 25 79 20 25
1669786869 FUENTES LILIA 2021 PHP RENDERING AGE 21+ 19 85 0 0 19 62 0 0
1669787701 KOHANOF KAVEH 2021 FFS RENDERING AGE 0-20 36 215 26 93 1 2 29 32
1669787701 KOHANOF KAVEH 2021 FFS RENDERING AGE 21+ 173 601 29 29 51 216 121 124
1669787701 KOHANOF KAVEH 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1669795472 BECERRA FERNANDO 2021 FFS RENDERING AGE 0-20 215 1,058 39 129 188 600 65 74
1669795472 BECERRA FERNANDO 2021 FFS RENDERING AGE 21+ 326 1,521 27 32 275 882 139 139
1669799896 SOUTH CENTRAL FAMILY 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1669820783 YANG MICHELLE 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1669821633 LEE PETER BYUNG C 2021 FFS RENDERING AGE 0-20 200 480 0 0 40 116 0 0
1669821633 LEE PETER BYUNG C 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1669830584 HO CHRISTINE K 2021 FFS RENDERING AGE 0-20 207 1,053 131 430 88 267 98 98
1669830584 HO CHRISTINE K 2021 FFS RENDERING AGE 21+ 378 1,360 99 187 227 659 141 141
1669834404 MAYES ANDIS A 2021 FFS RENDERING AGE 0-20 1,710 26,330 1,271 5,168 1,542 11,143 1,249 1,428
1669834404 MAYES ANDIS A 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1669834404 MAYES ANDIS A 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1669843496 LEWIN ENRIQUE 2021 FFS RENDERING AGE 0-20 271 2,722 216 950 178 521 237 267
1669843496 LEWIN ENRIQUE 2021 FFS RENDERING AGE 21+ 425 2,117 87 149 268 808 272 272
1669843496 LEWIN ENRIQUE 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1669847992 CRANDALL AMARA B 2021 FFS RENDERING AGE 0-20 521 924 0 0 244 512 0 0
1669847992 CRANDALL AMARA B 2021 FFS RENDERING AGE 21+ 24 24 0 0 0 0 0 0
1669847992 CRANDALL AMARA B 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1669847992 CRANDALL AMARA B 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1669847992 CRANDALL AMARA B 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1669857884 ZOLMAJD HAGHIGH ELAHEH 2021 FFS RENDERING AGE 0-20 239 1,344 166 493 80 194 212 214
1669857884 ZOLMAJD HAGHIGH ELAHEH 2021 FFS RENDERING AGE 21+ 459 1,706 124 241 211 566 333 333
1669857884 ZOLMAJD HAGHIGH ELAHEH 2021 PHP RENDERING AGE 0-20 51 314 41 118 33 98 42 44
1669857884 ZOLMAJD HAGHIGH ELAHEH 2021 PHP RENDERING AGE 21+ 154 961 85 176 104 527 118 126
1669862173 PORTEOUS LAWRENCE E 2021 FFS RENDERING AGE 0-20 55 227 40 71 20 43 47 49
1669862173 PORTEOUS LAWRENCE E 2021 FFS RENDERING AGE 21+ 130 429 65 67 51 96 94 96
1669880399 MAGTOTO ALIDA GRACE M 2021 GMC RENDERING AGE 0-20 1,524 9,654 860 3,081 442 629 811 851
1669888004 NANDA PATRICIA M 2021 FFS RENDERING AGE 0-20 3,635 26,361 3,192 8,967 2,176 4,525 3,113 3,410
1669888004 NANDA PATRICIA M 2021 FFS RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1669889903 CHAMOUN CHERESTINA 2021 FFS RENDERING AGE 0-20 1,118 2,512 0 0 1,118 2,512 0 0
1669889903 CHAMOUN CHERESTINA 2021 GMC RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1669901286 BERRYHILL JEREME D 2021 FFS RENDERING AGE 0-20 83 395 51 86 1 2 69 76
1669901286 BERRYHILL JEREME D 2021 FFS RENDERING AGE 21+ 303 1,080 67 71 135 306 222 226
1669901286 BERRYHILL JEREME D 2021 PHP RENDERING AGE 0-20 62 257 41 68 20 41 53 58
1669901286 BERRYHILL JEREME D 2021 PHP RENDERING AGE 21+ 164 574 26 26 81 227 131 134
1669912721 CHUNG JI NI 2021 FFS RENDERING AGE 0-20 1,636 11,174 1,269 3,252 909 2,113 1,174 1,188
1669912721 CHUNG JI NI 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1669912721 CHUNG JI NI 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1669914420 LIM SHANNA L 2021 FFS RENDERING AGE 0-20 190 1,814 156 401 76 218 158 163
1669914420 LIM SHANNA L 2021 FFS RENDERING AGE 21+ 378 1,769 92 191 291 796 126 128
1669950069 LEE OUK H 2021 FFS RENDERING AGE 0-20 130 847 43 102 69 210 83 83
1669950069 LEE OUK H 2021 FFS RENDERING AGE 21+ 374 1,673 25 42 237 633 188 188
1669966099 KASHANCHI SALOUMEH S 2021 FFS RENDERING AGE 0-20 194 1,048 127 273 66 203 170 186
1669966099 KASHANCHI SALOUMEH S 2021 FFS RENDERING AGE 21+ 671 2,507 144 281 242 717 492 492
1669966099 KASHANCHI SALOUMEH S 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1669966099 KASHANCHI SALOUMEH S 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1669998449 HING KYLE B 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1679041008 HTET SOE M 2021 PHP RENDERING AGE 0-20 15 28 1 1 1 1 1 1
1679041008 HTET SOE M 2021 PHP RENDERING AGE 21+ 66 119 1 1 38 60 24 24
1679068415 AGUILAR KATHLEEN R 2021 FFS RENDERING AGE 0-20 445 6,851 391 1,653 290 1,029 396 553
1679068415 AGUILAR KATHLEEN R 2021 FFS RENDERING AGE 21+ 310 3,395 202 415 243 1,273 222 224
1679137335 CUEVAS ALLISON ANN 2021 FFS RENDERING AGE 21+ 26 162 26 73 22 89 0 0
1679162523 FAWZY MOURAD S 2021 FFS RENDERING AGE 0-20 82 296 34 72 27 49 59 59
1679162523 FAWZY MOURAD S 2021 FFS RENDERING AGE 21+ 203 649 48 95 84 167 136 136
1679166144 DAVTYAN MERI 2021 FFS RENDERING AGE 0-20 265 1,229 184 406 71 149 204 214
1679166144 DAVTYAN MERI 2021 FFS RENDERING AGE 21+ 431 1,211 76 137 185 425 174 174
1679166144 DAVTYAN MERI 2021 PHP RENDERING AGE 21+ 1 2 0 0 1 2 1 1
1679178990 AKBARI SANAZ 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 2 1 1
1679178990 AKBARI SANAZ 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 1 1 1
1679183602 FAHLIOGULLARI-S HAYAT 2021 FFS RENDERING AGE 0-20 196 1,074 129 296 87 210 138 141
1679183602 FAHLIOGULLARI-S HAYAT 2021 FFS RENDERING AGE 21+ 314 1,316 96 154 161 465 191 191
1679246888 BHATT SHIVALI J 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1679500359 GREEN NEAL C 2021 FFS RENDERING AGE 0-20 20 108 15 28 13 33 16 16
1679500359 GREEN NEAL C 2021 FFS RENDERING AGE 21+ 54 254 18 18 41 116 38 38
1679504310 SHIM ELAINE T 2021 FFS RENDERING AGE 0-20 34 398 33 149 22 95 34 48
1679504310 SHIM ELAINE T 2021 FFS RENDERING AGE 21+ 101 825 77 142 77 413 85 85
1679512453 NASR RANDA R 2021 FFS RENDERING AGE 0-20 84 392 54 155 12 30 81 92
1679512453 NASR RANDA R 2021 FFS RENDERING AGE 21+ 160 600 29 52 81 267 132 134
1679514798 DEL ROSARIO SUSAN 2021 PHP RENDERING AGE 0-20 24 133 16 33 11 18 15 15
1679514798 DEL ROSARIO SUSAN 2021 PHP RENDERING AGE 21+ 96 530 16 16 74 321 44 44
1679531826 REDFORD MARK W. 2021 GMC RENDERING AGE 0-20 302 1,899 258 680 101 345 230 259
1679531826 REDFORD MARK W. 2021 GMC RENDERING AGE 21+ 523 2,587 153 172 276 1,054 344 356
1679546741 LEE MICHAEL H 2021 FFS RENDERING AGE 0-20 32 365 30 109 13 39 31 46
1679546741 LEE MICHAEL H 2021 FFS RENDERING AGE 21+ 32 235 25 25 28 76 28 28
1679546998 ROTH LAWRENCE E 2021 FFS RENDERING AGE 0-20 1 2 0 0 1 1 0 0
1679546998 ROTH LAWRENCE E 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1679574495 HARDY GRACE S 2021 PHP RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1679575468 POLK-CONSTANTINO, ELIZABETH 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1679584270 LIN JOHN S 2021 FFS RENDERING AGE 0-20 307 2,494 149 605 260 971 130 154
1679584270 LIN JOHN S 2021 FFS RENDERING AGE 21+ 348 2,436 116 230 319 1,263 133 133
1679587349 CALEY JAMES P 2021 FFS RENDERING AGE 0-20 122 1,037 113 301 58 144 108 115
1679587349 CALEY JAMES P 2021 FFS RENDERING AGE 21+ 193 1,522 114 231 146 580 124 124
1679594113 SHAW MICHAEL P. 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 2 0 0
1679604722 SUAREZ, GLADYS INES, DDS 2021 FFS RENDERING AGE 0-20 48 342 43 90 21 53 32 32
1679604722 SUAREZ, GLADYS INES, DDS 2021 FFS RENDERING AGE 21+ 16 153 1 2 14 47 1 1
1679607790 APPS FELESHIA LA T 2021 FFS RENDERING AGE 0-20 173 1,197 154 506 51 128 152 152
1679610190 PHAM HA T 2021 FFS RENDERING AGE 0-20 350 3,215 227 534 202 1,415 169 174
1679610190 PHAM HA T 2021 GMC RENDERING AGE 0-20 595 7,723 448 1,083 518 4,797 182 187
1679611933 ECLAVEA, REYNALDO DIMASIN 2021 FFS RENDERING AGE 0-20 21 149 18 44 13 57 19 23
1679611933 ECLAVEA, REYNALDO DIMASIN 2021 FFS RENDERING AGE 21+ 115 1,016 71 113 97 602 93 93
1679614234 RAPOPORT, ALLA DDS 2021 FFS RENDERING AGE 0-20 42 404 38 133 31 111 35 50
1679614234 RAPOPORT, ALLA DDS 2021 FFS RENDERING AGE 21+ 115 829 57 101 97 470 74 74
1679615264 AIDIE ALFRED 2021 FFS RENDERING AGE 0-20 35 442 33 117 15 48 33 37
1679615264 AIDIE ALFRED 2021 FFS RENDERING AGE 21+ 516 4,943 334 627 357 1,064 411 411
1679618557 YEO, ELIOT M., DDS 2021 FFS RENDERING AGE 0-20 25 274 16 32 1 2 20 40
1679618557 YEO, ELIOT M., DDS 2021 FFS RENDERING AGE 21+ 61 860 30 60 28 124 33 66
1679623524 DUONG TAI D 2021 FFS RENDERING AGE 0-20 347 2,581 328 1,256 79 200 333 394
1679623524 DUONG TAI D 2021 FFS RENDERING AGE 21+ 309 1,804 246 489 165 506 258 258
1679624902 REAL RAZ SUSAN R 2021 FFS RENDERING AGE 0-20 230 1,524 189 362 78 184 214 275
1679624902 REAL RAZ SUSAN R 2021 FFS RENDERING AGE 21+ 248 1,510 115 115 142 324 172 172
1679627665 PHUNG, KIM KHUE THI,DDS 2021 FFS RENDERING AGE 0-20 194 2,487 172 546 135 394 160 231
1679627665 PHUNG, KIM KHUE THI,DDS 2021 FFS RENDERING AGE 21+ 301 1,566 190 190 245 551 132 132
1679630750 CHANGELA BHAVIN C 2021 FFS RENDERING AGE 0-20 129 1,468 119 397 46 101 129 157
1679630750 CHANGELA BHAVIN C 2021 FFS RENDERING AGE 21+ 260 1,762 126 245 120 405 225 225
1679630750 CHANGELA BHAVIN C 2021 PHP RENDERING AGE 0-20 30 268 27 62 1 2 29 34
1679630750 CHANGELA BHAVIN C 2021 PHP RENDERING AGE 21+ 37 240 22 39 1 2 35 37
1679634885 WANG QIANMIN 2021 FFS RENDERING AGE 0-20 321 4,455 166 552 219 1,129 311 385
1679634885 WANG QIANMIN 2021 FFS RENDERING AGE 21+ 138 1,226 76 153 91 273 96 97
1679637821 MASOUM, SEDIGHEH, DDS 2021 FFS RENDERING AGE 0-20 96 1,510 91 513 76 339 94 177
1679637821 MASOUM, SEDIGHEH, DDS 2021 FFS RENDERING AGE 21+ 101 1,272 60 117 94 676 70 70
1679639264 ZSCHASCHEL, DIANA E DDS 2021 FFS RENDERING AGE 0-20 117 1,025 95 331 60 246 96 121
1679639264 ZSCHASCHEL, DIANA E DDS 2021 FFS RENDERING AGE 21+ 259 1,578 159 304 167 681 188 189
1679639280 CHO, HOWARD K, DDS 2021 FFS RENDERING AGE 0-20 12 26 1 1 1 1 1 1
1679639280 CHO, HOWARD K, DDS 2021 FFS RENDERING AGE 21+ 84 485 60 60 45 170 73 73
1679639454 TRAN BINH N 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1679641146 SOROUR, SELVANA DMD 2021 FFS RENDERING AGE 0-20 383 4,033 264 868 309 1,627 235 245
1679641146 SOROUR, SELVANA DMD 2021 FFS RENDERING AGE 21+ 65 404 17 47 28 100 38 40
1679641146 SOROUR, SELVANA DMD 2021 PHP RENDERING AGE 0-20 14 109 1 2 13 56 1 1
1679641146 SOROUR, SELVANA DMD 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1679641955 THOMAS WILLIAM A 2021 FFS RENDERING AGE 0-20 343 1,054 0 0 329 857 44 44
1679641955 THOMAS WILLIAM A 2021 FFS RENDERING AGE 21+ 511 1,292 0 0 511 1,217 0 0
1679642367 DAO, SONY DDS 2021 FFS RENDERING AGE 0-20 805 10,350 752 1,499 503 2,209 765 877
1679642367 DAO, SONY DDS 2021 FFS RENDERING AGE 21+ 561 5,353 426 577 443 2,235 473 475
1679642367 UNKNOWN 2021 FFS RENDERING AGE 0-20 805 10,350 752 1,499 503 2,209 765 877
1679642367 UNKNOWN 2021 FFS RENDERING AGE 21+ 561 5,353 426 577 443 2,235 473 475
1679643001 RADULOVICH RADOJE S 2021 FFS RENDERING AGE 0-20 54 436 51 176 13 45 38 41
1679643001 RADULOVICH RADOJE S 2021 FFS RENDERING AGE 21+ 143 951 123 179 60 201 116 116
1679643084 YANG DAVID W 2021 FFS RENDERING AGE 0-20 265 3,563 245 702 101 472 255 295
1679643084 YANG DAVID W 2021 FFS RENDERING AGE 21+ 240 2,302 144 279 149 649 204 206
1679645675 KIM, JUNG-JOO, DDS 2021 FFS RENDERING AGE 0-20 189 1,676 182 285 51 168 185 216
1679645675 KIM, JUNG-JOO, DDS 2021 FFS RENDERING AGE 21+ 186 1,587 155 155 107 442 164 164
1679647341 TRIEU, KIM-CHI THI DDS 2021 FFS RENDERING AGE 0-20 50 467 47 151 40 107 48 76
1679647341 TRIEU, KIM-CHI THI DDS 2021 FFS RENDERING AGE 21+ 41 273 30 30 32 103 33 33
1679650360 PEREIRA SERGIO C 2021 FFS RENDERING AGE 0-20 1 2 0 0 1 1 1 1
1679650360 PEREIRA SERGIO C 2021 FFS RENDERING AGE 21+ 71 276 24 43 45 82 38 38
1679650360 PEREIRA SERGIO C 2021 GMC RENDERING AGE 0-20 329 2,323 272 957 193 319 268 290
1679650360 PEREIRA SERGIO C 2021 GMC RENDERING AGE 21+ 594 3,355 318 620 399 1,194 360 367
1679652812 ALKWADRI ANAS 2021 FFS RENDERING AGE 0-20 396 4,356 347 1,324 203 957 368 419
1679652812 ALKWADRI ANAS 2021 FFS RENDERING AGE 21+ 1,189 8,580 139 254 915 5,452 874 876
1679657159 OKAM, ADORA ANNE DDS 2021 FFS RENDERING AGE 0-20 327 4,073 289 1,138 156 615 307 333
1679657159 OKAM, ADORA ANNE DDS 2021 FFS RENDERING AGE 21+ 335 2,227 182 367 254 870 228 230
1679659163 SAHAKIANS, ALLEN, RDHAP 2021 PHP RENDERING AGE 21+ 48 149 48 81 25 68 0 0
1679660484 DO DOMINIC 2021 FFS RENDERING AGE 0-20 34 237 20 55 16 36 20 23
1679660484 DO DOMINIC 2021 FFS RENDERING AGE 21+ 91 571 29 55 64 218 45 45
1679660971 WONG, STEVEN, DDS 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1679662894 ALQUIROS-COLLOS MARILOU C 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1679662894 ALQUIROS-COLLOS MARILOU C 2021 FFS RENDERING AGE 21+ 22 150 13 13 14 61 14 14
1679664114 ZOLLMAN STEVEN R 2021 FFS RENDERING AGE 0-20 525 2,326 374 1,144 320 886 52 52
1679664114 ZOLLMAN STEVEN R 2021 FFS RENDERING AGE 21+ 702 2,049 237 437 543 1,356 54 54
1679666507 GALVAN JR ASTERIO A DMD 2021 FFS RENDERING AGE 0-20 258 3,202 234 960 103 325 240 324
1679666507 GALVAN JR ASTERIO A DMD 2021 FFS RENDERING AGE 21+ 451 5,180 330 650 325 1,500 352 352
1679678551 MORRIS DARRYL L 2021 FFS RENDERING AGE 0-20 281 1,668 0 0 198 1,196 233 233
1679678551 MORRIS DARRYL L 2021 FFS RENDERING AGE 21+ 456 2,164 0 0 294 1,425 331 331
1679678585 HUTCHINSON SUNNY Y 2021 FFS RENDERING AGE 0-20 39 124 0 0 29 98 0 0
1679678585 HUTCHINSON SUNNY Y 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1679688964 BUI, DAI H, DDS 2021 FFS RENDERING AGE 0-20 64 433 53 122 29 64 52 58
1679688964 BUI, DAI H, DDS 2021 FFS RENDERING AGE 21+ 103 615 57 112 69 226 68 68
1679689772 LUM ROBERT M 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1679689772 LUM ROBERT M 2021 FFS RENDERING AGE 21+ 16 98 11 22 13 23 11 11
1679691570 LONGAKIT, MARNA MAE T, DDS 2021 FFS RENDERING AGE 0-20 128 932 116 352 39 165 121 147
1679691570 LONGAKIT, MARNA MAE T, DDS 2021 FFS RENDERING AGE 21+ 388 2,733 311 615 202 811 336 336
1679694491 PATEL RITA V 2021 FFS RENDERING AGE 0-20 922 13,119 869 3,163 415 1,768 893 1,291
1679694491 PATEL RITA V 2021 FFS RENDERING AGE 21+ 448 2,717 182 195 235 526 323 323
1679696967 GASPARIAN JIRAIR 2021 FFS RENDERING AGE 0-20 63 363 37 76 35 94 57 60
1679696967 GASPARIAN JIRAIR 2021 FFS RENDERING AGE 21+ 390 2,486 144 285 317 1,493 307 307
1679700561 ISSUED IN ERROR 2021 FFS RENDERING AGE 0-20 167 1,782 142 431 90 318 139 181
1679700561 ISSUED IN ERROR 2021 FFS RENDERING AGE 21+ 194 1,316 105 186 129 440 129 130
1679704266 STERMER DAVID H 2021 FFS RENDERING AGE 0-20 203 1,065 123 327 71 148 174 174
1679704266 STERMER DAVID H 2021 FFS RENDERING AGE 21+ 423 1,693 101 174 219 604 267 268
1679704266 STERMER DAVID H 2021 GMC RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1679704266 STERMER DAVID H 2021 PHP RENDERING AGE 0-20 32 180 16 64 1 2 23 23
1679704266 STERMER DAVID H 2021 PHP RENDERING AGE 21+ 56 198 1 2 37 107 24 24
1679706766 VO NGOC LAN T 2021 FFS RENDERING AGE 0-20 42 206 40 86 18 46 36 44
1679706766 VO NGOC LAN T 2021 FFS RENDERING AGE 21+ 127 612 77 122 73 204 80 80
1679722078 TIWANA HARPREET S 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1679722078 TIWANA HARPREET S 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1679722078 TIWANA HARPREET S 2021 GMC RENDERING AGE 0-20 1,027 8,093 893 3,076 504 1,431 914 1,099
1679722078 TIWANA HARPREET S 2021 GMC RENDERING AGE 21+ 1,076 6,545 857 1,762 691 2,437 854 888
1679726186 MIZRAHI PARVAZ F 2021 FFS RENDERING AGE 0-20 245 783 1 1 158 568 178 178
1679726186 MIZRAHI PARVAZ F 2021 FFS RENDERING AGE 21+ 217 608 0 0 210 499 1 1
1679736425 WOO, IAN MS, DDS, MD 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1679736425 WOO, IAN MS, DDS, MD 2021 PHP RENDERING AGE 0-20 13 33 0 0 11 26 1 1
1679736425 WOO, IAN MS, DDS, MD 2021 PHP RENDERING AGE 21+ 46 129 0 0 29 73 44 46
1679750046 JERUSALEM JOCELYN T 2021 FFS RENDERING AGE 0-20 75 456 52 77 39 144 56 59
1679750046 JERUSALEM JOCELYN T 2021 FFS RENDERING AGE 21+ 237 1,210 124 124 149 604 82 82
1679752653 SUMILAT JAMES M 2021 FFS RENDERING AGE 0-20 225 2,235 211 634 51 130 215 279
1679752653 SUMILAT JAMES M 2021 FFS RENDERING AGE 21+ 241 2,004 97 110 179 666 177 182
1679752653 SUMILAT JAMES M 2021 PHP RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1679764765 KANG KELIE H 2021 FFS RENDERING AGE 0-20 559 2,978 335 743 154 496 512 529
1679764765 KANG KELIE H 2021 FFS RENDERING AGE 21+ 1,152 3,676 195 376 418 920 882 882
1679770663 KHAN JABEEN M 2021 FFS RENDERING AGE 0-20 143 2,234 141 543 49 148 141 193
1679770663 KHAN JABEEN M 2021 FFS RENDERING AGE 21+ 237 1,794 190 378 165 472 201 201
1679775043 ANDERSON-CURTIN KAREN E 2021 FFS RENDERING AGE 0-20 123 585 0 0 123 585 0 0
1679783765 SAKO DANIEL H 2021 FFS RENDERING AGE 0-20 15 93 11 30 1 1 12 12
1679783765 SAKO DANIEL H 2021 FFS RENDERING AGE 21+ 29 89 1 1 22 45 1 1
1679784508 MEGALLY, AHMED R. 2021 FFS RENDERING AGE 0-20 254 1,520 186 690 128 350 116 122
1679784508 MEGALLY, AHMED R. 2021 FFS RENDERING AGE 21+ 338 1,661 88 138 287 958 95 95
1679784912 ASATANI PAUL M 2021 FFS RENDERING AGE 0-20 26 146 1 2 16 69 1 1
1679784912 ASATANI PAUL M 2021 FFS RENDERING AGE 21+ 70 210 1 1 53 104 1 1
1679789127 HARRIS LLOYD R 2021 FFS RENDERING AGE 0-20 26 144 15 41 18 57 15 15
1679789127 HARRIS LLOYD R 2021 FFS RENDERING AGE 21+ 904 5,028 449 671 692 2,556 555 555
1679796064 GARCIA CARLOS F 2021 FFS RENDERING AGE 0-20 91 598 45 104 71 191 31 31
1679796064 GARCIA CARLOS F 2021 FFS RENDERING AGE 21+ 426 3,107 117 172 357 1,511 192 192
1679798953 MALEKZADEH ROYA 2021 FFS RENDERING AGE 0-20 13 66 1 2 1 2 12 14
1679798953 MALEKZADEH ROYA 2021 FFS RENDERING AGE 21+ 55 157 1 1 30 72 33 33
1679799928 CHAKAR, JOSEPH M, DDS 2021 FFS RENDERING AGE 0-20 97 940 83 204 23 76 91 105
1679799928 CHAKAR, JOSEPH M, DDS 2021 FFS RENDERING AGE 21+ 199 1,174 65 65 93 307 159 161
1679813471 ZAK DENTAL CORP 2021 PHP RENDERING AGE 0-20 19 50 1 2 1 2 1 1
1679813471 ZAK DENTAL CORP 2021 PHP RENDERING AGE 21+ 16 46 1 1 1 1 1 1
1679822860 SANDHU HARKESHWAR S 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1679822860 SANDHU HARKESHWAR S 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1679822860 SANDHU HARKESHWAR S 2021 GMC RENDERING AGE 0-20 459 3,302 373 1,205 270 439 375 407
1679822860 SANDHU HARKESHWAR S 2021 GMC RENDERING AGE 21+ 810 3,092 303 361 579 1,257 384 388
1679823330 CHU SALLY C 2021 FFS RENDERING AGE 0-20 48 750 46 120 48 390 46 46
1679823330 CHU SALLY C 2021 FFS RENDERING AGE 21+ 183 2,236 168 168 182 1,335 98 98
1679823330 CHU SALLY C 2021 GMC RENDERING AGE 0-20 14 397 13 38 14 157 14 14
1679823330 CHU SALLY C 2021 GMC RENDERING AGE 21+ 12 284 11 11 11 107 11 11
1679834311 CHUNG DOYON 2021 FFS RENDERING AGE 0-20 407 481 0 0 48 84 0 0
1679834311 CHUNG DOYON 2021 FFS RENDERING AGE 21+ 17 17 0 0 0 0 0 0
1679838528 KAROLL RAYNA T 2021 FFS RENDERING AGE 0-20 846 5,736 695 2,013 544 1,510 640 723
1679838528 KAROLL RAYNA T 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1679848733 DESAI AMIT J 2021 FFS RENDERING AGE 0-20 439 3,129 359 1,424 144 259 410 479
1679848733 DESAI AMIT J 2021 FFS RENDERING AGE 21+ 565 1,924 107 197 255 568 371 371
1679848733 DESAI AMIT J 2021 GMC RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1679848733 DESAI AMIT J 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1679853261 KAUR HARSIMRAN 2021 FFS RENDERING AGE 0-20 34 262 29 124 15 46 34 34
1679853261 KAUR HARSIMRAN 2021 FFS RENDERING AGE 21+ 34 150 16 30 17 57 31 31
1679857759 AMEEN RAJESH Y 2021 FFS RENDERING AGE 0-20 71 603 55 132 37 61 49 49
1679857759 AMEEN RAJESH Y 2021 FFS RENDERING AGE 21+ 13 41 1 1 1 2 1 1
1679858559 TABACHNIK NADIA 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1679858559 TABACHNIK NADIA 2021 PHP RENDERING AGE 21+ 1 2 0 0 1 2 1 1
1679868921 JIZE NICHOLAS R 2021 FFS RENDERING AGE 0-20 172 1,814 170 745 98 282 168 260
1679874341 REES IVAN D 2021 FFS RENDERING AGE 0-20 300 1,322 1 1 300 1,305 1 1
1679874341 REES IVAN D 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1679874341 REES IVAN D 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1679880710 MOKHAYERI, SAEED, DDS 2021 FFS RENDERING AGE 0-20 175 1,391 124 530 74 219 150 191
1679880710 MOKHAYERI, SAEED, DDS 2021 FFS RENDERING AGE 21+ 368 1,761 137 270 281 876 212 212
1679914162 MORADI DAVID R 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1679917439 TO, MICHELLE P, DDS A PROFES 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1679942924 KING CARLOS J 2021 FFS RENDERING AGE 0-20 99 1,131 84 299 41 139 84 96
1679942924 KING CARLOS J 2021 FFS RENDERING AGE 21+ 347 3,428 193 388 254 1,073 216 216
1679951289 LIU WEN L 2021 FFS RENDERING AGE 0-20 120 1,195 112 411 63 159 116 147
1679951289 LIU WEN L 2021 FFS RENDERING AGE 21+ 272 3,196 217 416 211 1,057 229 229
1679971790 YAU ROBERT 2021 FFS RENDERING AGE 0-20 15 76 0 0 12 70 1 1
1679971790 YAU ROBERT 2021 FFS RENDERING AGE 21+ 22 51 0 0 15 37 1 1
1679981898 MOLTA JAIRO H 2021 FFS RENDERING AGE 0-20 415 5,673 408 1,792 187 407 407 578
1679981898 MOLTA JAIRO H 2021 FFS RENDERING AGE 21+ 263 2,030 224 450 124 376 236 236
1679982094 MA MICHAEL H 2021 FFS RENDERING AGE 0-20 181 1,044 162 356 49 123 169 189
1679982094 MA MICHAEL H 2021 FFS RENDERING AGE 21+ 99 450 30 33 46 166 79 79
1679982094 MA MICHAEL H 2021 GMC RENDERING AGE 0-20 1 1 0 0 0 0 1 1
1679982094 MA MICHAEL H 2021 GMC RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1679982094 MA MICHAEL H 2021 PHP RENDERING AGE 0-20 183 975 85 227 88 228 100 101
1679982094 MA MICHAEL H 2021 PHP RENDERING AGE 21+ 183 742 15 15 70 194 76 77
1679988547 MANN HARMEET K 2021 FFS RENDERING AGE 0-20 1,394 11,776 1,127 3,587 1,122 4,023 1,061 1,131
1679988547 MANN HARMEET K 2021 FFS RENDERING AGE 21+ 19 48 12 22 1 2 0 0
1679988547 MANN HARMEET K 2021 GMC RENDERING AGE 0-20 73 347 25 83 67 253 1 1
1679988547 MANN HARMEET K 2021 GMC RENDERING AGE 21+ 1 2 1 1 1 1 0 0
1689000721 TURABELIDZE ANNA 2021 FFS RENDERING AGE 0-20 1,477 12,199 988 2,545 1,011 2,653 922 945
1689000721 TURABELIDZE ANNA 2021 FFS RENDERING AGE 21+ 29 143 1 2 1 1 27 27
1689004665 MOSHAVERINIA ALIREZA 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1689004665 MOSHAVERINIA ALIREZA 2021 FFS RENDERING AGE 21+ 46 87 1 1 37 62 1 1
1689015430 SHI CHRISTOPHER Y 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1689015430 SHI CHRISTOPHER Y 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1689016255 KIM AILEEN S 2021 FFS RENDERING AGE 0-20 585 1,225 0 0 164 519 0 0
1689016255 KIM AILEEN S 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1689025025 GHODOUSI NORA N 2021 FFS RENDERING AGE 0-20 1,077 10,139 863 2,316 639 2,389 746 754
1689025025 GHODOUSI NORA N 2021 FFS RENDERING AGE 21+ 33 194 1 1 1 2 24 24
1689025025 GHODOUSI NORA N 2021 PHP RENDERING AGE 0-20 52 539 15 44 47 406 1 1
1689025694 OH YUN HWAN 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1689031130 PINKY KIRANDEEP K 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1689031130 PINKY KIRANDEEP K 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1689031130 PINKY KIRANDEEP K 2021 GMC RENDERING AGE 0-20 534 4,005 343 1,370 377 1,340 381 413
1689031130 PINKY KIRANDEEP K 2021 GMC RENDERING AGE 21+ 488 2,895 82 145 368 1,901 316 319
1689031130 PINKY KIRANDEEP K 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1689031130 PINKY KIRANDEEP K 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1689033482 DING CINDY 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1689035420 VU TRANG TIFFAN T 2021 FFS RENDERING AGE 0-20 4,166 62,136 4,020 16,972 3,071 8,996 4,011 5,994
1689035420 VU TRANG TIFFAN T 2021 GMC RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1689040115 DESAI NAMAN J 2021 FFS RENDERING AGE 0-20 396 1,958 0 0 286 1,340 354 354
1689040115 DESAI NAMAN J 2021 FFS RENDERING AGE 21+ 377 1,632 0 0 272 1,018 340 341
1689044521 HORMOZ GOLIAN DDS APC 2021 FFS RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1689050296 NGUYEN ELAINE A 2021 FFS RENDERING AGE 21+ 50 181 19 31 50 69 39 39
1689050296 NGUYEN ELAINE A 2021 PHP RENDERING AGE 0-20 18 94 12 53 1 1 1 2
1689050296 NGUYEN ELAINE A 2021 PHP RENDERING AGE 21+ 55 326 20 78 38 137 36 65
1689050346 NGUYEN NANCY NAM T 2021 FFS RENDERING AGE 0-20 27 143 17 43 17 35 17 17
1689050346 NGUYEN NANCY NAM T 2021 FFS RENDERING AGE 21+ 31 151 15 30 21 58 15 15
1689054504 KHORSHIDI FARAZ M 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1689073272 CHU BRIAN E 2021 FFS RENDERING AGE 0-20 819 2,284 1 2 819 2,210 12 12
1689073272 CHU BRIAN E 2021 FFS RENDERING AGE 21+ 237 427 1 1 237 414 0 0
1689073272 CHU BRIAN E 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1689075764 GONZALEZ GABRIEL A 2021 FFS RENDERING AGE 0-20 1,756 14,762 1,397 4,207 754 1,382 1,309 1,315
1689075764 GONZALEZ GABRIEL A 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1689080012 ABRAHAMIAN NAREH 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 2 1 1
1689080012 ABRAHAMIAN NAREH 2021 FFS RENDERING AGE 21+ 42 390 17 34 39 253 30 30
1689080012 ABRAHAMIAN NAREH 2021 PHP RENDERING AGE 0-20 1 2 1 2 1 2 1 1
1689080012 ABRAHAMIAN NAREH 2021 PHP RENDERING AGE 21+ 18 360 18 105 13 157 18 23
1689092116 FLOYD, TINA M, RDHAP 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 0 0
1689128043 SHAH AVANI 2021 FFS RENDERING AGE 0-20 209 1,683 156 439 56 104 178 212
1689128043 SHAH AVANI 2021 FFS RENDERING AGE 21+ 242 1,102 37 74 123 413 178 182
1689128043 SHAH AVANI 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1689128043 SHAH AVANI 2021 PHP RENDERING AGE 0-20 93 789 69 169 15 24 84 106
1689128043 SHAH AVANI 2021 PHP RENDERING AGE 21+ 77 391 11 20 32 152 63 66
1689138547 HUYNH QUAN P 2021 FFS RENDERING AGE 0-20 1 2 0 0 1 2 0 0
1689138547 HUYNH QUAN P 2021 FFS RENDERING AGE 21+ 58 119 0 0 58 119 0 0
1689157703 POTDAR HEMALI S 2021 FFS RENDERING AGE 0-20 98 810 84 292 65 143 83 91
1689157703 POTDAR HEMALI S 2021 FFS RENDERING AGE 21+ 56 349 28 52 47 139 16 16
1689160533 QURESHI MARYAM R 2021 FFS RENDERING AGE 0-20 72 638 54 145 29 64 47 47
1689160533 QURESHI MARYAM R 2021 FFS RENDERING AGE 21+ 95 508 36 77 58 115 39 39
1689169005 ABADIAN BAHAREH 2021 PHP RENDERING AGE 0-20 60 547 51 250 34 68 49 55
1689169005 ABADIAN BAHAREH 2021 PHP RENDERING AGE 21+ 153 913 66 174 116 381 96 96
1689191769 ZALATIMO TYLER T 2021 FFS RENDERING AGE 0-20 1 2 0 0 1 2 1 1
1689191769 ZALATIMO TYLER T 2021 FFS RENDERING AGE 21+ 19 49 0 0 14 28 1 1
1689215998 LEE YOUNJIN 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1689215998 LEE YOUNJIN 2021 FFS RENDERING AGE 21+ 40 173 1 2 35 96 15 15
1689220667 MISHAEEL SHIVA 2021 FFS RENDERING AGE 0-20 22 91 1 1 21 81 1 1
1689220667 MISHAEEL SHIVA 2021 FFS RENDERING AGE 21+ 61 210 0 0 61 209 0 0
1689236796 TAKEBAYASHI DAN 2021 FFS RENDERING AGE 0-20 3,849 29,245 2,569 6,448 2,617 7,749 2,492 2,600
1689236796 TAKEBAYASHI DAN 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1689281263 PATEL KITESH 2021 FFS RENDERING AGE 0-20 1,719 16,394 1,376 3,926 823 1,877 1,379 1,435
1689281263 PATEL KITESH 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1689281263 PATEL KITESH 2021 GMC RENDERING AGE 0-20 1 2 1 1 1 2 0 0
1689299471 BATRA ABHISHEK 2021 FFS RENDERING AGE 0-20 517 4,682 414 1,090 268 841 386 400
1689342057 DR RUSEN BARSTOW FRIENDLY SM 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1689347452 TALAKOUB NAGHME 2021 FFS RENDERING AGE 0-20 29 244 23 74 14 26 24 24
1689347452 TALAKOUB NAGHME 2021 FFS RENDERING AGE 21+ 22 89 1 1 16 40 1 1
1689621823 BALIKYAN MICHAEL G 2021 FFS RENDERING AGE 0-20 97 827 93 264 29 98 89 112
1689621823 BALIKYAN MICHAEL G 2021 FFS RENDERING AGE 21+ 269 2,069 147 240 189 955 180 182
1689621823 BALIKYAN MICHAEL G 2021 PHP RENDERING AGE 0-20 1 1 1 1 1 1 1 1
1689621823 BALIKYAN MICHAEL G 2021 PHP RENDERING AGE 21+ 23 120 1 2 13 51 22 24
1689636896 PERLEY, DAVID, DDS 2021 FFS RENDERING AGE 0-20 49 271 45 84 19 40 47 49
1689636896 PERLEY, DAVID, DDS 2021 FFS RENDERING AGE 21+ 154 890 112 117 93 282 127 127
1689653966 TRAN TRONG T 2021 FFS RENDERING AGE 0-20 100 1,100 97 270 45 115 98 143
1689653966 TRAN TRONG T 2021 FFS RENDERING AGE 21+ 160 1,146 135 135 86 281 144 144
1689654873 PHAM NATALIE N 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1689671547 BHOOT, NAINA DDS 2021 FFS RENDERING AGE 0-20 89 821 89 297 52 150 88 129
1689671547 BHOOT, NAINA DDS 2021 FFS RENDERING AGE 21+ 181 1,409 132 258 151 570 144 144
1689686842 NGUYEN CAO T 2021 FFS RENDERING AGE 0-20 81 350 71 79 31 66 70 78
1689686842 NGUYEN CAO T 2021 FFS RENDERING AGE 21+ 398 1,593 197 197 229 530 287 287
1689693087 BAST, BRIAN T MD 2021 FFS RENDERING AGE 0-20 240 1,014 0 0 153 745 134 135
1689693087 BAST, BRIAN T MD 2021 FFS RENDERING AGE 21+ 1,651 5,137 0 0 1,231 3,665 683 683
1689695181 CHAN LINDA 2021 FFS RENDERING AGE 0-20 167 994 146 500 57 116 141 142
1689695181 CHAN LINDA 2021 FFS RENDERING AGE 21+ 129 482 57 112 80 142 72 72
1689703407 GUTGARTS, EDUARD M, DDS 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1689703407 GUTGARTS, EDUARD M, DDS 2021 FFS RENDERING AGE 21+ 237 1,323 86 86 192 729 144 145
1689704017 DANG NGUYEN T 2021 FFS RENDERING AGE 0-20 250 2,712 240 785 79 225 246 406
1689704017 DANG NGUYEN T 2021 FFS RENDERING AGE 21+ 32 171 29 32 1 2 21 21
1689704231 CHEN, SUNG SEN, DDS 2021 FFS RENDERING AGE 0-20 13 100 13 27 1 2 11 12
1689704231 CHEN, SUNG SEN, DDS 2021 FFS RENDERING AGE 21+ 35 186 26 26 25 90 25 25
1689705071 OLANO BOTERO LUISA F 2021 FFS RENDERING AGE 0-20 1,076 13,982 927 2,431 487 1,626 927 1,119
1689705071 OLANO BOTERO LUISA F 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1689710626 JUAREZ MATA, ELVIA 2021 FFS RENDERING AGE 0-20 1,623 15,536 1,208 3,618 730 2,327 1,004 1,123
1689710626 JUAREZ MATA, ELVIA 2021 FFS RENDERING AGE 21+ 1,424 9,215 485 887 1,028 3,969 580 587
1689711822 JO, DAVID J DDS 2021 FFS RENDERING AGE 0-20 603 1,532 0 0 292 973 0 0
1689711822 JO, DAVID J DDS 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1689714172 LEE SCOTT M 2021 FFS RENDERING AGE 0-20 3,393 56,288 3,332 12,962 1,319 2,890 3,317 5,148
1689714172 LEE SCOTT M 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1689718108 AFSHAR SIAMAK 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1689718108 AFSHAR SIAMAK 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1689720740 KIM, SOODONG DDS 2021 FFS RENDERING AGE 0-20 739 5,429 570 1,392 325 980 623 633
1689720740 KIM, SOODONG DDS 2021 FFS RENDERING AGE 21+ 829 3,892 260 392 482 1,373 526 528
1689720740 KIM, SOODONG DDS 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1689721334 GILL HARPREET S 2021 FFS RENDERING AGE 0-20 20 70 1 2 18 45 1 1
1689721334 GILL HARPREET S 2021 FFS RENDERING AGE 21+ 21 77 1 2 14 32 1 1
1689721540 HUANG PHILLIP I 2021 PHP RENDERING AGE 0-20 21 119 16 40 1 2 18 23
1689721540 HUANG PHILLIP I 2021 PHP RENDERING AGE 21+ 24 128 13 18 1 2 21 25
1689724619 KURTZ, JAMES L, DDS 2021 FFS RENDERING AGE 0-20 23 106 0 0 1 2 20 20
1689724619 KURTZ, JAMES L, DDS 2021 FFS RENDERING AGE 21+ 39 149 1 1 14 17 25 25
1689725046 NOORVASH TARANEH 2021 FFS RENDERING AGE 0-20 535 1,126 0 0 212 633 0 0
1689725046 NOORVASH TARANEH 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1689725046 NOORVASH TARANEH 2021 PHP RENDERING AGE 0-20 1 2 1 1 0 0 1 1
1689729014 ROH, SEON 2021 FFS RENDERING AGE 0-20 64 270 61 71 28 70 49 54
1689729014 ROH, SEON 2021 FFS RENDERING AGE 21+ 269 1,142 135 135 213 652 122 122
1689729014 ROH, SEON 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1689729014 ROH, SEON 2021 PHP RENDERING AGE 21+ 23 87 13 13 1 2 14 14
1689730970 ZAMORA, MIGUEL, RDHAP 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 1 0 0
1689730970 ZAMORA, MIGUEL, RDHAP 2021 FFS RENDERING AGE 21+ 177 809 176 468 157 335 0 0
1689733685 DO, KENT NAM DMD 2021 FFS RENDERING AGE 0-20 1,220 16,563 1,092 3,598 830 2,017 1,140 1,416
1689734816 BALAGTAS MARIA C 2021 FFS RENDERING AGE 0-20 82 1,007 80 275 31 168 79 109
1689734816 BALAGTAS MARIA C 2021 FFS RENDERING AGE 21+ 112 819 71 125 78 328 76 76
1689734816 BALAGTAS, MARIA C, DDS 2021 FFS RENDERING AGE 0-20 82 1,007 80 275 31 168 79 109
1689734816 BALAGTAS, MARIA C, DDS 2021 FFS RENDERING AGE 21+ 112 819 71 125 78 328 76 76
1689737512 SIDDAPPA SAVITHA 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1689738106 HWANG, CHIAO-TZE, DDS 2021 FFS RENDERING AGE 0-20 71 469 64 156 13 31 66 69
1689738106 HWANG, CHIAO-TZE, DDS 2021 FFS RENDERING AGE 21+ 18 113 1 2 1 2 12 12
1689740664 LEBOVICH VADIM 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1689740664 LEBOVICH VADIM 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 1 1 1
1689741092 HANASAB HERSEL 2021 FFS RENDERING AGE 0-20 1,199 15,242 1,093 4,443 450 1,061 1,098 1,313
1689741092 HANASAB HERSEL 2021 FFS RENDERING AGE 21+ 840 4,606 350 420 526 1,465 564 572
1689741092 HANASAB HERSEL 2021 PHP RENDERING AGE 0-20 171 1,757 154 479 45 92 161 185
1689741092 HANASAB HERSEL 2021 PHP RENDERING AGE 21+ 102 522 37 45 53 153 76 79
1689741159 NGO TUNG S 2021 FFS RENDERING AGE 0-20 288 2,971 252 1,037 60 144 256 256
1689741159 NGO TUNG S 2021 FFS RENDERING AGE 21+ 95 611 41 82 66 159 53 53
1689741613 ELSAYED AHMED E 2021 FFS RENDERING AGE 0-20 962 13,546 852 4,209 469 1,056 897 1,243
1689741613 ELSAYED AHMED E 2021 FFS RENDERING AGE 21+ 342 2,122 80 119 212 799 246 246
1689742553 MIKHAIL SONIA B 2021 FFS RENDERING AGE 0-20 78 533 42 147 45 199 49 49
1689742553 MIKHAIL SONIA B 2021 FFS RENDERING AGE 21+ 47 164 1 1 35 90 18 18
1689742967 MADHURE VEENA S 2021 FFS RENDERING AGE 0-20 41 683 41 145 11 27 41 71
1689742967 MADHURE VEENA S 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1689747834 SHIH, RICHARD DDS 2021 FFS RENDERING AGE 0-20 20 151 19 64 1 2 17 21
1689747834 SHIH, RICHARD DDS 2021 FFS RENDERING AGE 21+ 94 526 78 156 40 96 87 87
1689749947 GREENWAY, KURT J, DDS 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1689760175 SAISHO KENJI B 2021 FFS RENDERING AGE 0-20 4,437 42,884 3,356 11,745 3,392 19,250 2,539 2,632
1689760175 SAISHO KENJI B 2021 FFS RENDERING AGE 21+ 11 40 1 2 1 1 1 1
1689768137 BATESOLE MARK K 2021 FFS RENDERING AGE 0-20 59 247 0 0 15 21 0 0
1689768137 BATESOLE MARK K 2021 FFS RENDERING AGE 21+ 1 2 0 0 0 0 1 1
1689769515 MARTINEZ LILIA 2021 FFS RENDERING AGE 0-20 146 1,516 78 223 87 286 132 165
1689769515 MARTINEZ LILIA 2021 FFS RENDERING AGE 21+ 98 934 72 114 63 388 91 91
1689770299 SUSANTO HANNY 2021 FFS RENDERING AGE 0-20 61 463 60 188 20 57 53 58
1689770299 SUSANTO HANNY 2021 FFS RENDERING AGE 21+ 17 103 14 31 1 2 13 15
1689785271 BANAWIS MICHAEL B 2021 FFS RENDERING AGE 0-20 1,994 28,752 1,794 7,078 1,433 6,114 1,758 2,244
1689785271 BANAWIS MICHAEL B 2021 FFS RENDERING AGE 21+ 404 2,670 216 398 227 714 280 281
1689786899 QUINCI PIERO 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1689786972 TOURTLOTTE, CHRISTINA L, DDS 2021 FFS RENDERING AGE 0-20 488 4,746 476 1,541 240 771 367 491
1689786972 TOURTLOTTE, CHRISTINA L, DDS 2021 FFS RENDERING AGE 21+ 44 223 33 64 20 47 24 24
1689788598 THOMPSON, KENNETH D, DDS 2021 FFS RENDERING AGE 0-20 18 89 14 19 11 32 14 16
1689788598 THOMPSON, KENNETH D, DDS 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1689789711 VERCELES, ROBERT TIMOTHY, DD 2021 FFS RENDERING AGE 21+ 78 204 1 1 77 120 78 78
1689798274 LUONG DEAN 2021 FFS RENDERING AGE 0-20 15 95 1 2 1 2 1 1
1689798274 LUONG DEAN 2021 FFS RENDERING AGE 21+ 94 536 63 67 56 173 65 65
1689799736 LEE, STEPHEN M, DDS 2021 FFS RENDERING AGE 0-20 21 111 21 63 1 1 14 18
1689799736 LEE, STEPHEN M, DDS 2021 FFS RENDERING AGE 21+ 118 499 95 156 64 147 55 55
1689808651 HE PING M 2021 PHP RENDERING AGE 0-20 1 2 1 1 0 0 1 1
1689809410 SHAH AQEELA S 2021 FFS RENDERING AGE 0-20 99 677 86 219 32 88 86 96
1689809410 SHAH AQEELA S 2021 FFS RENDERING AGE 21+ 82 488 45 90 48 98 59 59
1689814535 HWANG JEFFREY M 2021 FFS RENDERING AGE 0-20 63 138 0 0 28 83 0 0
1689814535 HWANG JEFFREY M 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1689815417 GURZ MURAT 2021 GMC RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1689818056 KRIER, NICHOLAS J MD 2021 FFS RENDERING AGE 0-20 42 94 0 0 42 94 0 0
1689818635 ROCES MARIA VICTORIA 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1689820128 BUTALA, SHAILESH MANHARLAL, 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 2 1 1
1689820128 BUTALA, SHAILESH MANHARLAL, 2021 FFS RENDERING AGE 21+ 24 132 17 17 17 49 21 21
1689820342 DAVID M CASHMAN 2021 FFS RENDERING AGE 0-20 214 1,842 54 146 205 1,680 1 1
1689820342 DAVID M CASHMAN 2021 FFS RENDERING AGE 21+ 123 717 1 1 116 697 1 1
1689825804 FRANCE GARY L 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1689825804 FRANCE GARY L 2021 PHP RENDERING AGE 0-20 167 2,227 157 690 119 331 161 219
1689825804 FRANCE GARY L 2021 PHP RENDERING AGE 21+ 108 495 16 19 59 190 88 89
1689832677 RASTEGAR-PANAH ARASH 2021 FFS RENDERING AGE 0-20 40 253 32 62 19 49 38 44
1689832677 RASTEGAR-PANAH ARASH 2021 FFS RENDERING AGE 21+ 90 395 43 49 34 111 77 77
1689848327 SHWEISH ARIANA 2021 FFS RENDERING AGE 0-20 284 361 0 0 39 78 0 0
1689848327 SHWEISH ARIANA 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1689848327 SHWEISH ARIANA 2021 PHP RENDERING AGE 0-20 18 31 0 0 16 25 0 0
1689850315 LEE SANG E 2021 FFS RENDERING AGE 0-20 597 5,768 497 1,644 363 970 448 469
1689850315 LEE SANG E 2021 FFS RENDERING AGE 21+ 702 5,824 207 326 546 2,382 357 359
1689854648 CANCIO, JUAN POCHOLO DDS 2021 FFS RENDERING AGE 0-20 413 5,082 372 1,155 252 719 312 416
1689854648 CANCIO, JUAN POCHOLO DDS 2021 FFS RENDERING AGE 21+ 389 3,053 215 218 259 1,279 218 218
1689862146 LEE JINA 2021 PHP RENDERING AGE 0-20 1 1 0 0 0 0 1 1
1689862146 LEE JINA 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1689864985 LEE, EMILY DDS 2021 FFS RENDERING AGE 0-20 28 124 22 55 1 2 24 24
1689864985 LEE, EMILY DDS 2021 FFS RENDERING AGE 21+ 23 83 11 22 15 36 12 12
1689868242 AGUILAR JACQUELINE D 2021 PHP RENDERING AGE 0-20 1 1 1 1 1 1 1 1
1689868242 AGUILAR JACQUELINE D 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1689868564 HART HARRY A 2021 FFS RENDERING AGE 0-20 328 3,192 251 623 151 503 296 324
1689868564 HART HARRY A 2021 FFS RENDERING AGE 21+ 830 6,081 269 523 641 3,235 565 566
1689868564 HART, HARRY A, DDS 2021 FFS RENDERING AGE 0-20 328 3,192 251 623 151 503 296 324
1689868564 HART, HARRY A, DDS 2021 FFS RENDERING AGE 21+ 830 6,081 269 523 641 3,235 565 566
1689875395 BAAG JI H 2021 FFS RENDERING AGE 0-20 11 16 1 1 1 1 1 1
1689875395 BAAG JI H 2021 FFS RENDERING AGE 21+ 122 185 0 0 118 162 1 1
1689875395 BAAG JI H 2021 GMC RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1689875395 BAAG JI H 2021 GMC RENDERING AGE 21+ 1 2 0 0 1 1 1 1
1689875395 BAAG JI H 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1689875395 BAAG JI H 2021 PHP RENDERING AGE 21+ 51 82 1 1 46 65 1 2
1689886459 TREVINO, EDWARD A, DDS 2021 FFS RENDERING AGE 0-20 352 6,544 312 1,738 148 848 320 886
1689886459 TREVINO, EDWARD A, DDS 2021 FFS RENDERING AGE 21+ 390 4,194 165 330 241 1,366 261 522
1689888711 REZKALLA, ATEF R, DDS INC 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1689890915 BUI MICHELLE T 2021 FFS RENDERING AGE 0-20 76 830 74 228 42 133 73 103
1689890915 BUI MICHELLE T 2021 FFS RENDERING AGE 21+ 48 312 31 59 30 81 41 41
1689893372 MINYE LASZLO E 2021 FFS RENDERING AGE 0-20 38 105 0 0 38 104 0 0
1689893372 MINYE LASZLO E 2021 FFS RENDERING AGE 21+ 145 513 0 0 144 484 1 1
1689895666 KORBATOV VLADIMIR Y 2021 FFS RENDERING AGE 21+ 274 929 48 48 202 415 117 117
1689897720 ELENES, DANIEL, DDS 2021 FFS RENDERING AGE 0-20 336 10,958 292 2,194 232 1,870 315 860
1689897720 ELENES, DANIEL, DDS 2021 FFS RENDERING AGE 21+ 464 10,740 124 402 373 4,356 344 688
1689903346 ESHAGHIAN, SIAMAK DDS 2021 FFS RENDERING AGE 0-20 482 2,203 0 0 482 2,203 0 0
1689908923 MOAWAD, KATERINA 2021 FFS RENDERING AGE 0-20 838 8,356 623 2,270 648 2,404 601 653
1689908923 MOAWAD, KATERINA 2021 FFS RENDERING AGE 21+ 53 292 17 41 34 118 22 22
1689913105 BANERJEE DENTAL CORPORATION 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 0 0
1689913113 VALLE JULIA J 2021 FFS RENDERING AGE 0-20 392 4,353 367 1,243 232 873 366 509
1689913113 VALLE JULIA J 2021 FFS RENDERING AGE 21+ 384 2,751 246 470 276 1,228 306 306
1689914012 PERI JONATHAN 2021 FFS RENDERING AGE 0-20 263 999 0 0 219 819 82 82
1689914012 PERI JONATHAN 2021 FFS RENDERING AGE 21+ 793 2,761 0 0 699 2,208 222 223
1689914012 PERI JONATHAN 2021 PHP RENDERING AGE 0-20 1 2 0 0 1 2 1 1
1689914012 PERI JONATHAN 2021 PHP RENDERING AGE 21+ 47 141 0 0 39 114 21 22
1689917072 GONZALEZ-ESPINO CARLOS E 2021 FFS RENDERING AGE 21+ 19 23 0 0 19 23 0 0
1689919995 COHEN SEDGH MANAVI & PAKRAVA 2021 PHP RENDERING AGE 0-20 24 58 1 1 0 0 1 1
1689919995 COHEN SEDGH MANAVI & PAKRAVA 2021 PHP RENDERING AGE 21+ 33 61 0 0 1 1 1 1
1689919995 COHEN SEDGH, MANAVI & PAKRAVAN DENTAL CORPORATION 2021 PHP RENDERING AGE 0-20 24 58 1 1 0 0 1 1
1689919995 COHEN SEDGH, MANAVI & PAKRAVAN DENTAL CORPORATION 2021 PHP RENDERING AGE 21+ 33 61 0 0 1 1 1 1
1689924276 TABACHNIK GENNADY 2021 FFS RENDERING AGE 0-20 547 4,712 353 1,109 377 880 336 346
1689924276 TABACHNIK GENNADY 2021 FFS RENDERING AGE 21+ 116 621 29 58 83 219 34 34
1689933178 LEDOUX ANNIE C 2021 PHP RENDERING AGE 0-20 26 129 19 40 1 2 19 19
1689933178 LEDOUX ANNIE C 2021 PHP RENDERING AGE 21+ 159 788 54 54 99 330 94 94
1689952376 NEELAGIRI KRISHNA 2021 FFS RENDERING AGE 0-20 529 2,091 339 684 86 124 437 442
1689952376 NEELAGIRI KRISHNA 2021 FFS RENDERING AGE 21+ 694 1,659 129 251 285 408 400 402
1689953911 DAVIDSON JOSHUA E 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 2 0 0
1689958787 HONG BEVERLY Y 2021 FFS RENDERING AGE 0-20 1,238 23,067 684 1,729 1,238 14,434 1,224 1,227
1689964694 ALANIZ ROSA M 2021 FFS RENDERING AGE 0-20 536 7,316 509 1,265 244 801 524 636
1689964694 ALANIZ ROSA M 2021 FFS RENDERING AGE 21+ 330 3,326 217 440 170 544 264 264
1689964694 ALANIZ ROSA M 2021 PHP RENDERING AGE 21+ 1 2 0 0 1 1 0 0
1689985905 ANDRES PATRICIO N 2021 FFS RENDERING AGE 0-20 636 8,791 604 2,431 422 1,859 595 918
1689998437 LE GREGORY E 2021 FFS RENDERING AGE 0-20 85 430 67 158 24 122 48 48
1689998437 LE GREGORY E 2021 FFS RENDERING AGE 21+ 265 1,156 118 197 107 514 182 182
1689998650 HUBER CHRISTOPHER C 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1689998650 HUBER CHRISTOPHER C 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 0 0
1699000950 BAGHDASARIAN STELLA 2021 FFS RENDERING AGE 0-20 48 311 29 64 25 111 40 46
1699000950 BAGHDASARIAN STELLA 2021 FFS RENDERING AGE 21+ 58 230 18 31 38 114 28 28
1699006346 BABAAN ROZHEH 2021 FFS RENDERING AGE 0-20 1 2 0 0 1 2 0 0
1699013235 PULVER ROSS 2021 FFS RENDERING AGE 0-20 227 419 0 0 114 222 0 0
1699013235 PULVER ROSS 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1699013235 PULVER ROSS 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1699013235 PULVER ROSS 2021 PHP RENDERING AGE 21+ 1 2 0 0 1 2 0 0
1699021071 KIM ERIN I 2021 FFS RENDERING AGE 0-20 351 3,483 246 705 171 685 315 384
1699021071 KIM ERIN I 2021 FFS RENDERING AGE 21+ 284 1,528 47 47 145 545 210 212
1699021071 KIM ERIN I 2021 PHP RENDERING AGE 0-20 87 765 68 234 32 99 80 99
1699021071 KIM ERIN I 2021 PHP RENDERING AGE 21+ 51 270 1 1 25 93 44 46
1699022400 KAUR MONINDER 2021 FFS RENDERING AGE 0-20 142 1,338 135 602 32 120 127 154
1699022400 KAUR MONINDER 2021 FFS RENDERING AGE 21+ 362 2,343 304 584 193 625 313 313
1699025270 KIM HAE SUK 2021 FFS RENDERING AGE 0-20 606 9,136 590 2,405 248 794 596 876
1699025270 KIM HAE SUK 2021 FFS RENDERING AGE 21+ 176 1,532 152 299 94 319 158 158
1699025270 KIM HAE SUK 2021 PHP RENDERING AGE 0-20 1 2 0 0 1 2 0 0
1699028621 NGUYEN HUNG T 2021 FFS RENDERING AGE 0-20 12 205 12 92 1 1 11 16
1699028621 NGUYEN HUNG T 2021 FFS RENDERING AGE 21+ 16 112 15 30 1 1 16 16
1699031898 ELENBERGER LISA A 2021 GMC RENDERING AGE 0-20 97 444 26 74 91 214 0 0
1699058461 KUMAR, RAKESH DDS 2021 FFS RENDERING AGE 0-20 909 13,115 836 2,723 510 2,434 864 1,172
1699058461 KUMAR, RAKESH DDS 2021 FFS RENDERING AGE 21+ 766 6,240 435 865 450 2,288 647 647
1699069245 SADEGHI REZA 2021 FFS RENDERING AGE 0-20 22 173 16 37 13 39 18 23
1699069245 SADEGHI REZA 2021 FFS RENDERING AGE 21+ 36 272 22 22 26 104 31 31
1699072314 KREKIAN ANIFA 2021 FFS RENDERING AGE 0-20 116 727 83 227 54 177 99 103
1699072314 KREKIAN ANIFA 2021 FFS RENDERING AGE 21+ 219 797 51 61 89 282 165 165
1699072314 KREKIAN ANIFA 2021 PHP RENDERING AGE 0-20 37 118 22 41 1 1 31 32
1699072314 KREKIAN ANIFA 2021 PHP RENDERING AGE 21+ 83 197 20 24 27 68 67 69
1699095505 RATTAN TEJDEEP S 2021 FFS RENDERING AGE 0-20 26 91 14 24 1 2 14 14
1699095505 RATTAN TEJDEEP S 2021 FFS RENDERING AGE 21+ 80 242 13 14 35 93 64 64
1699101295 NGUYEN BAO-CHAU L 2021 FFS RENDERING AGE 0-20 204 2,732 197 794 110 338 199 274
1699101295 NGUYEN BAO-CHAU L 2021 FFS RENDERING AGE 21+ 532 5,797 387 775 424 1,903 410 410
1699107300 DIANAT ARSHAM 2021 FFS RENDERING AGE 0-20 471 6,712 432 1,887 193 398 441 576
1699107300 DIANAT ARSHAM 2021 FFS RENDERING AGE 21+ 334 2,795 112 175 218 740 209 209
1699109330 HWANG HUN 2021 FFS RENDERING AGE 0-20 12 59 1 2 1 1 12 14
1699109330 HWANG HUN 2021 FFS RENDERING AGE 21+ 118 638 69 139 78 294 39 39
1699121210 MEJIA GUADALUPE A 2021 FFS RENDERING AGE 0-20 276 3,118 238 654 126 451 249 337
1699121210 MEJIA GUADALUPE A 2021 FFS RENDERING AGE 21+ 182 1,260 78 155 132 537 124 124
1699132001 QUIDWAI SAMINA J 2021 FFS RENDERING AGE 0-20 738 6,186 614 1,548 136 253 633 700
1699132001 QUIDWAI SAMINA J 2021 FFS RENDERING AGE 21+ 680 5,076 300 529 448 1,111 356 358
1699153429 CHUNG MIRIAM 2021 FFS RENDERING AGE 0-20 1 2 0 0 1 2 0 0
1699153742 GORGEES SARAH 2021 FFS RENDERING AGE 21+ 1,420 7,795 303 405 1,379 4,301 853 884
1699153742 GORGEES SARAH 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1699168583 ISSAKHARIAN MICHAEL 2021 FFS RENDERING AGE 0-20 397 1,157 0 0 390 1,107 1 1
1699168583 ISSAKHARIAN MICHAEL 2021 FFS RENDERING AGE 21+ 668 1,691 0 0 649 1,542 19 19
1699168583 ISSAKHARIAN MICHAEL 2021 GMC RENDERING AGE 0-20 62 130 0 0 61 123 1 1
1699168583 ISSAKHARIAN MICHAEL 2021 GMC RENDERING AGE 21+ 119 206 0 0 92 163 31 31
1699168583 ISSAKHARIAN MICHAEL 2021 PHP RENDERING AGE 0-20 27 66 0 0 24 58 1 1
1699168583 ISSAKHARIAN MICHAEL 2021 PHP RENDERING AGE 21+ 77 193 1 1 33 95 62 62
1699189431 LEE JUDYTH G 2021 FFS RENDERING AGE 0-20 916 7,619 821 2,460 406 1,988 759 958
1699189431 LEE JUDYTH G 2021 FFS RENDERING AGE 21+ 1 1 1 1 1 1 0 0
1699213439 PACYGA PATRICK J 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1699214478 ASHMORE, GLENN C, DDS INC 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1699214478 ASHMORE, GLENN C, DDS INC 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 0 0
1699219329 KHALID MUSTAFA W 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1699219329 KHALID MUSTAFA W 2021 FFS RENDERING AGE 21+ 71 489 40 41 51 290 63 63
1699221622 CHO JAEWOO 2021 FFS RENDERING AGE 0-20 12 42 0 0 12 42 0 0
1699221622 CHO JAEWOO 2021 FFS RENDERING AGE 21+ 12 37 0 0 12 35 1 1
1699250837 POGHOSYAN ROZA 2021 FFS RENDERING AGE 0-20 138 886 105 245 57 148 107 113
1699250837 POGHOSYAN ROZA 2021 FFS RENDERING AGE 21+ 494 2,754 277 552 288 816 299 301
1699254060 DIEPLINGER ALESSANDRA A 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1699254060 DIEPLINGER ALESSANDRA A 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1699258830 CONWAY RAIVYN M 2021 FFS RENDERING AGE 0-20 18 65 12 28 1 1 1 1
1699258830 CONWAY RAIVYN M 2021 FFS RENDERING AGE 21+ 25 59 1 2 13 23 1 1
1699260935 HERNANDEZ MORAL RODOLFO 2021 FFS RENDERING AGE 0-20 80 510 64 164 43 140 61 66
1699260935 HERNANDEZ MORAL RODOLFO 2021 FFS RENDERING AGE 21+ 99 528 59 116 61 197 71 72
1699261495 LIM KWANG MIN 2021 FFS RENDERING AGE 0-20 33 241 15 33 20 48 19 20
1699261495 LIM KWANG MIN 2021 FFS RENDERING AGE 21+ 204 1,413 37 48 107 333 130 130
1699261495 LIM KWANG MIN 2021 GMC RENDERING AGE 0-20 1 1 1 1 1 1 0 0
1699261495 LIM KWANG MIN 2021 GMC RENDERING AGE 21+ 791 7,584 773 1,763 512 1,826 485 489
1699265157 CLAYTON COURTNEY M 2021 FFS RENDERING AGE 0-20 1,682 2,699 0 0 348 930 0 0
1699265157 CLAYTON COURTNEY M 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1699265157 CLAYTON COURTNEY M 2021 GMC RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1699265157 CLAYTON COURTNEY M 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1699265157 CLAYTON COURTNEY M 2021 PHP RENDERING AGE 0-20 1 2 0 0 1 1 0 0
1699265157 CLAYTON COURTNEY M 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1699277293 IBRAHIM JACKLYN 2021 PHP RENDERING AGE 21+ 1 2 0 0 1 1 1 1
1699307835 KAUR SIMRANPREET 2021 FFS RENDERING AGE 0-20 119 364 22 58 105 231 14 14
1699307835 KAUR SIMRANPREET 2021 FFS RENDERING AGE 21+ 72 226 1 1 67 157 1 1
1699308585 AL KAISSEY QUSSAY A 2021 FFS RENDERING AGE 0-20 347 1,525 66 181 209 472 213 228
1699308585 AL KAISSEY QUSSAY A 2021 FFS RENDERING AGE 21+ 865 2,804 67 131 546 1,084 409 410
1699308585 AL KAISSEY QUSSAY A 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1699308585 AL KAISSEY QUSSAY A 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1699320671 MIZRAHI YEHONATAN 2021 FFS RENDERING AGE 0-20 357 2,380 282 744 174 567 296 318
1699320671 MIZRAHI YEHONATAN 2021 FFS RENDERING AGE 21+ 234 1,011 49 78 143 442 133 133
1699320671 MIZRAHI YEHONATAN 2021 PHP RENDERING AGE 0-20 361 2,134 138 468 253 717 155 158
1699320671 MIZRAHI YEHONATAN 2021 PHP RENDERING AGE 21+ 294 1,227 32 61 233 571 62 62
1699322099 CHEUNG KA CHUN 2021 FFS RENDERING AGE 0-20 41 692 33 162 32 155 35 40
1699322099 CHEUNG KA CHUN 2021 FFS RENDERING AGE 21+ 67 861 44 86 50 209 56 56
1699322099 CHEUNG KA CHUN 2021 PHP RENDERING AGE 0-20 24 206 22 101 11 18 22 24
1699322099 CHEUNG KA CHUN 2021 PHP RENDERING AGE 21+ 27 175 20 45 17 49 15 15
1699323568 PIPALIA MAHEK D 2021 FFS RENDERING AGE 0-20 1,116 8,308 760 2,071 809 2,434 637 655
1699323568 PIPALIA MAHEK D 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1699327353 HADID NAWAR 2021 FFS RENDERING AGE 0-20 1,184 6,103 671 1,976 278 370 1,114 1,262
1699327353 HADID NAWAR 2021 FFS RENDERING AGE 21+ 1,117 3,871 190 362 359 1,213 875 877
1699331454 ARCHIE NICHOLAS A 2021 FFS RENDERING AGE 0-20 392 2,756 341 917 236 520 332 339
1699331454 ARCHIE NICHOLAS A 2021 FFS RENDERING AGE 21+ 332 1,643 131 243 208 675 233 234
1699331454 ARCHIE NICHOLAS A 2021 PHP RENDERING AGE 0-20 1 2 1 2 1 2 1 1
1699331454 ARCHIE NICHOLAS A 2021 PHP RENDERING AGE 21+ 1 2 1 2 1 1 1 1
1699335497 ZADFAR MILAD 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1699335497 ZADFAR MILAD 2021 FFS RENDERING AGE 21+ 58 211 1 2 54 165 1 1
1699345371 SHAKIBA PAYMAUN 2021 FFS RENDERING AGE 0-20 53 365 39 78 26 95 38 38
1699345371 SHAKIBA PAYMAUN 2021 FFS RENDERING AGE 21+ 140 789 74 145 98 303 82 82
1699345843 HINGU SAAJAN S 2021 FFS RENDERING AGE 0-20 99 378 67 153 43 120 24 24
1699345843 HINGU SAAJAN S 2021 FFS RENDERING AGE 21+ 206 567 56 83 157 377 27 27
1699345843 HINGU SAAJAN S 2021 PHP RENDERING AGE 0-20 1 1 0 0 0 0 1 1
1699345843 HINGU SAAJAN S 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1699389460 THU LIN 2021 FFS RENDERING AGE 0-20 1 2 1 2 0 0 1 1
1699389460 THU LIN 2021 FFS RENDERING AGE 21+ 22 97 1 2 17 55 1 1
1699389460 THU LIN 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1699753319 KOKA SREENIVAS 2021 FFS RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1699753319 KOKA SREENIVAS 2021 FFS RENDERING AGE 21+ 105 371 12 12 69 232 63 63
1699770966 ELNOKRASHY KARIM AHMAD S 2021 FFS RENDERING AGE 0-20 2,544 47,282 2,483 10,902 1,501 5,511 2,493 3,820
1699770966 ELNOKRASHY KARIM AHMAD S 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1699771154 LEE PETER Y 2021 FFS RENDERING AGE 0-20 47 452 42 132 31 98 43 56
1699771154 LEE PETER Y 2021 FFS RENDERING AGE 21+ 83 558 59 118 49 151 70 70
1699778258 WORK JANICE R 2021 FFS RENDERING AGE 0-20 62 605 51 183 25 111 48 69
1699778258 WORK JANICE R 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1699778258 WORK JANICE R 2021 GMC RENDERING AGE 0-20 180 1,217 52 181 180 824 1 1
1699778258 WORK JANICE R 2021 GMC RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1699803049 KOO BERNARD W 2021 PHP RENDERING AGE 0-20 45 158 18 32 22 36 25 25
1699803049 KOO BERNARD W 2021 PHP RENDERING AGE 21+ 141 442 30 30 92 179 58 58
1699804492 KENNEDY, BOBBY DDS 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1699804492 KENNEDY, BOBBY DDS 2021 GMC RENDERING AGE 0-20 313 2,475 275 1,024 106 145 290 382
1699804492 KENNEDY, BOBBY DDS 2021 GMC RENDERING AGE 21+ 301 1,207 112 135 168 306 191 195
1699804492 KENNEDY, BOBBY DDS 2021 PHP RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1699805028 HOANG, LIEN BICH DDS 2021 FFS RENDERING AGE 0-20 209 2,160 187 527 72 170 179 193
1699805028 HOANG, LIEN BICH DDS 2021 FFS RENDERING AGE 21+ 343 2,629 241 480 132 298 258 260
1699810325 DJAYA TANTRA 2021 FFS RENDERING AGE 0-20 166 1,922 146 321 98 467 138 165
1699810325 DJAYA TANTRA 2021 FFS RENDERING AGE 21+ 345 2,627 218 223 232 944 240 240
1699810325 DJAYA TANTRA 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1699812180 MOHAMED MOHAMED H 2021 GMC RENDERING AGE 0-20 407 3,016 357 1,175 102 231 373 446
1699812180 MOHAMED MOHAMED H 2021 GMC RENDERING AGE 21+ 875 3,387 489 651 330 803 742 849
1699816108 LOPEZ-SHAMS MARIA C 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1699816108 LOPEZ-SHAMS MARIA C 2021 GMC RENDERING AGE 0-20 1,634 13,008 1,069 4,552 659 1,383 950 1,050
1699816116 DAO, MICHAEL TUAN, DMD 2021 FFS RENDERING AGE 0-20 277 3,092 229 428 190 467 219 240
1699816116 DAO, MICHAEL TUAN, DMD 2021 FFS RENDERING AGE 21+ 502 4,965 292 292 403 1,380 324 324
1699816116 DAO, MICHAEL TUAN, DMD 2021 PHP RENDERING AGE 0-20 1 2 0 0 1 1 1 1
1699816173 OH, SAEKYU, DMD DENTAL CORP 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 1 0 0
1699816173 SAEKYU OH D.M.D DENTAL CORP 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 1 0 0
1699817916 YESSAIAN, ANOUSH, DDS 2021 FFS RENDERING AGE 0-20 144 1,167 117 336 55 170 137 159
1699817916 YESSAIAN, ANOUSH, DDS 2021 FFS RENDERING AGE 21+ 336 2,551 179 357 252 948 237 237
1699817916 YESSAIAN, ANOUSH, DDS 2021 PHP RENDERING AGE 0-20 51 479 51 196 23 77 50 57
1699817916 YESSAIAN, ANOUSH, DDS 2021 PHP RENDERING AGE 21+ 72 541 70 211 29 118 67 67
1699821017 FARR, EVAN, DDS 2021 FFS RENDERING AGE 0-20 100 715 0 0 1 1 86 86
1699821017 FARR, EVAN, DDS 2021 FFS RENDERING AGE 21+ 632 4,097 1 1 103 103 427 427
1699822718 PATEL, PRAFUL DDS 2021 FFS RENDERING AGE 0-20 44 450 38 161 29 70 40 47
1699822718 PATEL, PRAFUL DDS 2021 FFS RENDERING AGE 21+ 97 679 57 57 84 264 67 67
1699822767 DAYRIT LUZVIMINDA V 2021 FFS RENDERING AGE 0-20 419 3,480 368 920 197 667 375 427
1699822767 DAYRIT LUZVIMINDA V 2021 FFS RENDERING AGE 21+ 579 3,940 343 522 404 1,634 401 401
1699823104 DR. CHUN PANG KIR DDS 2021 FFS RENDERING AGE 0-20 13 65 1 2 1 1 1 1
1699823104 DR. CHUN PANG KIR DDS 2021 FFS RENDERING AGE 21+ 193 755 65 65 147 379 69 69
1699827980 HMUROVIC BRUCE H 2021 FFS RENDERING AGE 21+ 1,028 3,623 553 1,229 1,025 1,970 376 376
1699829499 CHMIELEWSKI, LEELA 2021 FFS RENDERING AGE 0-20 127 2,064 121 508 80 254 123 200
1699829499 CHMIELEWSKI, LEELA 2021 FFS RENDERING AGE 21+ 175 2,352 131 262 163 808 141 141
1699830653 GONZALES, YOLANDA DMD 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1699830653 GONZALES, YOLANDA DMD 2021 FFS RENDERING AGE 21+ 44 157 19 20 24 43 20 20
1699830653 GONZALES, YOLANDA DMD 2021 GMC RENDERING AGE 0-20 372 3,708 332 1,788 359 730 329 429
1699830653 GONZALES, YOLANDA DMD 2021 GMC RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1699831065 DER BOGHOSIAN-I RUPEN 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1699831065 DER BOGHOSIAN-I RUPEN 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1699834432 MAYALIDAG SALIH M 2021 FFS RENDERING AGE 0-20 47 490 39 90 37 212 46 58
1699834432 MAYALIDAG SALIH M 2021 FFS RENDERING AGE 21+ 123 826 65 66 89 442 94 95
1699837823 ZARINNIA MATT 2021 FFS RENDERING AGE 0-20 22 103 18 33 1 1 18 19
1699837823 ZARINNIA MATT 2021 FFS RENDERING AGE 21+ 151 613 54 54 79 242 108 108
1699839720 MACARAIG, MILAGROS J DDS 2021 FFS RENDERING AGE 0-20 15 102 13 28 1 2 14 15
1699839720 MACARAIG, MILAGROS J DDS 2021 FFS RENDERING AGE 21+ 39 194 27 52 16 39 38 38
1699843219 AHMED SAMEENA 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 2 1 1
1699843219 AHMED SAMEENA 2021 FFS RENDERING AGE 21+ 26 108 1 1 11 43 14 14
1699843219 AHMED SAMEENA 2021 GMC RENDERING AGE 0-20 427 4,819 416 2,137 149 540 394 509
1699843219 AHMED SAMEENA 2021 GMC RENDERING AGE 21+ 621 4,721 474 1,195 310 1,268 429 466
1699843847 AGHCHAY MARYAM N 2021 FFS RENDERING AGE 0-20 83 854 68 187 31 74 70 82
1699843847 AGHCHAY MARYAM N 2021 FFS RENDERING AGE 21+ 158 905 1 2 103 273 99 99
1699844068 NGO THANH H 2021 FFS RENDERING AGE 0-20 27 249 27 94 1 2 23 30
1699844068 NGO THANH H 2021 FFS RENDERING AGE 21+ 74 520 51 97 50 217 56 56
1699844068 NGO THANH H 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1699844373 LEE, MYOUNG C 2021 FFS RENDERING AGE 0-20 12 48 11 21 0 0 12 18
1699844373 LEE, MYOUNG C 2021 FFS RENDERING AGE 21+ 181 1,002 133 136 129 496 148 150
1699852152 NGUYEN THIEN C 2021 FFS RENDERING AGE 0-20 24 163 21 44 1 2 21 22
1699852152 NGUYEN THIEN C 2021 FFS RENDERING AGE 21+ 108 923 51 83 76 362 70 70
1699854935 BUENDIA JAVIER R 2021 FFS RENDERING AGE 0-20 77 712 76 351 14 42 73 92
1699854935 BUENDIA JAVIER R 2021 FFS RENDERING AGE 21+ 79 454 46 91 42 122 65 65
1699855593 DANG, HUY QUOC, DDS 2021 FFS RENDERING AGE 0-20 48 270 37 95 15 61 46 56
1699855593 DANG, HUY QUOC, DDS 2021 FFS RENDERING AGE 21+ 115 623 84 163 44 220 106 106
1699857185 CAO, ANTHONY DDS 2021 FFS RENDERING AGE 0-20 689 10,281 653 2,516 437 1,607 640 810
1699857185 CAO, ANTHONY DDS 2021 FFS RENDERING AGE 21+ 359 3,269 247 489 288 1,185 259 259
1699857185 CAO, ANTHONY DDS 2021 PHP RENDERING AGE 0-20 43 433 42 190 22 70 42 57
1699857185 CAO, ANTHONY DDS 2021 PHP RENDERING AGE 21+ 124 984 115 319 76 356 117 122
1699858597 LOK WHELAN W 2021 FFS RENDERING AGE 0-20 23 209 21 41 1 2 21 21
1699858597 LOK WHELAN W 2021 FFS RENDERING AGE 21+ 46 272 19 37 31 86 27 27
1699858597 LOK WHELAN W 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1699858597 LOK WHELAN W 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1699863407 DINH, CHRISTOPHER M, DDS 2021 FFS RENDERING AGE 0-20 128 734 86 199 23 54 115 125
1699863407 DINH, CHRISTOPHER M, DDS 2021 FFS RENDERING AGE 21+ 284 996 60 109 93 289 236 236
1699864348 CHOI ANDREA K 2021 FFS RENDERING AGE 0-20 91 843 83 325 36 98 86 111
1699864348 CHOI ANDREA K 2021 FFS RENDERING AGE 21+ 161 916 69 137 107 312 111 111
1699867226 CHAN, WEI W, DDS 2021 FFS RENDERING AGE 0-20 114 3,352 109 640 62 354 102 244
1699867226 CHAN, WEI W, DDS 2021 FFS RENDERING AGE 21+ 197 5,258 151 602 160 1,338 158 316
1699869966 ARSLANIAN VAHAKEN R 2021 FFS RENDERING AGE 0-20 2,891 45,687 968 2,625 2,891 30,500 2,048 2,067
1699875518 GHARAKHANIAN NARBEH 2021 FFS RENDERING AGE 0-20 347 1,867 0 0 347 1,839 1 1
1699875518 GHARAKHANIAN NARBEH 2021 FFS RENDERING AGE 21+ 404 2,023 0 0 404 2,004 1 1
1699875518 GHARAKHANIAN NARBEH 2021 PHP RENDERING AGE 0-20 29 100 0 0 27 88 1 1
1699875518 GHARAKHANIAN NARBEH 2021 PHP RENDERING AGE 21+ 75 236 0 0 50 157 57 59
1699878546 GOROSPE DENNIS LISING 2021 PHP RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1699882183 REGALADO ALOIS L 2021 FFS RENDERING AGE 0-20 177 1,837 134 321 114 394 138 142
1699882183 REGALADO ALOIS L 2021 FFS RENDERING AGE 21+ 227 1,628 68 130 149 392 143 143
1699882498 DIAZ DAVID M 2021 FFS RENDERING AGE 0-20 1,218 8,242 1,072 3,214 613 1,495 1,045 1,090
1699882498 DIAZ DAVID M 2021 PHP RENDERING AGE 0-20 1 2 1 2 1 2 1 1
1699882498 DIAZ, DAVID M, DDS 2021 FFS RENDERING AGE 0-20 1,218 16,484 1,072 6,428 613 2,990 1,045 2,180
1699882498 DIAZ, DAVID M, DDS 2021 PHP RENDERING AGE 0-20 1 2 1 2 1 2 1 2
1699883223 LE MEN THI H 2021 FFS RENDERING AGE 0-20 118 1,045 95 278 76 361 94 106
1699883223 LE MEN THI H 2021 FFS RENDERING AGE 21+ 302 2,256 119 216 219 1,176 201 204
1699894642 MARTINEZ ROSSY M 2021 FFS RENDERING AGE 0-20 20 146 19 53 1 2 19 20
1699894642 MARTINEZ ROSSY M 2021 FFS RENDERING AGE 21+ 15 81 1 2 1 2 1 1
1699897819 LAI JAMES K 2021 FFS RENDERING AGE 0-20 104 976 89 212 46 117 98 116
1699897819 LAI JAMES K 2021 FFS RENDERING AGE 21+ 198 1,823 154 298 129 437 166 166
1699899203 TRAN TRANG Q 2021 FFS RENDERING AGE 0-20 1,858 20,088 1,578 4,865 1,079 2,724 1,490 1,688
1699899203 TRAN TRANG Q 2021 FFS RENDERING AGE 21+ 20 135 11 20 1 2 11 11
1699903609 CHING HELEN H 2021 FFS RENDERING AGE 0-20 1,123 9,049 814 2,231 692 2,622 689 772
1699905430 SHAH AMIT A 2021 FFS RENDERING AGE 0-20 140 2,162 92 370 122 971 74 113
1699920678 ISMAIL EHAB F 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1699923375 ABAI SIAMAK 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1699925453 PARK AND KIM DENTAL CORPORAT 2021 GMC RENDERING AGE 0-20 13 19 0 0 1 1 13 13
1699925453 PARK AND KIM DENTAL CORPORAT 2021 GMC RENDERING AGE 21+ 21 33 0 0 14 16 17 17
1699925982 AGHILI MICHELLE M 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1699931394 SOURIAL NASH 2021 FFS RENDERING AGE 0-20 696 8,390 660 2,658 406 760 653 795
1699935049 LEVI ROYA E 2021 FFS RENDERING AGE 0-20 20 103 17 44 1 1 20 20
1699935049 LEVI ROYA E 2021 FFS RENDERING AGE 21+ 49 176 34 34 1 2 48 48
1699946384 LEE JULIANA Y 2021 FFS RENDERING AGE 21+ 2,236 6,575 20 30 2,235 5,176 1,364 1,365
1699948398 DUONG QUYEN T 2021 FFS RENDERING AGE 0-20 192 1,318 177 294 91 230 175 229
1699948398 DUONG QUYEN T 2021 FFS RENDERING AGE 21+ 233 1,489 167 167 149 401 166 166
1699950949 SOLEIMANI SOHEIL A 2021 FFS RENDERING AGE 0-20 111 1,158 92 336 62 267 90 107
1699950949 SOLEIMANI SOHEIL A 2021 FFS RENDERING AGE 21+ 149 831 40 49 94 405 125 128
1699952887 SANTOS MANOLET B 2021 FFS RENDERING AGE 0-20 96 785 93 348 33 150 79 114
1699952887 SANTOS MANOLET B 2021 FFS RENDERING AGE 21+ 267 1,732 48 48 206 1,135 153 153
1699957696 FAJARDO JOSE AGAPITO T 2021 FFS RENDERING AGE 0-20 48 465 45 141 21 53 46 67
1699957696 FAJARDO JOSE AGAPITO T 2021 FFS RENDERING AGE 21+ 61 401 41 80 44 155 43 43
1699963751 MINASSIAN PATRICK 2021 FFS RENDERING AGE 0-20 38 283 25 51 22 47 29 35
1699963751 MINASSIAN PATRICK 2021 FFS RENDERING AGE 21+ 1,093 7,808 424 425 880 3,187 764 765
1699966515 ZALA MITESH B 2021 FFS RENDERING AGE 0-20 1,144 11,763 686 3,052 986 3,246 697 1,028
1699966515 ZALA MITESH B 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1699973644 FISHER MARK 2021 FFS RENDERING AGE 0-20 70 640 64 221 25 69 68 83
1699973644 FISHER MARK 2021 FFS RENDERING AGE 21+ 466 4,601 343 685 381 2,193 269 270
1699978320 NOURI, HAMID DDS 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 2 1 1
1699978320 NOURI, HAMID DDS 2021 FFS RENDERING AGE 21+ 39 240 1 1 33 195 17 17
1699978320 NOURI, HAMID DDS 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1699978320 NOURI, HAMID DDS 2021 PHP RENDERING AGE 21+ 12 47 1 1 1 2 1 1
1699978320 NOURI, HAMID, DDS 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 2 1 1
1699978320 NOURI, HAMID, DDS 2021 FFS RENDERING AGE 21+ 39 240 1 1 33 195 17 17
1699978320 NOURI, HAMID, DDS 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1699978320 NOURI, HAMID, DDS 2021 PHP RENDERING AGE 21+ 12 47 1 1 1 2 1 1
1700021094 GONZALES, RHODA L, RDHAP 2021 FFS RENDERING AGE 0-20 19 35 19 35 0 0 0 0
1700021094 GONZALES, RHODA L, RDHAP 2021 FFS RENDERING AGE 21+ 336 2,033 255 891 336 1,142 0 0
1700030384 ZADEH ALI 2021 FFS RENDERING AGE 0-20 982 19,628 553 1,796 982 11,765 600 600
1700038643 SOLTANI SAM 2021 FFS RENDERING AGE 0-20 73 542 64 192 27 89 60 80
1700038643 SOLTANI SAM 2021 FFS RENDERING AGE 21+ 321 2,220 205 361 230 786 188 188
1700050507 DEZA, ANTHONY DDS INC 2021 FFS RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1700050507 DEZA, ANTHONY DDS INC 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1700050507 DEZA, ANTHONY W, DDS INC 2021 FFS RENDERING AGE 0-20 1 2 0 0 0 0 0 0
1700050507 DEZA, ANTHONY W, DDS INC 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1700051968 MILLARE PASCO CONNIE 2021 PHP RENDERING AGE 0-20 30 209 20 59 14 23 24 27
1700051968 MILLARE PASCO CONNIE 2021 PHP RENDERING AGE 21+ 82 415 29 29 57 182 52 52
1700057429 NGUYEN TU Q 2021 FFS RENDERING AGE 0-20 18 58 1 1 18 56 0 0
1700057429 NGUYEN TU Q 2021 FFS RENDERING AGE 21+ 47 113 0 0 47 113 0 0
1700059086 ALOIAN, ALBERT, DDS 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1700059086 ALOIAN, ALBERT, DDS 2021 FFS RENDERING AGE 21+ 34 164 17 23 20 52 12 14
1700066230 TADEO ENMER I 2021 FFS RENDERING AGE 0-20 166 2,006 109 305 124 681 112 123
1700066230 TADEO ENMER I 2021 FFS RENDERING AGE 21+ 309 2,796 68 119 245 1,580 187 190
1700068426 ADORABLE RICA C 2021 FFS RENDERING AGE 0-20 25 258 23 56 1 2 22 25
1700068426 ADORABLE RICA C 2021 FFS RENDERING AGE 21+ 97 1,254 65 119 75 359 82 82
1700070372 LAZAR KEYVAN 2021 PHP RENDERING AGE 0-20 15 101 1 1 14 28 1 1
1700070372 LAZAR KEYVAN 2021 PHP RENDERING AGE 21+ 43 318 23 30 32 41 38 39
1700070455 KIM DANIEL 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1700070455 KIM DANIEL 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1700070455 KIM DANIEL 2021 GMC RENDERING AGE 0-20 522 946 1 1 501 886 31 32
1700070455 KIM DANIEL 2021 GMC RENDERING AGE 21+ 1,007 1,699 0 0 770 1,107 570 591
1700087590 ALAMEDA HEALTH SYSTEM 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1700087590 ALAMEDA HEALTH SYSTEM 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1700089364 TZOU, JERRY, DDS 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1700089364 TZOU, JERRY, DDS 2021 PHP RENDERING AGE 0-20 13 77 1 2 1 1 1 2
1700089364 TZOU, JERRY, DDS 2021 PHP RENDERING AGE 21+ 131 347 31 44 98 249 22 22
1700108610 HAKHAMIAN, ARASH, DDS 2021 FFS RENDERING AGE 0-20 102 340 91 265 11 27 14 16
1700108610 HAKHAMIAN, ARASH, DDS 2021 FFS RENDERING AGE 21+ 201 577 33 54 122 364 44 44
1700112471 LEE SYLVIA S 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1700112471 LEE SYLVIA S 2021 FFS RENDERING AGE 21+ 14 82 1 1 1 2 13 13
1700115342 KIM SONG K 2021 FFS RENDERING AGE 0-20 268 3,823 243 755 104 510 250 339
1700115342 KIM SONG K 2021 FFS RENDERING AGE 21+ 335 3,402 247 593 193 972 290 291
1700129418 MADAPU NAMRATHA 2021 FFS RENDERING AGE 0-20 997 2,995 0 0 997 2,995 0 0
1700132305 SRIRAM VISHALAKSHI 2021 FFS RENDERING AGE 0-20 44 98 1 1 40 85 1 1
1700132305 SRIRAM VISHALAKSHI 2021 FFS RENDERING AGE 21+ 270 756 0 0 268 746 1 1
1700133618 WILLIAMS ANGENETTA MARIE 2021 PHP RENDERING AGE 21+ 12 48 12 28 1 2 0 0
1700137577 YOO JOHN 2021 FFS RENDERING AGE 0-20 3,930 29,865 2,064 7,009 3,133 11,604 1,769 2,202
1700137577 YOO JOHN 2021 FFS RENDERING AGE 21+ 901 3,659 283 375 688 1,882 138 138
1700152659 FERRER VESNA-LEA S 2021 FFS RENDERING AGE 0-20 38 98 0 0 26 57 0 0
1700156122 LOTFI VARGHAH 2021 FFS RENDERING AGE 0-20 116 130 0 0 1 2 0 0
1700156122 LOTFI VARGHAH 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1700156122 LOTFI VARGHAH 2021 GMC RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1700156122 LOTFI VARGHAH 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1700159050 YEGANEH-TAJIAN ELENA A 2021 FFS RENDERING AGE 0-20 1,842 22,438 1,737 6,009 1,197 5,841 1,663 1,898
1700159050 YEGANEH-TAJIAN ELENA A 2021 FFS RENDERING AGE 21+ 598 4,411 382 769 329 1,569 419 419
1700159050 YEGANEH-TAJIAN ELENA A 2021 PHP RENDERING AGE 0-20 1 1 1 1 1 1 1 1
1700165917 DURSCHLAG MATTHEW E 2021 FFS RENDERING AGE 0-20 1 2 1 1 0 0 1 1
1700165917 DURSCHLAG MATTHEW E 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1700178860 DUNLOP NASEM M 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1700179066 KEVIN L FLEMING DDS APC 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1700181880 NDIDI UKA DDS 2021 FFS RENDERING AGE 0-20 29 169 27 62 1 2 20 20
1700181880 NDIDI UKA DDS 2021 FFS RENDERING AGE 21+ 74 326 11 13 44 190 40 40
1700181880 NDIDI UKA DDS 2021 PHP RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1700181880 NDIDI UKA DDS 2021 PHP RENDERING AGE 21+ 27 124 1 1 1 2 19 19
1700211000 WU TRAVIS D 2021 FFS RENDERING AGE 0-20 643 4,712 588 1,919 241 590 545 657
1700211000 WU TRAVIS D 2021 FFS RENDERING AGE 21+ 316 1,905 167 282 234 667 190 190
1700245248 LEE SAE C 2021 FFS RENDERING AGE 0-20 675 7,683 600 1,907 502 1,901 605 631
1700245248 LEE SAE C 2021 FFS RENDERING AGE 21+ 35 215 20 36 21 86 28 29
1700252426 YAU JENNIFER H 2021 FFS RENDERING AGE 0-20 31 66 0 0 1 1 1 1
1700252426 YAU JENNIFER H 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 1 1 1
1700255981 ARIF AYESHA 2021 FFS RENDERING AGE 0-20 1,977 18,875 1,540 4,474 1,050 3,128 1,481 1,761
1700255981 ARIF AYESHA 2021 FFS RENDERING AGE 21+ 13 107 1 2 1 2 1 1
1700255981 ARIF AYESHA 2021 GMC RENDERING AGE 0-20 105 615 81 230 84 149 70 70
1700269172 LIM YOUNG S 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1700269172 LIM YOUNG S 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1700277407 KIM JOHN S 2021 FFS RENDERING AGE 0-20 57 333 39 82 20 45 52 54
1700277407 KIM JOHN S 2021 FFS RENDERING AGE 21+ 788 3,653 152 304 436 1,288 652 652
1700301728 YANG DAVID C 2021 FFS RENDERING AGE 0-20 24 189 19 62 13 47 19 19
1700301728 YANG DAVID C 2021 FFS RENDERING AGE 21+ 210 1,915 117 227 164 873 139 139
1700307071 DIEGO VIRGINIA 2021 FFS RENDERING AGE 0-20 95 885 67 209 31 52 70 78
1700307071 DIEGO VIRGINIA 2021 FFS RENDERING AGE 21+ 119 691 18 21 67 173 58 58
1700307071 DIEGO VIRGINIA 2021 PHP RENDERING AGE 0-20 1 1 1 1 1 1 1 1
1700307071 DIEGO VIRGINIA 2021 PHP RENDERING AGE 21+ 1 2 1 1 0 0 1 1
1700334265 KISS MIHAI 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1700334265 KISS MIHAI 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 2 0 0
1700334265 KISS MIHAI 2021 PHP RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1700388907 KULYK CHRISTINA 2021 FFS RENDERING AGE 0-20 6,178 48,894 4,833 14,397 3,648 7,957 4,568 4,795
1700388907 KULYK CHRISTINA 2021 FFS RENDERING AGE 21+ 28 117 1 2 1 1 1 1
1700439668 KANG SUMIN 2021 FFS RENDERING AGE 0-20 2,749 19,555 2,038 5,872 1,961 4,848 1,982 2,258
1700439668 KANG SUMIN 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 1 0 0
1700445152 MIRANDA-OGLESBY CECILIA 2021 FFS RENDERING AGE 0-20 331 1,712 244 934 192 532 37 37
1700445152 MIRANDA-OGLESBY CECILIA 2021 FFS RENDERING AGE 21+ 317 1,037 121 220 242 614 39 39
1700445152 MIRANDA-OGLESBY CECILIA 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1700449600 GONZALEZ JESICA 2021 FFS RENDERING AGE 0-20 26 126 16 37 17 31 12 12
1700457975 YOMTOUBIAN JONATHAN N 2021 FFS RENDERING AGE 0-20 100 566 78 202 37 79 78 78
1700457975 YOMTOUBIAN JONATHAN N 2021 FFS RENDERING AGE 21+ 52 221 13 22 28 66 32 32
1700457975 YOMTOUBIAN JONATHAN N 2021 PHP RENDERING AGE 0-20 158 1,133 118 370 56 144 121 121
1700457975 YOMTOUBIAN JONATHAN N 2021 PHP RENDERING AGE 21+ 89 446 13 22 38 65 40 40
1700494119 ACHERMAN MARIA I 2021 FFS RENDERING AGE 0-20 189 1,579 143 337 72 168 164 178
1700494119 ACHERMAN MARIA I 2021 FFS RENDERING AGE 21+ 252 1,309 46 88 122 390 177 183
1700494119 ACHERMAN MARIA I 2021 PHP RENDERING AGE 0-20 17 112 11 31 1 2 15 18
1700494119 ACHERMAN MARIA I 2021 PHP RENDERING AGE 21+ 42 244 14 32 22 85 38 41
1700498722 VELLATURI SRAVANA J 2021 FFS RENDERING AGE 0-20 545 2,372 316 789 153 285 360 366
1700498722 VELLATURI SRAVANA J 2021 FFS RENDERING AGE 21+ 356 1,005 91 181 123 249 215 215
1700806924 VELAZQUEZ, JOSE 2021 FFS RENDERING AGE 0-20 277 2,869 211 444 170 631 235 267
1700806924 VELAZQUEZ, JOSE 2021 FFS RENDERING AGE 21+ 753 5,984 43 43 575 2,949 546 546
1700852415 APUY ROBERT C 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1700895166 FARAJZADEH EDWARD 2021 FFS RENDERING AGE 21+ 1 2 1 1 0 0 1 1
1700904745 BAKER JAMES E 2021 FFS RENDERING AGE 0-20 179 1,213 114 337 56 99 146 147
1700904745 BAKER JAMES E 2021 FFS RENDERING AGE 21+ 254 1,037 44 72 156 258 125 126
1700904745 BAKER JAMES E 2021 PHP RENDERING AGE 0-20 26 167 18 40 11 14 22 22
1700904745 BAKER JAMES E 2021 PHP RENDERING AGE 21+ 70 250 21 27 29 57 48 49
1700905866 BALARIE, CHRISTIAN DDS 2021 FFS RENDERING AGE 0-20 261 2,674 248 979 148 405 250 314
1700905866 BALARIE, CHRISTIAN DDS 2021 FFS RENDERING AGE 21+ 312 2,324 242 439 203 815 271 273
1700907946 MIKKELSEN, FRANK DDS 2021 FFS RENDERING AGE 0-20 213 1,329 198 387 75 139 201 253
1700907946 MIKKELSEN, FRANK DDS 2021 FFS RENDERING AGE 21+ 169 958 109 109 105 367 131 131
1700908134 KHOSHBIN SHARAREH S 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1700908134 KHOSHBIN SHARAREH S 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 2 0 0
1700908217 ASLANI HOSSEIN D 2021 FFS RENDERING AGE 0-20 28 212 22 57 13 39 25 33
1700908217 ASLANI HOSSEIN D 2021 FFS RENDERING AGE 21+ 146 924 64 115 107 319 82 82
1700909157 PHAM, ANH TU DDS 2021 FFS RENDERING AGE 0-20 106 1,425 103 346 44 142 104 129
1700909157 PHAM, ANH TU DDS 2021 FFS RENDERING AGE 21+ 192 2,368 143 294 136 543 161 161
1700909553 KIM, YOON SUNG, DDS 2021 FFS RENDERING AGE 0-20 179 1,473 139 303 30 46 153 166
1700909553 KIM, YOON SUNG, DDS 2021 FFS RENDERING AGE 21+ 253 1,091 83 166 131 243 138 138
1700917879 PIDKOVA ROMAN Z 2021 FFS RENDERING AGE 0-20 1,197 16,959 1,067 4,098 732 2,199 1,064 1,346
1700917879 PIDKOVA ROMAN Z 2021 FFS RENDERING AGE 21+ 315 3,280 221 438 207 707 250 250
1700917986 ACOSTA-CUEVAS JOSE 2021 FFS RENDERING AGE 0-20 20 217 20 55 1 2 20 28
1700917986 ACOSTA-CUEVAS JOSE 2021 FFS RENDERING AGE 21+ 66 360 53 75 26 96 62 62
1700920824 DEZHAM, HASSAN M, DDS 2021 FFS RENDERING AGE 0-20 75 933 67 326 26 77 65 84
1700920824 DEZHAM, HASSAN M, DDS 2021 FFS RENDERING AGE 21+ 155 957 71 139 96 208 102 102
1700920824 DEZHAM, HASSAN M, DDS 2021 GMC RENDERING AGE 0-20 1,350 17,193 1,274 6,850 475 1,256 1,279 1,822
1700920824 DEZHAM, HASSAN M, DDS 2021 GMC RENDERING AGE 21+ 612 4,403 382 796 431 1,271 444 454
1700921723 SMITH, BRANDON B, DDS 2021 FFS RENDERING AGE 0-20 78 1,178 65 123 47 173 74 96
1700921723 SMITH, BRANDON B, DDS 2021 FFS RENDERING AGE 21+ 214 2,545 66 66 153 614 63 63
1700924271 NARIO ELVIRA S 2021 FFS RENDERING AGE 0-20 48 418 44 104 21 98 40 45
1700924271 NARIO ELVIRA S 2021 FFS RENDERING AGE 21+ 253 1,648 111 215 170 629 181 181
1700924974 NGUYEN, LINH HOANG, DDS 2021 FFS RENDERING AGE 0-20 16 106 15 38 1 1 16 20
1700924974 NGUYEN, LINH HOANG, DDS 2021 FFS RENDERING AGE 21+ 59 429 49 98 32 55 53 53
1700925112 ABDI, BEHZAD DDS 2021 FFS RENDERING AGE 0-20 715 13,746 706 3,447 343 1,029 681 1,060
1700925112 ABDI, BEHZAD DDS 2021 FFS RENDERING AGE 21+ 272 3,890 227 451 160 760 241 242
1700925112 ABDI, BEHZAD, DDS 2021 FFS RENDERING AGE 0-20 715 13,746 706 3,447 343 1,029 681 1,060
1700925112 ABDI, BEHZAD, DDS 2021 FFS RENDERING AGE 21+ 272 3,890 227 451 160 760 241 242
1700926706 OLSHANSKY VICTORIA 2021 FFS RENDERING AGE 0-20 24 155 18 87 1 2 13 13
1700926706 OLSHANSKY VICTORIA 2021 FFS RENDERING AGE 21+ 294 2,022 118 232 233 1,491 108 108
1700927340 FERNANDEZ, OMAR JESUS, DDS I 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 2 1 1
1700927340 FERNANDEZ, OMAR JESUS, DDS I 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1700928223 CHEEMA, SANDEEP SINGH 2021 FFS RENDERING AGE 0-20 54 579 47 190 42 178 49 52
1700928223 CHEEMA, SANDEEP SINGH 2021 FFS RENDERING AGE 21+ 302 4,004 180 356 278 3,122 233 233
1700933207 KUREGHIAN NAIRI 2021 FFS RENDERING AGE 0-20 20 132 16 43 12 41 15 20
1700933207 KUREGHIAN NAIRI 2021 FFS RENDERING AGE 21+ 96 511 39 63 68 238 52 52
1700934171 PRESKAR, MICHAEL H, DDS 2021 GMC RENDERING AGE 21+ 1 2 0 0 1 2 0 0
1700935475 BARTKOWSKI KRISTINA A 2021 FFS RENDERING AGE 0-20 58 242 32 73 19 40 42 42
1700935475 BARTKOWSKI KRISTINA A 2021 FFS RENDERING AGE 21+ 136 420 25 45 66 147 85 85
1700935475 BARTKOWSKI KRISTINA A 2021 PHP RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1700935475 BARTKOWSKI KRISTINA A 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1700936333 ZHAO, HUI DDS 2021 FFS RENDERING AGE 0-20 220 3,019 190 689 123 319 189 237
1700936333 ZHAO, HUI DDS 2021 FFS RENDERING AGE 21+ 15 97 1 2 1 2 1 1
1700939444 KHACHI NANCY 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 2 1 2
1700939444 KHACHI NANCY 2021 FFS RENDERING AGE 21+ 66 552 45 80 51 263 53 53
1700941622 DIO MARIVEL G 2021 FFS RENDERING AGE 0-20 152 188 0 0 149 182 0 0
1700941622 DIO MARIVEL G 2021 FFS RENDERING AGE 21+ 522 687 0 0 514 676 1 1
1700941622 DIO MARIVEL G 2021 GMC RENDERING AGE 0-20 1 1 0 0 0 0 1 1
1700941622 DIO MARIVEL G 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1700941622 DIO MARIVEL G 2021 PHP RENDERING AGE 0-20 1 2 0 0 1 2 0 0
1700941622 DIO MARIVEL G 2021 PHP RENDERING AGE 21+ 17 26 0 0 17 26 0 0
1700942992 FANG JURIE D 2021 FFS RENDERING AGE 0-20 44 402 41 97 25 80 37 40
1700942992 FANG JURIE D 2021 FFS RENDERING AGE 21+ 95 843 75 137 54 234 24 24
1700948049 MARTINEZ HECTOR L 2021 FFS RENDERING AGE 0-20 11 69 1 1 1 2 1 1
1700948049 MARTINEZ HECTOR L 2021 FFS RENDERING AGE 21+ 71 428 25 50 45 258 50 50
1700948387 THAI MINDI C 2021 FFS RENDERING AGE 0-20 800 7,985 748 2,379 417 1,141 578 764
1700948387 THAI MINDI C 2021 FFS RENDERING AGE 21+ 627 3,203 422 836 341 733 138 139
1700952801 JU, KEVIN, DENTAL CORPORATIO 2021 FFS RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1700954260 SOLANO ALFREDO 2021 FFS RENDERING AGE 0-20 279 2,917 217 507 113 252 226 252
1700954260 SOLANO ALFREDO 2021 FFS RENDERING AGE 21+ 199 1,387 28 31 127 344 102 102
1700954385 AFAR BIJAN 2021 FFS RENDERING AGE 0-20 21 126 13 25 12 48 12 15
1700954385 AFAR BIJAN 2021 FFS RENDERING AGE 21+ 60 296 25 32 38 132 31 31
1700961737 KAM SHERYL A 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1700961752 ILAGAN-AVERGONZ JESSICA Z 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1700964251 TO TRANG H 2021 FFS RENDERING AGE 0-20 13 102 12 51 0 0 13 21
1700964251 TO TRANG H 2021 FFS RENDERING AGE 21+ 64 487 41 82 43 248 54 54
1700967098 ELISHA, JOSEPH O MD 2021 FFS RENDERING AGE 0-20 502 1,619 0 0 502 1,619 0 0
1700972171 MATSUI KATSUKO 2021 FFS RENDERING AGE 0-20 411 3,104 276 725 263 1,299 337 367
1700972171 MATSUI KATSUKO 2021 FFS RENDERING AGE 21+ 1,157 7,514 615 1,205 778 4,138 838 849
1700972379 WONG NAOMI JOANNE Y 2021 FFS RENDERING AGE 0-20 35 206 31 63 13 41 33 38
1700972379 WONG NAOMI JOANNE Y 2021 FFS RENDERING AGE 21+ 95 444 48 48 47 93 64 64
1700972379 WONG, ANTHONY, DDS 2021 FFS RENDERING AGE 0-20 35 206 31 63 13 41 33 38
1700972379 WONG, ANTHONY, DDS 2021 FFS RENDERING AGE 21+ 95 444 48 48 47 93 64 64
1700991478 FERRADAS ALEC VALENCIA 2021 PHP RENDERING AGE 21+ 1 1 1 1 0 0 0 0
1700998101 RABIZADEH, D S DDS INC 2021 PHP RENDERING AGE 0-20 24 165 23 85 1 1 24 25
1700998101 RABIZADEH, D S DDS INC 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1710008321 LUKE CHINTANA V 2021 FFS RENDERING AGE 0-20 17 105 14 39 1 2 12 12
1710008321 LUKE CHINTANA V 2021 FFS RENDERING AGE 21+ 38 233 26 41 25 124 27 27
1710008321 LUKE, CHINTANA V, DDS 2021 FFS RENDERING AGE 0-20 17 105 14 39 1 2 12 12
1710008321 LUKE, CHINTANA V, DDS 2021 FFS RENDERING AGE 21+ 38 233 26 41 25 124 27 27
1710009162 SHAH SHALINI M 2021 FFS RENDERING AGE 0-20 527 5,147 464 1,484 322 1,388 352 404
1710009162 SHAH SHALINI M 2021 FFS RENDERING AGE 21+ 184 899 70 77 98 327 97 97
1710013925 NGUYEN, THANHLONG THI DDS 2021 FFS RENDERING AGE 0-20 1 2 1 1 0 0 1 1
1710013925 NGUYEN, THANHLONG THI DDS 2021 FFS RENDERING AGE 21+ 20 65 1 1 16 23 1 1
1710014667 KAPLAN ALEXANDER 2021 FFS RENDERING AGE 0-20 66 224 55 110 12 29 22 24
1710014667 KAPLAN ALEXANDER 2021 FFS RENDERING AGE 21+ 1,022 3,635 315 614 782 2,462 175 175
1710016134 BARBOSA IRUBIEL A 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1710016514 PARK JIN S 2021 FFS RENDERING AGE 0-20 51 257 49 63 11 26 24 24
1710016514 PARK JIN S 2021 FFS RENDERING AGE 21+ 84 404 54 54 47 119 18 18
1710017058 NGAU CHRISTOPHER 2021 FFS RENDERING AGE 0-20 651 6,709 540 1,756 362 1,001 507 579
1710017058 NGAU CHRISTOPHER 2021 FFS RENDERING AGE 21+ 318 2,370 175 351 194 696 196 196
1710017611 TORKAMAN ARSHID 2021 FFS RENDERING AGE 0-20 673 7,855 435 1,254 302 1,238 625 739
1710017611 TORKAMAN ARSHID 2021 FFS RENDERING AGE 21+ 839 6,994 161 312 541 1,965 681 683
1710018726 WU PETER C 2021 FFS RENDERING AGE 0-20 611 4,969 595 2,366 165 506 592 678
1710018726 WU PETER C 2021 FFS RENDERING AGE 21+ 222 1,097 121 242 143 322 125 125
1710019161 HUANG JOSEPH 2021 FFS RENDERING AGE 0-20 130 1,067 112 349 65 207 120 147
1710019161 HUANG JOSEPH 2021 FFS RENDERING AGE 21+ 596 3,436 438 870 308 809 520 520
1710019385 DE LOS SANTOS, VICTOR, DDS 2021 FFS RENDERING AGE 0-20 41 444 33 140 16 70 30 64
1710019385 DE LOS SANTOS, VICTOR, DDS 2021 FFS RENDERING AGE 21+ 145 1,194 52 140 90 464 79 158
1710019385 DE LOS SANTOS, VICTOR, DDS 2021 PHP RENDERING AGE 0-20 26 344 18 78 12 78 21 44
1710019385 DE LOS SANTOS, VICTOR, DDS 2021 PHP RENDERING AGE 21+ 108 966 43 126 71 424 55 112
1710020235 JU ZECHENG 2021 FFS RENDERING AGE 0-20 286 2,806 246 844 177 619 269 384
1710020235 JU ZECHENG 2021 FFS RENDERING AGE 21+ 264 2,080 177 358 192 810 197 199
1710020987 VARGAS RONALDO C 2021 FFS RENDERING AGE 0-20 50 454 46 101 20 62 45 57
1710020987 VARGAS RONALDO C 2021 FFS RENDERING AGE 21+ 140 1,125 90 97 69 311 110 110
1710022082 POURATI DALIA 2021 FFS RENDERING AGE 0-20 299 2,737 197 727 163 399 257 276
1710022082 POURATI DALIA 2021 FFS RENDERING AGE 21+ 564 3,851 238 488 379 1,312 348 348
1710024914 LIMA, MARIA HELENA, DDS 2021 FFS RENDERING AGE 0-20 456 9,851 419 1,490 376 1,871 427 608
1710024914 LIMA, MARIA HELENA, DDS 2021 FFS RENDERING AGE 21+ 245 4,271 148 282 223 1,773 170 170
1710028535 PHAN, HOANG YEN T, DDS 2021 FFS RENDERING AGE 0-20 11 65 1 2 1 1 1 1
1710028535 PHAN, HOANG YEN T, DDS 2021 FFS RENDERING AGE 21+ 15 80 1 1 1 2 1 1
1710030804 RUIZ MARIA VICTOR M 2021 FFS RENDERING AGE 0-20 206 4,109 194 812 149 1,324 194 238
1710030804 RUIZ MARIA VICTOR M 2021 FFS RENDERING AGE 21+ 66 897 47 98 43 328 50 52
1710031208 SOLANKI SANTOSH S 2021 FFS RENDERING AGE 0-20 231 2,802 220 1,033 79 205 222 297
1710031208 SOLANKI SANTOSH S 2021 FFS RENDERING AGE 21+ 210 1,629 142 153 135 553 174 174
1710032156 HULL TROY EDWARD 2021 GMC RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1710032552 AYYUBI MUHAMMAD N 2021 FFS RENDERING AGE 0-20 212 2,323 177 614 115 449 202 279
1710032552 AYYUBI MUHAMMAD N 2021 FFS RENDERING AGE 21+ 306 2,188 180 359 178 809 246 246
1710034566 KOM, KOSAL DDS 2021 FFS RENDERING AGE 0-20 24 102 18 39 1 2 13 13
1710034566 KOM, KOSAL DDS 2021 FFS RENDERING AGE 21+ 211 1,055 107 107 150 477 119 119
1710035910 OHANNESSIAN, MANUEL 2021 FFS RENDERING AGE 0-20 680 8,962 620 2,224 325 1,127 608 757
1710035910 OHANNESSIAN, MANUEL 2021 FFS RENDERING AGE 21+ 689 4,574 142 247 517 1,883 390 392
1710036181 ARAKELYAN, ARAM, DDS 2021 FFS RENDERING AGE 0-20 41 2,466 25 540 37 1,470 28 174
1710036181 ARAKELYAN, ARAM, DDS 2021 FFS RENDERING AGE 21+ 635 50,226 228 2,694 618 42,852 316 1,896
1710039102 DE CRUZ, ZOILA M, DDS 2021 FFS RENDERING AGE 0-20 199 1,725 192 516 51 135 191 276
1710039102 DE CRUZ, ZOILA M, DDS 2021 FFS RENDERING AGE 21+ 243 1,462 159 163 137 517 207 209
1710039102 DE CRUZ, ZOILA M, DDS 2021 PHP RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1710039102 DE CRUZ, ZOILA M, DDS 2021 PHP RENDERING AGE 21+ 12 102 1 1 1 2 11 11
1710042478 KHODADADI SOHEIL 2021 FFS RENDERING AGE 0-20 57 314 53 132 16 30 55 68
1710042478 KHODADADI SOHEIL 2021 FFS RENDERING AGE 21+ 283 1,339 152 303 139 419 235 235
1710042478 KHODADADI SOHEIL 2021 PHP RENDERING AGE 0-20 114 595 106 237 46 112 108 121
1710042478 KHODADADI SOHEIL 2021 PHP RENDERING AGE 21+ 776 3,508 477 947 366 1,166 652 661
1710042478 KHODADADI, SOHEIL DDS 2021 FFS RENDERING AGE 0-20 57 314 53 132 16 30 55 68
1710042478 KHODADADI, SOHEIL DDS 2021 FFS RENDERING AGE 21+ 283 1,339 152 303 139 419 235 235
1710042478 KHODADADI, SOHEIL DDS 2021 PHP RENDERING AGE 0-20 114 595 106 237 46 112 108 121
1710042478 KHODADADI, SOHEIL DDS 2021 PHP RENDERING AGE 21+ 776 3,508 477 947 366 1,166 652 661
1710043864 MARASIGAN LUTGARDA P 2021 FFS RENDERING AGE 0-20 430 3,873 349 975 265 755 339 415
1710043864 MARASIGAN LUTGARDA P 2021 FFS RENDERING AGE 21+ 174 1,007 87 174 105 333 102 102
1710045463 PARK JI Y 2021 FFS RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1710054465 NGO VU JIMMY A 2021 FFS RENDERING AGE 0-20 313 658 0 0 136 403 0 0
1710054796 BROWNSTONE DONNI B 2021 GMC RENDERING AGE 0-20 1,465 7,153 785 2,434 299 339 636 642
1710059993 KUNWAR RAVINDER 2021 FFS RENDERING AGE 0-20 38 275 30 61 19 82 32 34
1710059993 KUNWAR RAVINDER 2021 FFS RENDERING AGE 21+ 83 511 38 71 56 211 56 58
1710065719 AMBARACHYAN ARMEN 2021 FFS RENDERING AGE 0-20 19 104 17 36 1 2 15 16
1710065719 AMBARACHYAN ARMEN 2021 FFS RENDERING AGE 21+ 122 473 39 50 56 167 79 79
1710065719 AMBARACHYAN ARMEN 2021 PHP RENDERING AGE 0-20 44 257 37 87 14 41 44 58
1710065719 AMBARACHYAN ARMEN 2021 PHP RENDERING AGE 21+ 36 148 17 25 1 2 29 32
1710069349 NOUNEH, AYMAN DDS 2021 FFS RENDERING AGE 0-20 72 489 55 152 41 129 58 73
1710069349 NOUNEH, AYMAN DDS 2021 FFS RENDERING AGE 21+ 204 1,301 48 69 169 645 133 133
1710072103 SHWARTZMAN IAN 2021 FFS RENDERING AGE 0-20 38 343 38 157 22 71 37 39
1710072103 SHWARTZMAN IAN 2021 FFS RENDERING AGE 21+ 132 567 73 74 79 232 97 98
1710075783 MORADIANS STEPAN 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1710075783 MORADIANS STEPAN 2021 FFS RENDERING AGE 21+ 85 802 58 118 53 117 61 61
1710078472 AKOPYAN, DIANA, DDS 2021 PHP RENDERING AGE 21+ 31 124 1 1 19 60 21 21
1710078829 KIM EUNOCK 2021 PHP RENDERING AGE 0-20 32 160 22 50 1 2 19 19
1710078829 KIM EUNOCK 2021 PHP RENDERING AGE 21+ 19 67 1 1 12 25 1 1
1710082623 BELL, ALFRED PAUL S, DDS 2021 FFS RENDERING AGE 0-20 2,150 22,709 2,048 7,937 1,455 5,329 2,076 2,944
1710082623 BELL, ALFRED PAUL S, DDS 2021 FFS RENDERING AGE 21+ 88 458 71 83 27 79 70 70
1710082623 BELL, ALFRED PAUL S, DDS 2021 PHP RENDERING AGE 0-20 1 2 0 0 1 1 0 0
1710085808 MCINTYRE, ROBERT A, DDS 2021 FFS RENDERING AGE 0-20 109 615 105 398 26 65 80 117
1710085808 MCINTYRE, ROBERT A, DDS 2021 FFS RENDERING AGE 21+ 352 1,610 271 457 253 905 167 169
1710086764 MALLI, JASJEET, DDS 2021 FFS RENDERING AGE 0-20 1,023 3,121 1,003 2,546 44 69 21 21
1710086764 MALLI, JASJEET, DDS 2021 FFS RENDERING AGE 21+ 1 1 1 1 1 1 0 0
1710089321 PARRILLA, LEON R DDS 2021 FFS RENDERING AGE 0-20 381 3,145 329 735 199 532 317 346
1710089321 PARRILLA, LEON R DDS 2021 FFS RENDERING AGE 21+ 476 3,372 286 539 322 934 311 313
1710093406 SETAREH KATAYOUN 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1710098736 BATNIJI SOBHI A 2021 FFS RENDERING AGE 0-20 32 155 26 31 1 2 30 35
1710098736 BATNIJI SOBHI A 2021 FFS RENDERING AGE 21+ 118 562 85 85 53 218 101 103
1710098736 BATNIJI, SOBHI A, DDS 2021 FFS RENDERING AGE 0-20 32 155 26 31 1 2 30 35
1710098736 BATNIJI, SOBHI A, DDS 2021 FFS RENDERING AGE 21+ 118 562 85 85 53 218 101 103
1710101365 MANAVI, F, DENTAL CORPORATIO 2021 PHP RENDERING AGE 0-20 1 2 1 1 0 0 1 1
1710101365 MANAVI, F, DENTAL CORPORATIO 2021 PHP RENDERING AGE 21+ 17 51 1 1 1 2 1 1
1710103312 BARCONEY, LINDA DDS 2021 FFS RENDERING AGE 0-20 1,074 12,784 1,013 3,543 736 2,962 1,012 1,349
1710103312 BARCONEY, LINDA DDS 2021 FFS RENDERING AGE 21+ 92 567 14 24 45 158 73 73
1710103312 BARCONEY, LINDA DDS 2021 PHP RENDERING AGE 0-20 17 155 16 42 17 78 1 1
1710103486 HUMPHRIES SAGE M 2021 FFS RENDERING AGE 0-20 22 64 0 0 19 54 1 1
1710106844 YIM, NORMAN W, DDS 2021 FFS RENDERING AGE 21+ 68 326 49 49 52 124 60 64
1710113964 SHAH KRUTIKA A 2021 FFS RENDERING AGE 0-20 23 102 12 48 13 34 1 1
1710113964 SHAH KRUTIKA A 2021 FFS RENDERING AGE 21+ 49 134 1 2 37 79 1 1
1710116397 GBENOBA ROWENA S 2021 FFS RENDERING AGE 0-20 79 761 73 288 39 226 72 85
1710116397 GBENOBA ROWENA S 2021 FFS RENDERING AGE 21+ 153 1,023 90 174 95 451 132 134
1710123104 TON DIEUTRANG N 2021 FFS RENDERING AGE 0-20 87 712 84 268 45 189 69 95
1710123104 TON DIEUTRANG N 2021 FFS RENDERING AGE 21+ 111 889 71 71 86 557 77 77
1710131362 ABRAHAM PAMELA 2021 FFS RENDERING AGE 0-20 1,288 11,920 1,191 4,441 796 2,535 1,168 1,474
1710135181 CANLAS RUDELY CECIL L 2021 FFS RENDERING AGE 0-20 2,056 14,895 1,343 3,788 1,229 2,598 1,299 1,324
1710135181 CANLAS RUDELY CECIL L 2021 FFS RENDERING AGE 21+ 257 913 21 33 202 472 91 91
1710137252 ZAKARIYA MASHEIL 2021 FFS RENDERING AGE 0-20 31 224 23 53 19 57 22 25
1710137252 ZAKARIYA MASHEIL 2021 FFS RENDERING AGE 21+ 174 1,129 119 215 110 430 140 145
1710137690 FULLER CAMERON E 2021 FFS RENDERING AGE 0-20 2,262 25,531 2,178 9,729 1,526 4,235 2,104 2,720
1710141783 TAM KEITH H 2021 FFS RENDERING AGE 0-20 98 1,100 97 368 26 84 97 158
1710141783 TAM KEITH H 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1710178488 CHUA JULIET T 2021 FFS RENDERING AGE 0-20 112 970 101 310 55 173 103 145
1710178488 CHUA JULIET T 2021 FFS RENDERING AGE 21+ 232 1,939 168 336 172 631 180 180
1710179502 MKRTCHYAN SILVA 2021 FFS RENDERING AGE 0-20 40 281 29 41 17 45 31 34
1710179502 MKRTCHYAN SILVA 2021 FFS RENDERING AGE 21+ 144 877 68 68 81 306 92 92
1710182514 NARANJA DARWIN D 2021 FFS RENDERING AGE 0-20 32 172 28 55 13 34 26 26
1710182514 NARANJA DARWIN D 2021 FFS RENDERING AGE 21+ 128 539 102 159 48 115 99 99
1710189600 HYUN DANIEL 2021 FFS RENDERING AGE 0-20 144 933 127 207 63 250 102 129
1710189600 HYUN DANIEL 2021 FFS RENDERING AGE 21+ 195 922 88 88 118 383 77 77
1710192299 NGUYEN, TRUONG XUAN, DDS 2021 FFS RENDERING AGE 0-20 125 900 122 369 36 98 111 141
1710192299 NGUYEN, TRUONG XUAN, DDS 2021 FFS RENDERING AGE 21+ 262 1,609 211 422 111 302 211 211
1710193826 ARSHADNIA, SHAHRIAR DDS 2021 FFS RENDERING AGE 0-20 431 1,956 271 622 94 178 372 384
1710193826 ARSHADNIA, SHAHRIAR DDS 2021 FFS RENDERING AGE 21+ 595 2,153 66 117 305 893 363 363
1710193826 ARSHADNIA, SHAHRIAR DDS 2021 PHP RENDERING AGE 0-20 78 227 31 76 14 22 70 75
1710193826 ARSHADNIA, SHAHRIAR DDS 2021 PHP RENDERING AGE 21+ 205 783 42 57 101 377 164 168
1710194964 MEHRVARZI, MEHRDOKHT DDS 2021 FFS RENDERING AGE 0-20 27 153 19 25 12 34 25 31
1710194964 MEHRVARZI, MEHRDOKHT DDS 2021 FFS RENDERING AGE 21+ 75 324 26 27 31 88 64 64
1710197876 SUELDO ALBERTO 2021 FFS RENDERING AGE 0-20 97 1,006 66 161 70 304 57 65
1710197876 SUELDO ALBERTO 2021 FFS RENDERING AGE 21+ 202 1,514 34 65 167 901 103 103
1710230206 AFIFI TAREQ M 2021 FFS RENDERING AGE 0-20 77 810 63 224 31 146 68 86
1710230206 AFIFI TAREQ M 2021 FFS RENDERING AGE 21+ 118 981 60 111 82 404 91 91
1710230206 AFIFI TAREQ M 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 1 0 0
1710246640 NGUYEN ANTHONY H 2021 FFS RENDERING AGE 0-20 314 495 0 0 63 158 0 0
1710246640 NGUYEN ANTHONY H 2021 FFS RENDERING AGE 21+ 16 16 0 0 0 0 0 0
1710246798 PARK, TRACY, DDS A PROFESSIO 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1710254784 VALLADARES LAZO ELISEO E 2021 FFS RENDERING AGE 0-20 135 595 92 208 68 196 84 90
1710254784 VALLADARES LAZO ELISEO E 2021 FFS RENDERING AGE 21+ 204 735 87 151 137 319 107 107
1710265251 LUWIHARTO, SHEILA TEDJA DDS 2021 FFS RENDERING AGE 0-20 1,011 2,475 1 1 575 1,164 0 0
1710265251 LUWIHARTO, SHEILA TEDJA DDS 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1710274204 VIET HO H 2021 FFS RENDERING AGE 0-20 1 1 1 1 1 1 1 1
1710274204 VIET HO H 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1710275375 AGHAZADEHSANAI NONA 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1710275375 AGHAZADEHSANAI NONA 2021 PHP RENDERING AGE 21+ 14 29 0 0 13 19 0 0
1710288147 OLSON WILLIAM A 2021 FFS RENDERING AGE 0-20 19 50 1 1 1 2 0 0
1710288147 OLSON WILLIAM A 2021 FFS RENDERING AGE 21+ 75 184 0 0 52 94 0 0
1710328950 FIROOZI HAMED 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1710344148 EYVAZI DENTAL CORP 2021 PHP RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1710354055 BOTROS, NADER, DDS PROF CORP 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1710381561 KASSEM LAMISE G 2021 FFS RENDERING AGE 0-20 57 252 54 74 1 2 47 57
1710381561 KASSEM LAMISE G 2021 FFS RENDERING AGE 21+ 87 338 40 42 43 92 64 66
1710383724 LIM VIVIAN 2021 FFS RENDERING AGE 0-20 161 431 0 0 154 384 1 1
1710383724 LIM VIVIAN 2021 FFS RENDERING AGE 21+ 382 1,080 0 0 371 956 24 24
1710383724 LIM VIVIAN 2021 PHP RENDERING AGE 0-20 1 2 0 0 1 2 0 0
1710383724 LIM VIVIAN 2021 PHP RENDERING AGE 21+ 25 54 0 0 16 43 11 11
1710386974 BAKHSHALIAN NEEMA 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1710386974 BAKHSHALIAN NEEMA 2021 FFS RENDERING AGE 21+ 28 71 0 0 28 71 0 0
1710388368 UPPAL DENTAL GROUP INC 2021 FFS RENDERING AGE 21+ 26 195 0 0 12 109 18 20
1710388715 LEE JOON H 2021 FFS RENDERING AGE 0-20 2,457 40,497 2,336 10,497 1,668 7,152 2,405 3,865
1710388715 LEE JOON H 2021 FFS RENDERING AGE 21+ 315 1,922 214 419 150 410 267 267
1710392881 DEAN JENNIFER A 2021 FFS RENDERING AGE 0-20 23 79 0 0 23 71 0 0
1710392881 DEAN JENNIFER A 2021 FFS RENDERING AGE 21+ 33 136 0 0 33 110 0 0
1710392881 DEAN JENNIFER A 2021 GMC RENDERING AGE 0-20 137 678 1 1 134 552 20 21
1710392881 DEAN JENNIFER A 2021 GMC RENDERING AGE 21+ 342 1,856 22 23 259 1,241 313 313
1710393327 ABDULLAH MINA M 2021 FFS RENDERING AGE 0-20 355 3,758 302 1,116 169 716 301 388
1710393327 ABDULLAH MINA M 2021 FFS RENDERING AGE 21+ 806 7,950 528 1,019 582 3,427 562 564
1710395983 BELL JAMES 2021 FFS RENDERING AGE 0-20 969 6,469 899 2,674 583 791 852 859
1710395983 BELL JAMES 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1710395983 BELL JAMES 2021 GMC RENDERING AGE 0-20 16 24 1 1 15 15 1 1
1710395983 BELL JAMES 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1710395983 BELL JAMES 2021 PHP RENDERING AGE 0-20 16 113 14 50 1 1 16 18
1710401088 TAMSUT ERIC 2021 FFS RENDERING AGE 0-20 127 473 58 138 46 85 73 73
1710401088 TAMSUT ERIC 2021 FFS RENDERING AGE 21+ 261 700 37 72 125 253 127 127
1710401088 TAMSUT ERIC 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1710401088 TAMSUT ERIC 2021 PHP RENDERING AGE 0-20 13 45 1 2 1 1 1 1
1710401088 TAMSUT ERIC 2021 PHP RENDERING AGE 21+ 1 2 0 0 1 1 1 1
1710407630 SHARMA ANUPAMA 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1710409800 KANG JIYEA 2021 FFS RENDERING AGE 0-20 444 2,461 342 1,080 171 336 341 362
1710409800 KANG JIYEA 2021 FFS RENDERING AGE 21+ 801 2,644 224 383 341 781 536 536
1710409800 KANG JIYEA 2021 GMC RENDERING AGE 0-20 1 1 1 1 1 1 1 1
1710409800 KANG JIYEA 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1710409800 KANG JIYEA 2021 PHP RENDERING AGE 21+ 13 41 1 1 1 2 1 1
1710414982 SEXENIAN ARAM 2021 FFS RENDERING AGE 0-20 295 2,008 279 947 100 155 280 286
1710416847 RAMIREZ LETICIA D 2021 FFS RENDERING AGE 0-20 392 3,589 283 808 195 533 303 380
1710416847 RAMIREZ LETICIA D 2021 FFS RENDERING AGE 21+ 416 2,242 105 194 298 901 204 204
1710418538 SINGH, RAMAN, DDS INC 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1710429584 NWACHOKOR TRAVIS E 2021 FFS RENDERING AGE 0-20 54 413 35 80 29 79 34 34
1710429584 NWACHOKOR TRAVIS E 2021 FFS RENDERING AGE 21+ 218 1,075 64 126 161 450 78 78
1710433552 KAFRI PEYMAN 2021 FFS RENDERING AGE 0-20 215 1,891 159 532 126 486 196 233
1710433552 KAFRI PEYMAN 2021 FFS RENDERING AGE 21+ 298 2,206 149 274 213 1,054 242 242
1710433552 KAFRI PEYMAN 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 2 1 1
1710440599 CHENG ERIC 2021 FFS RENDERING AGE 0-20 20 171 16 34 1 2 15 15
1710440599 CHENG ERIC 2021 FFS RENDERING AGE 21+ 47 231 1 2 34 76 26 26
1710440599 CHENG ERIC 2021 PHP RENDERING AGE 0-20 11 62 1 2 1 1 1 1
1710440599 CHENG ERIC 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1710464060 HYUNG-JU JOHN KIM DDS INC 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 2 0 0
1710464060 KIM, HYUNG-JU JOHN, DDS INC 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 2 0 0
1710466248 KIM SUE V 2021 FFS RENDERING AGE 0-20 568 1,742 0 0 187 454 0 0
1710466248 KIM SUE V 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1710466248 KIM SUE V 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1710468160 ABRAHAM AZADEH 2021 FFS RENDERING AGE 0-20 48 161 38 93 11 20 17 17
1710468160 ABRAHAM AZADEH 2021 FFS RENDERING AGE 21+ 163 444 49 72 128 321 17 17
1710468160 ABRAHAM AZADEH 2021 PHP RENDERING AGE 0-20 25 210 21 85 17 54 22 27
1710468160 ABRAHAM AZADEH 2021 PHP RENDERING AGE 21+ 31 159 1 2 15 58 24 27
1710480058 SHARMA KASHYAP 2021 FFS RENDERING AGE 0-20 274 1,646 136 372 102 286 214 219
1710480058 SHARMA KASHYAP 2021 FFS RENDERING AGE 21+ 454 1,745 46 78 264 745 283 284
1710480389 ALETA ANNA LYN S 2021 FFS RENDERING AGE 0-20 211 878 97 218 109 285 122 126
1710480389 ALETA ANNA LYN S 2021 FFS RENDERING AGE 21+ 420 1,505 111 213 251 695 214 214
1710480629 MANGAT CRYSTAL K 2021 FFS RENDERING AGE 0-20 12 35 12 29 1 1 1 1
1710480629 MANGAT CRYSTAL K 2021 FFS RENDERING AGE 21+ 61 161 21 30 47 103 0 0
1710480629 MANGAT CRYSTAL K 2021 PHP RENDERING AGE 0-20 1 1 1 1 1 1 0 0
1710480629 MANGAT CRYSTAL K 2021 PHP RENDERING AGE 21+ 1 1 1 1 1 1 0 0
1710483664 DO STEPHANIE H 2021 FFS RENDERING AGE 0-20 64 512 55 170 37 113 54 69
1710483664 DO STEPHANIE H 2021 FFS RENDERING AGE 21+ 143 902 62 121 122 461 70 70
1710491352 LEE KYUUN 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1710526280 KAUR AMARDEEP 2021 FFS RENDERING AGE 0-20 218 899 86 192 92 227 155 158
1710526280 KAUR AMARDEEP 2021 FFS RENDERING AGE 21+ 513 1,602 108 195 230 565 304 304
1710529367 MONTILLA HANSEL 2021 FFS RENDERING AGE 0-20 268 1,329 140 370 86 229 214 255
1710529367 MONTILLA HANSEL 2021 FFS RENDERING AGE 21+ 416 1,432 37 56 229 615 230 234
1710529367 MONTILLA HANSEL 2021 GMC RENDERING AGE 0-20 1 1 0 0 0 0 1 1
1710529367 MONTILLA HANSEL 2021 PHP RENDERING AGE 0-20 137 505 72 224 41 98 113 123
1710529367 MONTILLA HANSEL 2021 PHP RENDERING AGE 21+ 123 348 17 18 65 196 79 82
1710530035 CARABALLO CAITLIN M 2021 FFS RENDERING AGE 0-20 221 1,248 174 390 59 158 207 217
1710530035 CARABALLO CAITLIN M 2021 FFS RENDERING AGE 21+ 441 2,069 201 395 234 755 328 328
1710533401 DEHDAR NASAB NEGIN 2021 FFS RENDERING AGE 0-20 70 487 43 121 49 164 41 43
1710533401 DEHDAR NASAB NEGIN 2021 FFS RENDERING AGE 21+ 116 750 34 72 109 484 30 30
1710545637 PARK SI-EUN 2021 FFS RENDERING AGE 0-20 81 411 44 99 46 126 43 43
1710545637 PARK SI-EUN 2021 FFS RENDERING AGE 21+ 131 509 26 50 84 234 47 47
1710559190 MULUK SAVANI SANJA 2021 FFS RENDERING AGE 0-20 259 1,081 173 531 118 252 87 87
1710559190 MULUK SAVANI SANJA 2021 FFS RENDERING AGE 21+ 141 439 41 69 90 255 33 33
1710584172 YAGHOBIAN NIMA 2021 FFS RENDERING AGE 0-20 653 3,360 388 1,096 263 676 581 634
1710584172 YAGHOBIAN NIMA 2021 FFS RENDERING AGE 21+ 724 2,554 102 184 420 1,149 512 512
1710584172 YAGHOBIAN NIMA 2021 PHP RENDERING AGE 0-20 86 333 47 141 31 64 68 69
1710584172 YAGHOBIAN NIMA 2021 PHP RENDERING AGE 21+ 136 339 24 54 73 163 78 81
1710587563 SOJOODI SABA 2021 FFS RENDERING AGE 0-20 232 1,175 94 357 125 302 148 149
1710587563 SOJOODI SABA 2021 FFS RENDERING AGE 21+ 358 1,183 62 111 184 459 207 207
1710949979 JORDAN RICHARD C.K. 2021 GMC RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1710973227 MCCARTHY JENNIFER FOX 2021 GMC RENDERING AGE 0-20 198 2,091 117 312 197 1,289 1 1
1710975172 DALAL, DR MRUGESH V DDS 2021 FFS RENDERING AGE 0-20 229 1,121 15 32 163 449 191 196
1710975172 DALAL, DR MRUGESH V DDS 2021 FFS RENDERING AGE 21+ 66 474 27 27 45 191 45 46
1710975172 DALAL, DR MRUGESH V DDS 2021 PHP RENDERING AGE 0-20 28 136 18 43 1 2 20 24
1710975172 DALAL, DR MRUGESH V DDS 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1710987797 GHAZARIAN SHAHEN 2021 FFS RENDERING AGE 0-20 14 60 1 2 1 2 1 1
1710987797 GHAZARIAN SHAHEN 2021 FFS RENDERING AGE 21+ 78 422 36 36 56 203 43 43
1710987797 GHAZARIAN SHAHEN 2021 PHP RENDERING AGE 0-20 1 2 1 1 0 0 1 1
1710987797 GHAZARIAN SHAHEN 2021 PHP RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1710990940 KIM YOUNG W 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1710990940 KIM YOUNG W 2021 FFS RENDERING AGE 21+ 13 37 0 0 13 37 0 0
1710995881 DO DUC H 2021 FFS RENDERING AGE 0-20 394 2,519 346 1,027 161 422 360 450
1710995881 DO DUC H 2021 FFS RENDERING AGE 21+ 861 4,578 519 915 557 2,208 594 595
1720053325 ELGENDI HAITHAM H 2021 FFS RENDERING AGE 0-20 153 1,551 137 444 35 75 138 138
1720053325 ELGENDI HAITHAM H 2021 FFS RENDERING AGE 21+ 156 959 48 100 95 247 84 86
1720071426 BEBER DAVID J 2021 FFS RENDERING AGE 21+ 1 1 1 1 1 1 0 0
1720071640 PHAN BINH T 2021 FFS RENDERING AGE 0-20 50 416 39 111 25 57 43 52
1720071640 PHAN BINH T 2021 FFS RENDERING AGE 21+ 134 1,013 89 173 89 308 99 99
1720085194 TRINH, BRIAN BINH, DDS 2021 FFS RENDERING AGE 0-20 18 165 17 44 1 1 17 18
1720085194 TRINH, BRIAN BINH, DDS 2021 FFS RENDERING AGE 21+ 49 548 40 80 29 90 40 42
1720097264 PHAM JOHN C 2021 FFS RENDERING AGE 0-20 261 1,988 216 702 97 284 217 248
1720097264 PHAM JOHN C 2021 FFS RENDERING AGE 21+ 595 4,019 291 518 392 1,625 429 429
1720097264 PHAM JOHN C 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1720097264 PHAM JOHN C 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1720099930 TRAN ANN 2021 FFS RENDERING AGE 0-20 16 98 15 22 1 2 14 19
1720099930 TRAN ANN 2021 FFS RENDERING AGE 21+ 81 480 57 57 58 285 63 63
1720099930 TRAN, ANN B, DDS 2021 FFS RENDERING AGE 0-20 16 98 15 22 1 2 14 19
1720099930 TRAN, ANN B, DDS 2021 FFS RENDERING AGE 21+ 81 480 57 57 58 285 63 63
1720100886 NAM DANIEL S 2021 FFS RENDERING AGE 0-20 1 2 0 0 1 1 1 1
1720100886 NAM DANIEL S 2021 FFS RENDERING AGE 21+ 104 526 1 1 83 371 59 59
1720106511 LUCIANO, ANGELITA Y, DDS 2021 FFS RENDERING AGE 0-20 276 2,911 260 773 135 397 261 386
1720106511 LUCIANO, ANGELITA Y, DDS 2021 FFS RENDERING AGE 21+ 92 605 65 65 50 130 73 73
1720108293 DINH ROBERT T 2021 FFS RENDERING AGE 0-20 63 934 60 170 19 90 59 83
1720108293 DINH ROBERT T 2021 FFS RENDERING AGE 21+ 94 1,081 77 153 38 228 77 77
1720113756 SHAH BHAVI K 2021 FFS RENDERING AGE 0-20 68 415 45 137 39 82 50 52
1720113756 SHAH BHAVI K 2021 FFS RENDERING AGE 21+ 167 795 40 70 129 414 88 88
1720113756 SHAH BHAVI K 2021 PHP RENDERING AGE 0-20 288 2,980 226 1,030 172 869 255 307
1720113756 SHAH BHAVI K 2021 PHP RENDERING AGE 21+ 299 2,038 95 159 234 1,128 237 267
1720115033 FAMILY HEALTH CARE CENTERS 2021 PHP RENDERING AGE 0-20 1 1 1 1 1 1 1 1
1720115033 FAMILY HEALTH CARE CENTERS 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1720117245 LI KENNETH YIU K 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1720117245 LI KENNETH YIU K 2021 FFS RENDERING AGE 21+ 11 53 1 1 1 2 1 1
1720120538 JOSHI, ACHYUT DDS 2021 FFS RENDERING AGE 0-20 819 7,870 787 2,887 425 1,114 806 1,101
1720120538 JOSHI, ACHYUT DDS 2021 FFS RENDERING AGE 21+ 617 4,174 320 591 431 1,742 461 462
1720120801 AHMADNIA SHERVIN 2021 FFS RENDERING AGE 0-20 197 1,601 181 474 62 182 189 259
1720120801 AHMADNIA SHERVIN 2021 FFS RENDERING AGE 21+ 1,054 6,219 629 629 680 1,924 778 778
1720123268 DOSHI, ABHAY 2021 FFS RENDERING AGE 0-20 485 4,658 203 545 363 919 214 264
1720123268 DOSHI, ABHAY 2021 FFS RENDERING AGE 21+ 933 8,647 97 194 599 1,311 644 644
1720126261 KUMAR, PARESH B DDS 2021 FFS RENDERING AGE 0-20 237 2,561 209 369 83 362 131 145
1720126261 KUMAR, PARESH B DDS 2021 FFS RENDERING AGE 21+ 435 5,256 293 293 398 2,311 157 157
1720127962 BACA, NORMA A DDS 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1720127962 BACA, NORMA A DDS 2021 FFS RENDERING AGE 21+ 43 133 1 2 27 43 16 16
1720128374 ROTHSTEIN TORREY M 2021 FFS RENDERING AGE 0-20 194 865 146 304 58 101 135 137
1720128374 ROTHSTEIN TORREY M 2021 FFS RENDERING AGE 21+ 116 402 25 42 76 130 47 47
1720130834 WEE, SUNGCHUN DDS 2021 FFS RENDERING AGE 0-20 234 1,504 190 359 89 233 182 200
1720130834 WEE, SUNGCHUN DDS 2021 FFS RENDERING AGE 21+ 347 1,933 70 70 272 971 194 194
1720130859 VAFADAR MAKAN 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1720130859 VAFADAR MAKAN 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1720132525 CHMIELEWSKI, WALDEMAR 2021 FFS RENDERING AGE 0-20 76 660 61 261 24 38 67 69
1720132525 CHMIELEWSKI, WALDEMAR 2021 FFS RENDERING AGE 21+ 375 2,622 161 321 218 589 213 214
1720132525 CHMIELEWSKI, WALDEMAR 2021 PHP RENDERING AGE 0-20 29 299 26 142 1 2 28 33
1720132525 CHMIELEWSKI, WALDEMAR 2021 PHP RENDERING AGE 21+ 42 254 22 46 25 69 23 23
1720134091 LUIS MODESTO F 2021 FFS RENDERING AGE 0-20 1,521 16,271 1,444 5,594 930 3,465 1,463 2,029
1720134091 LUIS MODESTO F 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1720139793 CHIEN JUSTIN M 2021 FFS RENDERING AGE 0-20 57 297 55 80 24 65 55 58
1720139793 CHIEN JUSTIN M 2021 FFS RENDERING AGE 21+ 123 571 71 74 75 196 83 83
1720139793 CHIEN, JUSTIN, DDS 2021 FFS RENDERING AGE 0-20 57 297 55 80 24 65 55 58
1720139793 CHIEN, JUSTIN, DDS 2021 FFS RENDERING AGE 21+ 123 571 71 74 75 196 83 83
1720140627 ASLANIAN YERVANT G 2021 FFS RENDERING AGE 0-20 34 93 0 0 33 91 1 1
1720140627 ASLANIAN YERVANT G 2021 FFS RENDERING AGE 21+ 31 100 0 0 31 99 0 0
1720140627 ASLANIAN YERVANT G 2021 PHP RENDERING AGE 21+ 1 1 1 1 1 1 0 0
1720142003 GUEDIKIAN RAFFI 2021 FFS RENDERING AGE 0-20 295 4,136 258 775 167 666 224 287
1720142003 GUEDIKIAN RAFFI 2021 FFS RENDERING AGE 21+ 322 2,794 114 116 248 1,343 187 187
1720142102 MARQUEZ JR, CLARO M, DMD 2021 FFS RENDERING AGE 0-20 78 999 76 219 30 89 72 96
1720142102 MARQUEZ JR, CLARO M, DMD 2021 FFS RENDERING AGE 21+ 272 3,128 183 365 206 680 213 213
1720144033 DALE, DARLA D 2021 FFS RENDERING AGE 0-20 200 567 199 549 1 1 0 0
1720144033 DALE, DARLA D 2021 FFS RENDERING AGE 21+ 155 336 136 246 1 2 0 0
1720148661 YAR SEAN 2021 FFS RENDERING AGE 0-20 100 892 81 209 46 200 82 104
1720148661 YAR SEAN 2021 FFS RENDERING AGE 21+ 182 993 48 85 80 344 151 151
1720154370 PIEDRA ISABELLA 2021 FFS RENDERING AGE 0-20 27 507 17 47 27 351 25 25
1720154370 PIEDRA ISABELLA 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1720154651 SMOLKIN DARREN 2021 FFS RENDERING AGE 21+ 44 156 0 0 44 156 0 0
1720154651 SMOLKIN DARREN 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1720156060 SHAFAJOO HENRY 2021 FFS RENDERING AGE 0-20 31 192 22 85 1 2 27 27
1720156060 SHAFAJOO HENRY 2021 FFS RENDERING AGE 21+ 65 205 16 25 24 60 45 45
1720156060 SHAFAJOO HENRY 2021 PHP RENDERING AGE 0-20 39 198 23 31 11 55 30 30
1720156060 SHAFAJOO HENRY 2021 PHP RENDERING AGE 21+ 73 252 1 1 26 89 53 53
1720161441 CANUTO MARIA ANA S 2021 FFS RENDERING AGE 0-20 44 246 37 78 18 39 34 38
1720161441 CANUTO MARIA ANA S 2021 FFS RENDERING AGE 21+ 64 420 41 41 38 84 39 39
1720164627 KRUPA GARY M 2021 GMC RENDERING AGE 0-20 124 665 98 202 35 56 108 108
1720164627 KRUPA GARY M 2021 GMC RENDERING AGE 21+ 210 735 39 39 71 106 158 159
1720165921 MACHHADANI AIHAM 2021 PHP RENDERING AGE 0-20 12 21 0 0 12 20 1 1
1720165921 MACHHADANI AIHAM 2021 PHP RENDERING AGE 21+ 117 177 1 1 72 93 72 73
1720173115 NICHOLS, RICK J, DDS 2021 FFS RENDERING AGE 0-20 907 6,745 853 2,807 582 1,399 842 904
1720173115 NICHOLS, RICK J, DDS 2021 FFS RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1720174832 BELTON MICHAEL J 2021 FFS RENDERING AGE 0-20 244 1,002 0 0 166 580 200 200
1720174832 BELTON MICHAEL J 2021 FFS RENDERING AGE 21+ 315 1,130 0 0 183 556 264 264
1720174832 BELTON MICHAEL J 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1720175003 NGUYEN MANUEL P 2021 FFS RENDERING AGE 0-20 208 1,848 192 814 53 113 195 291
1720175003 NGUYEN MANUEL P 2021 FFS RENDERING AGE 21+ 199 1,113 156 310 93 246 166 166
1720175722 AJDAHARIAN, HAROUTUNE DDS 2021 FFS RENDERING AGE 0-20 18 129 13 30 13 57 17 19
1720175722 AJDAHARIAN, HAROUTUNE DDS 2021 FFS RENDERING AGE 21+ 395 2,101 147 263 341 1,122 325 325
1720181779 TIU, DENNIS L, DDS 2021 FFS RENDERING AGE 0-20 350 3,742 251 944 202 527 210 224
1720181779 TIU, DENNIS L, DDS 2021 FFS RENDERING AGE 21+ 606 3,129 78 154 552 1,715 61 61
1720186919 MORVARID ABDOLRAZZAGH 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1720186919 MORVARID ABDOLRAZZAGH 2021 FFS RENDERING AGE 21+ 35 201 14 14 26 120 23 23
1720188741 RASKIN, PAUL DAVID, DDS 2021 FFS RENDERING AGE 21+ 70 152 0 0 67 128 24 24
1720195084 ASAAD, MAHER 2021 FFS RENDERING AGE 0-20 119 844 114 286 42 73 101 117
1720195084 ASAAD, MAHER 2021 FFS RENDERING AGE 21+ 263 1,872 147 149 209 840 179 179
1720204134 SHAHRIARI, HOMA 2021 FFS RENDERING AGE 0-20 71 686 62 217 17 47 68 82
1720204134 SHAHRIARI, HOMA 2021 FFS RENDERING AGE 21+ 313 2,782 114 226 245 1,155 223 225
1720204134 SHAHRIARI, HOMA 2021 PHP RENDERING AGE 0-20 50 360 46 118 12 40 48 61
1720204134 SHAHRIARI, HOMA 2021 PHP RENDERING AGE 21+ 79 482 24 38 55 223 61 61
1720207954 CHAN WAYMAN M 2021 FFS RENDERING AGE 0-20 3,395 31,608 2,647 6,714 1,934 10,443 2,429 2,546
1720207954 CHAN WAYMAN M 2021 FFS RENDERING AGE 21+ 29 175 17 34 13 47 22 22
1720208671 SATA MEGHA B 2021 FFS RENDERING AGE 0-20 734 4,946 666 2,096 417 961 629 737
1720208671 SATA MEGHA B 2021 FFS RENDERING AGE 21+ 18 70 11 20 1 2 1 1
1720208671 SATA MEGHA B 2021 PHP RENDERING AGE 0-20 53 371 46 146 37 83 42 47
1720208721 KNIGHT, FRED W, DDS 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1720208721 KNIGHT, FRED W, DDS 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1720227267 MALONE JR, DORMAN R, DDS 2021 FFS RENDERING AGE 0-20 78 505 67 170 46 132 71 81
1720227267 MALONE JR, DORMAN R, DDS 2021 FFS RENDERING AGE 21+ 194 1,215 105 206 141 533 145 145
1720239197 MOLKARA MOZHGAN 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 2 1 1
1720239197 MOLKARA MOZHGAN 2021 FFS RENDERING AGE 21+ 44 235 16 16 33 164 32 32
1720239866 KIM SOYOUNG L 2021 FFS RENDERING AGE 0-20 500 7,102 461 1,796 224 624 481 596
1720239866 KIM SOYOUNG L 2021 FFS RENDERING AGE 21+ 440 3,672 204 402 299 1,092 341 341
1720243140 TRAN, PHONG THANH, DDS 2021 FFS RENDERING AGE 0-20 30 304 27 96 1 2 28 72
1720243140 TRAN, PHONG THANH, DDS 2021 FFS RENDERING AGE 21+ 53 446 34 68 17 40 43 86
1720254667 YOUNG ROYCE J 2021 FFS RENDERING AGE 0-20 187 1,139 99 215 132 501 147 167
1720254667 YOUNG ROYCE J 2021 FFS RENDERING AGE 21+ 68 301 31 40 33 143 62 62
1720257017 TAN, TSAI-HUA, DDS INC 2021 FFS RENDERING AGE 0-20 53 260 48 65 16 45 44 54
1720257017 TAN, TSAI-HUA, DDS INC 2021 FFS RENDERING AGE 21+ 116 449 80 81 46 130 75 76
1720270937 MINASYAN ARMEN 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 0 0
1720275217 KHOSROVANI ALI 2021 FFS RENDERING AGE 0-20 1 2 1 1 0 0 1 1
1720275217 KHOSROVANI ALI 2021 FFS RENDERING AGE 21+ 43 171 31 31 1 2 39 39
1720280456 LALEZARZADEH, DDS CORP 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1720282791 SMITH, SHIRLEY M, RDHAP 2021 FFS RENDERING AGE 21+ 105 697 103 375 105 322 0 0
1720288400 DAVIDIAN RAFI 2021 FFS RENDERING AGE 0-20 145 2,231 120 507 108 754 132 205
1720288400 DAVIDIAN RAFI 2021 FFS RENDERING AGE 21+ 224 2,465 130 260 188 1,481 173 175
1720291826 KNITER SINAIDA 2021 FFS RENDERING AGE 0-20 40 454 37 98 24 143 39 50
1720291826 KNITER SINAIDA 2021 FFS RENDERING AGE 21+ 472 5,689 351 605 428 2,798 396 396
1720292998 GAROFALO, ANTHONY PHILIP DMD 2021 FFS RENDERING AGE 0-20 676 7,112 388 1,121 65 73 656 817
1720292998 GAROFALO, ANTHONY PHILIP DMD 2021 FFS RENDERING AGE 21+ 1,058 6,428 41 46 247 311 922 922
1720295348 MAFI SHIDROKH 2021 PHP RENDERING AGE 0-20 119 936 100 373 107 206 38 41
1720295348 MAFI SHIDROKH 2021 PHP RENDERING AGE 21+ 154 955 105 287 139 309 43 44
1720297302 ARAKELIAN ARTOUR 2021 FFS RENDERING AGE 0-20 19 165 17 37 1 2 14 18
1720297302 ARAKELIAN ARTOUR 2021 FFS RENDERING AGE 21+ 58 305 20 22 32 114 43 43
1720297542 ESTRADA-GUEVARA, MARIA G, DD 2021 FFS RENDERING AGE 0-20 265 3,456 249 902 140 433 257 313
1720297542 ESTRADA-GUEVARA, MARIA G, DD 2021 FFS RENDERING AGE 21+ 568 4,717 236 459 442 1,859 438 438
1720297542 ESTRADA-GUEVARA, MARIA G, DD 2021 PHP RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1720299969 CHOU KATY 2021 FFS RENDERING AGE 0-20 633 7,619 603 2,239 242 541 594 810
1720299969 CHOU KATY 2021 FFS RENDERING AGE 21+ 508 3,647 333 652 331 1,206 392 392
1720300163 NEWTON, MARY RENE, RDHAP 2021 FFS RENDERING AGE 21+ 16 47 15 32 13 15 0 0
1720306921 DUGAN RONALD M 2021 FFS RENDERING AGE 0-20 463 5,456 350 948 258 675 374 434
1720306921 DUGAN RONALD M 2021 FFS RENDERING AGE 21+ 309 2,468 61 71 224 642 180 180
1720310279 FERESHTEH SANAZ 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1720310279 FERESHTEH SANAZ 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1720324494 COHEN SEDGH MANAVI & PAKRAVA 2021 PHP RENDERING AGE 0-20 29 89 12 17 1 1 13 13
1720324494 COHEN SEDGH MANAVI & PAKRAVA 2021 PHP RENDERING AGE 21+ 37 82 0 0 1 2 1 1
1720324494 COHEN SEDGH, MANAVI & PAKRAVAN DENTAL CORPORATION 2021 PHP RENDERING AGE 0-20 29 89 12 17 1 1 13 13
1720324494 COHEN SEDGH, MANAVI & PAKRAVAN DENTAL CORPORATION 2021 PHP RENDERING AGE 21+ 37 82 0 0 1 2 1 1
1720338809 GHARIBIAN, ANDRE DDS 2021 FFS RENDERING AGE 0-20 3,436 41,438 3,391 15,627 2,007 10,344 3,415 5,015
1720338809 GHARIBIAN, ANDRE DDS 2021 FFS RENDERING AGE 21+ 36 251 25 50 20 89 26 26
1720342439 OVSEPYAN TIGRAN 2021 FFS RENDERING AGE 0-20 249 2,781 206 678 89 256 232 297
1720342439 OVSEPYAN TIGRAN 2021 FFS RENDERING AGE 21+ 311 1,486 97 188 160 485 226 226
1720342439 OVSEPYAN TIGRAN 2021 PHP RENDERING AGE 0-20 92 825 77 342 21 59 91 119
1720342439 OVSEPYAN TIGRAN 2021 PHP RENDERING AGE 21+ 164 870 46 92 70 339 150 159
1720354731 POU, SARAH LAURA DDS 2021 FFS RENDERING AGE 0-20 113 1,087 90 231 60 214 87 92
1720354731 POU, SARAH LAURA DDS 2021 FFS RENDERING AGE 21+ 82 423 33 55 55 178 53 53
1720363401 DIWANA RAJESHWARI 2021 FFS RENDERING AGE 0-20 1,131 18,123 659 1,771 1,124 12,252 1,058 1,058
1720363401 DIWANA RAJESHWARI 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1720363401 DIWANA RAJESHWARI 2021 GMC RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1720363401 DIWANA RAJESHWARI 2021 GMC RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1720367303 LOVE WILLIAM JOHN V 2021 FFS RENDERING AGE 0-20 138 599 77 195 40 257 80 94
1720367303 LOVE WILLIAM JOHN V 2021 FFS RENDERING AGE 21+ 85 437 32 49 47 275 60 60
1720375629 KANG HYEJUNG 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1720375629 KANG HYEJUNG 2021 PHP RENDERING AGE 0-20 175 865 145 432 86 124 81 83
1720375629 KANG HYEJUNG 2021 PHP RENDERING AGE 21+ 1 2 1 2 1 1 1 1
1720380595 KAUR ARSHDEEP 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1720383532 KAKOLI NELI 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1720383532 KAKOLI NELI 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1720395536 ASURZA HUGO R 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1720395536 ASURZA HUGO R 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 2 0 0
1720396427 CHOI WILLIAM M 2021 FFS RENDERING AGE 0-20 1,708 14,638 1,538 5,229 630 1,932 1,534 1,980
1720396427 CHOI WILLIAM M 2021 FFS RENDERING AGE 21+ 2,432 13,375 1,757 3,355 1,093 3,180 1,924 1,924
1720413735 TRUONG RICHARD T 2021 FFS RENDERING AGE 0-20 99 745 86 173 46 127 91 117
1720413735 TRUONG RICHARD T 2021 FFS RENDERING AGE 21+ 167 1,031 116 116 82 259 139 139
1720413735 TRUONG RICHARD T 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1720415409 HARRIS TIFFANY B 2021 FFS RENDERING AGE 0-20 286 2,986 226 618 138 389 225 270
1720415409 HARRIS TIFFANY B 2021 FFS RENDERING AGE 21+ 297 1,616 107 207 236 698 86 87
1720415698 AU YOUNG KELVIN S 2021 FFS RENDERING AGE 21+ 22 219 20 20 18 86 19 19
1720426174 ELGAMAL SHIERF M 2021 FFS RENDERING AGE 0-20 36 177 26 48 1 2 36 39
1720426174 ELGAMAL SHIERF M 2021 FFS RENDERING AGE 21+ 94 416 26 26 46 174 87 87
1720431489 MEYER KATERINA A 2021 FFS RENDERING AGE 0-20 5,106 50,792 4,711 16,408 3,349 13,641 4,782 6,099
1720431489 MEYER KATERINA A 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1720440936 YU YANG-YANG 2021 FFS RENDERING AGE 0-20 100 718 59 200 62 193 69 73
1720440936 YU YANG-YANG 2021 FFS RENDERING AGE 21+ 366 1,809 54 92 266 780 223 223
1720446511 PARFITT JOSHUA J 2021 FFS RENDERING AGE 0-20 38 92 0 0 38 92 0 0
1720446511 PARFITT JOSHUA J 2021 FFS RENDERING AGE 21+ 95 256 0 0 94 254 0 0
1720446511 PARFITT JOSHUA J 2021 PHP RENDERING AGE 21+ 1 2 0 0 1 2 0 0
1720477813 SETINA, JENNIFER L, RDHAP 2021 FFS RENDERING AGE 21+ 331 2,493 323 837 331 1,557 0 0
1720481112 KIM HOWARD 2021 PHP RENDERING AGE 0-20 18 91 11 33 11 19 1 1
1720481112 KIM HOWARD 2021 PHP RENDERING AGE 21+ 41 226 12 22 34 108 19 19
1720485618 CHOI SUN 2021 FFS RENDERING AGE 0-20 318 4,004 265 714 162 723 287 341
1720485618 CHOI SUN 2021 FFS RENDERING AGE 21+ 608 5,049 153 163 466 1,872 380 380
1720505126 BANKIAN GILDA 2021 FFS RENDERING AGE 0-20 957 10,301 870 3,521 650 2,741 875 1,203
1720505126 BANKIAN GILDA 2021 FFS RENDERING AGE 21+ 187 959 90 179 126 417 105 105
1720517980 NG TIMOTHY KWOK CHU 2021 PHP RENDERING AGE 0-20 1 2 1 1 0 0 1 1
1720523004 URRUCHI ENRIQUE 2021 FFS RENDERING AGE 0-20 212 1,537 153 372 80 206 153 175
1720523004 URRUCHI ENRIQUE 2021 FFS RENDERING AGE 21+ 575 2,822 172 311 396 1,186 290 290
1720530645 LANGE RYAN 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1720530645 LANGE RYAN 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1720541311 TRUONG MINDY 2021 PHP RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1720541311 TRUONG MINDY 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1720549306 YOONG PHILIP L 2021 FFS RENDERING AGE 0-20 388 2,362 305 748 205 417 283 287
1720572787 KHACHATRYAN HAMLET 2021 FFS RENDERING AGE 0-20 439 3,724 348 1,157 305 1,191 330 337
1720572787 KHACHATRYAN HAMLET 2021 FFS RENDERING AGE 21+ 234 894 43 70 146 412 104 104
1720584790 TRAN, LINDA L, DDS A PROFESS 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 0 0
1720626435 DHALIWAL MANRAJ K 2021 FFS RENDERING AGE 0-20 4,464 57,794 3,687 9,664 2,074 8,722 3,632 4,462
1720626435 DHALIWAL MANRAJ K 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1720626435 DHALIWAL MANRAJ K 2021 GMC RENDERING AGE 0-20 1 2 0 0 1 2 0 0
1720640055 BRAWLEY DUNG T 2021 FFS RENDERING AGE 0-20 1 1 1 1 1 1 1 1
1720640055 BRAWLEY DUNG T 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1720640055 BRAWLEY DUNG T 2021 GMC RENDERING AGE 0-20 783 4,005 653 2,272 313 424 303 324
1720640055 BRAWLEY DUNG T 2021 GMC RENDERING AGE 21+ 351 1,620 84 171 291 819 142 142
1720640055 BRAWLEY DUNG T 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1720640683 MORIOKA DALLAS K 2021 GMC RENDERING AGE 0-20 1 1 0 0 1 1 1 1
1720648280 LIU JESSICA E 2021 FFS RENDERING AGE 0-20 670 1,553 0 0 468 884 0 0
1720648280 LIU JESSICA E 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1720684061 TARAR SAAD M 2021 FFS RENDERING AGE 0-20 248 796 61 157 109 203 126 130
1720684061 TARAR SAAD M 2021 FFS RENDERING AGE 21+ 857 2,100 61 120 380 682 457 459
1730105206 PHAN, HAI THANH DDS 2021 FFS RENDERING AGE 0-20 239 1,823 223 1,104 69 166 229 263
1730105206 PHAN, HAI THANH DDS 2021 FFS RENDERING AGE 21+ 350 1,539 242 484 188 359 286 286
1730119249 KILZI MICHAEL G 2021 FFS RENDERING AGE 0-20 97 1,083 82 304 63 210 90 124
1730119249 KILZI MICHAEL G 2021 FFS RENDERING AGE 21+ 186 1,795 101 185 136 723 143 143
1730154394 CHANG, CHEE DDS 2021 FFS RENDERING AGE 0-20 17 111 12 31 1 2 11 14
1730154394 CHANG, CHEE DDS 2021 FFS RENDERING AGE 21+ 108 505 34 50 78 203 68 68
1730154394 CHANG, CHEE DDS 2021 GMC RENDERING AGE 0-20 387 1,823 247 754 111 240 333 351
1730154394 CHANG, CHEE DDS 2021 GMC RENDERING AGE 21+ 568 2,439 199 302 376 1,096 310 310
1730169392 GRIGORYAN, MHER DDS 2021 FFS RENDERING AGE 0-20 403 7,394 386 1,865 303 1,953 390 545
1730169392 GRIGORYAN, MHER DDS 2021 FFS RENDERING AGE 21+ 298 3,682 210 416 251 1,787 233 233
1730175977 BENTZ, SHELBY L MD 2021 FFS RENDERING AGE 0-20 152 359 0 0 152 359 0 0
1730181587 FRANCO-CASTELLANOS, LUIS R, 2021 FFS RENDERING AGE 0-20 27 221 27 51 16 92 25 27
1730181587 FRANCO-CASTELLANOS, LUIS R, 2021 FFS RENDERING AGE 21+ 77 463 44 44 35 231 71 71
1730203712 PATAM MARLICE A 2021 PHP RENDERING AGE 0-20 14 80 0 0 14 67 0 0
1730203712 PATAM MARLICE A 2021 PHP RENDERING AGE 21+ 13 47 0 0 1 2 1 1
1730205626 BERONILLA, EMEGIO G, DMD 2021 FFS RENDERING AGE 0-20 1 1 1 1 1 1 1 1
1730205626 BERONILLA, EMEGIO G, DMD 2021 FFS RENDERING AGE 21+ 32 70 16 16 14 25 21 21
1730205709 KIRSHBAUM, GERALD M DDS 2021 FFS RENDERING AGE 0-20 465 6,612 444 2,035 321 1,026 440 707
1730205709 KIRSHBAUM, GERALD M DDS 2021 FFS RENDERING AGE 21+ 40 286 30 55 25 55 29 29
1730210659 GAGNEJA RAJESH K 2021 FFS RENDERING AGE 0-20 44 525 44 146 24 112 35 50
1730210659 GAGNEJA RAJESH K 2021 FFS RENDERING AGE 21+ 43 316 32 35 29 132 34 35
1730211772 CHAE, CHRISTOPHER P DDS 2021 FFS RENDERING AGE 0-20 67 410 17 38 53 202 59 63
1730211772 CHAE, CHRISTOPHER P DDS 2021 FFS RENDERING AGE 21+ 328 1,777 53 54 221 929 282 282
1730211772 CHAE, CHRISTOPHER P DDS 2021 GMC RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1730212952 NGUYEN HANH N 2021 FFS RENDERING AGE 0-20 3,439 39,633 3,070 9,837 1,980 6,840 3,007 3,670
1730212952 NGUYEN HANH N 2021 FFS RENDERING AGE 21+ 113 322 28 42 65 173 43 43
1730214909 BADEA MARIUS P 2021 FFS RENDERING AGE 0-20 160 838 1 1 1 2 1 1
1730214909 BADEA MARIUS P 2021 FFS RENDERING AGE 21+ 133 567 1 1 1 2 1 1
1730216599 MICHAEL CARMY G 2021 FFS RENDERING AGE 0-20 1 2 0 0 1 2 0 0
1730216599 MICHAEL CARMY G 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 2 0 0
1730218637 ROSTKER INNA 2021 FFS RENDERING AGE 21+ 32 69 0 0 32 52 1 1
1730219486 ZAMPIGHI, OLGA BALLESTEROS, 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1730220104 SHAMSIAN, SHAHIN, DDS 2021 FFS RENDERING AGE 0-20 72 503 54 134 29 63 62 70
1730220104 SHAMSIAN, SHAHIN, DDS 2021 FFS RENDERING AGE 21+ 129 881 33 33 53 146 107 107
1730220104 SHAMSIAN, SHAHIN, DDS 2021 GMC RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1730220104 SHAMSIAN, SHAHIN, DDS 2021 GMC RENDERING AGE 21+ 11 39 1 1 1 2 1 1
1730220104 SHAMSIAN, SHAHIN, DDS 2021 PHP RENDERING AGE 0-20 125 831 105 266 36 74 118 143
1730220104 SHAMSIAN, SHAHIN, DDS 2021 PHP RENDERING AGE 21+ 177 823 57 58 45 110 159 169
1730225145 DIAS SOFIA 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1730225475 FAT, WILLIAM J, DDS 2021 FFS RENDERING AGE 0-20 54 254 52 101 17 43 52 70
1730225475 FAT, WILLIAM J, DDS 2021 FFS RENDERING AGE 21+ 153 623 87 87 71 217 123 123
1730226291 SHENG ANNE MU H 2021 FFS RENDERING AGE 0-20 2,671 27,511 2,394 8,378 1,655 4,427 2,279 2,654
1730226291 SHENG ANNE MU H 2021 FFS RENDERING AGE 21+ 1 2 1 1 0 0 1 1
1730226291 SHENG ANNE MU H 2021 PHP RENDERING AGE 0-20 30 215 27 83 21 65 18 18
1730229832 TAN WINNIE 2021 PHP RENDERING AGE 0-20 30 299 23 107 29 43 21 22
1730229832 TAN WINNIE 2021 PHP RENDERING AGE 21+ 48 210 1 2 38 97 14 14
1730235250 KIM YOUNGJOO 2021 FFS RENDERING AGE 0-20 334 2,205 292 991 94 187 262 316
1730235250 KIM YOUNGJOO 2021 FFS RENDERING AGE 21+ 13 45 1 1 1 1 1 1
1730235607 SUMMERS SHAWN J 2021 PHP RENDERING AGE 0-20 17 125 15 63 16 21 1 1
1730235607 SUMMERS SHAWN J 2021 PHP RENDERING AGE 21+ 135 792 100 329 109 167 89 89
1730235623 BUI KIM T 2021 FFS RENDERING AGE 0-20 27 163 26 60 1 2 26 30
1730238098 NGUYEN, HOP T, DDS 2021 FFS RENDERING AGE 0-20 16 242 13 58 1 2 12 24
1730238098 NGUYEN, HOP T, DDS 2021 FFS RENDERING AGE 21+ 180 2,666 100 400 143 906 138 276
1730240367 ALABYAN ANAIT 2021 FFS RENDERING AGE 0-20 195 1,131 170 424 105 272 179 253
1730240367 ALABYAN ANAIT 2021 FFS RENDERING AGE 21+ 378 2,142 166 169 292 1,215 256 256
1730241498 TOMA OMEED B 2021 FFS RENDERING AGE 0-20 46 256 33 79 21 46 32 33
1730241498 TOMA OMEED B 2021 FFS RENDERING AGE 21+ 322 1,341 129 190 190 531 194 194
1730244476 MAZI, FARHAD DDS 2021 FFS RENDERING AGE 0-20 1,776 20,043 1,534 5,898 932 2,614 1,476 1,617
1730244476 MAZI, FARHAD DDS 2021 FFS RENDERING AGE 21+ 1,728 11,577 943 1,855 1,196 4,463 1,134 1,134
1730244476 MAZI, FARHAD, DDS 2021 FFS RENDERING AGE 0-20 1,776 20,043 1,534 5,898 932 2,614 1,476 1,617
1730244476 MAZI, FARHAD, DDS 2021 FFS RENDERING AGE 21+ 1,728 11,577 943 1,855 1,196 4,463 1,134 1,134
1730245218 RIOS, ANA VERONICA, DDS 2021 FFS RENDERING AGE 0-20 91 982 81 227 48 163 73 99
1730245218 RIOS, ANA VERONICA, DDS 2021 FFS RENDERING AGE 21+ 82 609 42 80 48 205 57 57
1730247354 MOTAKEF MEHDI 2021 FFS RENDERING AGE 0-20 182 429 1 1 53 123 51 52
1730247354 MOTAKEF MEHDI 2021 FFS RENDERING AGE 21+ 110 306 0 0 53 101 73 78
1730251109 ZAHIRFAR, AMIN A, DDS 2021 FFS RENDERING AGE 0-20 119 1,929 111 622 73 268 114 151
1730251109 ZAHIRFAR, AMIN A, DDS 2021 FFS RENDERING AGE 21+ 189 2,806 132 265 176 1,023 143 144
1730251851 KERI NAZLI 2021 FFS RENDERING AGE 0-20 47 257 32 77 22 74 21 21
1730253485 HIRANO STEPHEN F 2021 FFS RENDERING AGE 0-20 526 5,114 479 1,775 378 1,024 460 607
1730260209 JEAN CHARNG-SHING 2021 FFS RENDERING AGE 0-20 190 1,919 175 425 83 207 160 196
1730260209 JEAN CHARNG-SHING 2021 FFS RENDERING AGE 21+ 215 2,076 156 156 139 441 144 144
1730262676 TRAN PETER 2021 FFS RENDERING AGE 0-20 80 646 72 171 45 176 76 84
1730262676 TRAN PETER 2021 FFS RENDERING AGE 21+ 146 1,133 72 144 108 453 104 104
1730262676 TRAN, PETER, DDS 2021 FFS RENDERING AGE 0-20 80 646 72 171 45 176 76 84
1730262676 TRAN, PETER, DDS 2021 FFS RENDERING AGE 21+ 146 1,133 72 144 108 453 104 104
1730266974 SIRIWAT, P PENNY, DDS MS 2021 FFS RENDERING AGE 0-20 110 501 0 0 70 261 0 0
1730266974 SIRIWAT, P. PENNY MD 2021 FFS RENDERING AGE 0-20 110 501 0 0 70 261 0 0
1730268681 VELUPPILLAI SIVAPPIRIYAI 2021 FFS RENDERING AGE 0-20 1 2 0 0 1 1 1 1
1730268681 VELUPPILLAI SIVAPPIRIYAI 2021 FFS RENDERING AGE 21+ 73 142 0 0 41 83 56 56
1730274135 LE, THUAN N, DDS 2021 FFS RENDERING AGE 0-20 24 91 0 0 15 56 11 11
1730277120 NGUYEN DA-HUONG T 2021 FFS RENDERING AGE 0-20 156 1,898 146 484 55 112 147 191
1730277120 NGUYEN DA-HUONG T 2021 FFS RENDERING AGE 21+ 61 439 43 86 30 45 43 43
1730279431 DEMIRDJI SAMUEL A 2021 FFS RENDERING AGE 0-20 508 1,139 0 0 186 620 0 0
1730279431 DEMIRDJI SAMUEL A 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1730279431 DEMIRDJI SAMUEL A 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1730282989 HATAMI RAMIN R 2021 FFS RENDERING AGE 0-20 32 325 24 73 1 2 30 33
1730282989 HATAMI RAMIN R 2021 FFS RENDERING AGE 21+ 94 733 15 17 53 177 76 76
1730287418 PATEL, JAYANTILAL G, DDS 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1730287418 PATEL, JAYANTILAL G, DDS 2021 PHP RENDERING AGE 0-20 1 1 1 1 1 1 0 0
1730287418 PATEL, JAYANTILAL G, DDS 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1730301417 REDDY, NAGA REKHA, DDS 2021 FFS RENDERING AGE 0-20 70 587 64 166 22 63 66 83
1730301417 REDDY, NAGA REKHA, DDS 2021 FFS RENDERING AGE 21+ 99 815 61 61 71 337 70 70
1730301441 STAHL LISA J 2021 FFS RENDERING AGE 0-20 2,487 22,735 2,231 8,501 1,551 5,190 2,265 2,739
1730305111 LARRY V HAMER DDS PROF CORP 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1730305715 NGUYEN THANH N 2021 FFS RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1730305715 NGUYEN, THANH NGOC, DMD INC 2021 FFS RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1730306622 BAUTISTA NICANOR 2021 FFS RENDERING AGE 0-20 96 1,106 85 230 44 153 80 97
1730306622 BAUTISTA NICANOR 2021 FFS RENDERING AGE 21+ 151 1,026 63 64 107 387 87 87
1730306952 ALTEIR NIZAR M 2021 FFS RENDERING AGE 0-20 127 1,141 87 194 74 311 98 103
1730306952 ALTEIR NIZAR M 2021 FFS RENDERING AGE 21+ 339 2,905 93 94 281 1,385 195 195
1730307380 NGUYEN-TU MAI T 2021 FFS RENDERING AGE 0-20 760 6,524 587 2,069 477 1,119 583 669
1730307380 NGUYEN-TU MAI T 2021 FFS RENDERING AGE 21+ 86 762 61 116 53 172 63 63
1730312836 ZAKHARY PETER M 2021 FFS RENDERING AGE 0-20 32 83 1 1 27 50 1 1
1730312836 ZAKHARY PETER M 2021 FFS RENDERING AGE 21+ 48 155 1 2 30 60 20 20
1730313677 CHIANG CHUEN C 2021 FFS RENDERING AGE 0-20 25 64 0 0 22 59 0 0
1730324757 WYATT MELVA S 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1730347204 LAALY FRANK 2021 FFS RENDERING AGE 0-20 168 467 0 0 167 453 0 0
1730347204 LAALY FRANK 2021 FFS RENDERING AGE 21+ 104 256 1 1 103 247 1 1
1730358409 KOLETIC STELLA 2021 FFS RENDERING AGE 0-20 1,858 18,231 1,703 5,216 1,200 3,060 1,573 1,665
1730358409 KOLETIC STELLA 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1730368168 SANCHEZ DEYANIRA 2021 FFS RENDERING AGE 0-20 2,776 28,364 2,629 9,650 1,645 6,580 2,587 3,600
1730368168 SANCHEZ DEYANIRA 2021 PHP RENDERING AGE 0-20 1 2 1 2 1 2 1 1
1730368267 GUINDY YOUSSEF E 2021 FFS RENDERING AGE 0-20 124 772 50 187 112 148 58 77
1730368267 GUINDY YOUSSEF E 2021 FFS RENDERING AGE 21+ 392 1,259 51 101 371 616 130 131
1730368267 GUINDY YOUSSEF E 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1730368267 GUINDY YOUSSEF E 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1730368267 GUINDY YOUSSEF E 2021 PHP RENDERING AGE 21+ 18 53 1 1 17 44 1 1
1730371618 GERNHOFER KORY M 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1730376476 LEE HOWARD 2021 FFS RENDERING AGE 0-20 21 63 0 0 12 27 0 0
1730377425 RODRIGUES SMITA J 2021 FFS RENDERING AGE 0-20 780 11,725 731 3,255 278 654 748 1,150
1730377425 RODRIGUES SMITA J 2021 FFS RENDERING AGE 21+ 467 4,246 380 758 199 360 400 400
1730379314 DAO LOAN K 2021 PHP RENDERING AGE 0-20 142 694 106 333 80 124 64 71
1730379314 DAO LOAN K 2021 PHP RENDERING AGE 21+ 1 2 1 2 1 1 1 1
1730383365 KOROURI AMIR 2021 FFS RENDERING AGE 0-20 117 892 79 205 63 141 79 79
1730383365 KOROURI AMIR 2021 FFS RENDERING AGE 21+ 750 4,227 295 585 419 950 430 430
1730387689 CHO, KWANG H, DDS 2021 FFS RENDERING AGE 0-20 11 15 0 0 1 1 0 0
1730392895 HUYNH, TAI 2021 FFS RENDERING AGE 0-20 35 345 31 96 28 152 28 34
1730392895 HUYNH, TAI 2021 FFS RENDERING AGE 21+ 242 2,299 187 373 224 1,363 196 196
1730396508 MAROON JOHN P 2021 FFS RENDERING AGE 0-20 117 1,329 108 346 73 380 115 146
1730396508 MAROON JOHN P 2021 FFS RENDERING AGE 21+ 415 3,519 327 649 279 1,491 363 365
1730410051 ESTRADA ROSA M 2021 FFS RENDERING AGE 0-20 434 890 0 0 44 100 1 1
1730410051 ESTRADA ROSA M 2021 FFS RENDERING AGE 21+ 27 29 0 0 1 1 0 0
1730419664 SHANMUGHAM CHITRA V 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1730419664 SHANMUGHAM CHITRA V 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1730424193 GHONEIM EMAN A 2021 FFS RENDERING AGE 0-20 127 1,291 112 468 102 321 114 165
1730424193 GHONEIM EMAN A 2021 GMC RENDERING AGE 0-20 1,495 24,217 1,472 9,327 1,268 5,860 1,436 2,458
1730427907 STEWART PATRYCJA Z 2021 FFS RENDERING AGE 0-20 1,758 14,108 1,323 2,925 641 2,145 1,243 1,299
1730427907 STEWART PATRYCJA Z 2021 FFS RENDERING AGE 21+ 211 1,814 96 163 158 750 159 159
1730434325 KATHIRIYA BHUMIKA 2021 FFS RENDERING AGE 0-20 611 5,337 405 1,201 427 1,107 383 394
1730434325 KATHIRIYA BHUMIKA 2021 FFS RENDERING AGE 21+ 81 537 33 64 51 136 33 33
1730440553 MAHAL NARINDERJIT S 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 1 1
1730440553 MAHAL NARINDERJIT S 2021 FFS RENDERING AGE 21+ 43 185 1 1 38 93 1 1
1730446972 RUPAREL PANNA B 2021 FFS RENDERING AGE 0-20 85 557 75 233 16 48 79 79
1730458712 HANITABATABAEI FARZANEH 2021 FFS RENDERING AGE 0-20 220 1,566 155 217 89 170 158 158
1730458712 HANITABATABAEI FARZANEH 2021 FFS RENDERING AGE 21+ 253 1,200 59 62 140 312 134 134
1730467903 BECKER MAGNOLIA J 2021 FFS RENDERING AGE 0-20 900 9,698 765 3,096 707 4,435 556 625
1730467903 BECKER MAGNOLIA J 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 0 0
1730467903 BECKER MAGNOLIA J 2021 PHP RENDERING AGE 0-20 403 3,408 236 731 390 2,574 15 15
1730481318 ALTAMED HEALTH SERVICES 2021 PHP RENDERING AGE 0-20 171 1,958 155 790 167 317 148 157
1730481318 ALTAMED HEALTH SERVICES 2021 PHP RENDERING AGE 21+ 161 924 61 156 123 308 67 70
1730481318 ALTAMED HEALTH SERVICES CORP 2021 PHP RENDERING AGE 0-20 171 1,958 155 790 167 317 148 157
1730481318 ALTAMED HEALTH SERVICES CORP 2021 PHP RENDERING AGE 21+ 161 924 61 156 123 308 67 70
1730483710 BROWN, JUDITH RENEE, RDHAP 2021 FFS RENDERING AGE 0-20 48 89 48 89 0 0 0 0
1730483710 BROWN, JUDITH RENEE, RDHAP 2021 FFS RENDERING AGE 21+ 73 377 69 210 73 167 0 0
1730492869 VOSSOUGHI ROUZBEH 2021 FFS RENDERING AGE 0-20 310 649 0 0 122 381 0 0
1730499930 LEE JING W 2021 FFS RENDERING AGE 0-20 379 2,848 307 853 163 475 323 365
1730499930 LEE JING W 2021 FFS RENDERING AGE 21+ 678 3,773 277 543 447 1,351 469 476
1730501040 MALIK NAZIA 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1730501040 MALIK NAZIA 2021 FFS RENDERING AGE 21+ 1 1 1 1 1 1 0 0
1730505777 TOM, ADELINE, DDS 2021 FFS RENDERING AGE 0-20 81 783 80 311 37 78 72 120
1730505777 TOM, ADELINE, DDS 2021 FFS RENDERING AGE 21+ 41 208 36 71 19 30 33 33
1730520024 AZIZZADEH JAMSHID 2021 FFS RENDERING AGE 0-20 45 419 34 85 33 138 41 51
1730520024 AZIZZADEH JAMSHID 2021 FFS RENDERING AGE 21+ 87 529 31 31 52 230 75 75
1730531666 YOO CHRISTOPHER J 2021 FFS RENDERING AGE 0-20 129 1,092 104 225 47 106 106 111
1730531666 YOO CHRISTOPHER J 2021 FFS RENDERING AGE 21+ 246 1,687 120 240 155 499 135 135
1730576554 PAXMAN JEFFREY S 2021 FFS RENDERING AGE 0-20 13 64 0 0 1 2 11 12
1730576554 PAXMAN JEFFREY S 2021 FFS RENDERING AGE 21+ 43 168 0 0 18 95 33 34
1730578428 NAJM ANAS A 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1730578923 LEE SO YEON 2021 FFS RENDERING AGE 0-20 1,367 5,582 538 1,760 592 2,296 1,207 1,504
1730578923 LEE SO YEON 2021 FFS RENDERING AGE 21+ 939 3,554 1 1 699 3,033 513 513
1730582644 AMIN SAMIR P 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1730582644 AMIN SAMIR P 2021 FFS RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1730597071 IM DEBRA J 2021 PHP RENDERING AGE 0-20 1 2 1 1 0 0 1 1
1730597071 IM DEBRA J 2021 PHP RENDERING AGE 21+ 27 148 1 1 19 83 21 21
1730603481 CABRERA ARELLAN JORGE R 2021 FFS RENDERING AGE 0-20 617 5,332 414 1,240 290 901 482 545
1730603481 CABRERA ARELLAN JORGE R 2021 FFS RENDERING AGE 21+ 804 4,053 147 158 456 1,683 530 532
1730606781 DUONG RAYMOND 2021 GMC RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1730607425 LEONCIO BERNADETTE F 2021 PHP RENDERING AGE 0-20 83 844 71 341 79 130 60 61
1730607425 LEONCIO BERNADETTE F 2021 PHP RENDERING AGE 21+ 137 756 43 129 104 274 49 50
1730614694 VELA GONZALES JOSE L 2021 FFS RENDERING AGE 0-20 449 4,810 417 1,675 149 474 378 500
1730614694 VELA GONZALES JOSE L 2021 FFS RENDERING AGE 21+ 404 2,611 238 452 226 846 271 271
1730630500 SARYAN KHACHATUR 2021 FFS RENDERING AGE 0-20 20 98 12 24 14 31 16 16
1730630500 SARYAN KHACHATUR 2021 FFS RENDERING AGE 21+ 279 1,975 130 246 226 1,106 167 175
1730635434 JOSHI ABHISHEK 2021 FFS RENDERING AGE 0-20 30 285 30 96 24 57 24 26
1730635434 JOSHI ABHISHEK 2021 FFS RENDERING AGE 21+ 1,471 12,479 1,068 2,450 1,234 3,258 1,278 1,284
1730676875 SHALABY ABBY G 2021 FFS RENDERING AGE 21+ 37 134 1 1 27 93 13 13
1730682154 MORGAN, DANIEL, DDS INC II 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1730704495 JUNG & 3 KIMS DENTAL GROUP 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 2 0 0
1730742115 KIM RICHARD H 2021 FFS RENDERING AGE 0-20 354 2,770 222 576 222 545 226 229
1730742115 KIM RICHARD H 2021 FFS RENDERING AGE 21+ 273 1,891 47 94 163 347 163 163
1730742115 KIM RICHARD H 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1730767666 DUPALO ELENA V 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1730767666 DUPALO ELENA V 2021 FFS RENDERING AGE 21+ 74 594 61 121 40 122 69 69
1730792771 RANJAN ABHISHEK 2021 FFS RENDERING AGE 0-20 1,095 5,021 152 222 1,075 4,426 0 0
1730792797 PATAO DEREK H 2021 FFS RENDERING AGE 0-20 69 251 30 74 35 66 42 42
1730792797 PATAO DEREK H 2021 FFS RENDERING AGE 21+ 116 281 15 29 59 119 53 53
1730792797 PATAO DEREK H 2021 PHP RENDERING AGE 0-20 1 1 1 1 1 1 1 1
1730792797 PATAO DEREK H 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1730797614 WATU BRITTANY S 2021 FFS RENDERING AGE 0-20 55 456 48 161 30 69 50 51
1730797614 WATU BRITTANY S 2021 FFS RENDERING AGE 21+ 63 438 45 90 52 138 21 21
1740238492 MARCUS, DANIEL W, DDS 2021 FFS RENDERING AGE 0-20 12 27 1 1 1 2 0 0
1740238492 MARCUS, DANIEL W, DDS 2021 FFS RENDERING AGE 21+ 66 164 0 0 66 164 0 0
1740245646 WONG SIMON 2021 FFS RENDERING AGE 0-20 34 162 20 49 12 27 29 34
1740245646 WONG SIMON 2021 FFS RENDERING AGE 21+ 356 2,163 125 243 244 1,093 255 258
1740259027 JONES JR JULIUS R 2021 PHP RENDERING AGE 0-20 27 181 21 77 19 33 1 1
1740259027 JONES JR JULIUS R 2021 PHP RENDERING AGE 21+ 120 476 57 140 101 155 41 46
1740272970 BROUHTCHENKO, SERGIEI DDS 2021 FFS RENDERING AGE 0-20 749 6,765 722 2,563 271 543 740 1,192
1740272970 BROUHTCHENKO, SERGIEI DDS 2021 FFS RENDERING AGE 21+ 578 2,833 329 633 270 598 492 494
1740277193 MAC FRANK X 2021 FFS RENDERING AGE 21+ 96 291 0 0 96 277 0 0
1740304674 ROSALES, DR VERONICA DDS 2021 FFS RENDERING AGE 0-20 59 951 55 220 21 51 58 90
1740304674 ROSALES, DR VERONICA DDS 2021 FFS RENDERING AGE 21+ 115 1,204 84 167 88 403 97 97
1740305291 NICHOLS, EDWARD LEE DDS 2021 FFS RENDERING AGE 0-20 39 360 31 84 20 87 38 47
1740305291 NICHOLS, EDWARD LEE DDS 2021 FFS RENDERING AGE 21+ 179 1,090 66 66 132 620 141 141
1740320472 MANI, PETER DDS 2021 FFS RENDERING AGE 0-20 122 781 107 424 46 89 116 145
1740320472 MANI, PETER DDS 2021 FFS RENDERING AGE 21+ 340 1,793 137 269 212 699 256 256
1740320480 GHOZLAN AYMAN M 2021 FFS RENDERING AGE 0-20 1,297 13,301 1,222 5,761 358 743 1,274 1,702
1740320480 GHOZLAN AYMAN M 2021 FFS RENDERING AGE 21+ 1,856 11,783 1,488 2,967 928 2,707 1,659 1,660
1740322197 SITWALA PREETI R 2021 FFS RENDERING AGE 0-20 1 2 1 1 0 0 1 1
1740322197 SITWALA PREETI R 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1740323930 HIMMELBERG DOUGLAS L 2021 FFS RENDERING AGE 0-20 229 250 0 0 16 18 0 0
1740323930 HIMMELBERG DOUGLAS L 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1740323930 HIMMELBERG DOUGLAS L 2021 GMC RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1740323930 HIMMELBERG DOUGLAS L 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1740323930 HIMMELBERG DOUGLAS L 2021 PHP RENDERING AGE 0-20 11 14 0 0 1 2 0 0
1740323930 HIMMELBERG DOUGLAS L 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1740324300 KOTHARI RAMESH 2021 FFS RENDERING AGE 0-20 11 52 1 2 1 2 1 1
1740324300 KOTHARI RAMESH 2021 FFS RENDERING AGE 21+ 25 96 1 1 15 47 16 16
1740324854 ASATRYAN, MIKE G, DDS 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1740324854 ASATRYAN, MIKE G, DDS 2021 FFS RENDERING AGE 21+ 301 1,091 103 103 231 612 75 75
1740331933 WIJEWARDENE CLERA S 2021 FFS RENDERING AGE 0-20 145 530 76 153 32 63 113 113
1740331933 WIJEWARDENE CLERA S 2021 FFS RENDERING AGE 21+ 431 1,341 84 145 200 503 253 254
1740331933 WIJEWARDENE CLERA S 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1740331933 WIJEWARDENE CLERA S 2021 PHP RENDERING AGE 0-20 171 1,563 142 546 96 392 148 186
1740331933 WIJEWARDENE CLERA S 2021 PHP RENDERING AGE 21+ 169 1,084 79 150 123 583 115 122
1740338839 KARIC, AMIR, DDS 2021 FFS RENDERING AGE 0-20 143 393 1 1 142 349 1 1
1740338839 KARIC, AMIR, DDS 2021 FFS RENDERING AGE 21+ 60 158 1 1 60 145 1 1
1740339852 HADUONG, HAN DDS 2021 FFS RENDERING AGE 0-20 17 202 16 35 1 1 16 19
1740339852 HADUONG, HAN DDS 2021 FFS RENDERING AGE 21+ 11 97 1 1 1 1 1 1
1740343730 HUNG K. DO, DDS, INC. 2021 GMC RENDERING AGE 0-20 1 2 0 0 1 1 1 1
1740343730 HUNG K. DO, DDS, INC. 2021 GMC RENDERING AGE 21+ 15 65 0 0 1 1 13 13
1740349877 SABBAGHZADEH ALI R 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 2 0 0
1740358787 PETROVA KORNELIA L 2021 FFS RENDERING AGE 0-20 459 2,717 303 729 222 541 393 448
1740358787 PETROVA KORNELIA L 2021 FFS RENDERING AGE 21+ 609 2,595 179 341 300 879 480 480
1740358787 PETROVA KORNELIA L 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1740358787 PETROVA KORNELIA L 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1740366681 DRAKHSHANI SOHEIL 2021 FFS RENDERING AGE 0-20 14 123 12 28 1 2 13 13
1740366681 DRAKHSHANI SOHEIL 2021 FFS RENDERING AGE 21+ 291 2,350 162 318 219 882 208 208
1740366681 DRAKHSHANI, SOHEIL, DDS INC 2021 FFS RENDERING AGE 0-20 14 123 12 28 1 2 13 13
1740366681 DRAKHSHANI, SOHEIL, DDS INC 2021 FFS RENDERING AGE 21+ 291 2,350 162 318 219 882 208 208
1740367309 KOBAYAKAWA, YOKO, DDS 2021 FFS RENDERING AGE 0-20 11 57 1 2 0 0 1 2
1740367309 KOBAYAKAWA, YOKO, DDS 2021 FFS RENDERING AGE 21+ 15 53 15 15 1 1 15 15
1740367440 HERMANSJAH, LITA, DDS 2021 FFS RENDERING AGE 0-20 113 1,234 100 421 59 161 104 125
1740367440 HERMANSJAH, LITA, DDS 2021 FFS RENDERING AGE 21+ 176 1,527 103 210 151 594 53 53
1740377126 KUECKELS BRENDA L 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1740382415 MG, KYAW KYAW DDS 2021 FFS RENDERING AGE 0-20 163 1,403 148 372 60 150 158 196
1740382415 MG, KYAW KYAW DDS 2021 FFS RENDERING AGE 21+ 227 1,973 95 188 134 547 194 199
1740387752 COLE, NEAL, DDS 2021 PHP RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1740390236 ZAKHARY EMIL A 2021 FFS RENDERING AGE 0-20 616 7,625 515 1,933 388 995 488 586
1740390236 ZAKHARY EMIL A 2021 FFS RENDERING AGE 21+ 1,218 12,494 394 578 1,147 5,213 683 689
1740392521 PATEL, PARITOSH, DDS 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1740392521 PATEL, PARITOSH, DDS 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1740398171 LEUNG, DENNIS C, DDS 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1740398171 LEUNG, DENNIS C, DDS 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1740398353 KU TRACY 2021 FFS RENDERING AGE 0-20 80 1,078 75 258 49 164 74 96
1740398353 KU TRACY 2021 FFS RENDERING AGE 21+ 311 2,012 219 221 197 559 245 247
1740403948 CHUN DENNIS P 2021 FFS RENDERING AGE 0-20 323 3,354 256 804 163 361 255 257
1740403948 CHUN DENNIS P 2021 FFS RENDERING AGE 21+ 70 431 21 42 45 88 36 36
1740404110 DANG, CHERI AMANDA DMD 2021 FFS RENDERING AGE 0-20 63 277 35 90 31 91 33 33
1740404490 NGUYEN DUC THANH H 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1740407451 ANCHETA MIA L 2021 FFS RENDERING AGE 0-20 453 7,062 436 1,714 222 503 443 607
1740407451 ANCHETA MIA L 2021 FFS RENDERING AGE 21+ 253 2,533 172 349 185 652 196 196
1740408657 PHAM PAUL 2021 FFS RENDERING AGE 0-20 1,369 11,204 1,060 2,718 690 1,625 1,021 1,109
1740408657 PHAM PAUL 2021 FFS RENDERING AGE 21+ 514 3,122 242 476 374 1,155 264 264
1740409374 NGUYEN HOANG C 2021 FFS RENDERING AGE 0-20 383 2,565 329 1,161 96 239 343 379
1740409374 NGUYEN HOANG C 2021 FFS RENDERING AGE 21+ 355 1,823 73 148 231 899 207 207
1740409820 MIRABILE JASON D 2021 FFS RENDERING AGE 0-20 158 864 147 318 47 220 124 152
1740409820 MIRABILE JASON D 2021 FFS RENDERING AGE 21+ 768 2,947 518 518 365 1,466 330 330
1740424100 MICHAEL ABAIAN DDS INC 2021 PHP RENDERING AGE 0-20 1 2 1 2 0 0 1 1
1740424100 MICHAEL ABAIAN DDS INC 2021 PHP RENDERING AGE 21+ 29 140 1 1 15 53 17 17
1740425677 WONG AMY 2021 FFS RENDERING AGE 0-20 232 953 11 31 231 877 1 1
1740425677 WONG AMY 2021 FFS RENDERING AGE 21+ 61 155 0 0 61 155 0 0
1740426162 BAYRAMYAN DDS DENTAL CORP 2021 FFS RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1740427756 OGISAKA JR JAMES H 2021 FFS RENDERING AGE 0-20 39 249 21 58 19 43 22 22
1740427756 OGISAKA JR JAMES H 2021 FFS RENDERING AGE 21+ 160 619 34 64 96 257 42 42
1740433614 CHOI KEUM K 2021 FFS RENDERING AGE 0-20 11 24 0 0 1 2 1 1
1740433614 CHOI KEUM K 2021 FFS RENDERING AGE 21+ 16 28 0 0 14 24 1 1
1740436450 TRAN, HUY XUAN, DDS 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1740436450 TRAN, HUY XUAN, DDS 2021 GMC RENDERING AGE 0-20 56 283 25 78 43 61 25 25
1740436450 TRAN, HUY XUAN, DDS 2021 GMC RENDERING AGE 21+ 298 1,688 73 104 283 714 55 77
1740450808 SANCHEZ GARY ERIC F 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1740451012 BECERRA KAREN 2021 FFS RENDERING AGE 21+ 252 850 127 210 138 305 68 68
1740458041 HASHEMI KOOROUSH B 2021 FFS RENDERING AGE 0-20 384 2,299 246 590 152 443 346 368
1740458041 HASHEMI KOOROUSH B 2021 FFS RENDERING AGE 21+ 856 3,056 130 253 382 1,080 359 359
1740458223 LUO LEI 2021 FFS RENDERING AGE 0-20 68 369 51 121 35 87 53 53
1740458223 LUO LEI 2021 FFS RENDERING AGE 21+ 275 1,357 134 182 197 601 240 240
1740461417 KIM HAESUNG 2021 FFS RENDERING AGE 0-20 81 732 63 153 38 87 69 80
1740461417 KIM HAESUNG 2021 FFS RENDERING AGE 21+ 152 1,061 77 148 107 370 97 97
1740467513 ALCARAZ ALEXANDER R 2021 FFS RENDERING AGE 0-20 158 1,058 118 333 99 624 82 83
1740467513 ALCARAZ ALEXANDER R 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1740472950 SHYN, SUNG SOO, DDS 2021 FFS RENDERING AGE 0-20 1,264 6,070 0 0 294 1,828 0 0
1740472950 SHYN, SUNG SOO, DDS 2021 FFS RENDERING AGE 21+ 13 26 0 0 0 0 0 0
1740477470 ROBLES, MARIO DDS 2021 FFS RENDERING AGE 0-20 86 976 80 234 66 214 79 86
1740477470 ROBLES, MARIO DDS 2021 FFS RENDERING AGE 21+ 77 903 46 90 62 296 63 63
1740489046 BHAKTA, VIHAR PRAVIN DMD 2021 FFS RENDERING AGE 0-20 1,179 20,595 1,116 5,009 778 3,095 1,119 1,559
1740489046 BHAKTA, VIHAR PRAVIN DMD 2021 FFS RENDERING AGE 21+ 691 5,772 351 689 492 1,694 485 485
1740489046 BHAKTA, VIHAR PRAVIN DMD 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1740489186 HA-TANG CARMEN 2021 FFS RENDERING AGE 0-20 1 2 1 2 0 0 1 1
1740490226 LEEYOON, JUNGJIN, DDS 2021 FFS RENDERING AGE 0-20 20 159 14 41 15 46 19 24
1740490226 LEEYOON, JUNGJIN, DDS 2021 FFS RENDERING AGE 21+ 92 773 72 115 71 359 79 79
1740492081 CRAWFORD LARRY B 2021 FFS RENDERING AGE 0-20 154 283 0 0 31 83 0 0
1740494673 CHOI, JOHN Y, DDS 2021 FFS RENDERING AGE 0-20 15 79 14 35 1 1 14 18
1740494673 CHOI, JOHN Y, DDS 2021 FFS RENDERING AGE 21+ 1 2 1 1 0 0 1 1
1740494905 CHOW IVAN K 2021 FFS RENDERING AGE 21+ 43 280 34 34 33 108 34 34
1740497809 ZINATI, LADAN, DDS INC 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1740500701 SILVA, ALBERTINA DDS 2021 FFS RENDERING AGE 0-20 44 427 42 125 25 71 39 50
1740500701 SILVA, ALBERTINA DDS 2021 FFS RENDERING AGE 21+ 118 813 34 65 83 423 88 88
1740502426 HACKIM ROBERT G 2021 FFS RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1740519024 ABTIN DILSHAD F 2021 FFS RENDERING AGE 0-20 49 243 36 91 16 39 38 39
1740519024 ABTIN DILSHAD F 2021 FFS RENDERING AGE 21+ 312 1,070 87 166 158 400 218 220
1740519024 ABTIN DILSHAD F 2021 PHP RENDERING AGE 0-20 1 1 1 1 1 1 0 0
1740519024 ABTIN DILSHAD F 2021 PHP RENDERING AGE 21+ 41 224 1 2 28 147 12 12
1740526771 RASHEDI, MARJAN, DMD INC 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1740530849 LEE STEPHANIE P 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1740533074 KAFRI SHAYAN 2021 FFS RENDERING AGE 0-20 311 3,786 276 828 128 369 275 299
1740533074 KAFRI SHAYAN 2021 FFS RENDERING AGE 21+ 599 4,032 145 286 422 1,395 283 283
1740540756 OH JOOHEE 2021 FFS RENDERING AGE 0-20 17 106 1 2 1 2 11 11
1740540756 OH JOOHEE 2021 FFS RENDERING AGE 21+ 51 177 1 2 27 39 28 28
1740540756 OH JOOHEE 2021 GMC RENDERING AGE 0-20 813 6,884 726 2,657 481 713 685 740
1740540756 OH JOOHEE 2021 GMC RENDERING AGE 21+ 931 4,571 648 1,276 561 1,002 525 539
1740547264 HUR CHA A 2021 PHP RENDERING AGE 0-20 22 150 20 63 19 29 0 0
1740584242 SHARIFI SARVENAZ 2021 FFS RENDERING AGE 0-20 1,163 3,564 1 1 1,163 3,534 1 1
1740584242 SHARIFI SARVENAZ 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1740587229 CARVAJAL WENDY J 2021 GMC RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1740593417 CANNON WILLIAM J 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1740594175 MAHDAVI ELHAM 2021 FFS RENDERING AGE 0-20 104 1,483 101 359 50 184 76 119
1740594175 MAHDAVI ELHAM 2021 FFS RENDERING AGE 21+ 137 1,353 51 52 121 663 98 98
1740609700 DIAZ, ARCELI P, DDS INC 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 0 0
1740613066 CADET SOPHIA E 2021 FFS RENDERING AGE 0-20 766 3,934 557 1,554 338 714 472 485
1740613066 CADET SOPHIA E 2021 FFS RENDERING AGE 21+ 847 2,775 118 214 491 1,280 409 409
1740613066 CADET SOPHIA E 2021 PHP RENDERING AGE 21+ 1 2 0 0 1 2 0 0
1740629864 MCKENNA NICHOLE D 2021 GMC RENDERING AGE 0-20 18 89 1 2 1 2 1 1
1740629864 MCKENNA NICHOLE D 2021 GMC RENDERING AGE 21+ 18 61 0 0 12 30 1 1
1740629864 MCKENNA NICHOLE D 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1740642768 MAVI SHAMIR S 2021 FFS RENDERING AGE 0-20 289 2,501 191 539 171 324 190 220
1740642768 MAVI SHAMIR S 2021 FFS RENDERING AGE 21+ 369 1,999 67 131 285 793 157 157
1740647916 DOMINICIS ZITA A 2021 FFS RENDERING AGE 0-20 729 7,289 563 1,615 410 1,147 586 606
1740647916 DOMINICIS ZITA A 2021 FFS RENDERING AGE 21+ 286 2,217 67 71 195 511 112 113
1740647916 DOMINICIS ZITA A 2021 GMC RENDERING AGE 0-20 238 240 0 0 238 240 0 0
1740647916 DOMINICIS ZITA A 2021 GMC RENDERING AGE 21+ 72 73 0 0 72 73 0 0
1740647916 DOMINICIS ZITA A 2021 PHP RENDERING AGE 0-20 127 459 42 151 110 125 38 38
1740647916 DOMINICIS ZITA A 2021 PHP RENDERING AGE 21+ 120 214 11 30 100 115 11 11
1740658699 HOVHANNISYAN ARMAN 2021 FFS RENDERING AGE 0-20 20 175 16 28 1 2 18 20
1740658699 HOVHANNISYAN ARMAN 2021 FFS RENDERING AGE 21+ 55 355 1 1 32 158 44 44
1740660505 MORENO LOURDES 2021 FFS RENDERING AGE 0-20 74 559 44 91 37 85 44 44
1740660505 MORENO LOURDES 2021 FFS RENDERING AGE 21+ 115 415 14 14 88 219 26 26
1740665504 SAHAWNEH DENTAL CORPORATION 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1740684562 ARNOUK MARIAM C 2021 FFS RENDERING AGE 0-20 216 1,918 117 364 64 204 207 247
1740684562 ARNOUK MARIAM C 2021 FFS RENDERING AGE 21+ 380 1,626 81 148 128 414 318 318
1740685478 MAN CHUN PIU 2021 FFS RENDERING AGE 0-20 732 5,235 499 1,449 455 1,571 609 660
1740685478 MAN CHUN PIU 2021 FFS RENDERING AGE 21+ 557 3,035 209 355 389 1,466 380 382
1740685478 MAN CHUN PIU 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1740693852 HEMMAT OMID 2021 FFS RENDERING AGE 0-20 406 3,526 93 249 218 660 373 404
1740693852 HEMMAT OMID 2021 FFS RENDERING AGE 21+ 2,063 18,035 219 432 1,186 3,352 1,742 1,749
1740695071 DINH MARY 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1740696558 BAEK CHRISTINA 2021 FFS RENDERING AGE 0-20 806 3,155 0 0 806 3,151 1 1
1740696558 BAEK CHRISTINA 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 2 0 0
1740696970 ROA JANESE A 2021 FFS RENDERING AGE 0-20 6,602 61,362 6,403 18,711 2,522 3,232 6,480 7,957
1740696970 ROA JANESE A 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1740702075 NGUYEN LANDON L 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1740715051 STAFFORD RICHARD F 2021 FFS RENDERING AGE 0-20 13 41 0 0 13 41 0 0
1740719012 ARABPOUR FATEMEH 2021 FFS RENDERING AGE 0-20 43 53 0 0 37 42 1 1
1740719012 ARABPOUR FATEMEH 2021 FFS RENDERING AGE 21+ 131 173 0 0 102 124 29 29
1740719012 ARABPOUR FATEMEH 2021 PHP RENDERING AGE 0-20 21 43 1 1 19 34 1 1
1740719012 ARABPOUR FATEMEH 2021 PHP RENDERING AGE 21+ 126 177 0 0 72 91 81 83
1740720648 SALEHPOUR ALI 2021 FFS RENDERING AGE 0-20 44 141 0 0 43 140 1 1
1740720648 SALEHPOUR ALI 2021 FFS RENDERING AGE 21+ 91 236 0 0 88 225 1 1
1740720648 SALEHPOUR ALI 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1740726769 CAO DIEM 2021 FFS RENDERING AGE 0-20 86 880 77 265 62 230 82 103
1740726769 CAO DIEM 2021 FFS RENDERING AGE 21+ 160 1,926 105 198 128 921 133 133
1740732429 GUZMAN DANIEL 2021 FFS RENDERING AGE 21+ 30 97 0 0 30 97 0 0
1740747880 BAE DAVID H 2021 PHP RENDERING AGE 0-20 58 555 45 254 55 88 33 34
1740747880 BAE DAVID H 2021 PHP RENDERING AGE 21+ 126 589 28 80 99 242 33 34
1740764729 NAGHIBI AZADI 2021 FFS RENDERING AGE 0-20 302 577 0 0 272 372 57 57
1740764729 NAGHIBI AZADI 2021 FFS RENDERING AGE 21+ 611 999 0 0 583 851 34 34
1740764729 NAGHIBI AZADI 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1740767904 SARKIS RAMI A 2021 FFS RENDERING AGE 0-20 297 3,137 260 653 161 714 270 320
1740767904 SARKIS RAMI A 2021 FFS RENDERING AGE 21+ 972 8,764 584 1,153 862 4,809 621 621
1740772037 NGO TIFFANY D 2021 FFS RENDERING AGE 0-20 1 1 0 0 0 0 1 1
1740772037 NGO TIFFANY D 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1740773423 GONG JASON R 2021 FFS RENDERING AGE 0-20 41 426 38 126 20 79 34 40
1740773423 GONG JASON R 2021 FFS RENDERING AGE 21+ 111 1,002 58 114 83 391 77 77
1740798446 GIBBONS JARED E 2021 FFS RENDERING AGE 0-20 24 241 18 48 1 2 19 19
1740798446 GIBBONS JARED E 2021 FFS RENDERING AGE 21+ 145 917 69 137 94 262 73 73
1740804228 RASUL AHMAD M 2021 FFS RENDERING AGE 0-20 65 113 0 0 19 46 0 0
1740804228 RASUL AHMAD M 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1740804228 RASUL AHMAD M 2021 GMC RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1740804228 RASUL AHMAD M 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1740810597 KUMAR VINOD 2021 FFS RENDERING AGE 0-20 471 2,200 256 550 151 360 382 382
1740810597 KUMAR VINOD 2021 FFS RENDERING AGE 21+ 899 3,076 192 363 363 955 626 626
1740810597 KUMAR VINOD 2021 PHP RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1740816958 GUO CHANG 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1740816958 GUO CHANG 2021 GMC RENDERING AGE 0-20 53 216 17 38 12 13 30 30
1740816958 GUO CHANG 2021 GMC RENDERING AGE 21+ 121 378 20 40 60 69 47 47
1740822972 SAFAIE YAZDI MOHAMMAD 2021 FFS RENDERING AGE 0-20 115 257 0 0 54 177 76 78
1740822972 SAFAIE YAZDI MOHAMMAD 2021 FFS RENDERING AGE 21+ 248 658 1 1 187 548 96 96
1740823657 BELAY DANIEL W 2021 FFS RENDERING AGE 0-20 311 1,468 144 552 78 176 252 252
1740823657 BELAY DANIEL W 2021 FFS RENDERING AGE 21+ 498 1,566 84 160 259 553 306 306
1740836782 HSU ANNIE 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1740836782 HSU ANNIE 2021 FFS RENDERING AGE 21+ 43 201 22 44 21 70 23 23
1740859412 VO DIEP T 2021 FFS RENDERING AGE 0-20 330 1,438 217 632 141 347 113 113
1740859412 VO DIEP T 2021 FFS RENDERING AGE 21+ 460 1,484 178 311 256 658 165 165
1740886993 MOHAMDZADEH FIROOZEH Z 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1740886993 MOHAMDZADEH FIROOZEH Z 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1740886993 MOHAMDZADEH FIROOZEH Z 2021 PHP RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1740895150 AABEDI CHANTELLE 2021 FFS RENDERING AGE 0-20 271 1,463 177 457 118 293 208 220
1740895150 AABEDI CHANTELLE 2021 FFS RENDERING AGE 21+ 453 1,624 92 170 208 498 283 283
1740895150 AABEDI CHANTELLE 2021 PHP RENDERING AGE 0-20 60 247 36 120 21 36 49 51
1740895150 AABEDI CHANTELLE 2021 PHP RENDERING AGE 21+ 111 330 20 57 47 129 79 83
1750323887 VANG SU NHIA Y 2021 FFS RENDERING AGE 0-20 663 7,642 636 2,403 421 1,076 640 880
1750323887 VANG SU NHIA Y 2021 FFS RENDERING AGE 21+ 714 6,759 499 860 573 1,940 572 572
1750340634 YUN, STEVE C MD 2021 FFS RENDERING AGE 0-20 35 132 0 0 35 132 0 0
1750340634 YUN, STEVE C MD 2021 FFS RENDERING AGE 21+ 17 52 0 0 17 52 0 0
1750362976 WYNN SOE L 2021 FFS RENDERING AGE 0-20 406 3,883 396 1,679 145 301 394 489
1750362976 WYNN SOE L 2021 FFS RENDERING AGE 21+ 566 4,457 404 813 386 1,411 425 428
1750372264 TOFIGH, RAHIM, DDS MS 2021 FFS RENDERING AGE 0-20 1 1 0 0 0 0 1 1
1750372264 TOFIGH, RAHIM, DDS MS 2021 FFS RENDERING AGE 21+ 21 111 1 1 1 2 21 21
1750384327 HU, KE, DDS 2021 FFS RENDERING AGE 0-20 67 497 54 249 25 39 58 63
1750384327 HU, KE, DDS 2021 FFS RENDERING AGE 21+ 87 524 62 142 61 108 65 65
1750403465 YANAGI MAY M 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1750406377 GILMORE LORETTA 2021 FFS RENDERING AGE 0-20 14 63 0 0 14 62 0 0
1750406377 GILMORE LORETTA 2021 FFS RENDERING AGE 21+ 12 64 0 0 12 63 0 0
1750413886 MAO TAI K 2021 FFS RENDERING AGE 0-20 195 3,168 190 882 76 275 188 292
1750413886 MAO TAI K 2021 FFS RENDERING AGE 21+ 287 2,541 219 396 194 731 234 234
1750414298 DOAN HUONG N 2021 FFS RENDERING AGE 0-20 612 4,344 572 2,106 229 618 570 753
1750414298 DOAN HUONG N 2021 FFS RENDERING AGE 21+ 538 2,900 336 408 379 1,195 391 391
1750414629 SACHDEVA KANWAR DEEP S 2021 FFS RENDERING AGE 0-20 1,066 2,450 0 0 309 922 54 55
1750414629 SACHDEVA KANWAR DEEP S 2021 FFS RENDERING AGE 21+ 12 14 0 0 1 1 1 1
1750414629 SACHDEVA KANWAR DEEP S 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1750416178 SHAHIDI, ALI S DDS 2021 FFS RENDERING AGE 0-20 26 140 15 32 12 65 18 18
1750416178 SHAHIDI, ALI S DDS 2021 FFS RENDERING AGE 21+ 44 156 1 1 23 63 21 21
1750416178 SHAHIDI, ALI S DDS 2021 PHP RENDERING AGE 0-20 20 90 16 60 1 1 20 26
1750416178 SHAHIDI, ALI S DDS 2021 PHP RENDERING AGE 21+ 30 89 1 2 1 1 28 30
1750419578 GUPTA SHILPA 2021 FFS RENDERING AGE 0-20 708 5,735 567 2,229 371 834 680 827
1750419578 GUPTA SHILPA 2021 FFS RENDERING AGE 21+ 892 4,018 272 468 439 1,377 675 675
1750420014 GONZALEZ, MARIA C DDS 2021 FFS RENDERING AGE 0-20 167 1,956 148 530 59 140 130 155
1750420014 GONZALEZ, MARIA C DDS 2021 FFS RENDERING AGE 21+ 138 906 63 122 85 168 36 36
1750420162 NAZIRI AMANOLLAH 2021 FFS RENDERING AGE 0-20 45 448 39 88 11 20 39 40
1750420162 NAZIRI AMANOLLAH 2021 FFS RENDERING AGE 21+ 168 1,367 106 136 104 292 112 115
1750420162 NAZIRI AMANOLLAH 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1750420162 NAZIRI AMANOLLAH 2021 PHP RENDERING AGE 21+ 13 96 1 1 1 2 1 1
1750423695 KOBROSSI MARCELLE E 2021 FFS RENDERING AGE 0-20 534 2,496 351 944 91 99 481 518
1750423695 KOBROSSI MARCELLE E 2021 FFS RENDERING AGE 21+ 843 2,431 194 330 235 605 583 583
1750423695 KOBROSSI MARCELLE E 2021 PHP RENDERING AGE 0-20 1 2 1 1 0 0 1 1
1750423695 KOBROSSI MARCELLE E 2021 PHP RENDERING AGE 21+ 29 114 1 2 13 32 17 17
1750430559 MASHNI MICHAEL 2021 FFS RENDERING AGE 0-20 19 72 0 0 19 72 0 0
1750430880 CHU PEK S 2021 FFS RENDERING AGE 0-20 15 82 13 38 1 1 13 19
1750430880 CHU PEK S 2021 FFS RENDERING AGE 21+ 37 179 23 46 23 43 25 25
1750431524 MASANGYA, MARITESSA INOVIO, 2021 FFS RENDERING AGE 0-20 93 1,075 90 387 44 167 85 123
1750431524 MASANGYA, MARITESSA INOVIO, 2021 FFS RENDERING AGE 21+ 214 1,378 185 308 126 483 197 201
1750434825 KESHAV NILESH 2021 FFS RENDERING AGE 0-20 1 2 1 1 0 0 1 1
1750434825 KESHAV NILESH 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1750434825 KESHAV NILESH 2021 GMC RENDERING AGE 0-20 70 408 54 190 45 62 45 48
1750434825 KESHAV NILESH 2021 GMC RENDERING AGE 21+ 75 184 19 35 45 65 20 20
1750436697 NGUYEN, LIEN HUONG D, DDS 2021 FFS RENDERING AGE 0-20 128 1,443 105 289 58 158 114 130
1750436697 NGUYEN, LIEN HUONG D, DDS 2021 FFS RENDERING AGE 21+ 288 2,965 192 194 210 744 232 233
1750437109 KHAKSHOOY SIAMAK 2021 FFS RENDERING AGE 0-20 167 1,430 126 392 37 81 156 166
1750437109 KHAKSHOOY SIAMAK 2021 FFS RENDERING AGE 21+ 580 3,676 187 347 373 1,381 407 407
1750437109 KHAKSHOOY SIAMAK 2021 PHP RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1750437109 KHAKSHOOY SIAMAK 2021 PHP RENDERING AGE 21+ 25 170 12 21 13 50 23 25
1750437711 POSTMA, LINDA SUE, RDHAP 2021 FFS RENDERING AGE 21+ 1 1 1 1 1 1 0 0
1750438016 MHASKAR, SUPRIYA D DDS 2021 FFS RENDERING AGE 0-20 87 1,264 84 327 32 60 85 127
1750438016 MHASKAR, SUPRIYA D DDS 2021 FFS RENDERING AGE 21+ 74 559 13 23 65 308 54 54
1750443875 DIONISIO MARIA SALOME C 2021 FFS RENDERING AGE 0-20 18 82 11 26 1 2 14 14
1750443875 DIONISIO MARIA SALOME C 2021 FFS RENDERING AGE 21+ 44 98 1 1 12 23 26 26
1750443875 DIONISIO MARIA SALOME C 2021 GMC RENDERING AGE 0-20 402 2,006 227 715 159 338 246 251
1750443875 DIONISIO MARIA SALOME C 2021 GMC RENDERING AGE 21+ 350 1,130 38 69 174 453 114 115
1750448197 MARINO ANTHONY 2021 FFS RENDERING AGE 0-20 17 21 0 0 1 1 0 0
1750448197 MARINO ANTHONY 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1750448197 MARINO ANTHONY 2021 GMC RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1750448197 MARINO ANTHONY 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1750448361 LIZAN BERNARDITA N 2021 FFS RENDERING AGE 0-20 1 1 1 1 1 1 1 1
1750448361 LIZAN BERNARDITA N 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1750449302 LEONAKIS GEORGE L 2021 FFS RENDERING AGE 0-20 13 31 0 0 13 31 0 0
1750449302 LEONAKIS GEORGE L 2021 FFS RENDERING AGE 21+ 34 71 0 0 34 66 0 0
1750449997 HANNANI BAHRAM 2021 FFS RENDERING AGE 0-20 152 1,477 116 245 47 125 132 143
1750449997 HANNANI BAHRAM 2021 FFS RENDERING AGE 21+ 331 2,477 84 85 207 568 223 224
1750449997 HANNANI BAHRAM 2021 PHP RENDERING AGE 0-20 19 124 17 42 1 1 17 17
1750449997 HANNANI BAHRAM 2021 PHP RENDERING AGE 21+ 43 184 23 30 1 2 28 28
1750454609 LEE DUK-SUN 2021 FFS RENDERING AGE 0-20 636 5,262 604 1,770 382 1,104 615 698
1750454609 LEE DUK-SUN 2021 FFS RENDERING AGE 21+ 290 1,729 149 297 177 675 237 237
1750455549 SHAH, UDAY N, DDS 2021 FFS RENDERING AGE 0-20 104 1,387 98 391 52 177 93 112
1750455549 SHAH, UDAY N, DDS 2021 FFS RENDERING AGE 21+ 173 1,478 124 245 116 494 134 134
1750456554 TANDYA ARDINI 2021 FFS RENDERING AGE 0-20 14 139 14 39 1 2 12 17
1750456554 TANDYA ARDINI 2021 FFS RENDERING AGE 21+ 27 250 26 38 19 121 19 19
1750456554 TANDYA, ARDINI, DDS 2021 FFS RENDERING AGE 0-20 14 139 14 39 1 2 12 17
1750456554 TANDYA, ARDINI, DDS 2021 FFS RENDERING AGE 21+ 27 250 26 38 19 121 19 19
1750458147 SHAH JALPAN M 2021 FFS RENDERING AGE 0-20 495 1,427 0 0 168 565 0 0
1750458147 SHAH JALPAN M 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1750461430 NAYUDU APARNAVALLI C 2021 FFS RENDERING AGE 0-20 196 1,566 159 755 81 248 181 202
1750461430 NAYUDU APARNAVALLI C 2021 FFS RENDERING AGE 21+ 553 2,910 323 572 315 1,012 422 422
1750464608 JOSHI, BHASKAR DDS 2021 FFS RENDERING AGE 0-20 406 2,338 366 922 121 253 369 485
1750464608 JOSHI, BHASKAR DDS 2021 FFS RENDERING AGE 21+ 431 1,814 196 196 345 726 113 113
1750465068 MUSLEH, LINA YACOUB DDS 2021 FFS RENDERING AGE 0-20 193 1,643 178 807 64 203 184 284
1750465068 MUSLEH, LINA YACOUB DDS 2021 FFS RENDERING AGE 21+ 333 2,463 235 467 222 1,111 275 275
1750478467 SHARMA, S N, DDS 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 2 1 1
1750479218 KIM YOUNG 2021 FFS RENDERING AGE 0-20 103 576 52 117 36 93 81 87
1750479218 KIM YOUNG 2021 FFS RENDERING AGE 21+ 271 1,329 57 110 158 420 182 182
1750481586 THOMAS-PUGH BRENDA L 2021 FFS RENDERING AGE 0-20 1,023 23,354 711 2,061 1,022 12,880 963 975
1750483103 HOMEIRA FIROOZEH DDS & MAHVA 2021 PHP RENDERING AGE 0-20 13 41 1 2 1 1 1 1
1750483103 HOMEIRA FIROOZEH DDS & MAHVA 2021 PHP RENDERING AGE 21+ 18 51 1 1 1 2 13 13
1750487328 BHATT SHAILESHKUMA M 2021 FFS RENDERING AGE 0-20 718 9,040 515 1,590 626 2,601 615 721
1750487328 BHATT SHAILESHKUMA M 2021 FFS RENDERING AGE 21+ 1,051 9,351 223 422 963 4,868 681 681
1750491536 BENYAMINI, DAN P, DDS INC 2021 PHP RENDERING AGE 0-20 15 123 14 61 1 2 12 12
1750491536 BENYAMINI, DAN P, DDS INC 2021 PHP RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1750501540 LEE, DAE WON DDS 2021 FFS RENDERING AGE 0-20 204 2,997 191 839 97 368 197 244
1750501540 LEE, DAE WON DDS 2021 FFS RENDERING AGE 21+ 232 2,432 142 284 195 1,107 173 173
1750506754 BOSQUE JUAN CARLOS 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 1 0 0
1750509261 NEHRU, AMRIT L, DDS 2021 FFS RENDERING AGE 0-20 21 268 19 109 1 2 21 24
1750509261 NEHRU, AMRIT L, DDS 2021 FFS RENDERING AGE 21+ 70 515 43 43 43 173 65 65
1750544748 CHIANG WESLEY M 2021 FFS RENDERING AGE 0-20 380 847 0 0 117 319 0 0
1750544748 CHIANG WESLEY M 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1750549549 MALLETTE KERMIT J 2021 FFS RENDERING AGE 0-20 219 867 118 244 74 156 194 202
1750549549 MALLETTE KERMIT J 2021 FFS RENDERING AGE 21+ 684 2,784 192 352 358 1,326 495 497
1750549549 MALLETTE KERMIT J 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1750549549 MALLETTE KERMIT J 2021 PHP RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1750549549 MALLETTE KERMIT J 2021 PHP RENDERING AGE 21+ 11 40 1 1 1 2 1 1
1750549820 CHUNG PING-LIN B 2021 FFS RENDERING AGE 0-20 166 558 0 0 31 104 0 0
1750549820 CHUNG PING-LIN B 2021 FFS RENDERING AGE 21+ 15 30 0 0 0 0 0 0
1750551057 LIAO JUSTIN HSI C 2021 FFS RENDERING AGE 0-20 27 309 27 87 11 39 27 29
1750551057 LIAO JUSTIN HSI C 2021 FFS RENDERING AGE 21+ 54 429 33 65 38 189 44 44
1750553889 ANTIPOV ALEXANDER V 2021 FFS RENDERING AGE 0-20 1 2 0 0 1 2 1 1
1750553889 ANTIPOV ALEXANDER V 2021 FFS RENDERING AGE 21+ 14 75 0 0 13 67 1 1
1750553889 ANTIPOV ALEXANDER V 2021 GMC RENDERING AGE 0-20 1 2 0 0 1 2 0 0
1750555728 KAMANIN VLADISLAV 2021 FFS RENDERING AGE 0-20 13 29 0 0 13 29 0 0
1750555728 KAMANIN VLADISLAV 2021 FFS RENDERING AGE 21+ 185 292 0 0 185 292 0 0
1750562385 MASHREGHI, ALIREZA DDS 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1750562385 MASHREGHI, ALIREZA DDS 2021 FFS RENDERING AGE 21+ 7,707 90,514 3,819 8,980 6,014 16,741 4,312 4,312
1750562385 MASHREGHI, ALIREZA DDS 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1750563664 BEIZAEE ARASH A 2021 FFS RENDERING AGE 21+ 34 102 0 0 29 69 1 1
1750569497 YING KATHY 2021 FFS RENDERING AGE 0-20 1,716 18,802 1,633 4,527 760 964 1,661 1,981
1750572335 SCHULER, STANTON DDS 2021 FFS RENDERING AGE 0-20 1,719 32,660 1,568 7,435 1,444 9,304 1,660 2,609
1750573366 MALEKZADEH REZA 2021 FFS RENDERING AGE 0-20 43 358 39 101 22 103 35 43
1750573366 MALEKZADEH REZA 2021 FFS RENDERING AGE 21+ 204 1,648 98 163 163 1,041 118 118
1750579371 SOSA JOSE M 2021 FFS RENDERING AGE 0-20 13 151 12 15 1 2 11 11
1750579371 SOSA JOSE M 2021 FFS RENDERING AGE 21+ 94 865 68 68 64 345 77 77
1750580288 BALDERSTON JR, CARREL D, DDS 2021 FFS RENDERING AGE 0-20 1 1 0 0 0 0 1 1
1750580288 BALDERSTON JR, CARREL D, DDS 2021 FFS RENDERING AGE 21+ 263 2,626 0 0 225 2,323 147 147
1750580585 ARAUJO ENRIQUE A 2021 FFS RENDERING AGE 0-20 12 93 12 24 1 2 11 12
1750580585 ARAUJO ENRIQUE A 2021 FFS RENDERING AGE 21+ 36 222 14 14 28 88 28 28
1750581260 LOZADA JAIME L 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1750581260 LOZADA JAIME L 2021 FFS RENDERING AGE 21+ 24 63 0 0 16 49 0 0
1750588877 ROBINS GREGORY E 2021 FFS RENDERING AGE 0-20 108 681 91 189 50 142 91 106
1750588877 ROBINS GREGORY E 2021 FFS RENDERING AGE 21+ 219 1,000 81 81 138 438 138 140
1750590014 WONG JASON GILBERT 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1750590014 WONG JASON GILBERT 2021 PHP RENDERING AGE 21+ 18 26 0 0 1 1 16 16
1750590741 VELEZ, MARTHA I, DDS 2021 FFS RENDERING AGE 0-20 292 3,902 275 876 154 394 281 348
1750590741 VELEZ, MARTHA I, DDS 2021 FFS RENDERING AGE 21+ 396 3,333 250 531 262 978 287 287
1750593018 KIM STEVEN S 2021 FFS RENDERING AGE 0-20 86 1,173 55 179 53 174 75 87
1750593018 KIM STEVEN S 2021 FFS RENDERING AGE 21+ 260 2,419 104 205 187 672 207 207
1750593026 HAKAKHA FIROZ 2021 FFS RENDERING AGE 0-20 107 558 89 246 40 129 85 87
1750593026 HAKAKHA FIROZ 2021 FFS RENDERING AGE 21+ 546 2,759 415 415 333 1,191 460 461
1750593026 HAKAKHA FIROZ 2021 PHP RENDERING AGE 0-20 57 263 52 136 14 33 57 60
1750593026 HAKAKHA FIROZ 2021 PHP RENDERING AGE 21+ 435 2,086 381 412 213 690 411 444
1750621280 YABAR RENE 2021 FFS RENDERING AGE 0-20 171 566 0 0 52 178 0 0
1750621280 YABAR RENE 2021 FFS RENDERING AGE 21+ 16 30 0 0 0 0 0 0
1750638078 LEE STEVE C 2021 FFS RENDERING AGE 0-20 419 2,255 315 881 148 271 277 303
1750638078 LEE STEVE C 2021 FFS RENDERING AGE 21+ 294 1,244 157 314 148 313 149 149
1750645420 HOLLAND, ROSARIO I, DDS INC 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1750659983 PHAM-NGUYEN DAO K 2021 FFS RENDERING AGE 0-20 30 374 25 110 18 59 24 36
1750659983 PHAM-NGUYEN DAO K 2021 FFS RENDERING AGE 21+ 47 537 41 80 40 173 42 42
1750664926 DERBOGHOSIAN SM GENOVEBA C 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1750664926 DERBOGHOSIAN SM GENOVEBA C 2021 FFS RENDERING AGE 21+ 16 53 1 1 15 35 1 1
1750674420 CHUNG MAN LEE 2021 PHP RENDERING AGE 21+ 1 2 0 0 1 1 1 1
1750676755 FARSHIDI FARZIN S 2021 FFS RENDERING AGE 0-20 436 2,298 1 1 307 1,522 391 393
1750676755 FARSHIDI FARZIN S 2021 FFS RENDERING AGE 21+ 644 2,733 0 0 410 1,639 551 552
1750728937 HUSAIN KEREEM H 2021 FFS RENDERING AGE 0-20 1,490 16,873 1,270 3,861 933 2,930 1,224 1,521
1750728937 HUSAIN KEREEM H 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1750728937 HUSAIN KEREEM H 2021 GMC RENDERING AGE 0-20 16 113 1 2 16 34 0 0
1750728937 HUSAIN KEREEM H 2021 PHP RENDERING AGE 0-20 81 510 31 85 78 286 1 1
1750734075 EDALAT, PORIA 2021 FFS RENDERING AGE 0-20 288 1,546 212 684 79 152 248 272
1750734075 EDALAT, PORIA 2021 FFS RENDERING AGE 21+ 562 1,798 130 235 222 535 366 366
1750734075 EDALAT, PORIA 2021 PHP RENDERING AGE 0-20 63 249 37 139 12 13 50 51
1750734075 EDALAT, PORIA 2021 PHP RENDERING AGE 21+ 154 485 39 102 66 168 104 107
1750737037 LIN HSIN-CHING 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1750737037 LIN HSIN-CHING 2021 FFS RENDERING AGE 21+ 18 62 1 1 17 61 0 0
1750738043 TOOR SUKHMANI 2021 FFS RENDERING AGE 0-20 404 3,059 244 925 96 197 378 452
1750738043 TOOR SUKHMANI 2021 FFS RENDERING AGE 21+ 569 3,153 230 404 230 838 482 488
1750739348 AMIREH-MABANGA, LIONA, RDHAP 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1750739348 AMIREH-MABANGA, LIONA, RDHAP 2021 FFS RENDERING AGE 21+ 1 2 1 2 0 0 0 0
1750739983 ADAMI MUSTAFA 2021 FFS RENDERING AGE 0-20 206 502 0 0 205 486 0 0
1750739983 ADAMI MUSTAFA 2021 FFS RENDERING AGE 21+ 1,067 3,545 0 0 1,065 3,462 1 1
1750740015 PASCAL JEFFERY H 2021 FFS RENDERING AGE 0-20 1 2 0 0 1 2 0 0
1750740015 PASCAL JEFFERY H 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 1 1 1
1750740015 PASCAL JEFFERY H 2021 GMC RENDERING AGE 0-20 1 1 0 0 1 1 1 1
1750740015 PASCAL JEFFERY H 2021 GMC RENDERING AGE 21+ 1 2 0 0 1 1 0 0
1750740015 PASCAL JEFFERY H 2021 PHP RENDERING AGE 0-20 206 1,779 167 681 116 435 181 227
1750740015 PASCAL JEFFERY H 2021 PHP RENDERING AGE 21+ 227 1,318 66 124 153 635 177 194
1750740072 SONG SOO K 2021 FFS RENDERING AGE 0-20 199 2,595 142 358 129 992 181 202
1750747234 VILLACIS DENTAL CORPORATION 2021 PHP RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1750747234 VILLACIS DENTAL CORPORATION 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1750765160 FERGUSON LACEY P 2021 FFS RENDERING AGE 0-20 1 1 0 0 0 0 1 1
1750765160 FERGUSON LACEY P 2021 FFS RENDERING AGE 21+ 316 1,447 0 0 229 1,149 134 134
1750766093 HAYHRE KARAMBIR K 2021 FFS RENDERING AGE 0-20 141 638 84 186 62 140 89 89
1750766093 HAYHRE KARAMBIR K 2021 FFS RENDERING AGE 21+ 229 684 29 51 128 297 113 113
1750766093 HAYHRE KARAMBIR K 2021 PHP RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1750772166 ROH, DEOGSOO, DDS INC 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1750797288 HE, GUOBIN, DDS 2021 FFS RENDERING AGE 0-20 68 374 61 149 14 51 67 80
1750797288 HE, GUOBIN, DDS 2021 FFS RENDERING AGE 21+ 379 2,241 240 496 236 868 318 324
1750799961 PATEL BINTA A 2021 FFS RENDERING AGE 0-20 256 1,708 210 664 83 226 246 275
1750799961 PATEL BINTA A 2021 FFS RENDERING AGE 21+ 707 2,655 125 247 348 950 478 479
1750799961 PATEL BINTA A 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1750800199 JAN, KEVIN L, DDS 2021 FFS RENDERING AGE 0-20 168 1,250 164 553 69 179 152 204
1750800199 JAN, KEVIN L, DDS 2021 FFS RENDERING AGE 21+ 316 1,795 210 395 195 788 261 261
1750803979 SCHULER, STANTON, DDS INC 2021 FFS RENDERING AGE 0-20 1 1 1 1 1 1 0 0
1750804910 GARAGOUSIAN ARIGA 2021 FFS RENDERING AGE 0-20 6,282 117,865 6,156 29,974 4,131 20,593 6,195 10,166
1750806477 MEHTA NISHIT J 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1750806733 SHAH HETAL P 2021 FFS RENDERING AGE 0-20 477 2,396 267 710 123 284 425 457
1750806733 SHAH HETAL P 2021 FFS RENDERING AGE 21+ 950 3,177 150 278 417 1,074 720 722
1750807970 VALDEZ MARIA SOCORRO ILAGAN 2021 GMC RENDERING AGE 0-20 1 1 1 1 1 1 1 1
1750808689 KATIREDDY SRUJANA 2021 FFS RENDERING AGE 0-20 138 771 90 345 57 112 90 90
1750808689 KATIREDDY SRUJANA 2021 FFS RENDERING AGE 21+ 300 951 78 151 146 366 98 98
1750814059 RUHRKRAUT NICHOLAS J 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1750836177 VASILI RANJITHA 2021 FFS RENDERING AGE 0-20 503 2,733 334 1,196 126 296 409 428
1750836177 VASILI RANJITHA 2021 FFS RENDERING AGE 21+ 1,196 4,264 348 631 510 1,279 828 829
1750836177 VASILI RANJITHA 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1750836177 VASILI RANJITHA 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1750845368 ARANGUREN GUSTAVO H 2021 FFS RENDERING AGE 0-20 262 1,255 165 487 74 132 204 234
1750845368 ARANGUREN GUSTAVO H 2021 FFS RENDERING AGE 21+ 449 1,387 70 96 206 519 273 275
1750845368 ARANGUREN GUSTAVO H 2021 PHP RENDERING AGE 0-20 108 468 68 223 21 39 90 109
1750845368 ARANGUREN GUSTAVO H 2021 PHP RENDERING AGE 21+ 97 292 14 16 48 161 63 64
1750847265 TRAN VIVIAN A 2021 FFS RENDERING AGE 0-20 34 229 19 59 21 76 18 22
1750847265 TRAN VIVIAN A 2021 FFS RENDERING AGE 21+ 77 355 1 2 62 208 28 28
1750854477 ELSEISI TAREK G 2021 FFS RENDERING AGE 0-20 383 1,730 231 677 188 387 180 180
1750854477 ELSEISI TAREK G 2021 FFS RENDERING AGE 21+ 520 1,393 94 163 292 642 173 173
1750854477 ELSEISI TAREK G 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1750854477 ELSEISI TAREK G 2021 PHP RENDERING AGE 21+ 1 2 0 0 1 2 1 1
1750867487 RATANATHARATHOR KIATKACHORN 2021 FFS RENDERING AGE 0-20 329 2,222 255 637 157 478 286 293
1750867487 RATANATHARATHOR KIATKACHORN 2021 FFS RENDERING AGE 21+ 294 1,372 111 193 210 607 179 179
1750873923 MOVAHED BASHIRI BAHAR 2021 FFS RENDERING AGE 0-20 17 40 0 0 11 26 1 1
1750881512 SHAH NEHAL M 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1750881512 SHAH NEHAL M 2021 FFS RENDERING AGE 21+ 68 103 0 0 67 94 0 0
1750881512 SHAH NEHAL M 2021 GMC RENDERING AGE 0-20 27 46 1 1 18 27 1 1
1750881512 SHAH NEHAL M 2021 GMC RENDERING AGE 21+ 103 156 1 1 78 126 0 0
1750881512 SHAH NEHAL M 2021 PHP RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1750881512 SHAH NEHAL M 2021 PHP RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1750905840 THAKKAR RINKAL B 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1750934303 JUMOC ABIGAIL A 2021 FFS RENDERING AGE 0-20 189 1,794 158 534 92 196 166 169
1750934303 JUMOC ABIGAIL A 2021 FFS RENDERING AGE 21+ 221 1,429 126 248 99 283 152 152
1750934956 TULLY NATHAN D 2021 GMC RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1750943536 ROWLISON MELISSA 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1750998969 JACQUES CHRISTIE M 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1760044366 TABANFAR MATTHEW 2021 FFS RENDERING AGE 0-20 2,920 25,682 2,037 6,070 1,989 6,218 1,781 1,821
1760044366 TABANFAR MATTHEW 2021 FFS RENDERING AGE 21+ 380 2,311 165 327 225 611 202 202
1760080998 KIM TOKIN 2021 FFS RENDERING AGE 0-20 44 410 36 82 17 47 33 34
1760080998 KIM TOKIN 2021 FFS RENDERING AGE 21+ 69 445 18 35 50 157 27 27
1760097489 MEHTA POOJA D 2021 FFS RENDERING AGE 0-20 86 312 45 111 51 110 13 13
1760097489 MEHTA POOJA D 2021 FFS RENDERING AGE 21+ 115 284 19 37 89 184 11 11
1760155527 KIM KENNETH W 2021 FFS RENDERING AGE 0-20 60 375 48 114 31 114 47 47
1760155527 KIM KENNETH W 2021 FFS RENDERING AGE 21+ 116 543 41 82 90 291 55 55
1760418818 PIERSON, GRAYSON A, DDS 2021 FFS RENDERING AGE 0-20 1,404 12,008 1,248 4,122 940 2,712 1,218 1,464
1760418818 PIERSON, GRAYSON A, DDS 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1760470769 PARK SUNGHAE 2021 FFS RENDERING AGE 0-20 158 1,454 116 325 85 258 110 124
1760470769 PARK SUNGHAE 2021 FFS RENDERING AGE 21+ 304 1,803 110 149 204 628 166 166
1760490999 SANTA MARIA GLENDA Y 2021 FFS RENDERING AGE 0-20 94 452 29 64 73 206 43 44
1760490999 SANTA MARIA GLENDA Y 2021 FFS RENDERING AGE 21+ 232 1,017 50 99 181 593 86 86
1760508535 SCHLANG ELLIOT P 2021 FFS RENDERING AGE 0-20 110 828 100 427 21 37 99 99
1760514178 WONG, LESLIE A, DDS 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1760514178 WONG, LESLIE A, DDS 2021 FFS RENDERING AGE 21+ 40 329 28 51 31 141 36 36
1760516736 SHIN YONG J 2021 FFS RENDERING AGE 0-20 135 1,877 105 429 86 407 115 128
1760516736 SHIN YONG J 2021 FFS RENDERING AGE 21+ 278 2,184 134 134 194 667 198 198
1760517395 CUISIA ZENAIDA ELVI S 2021 FFS RENDERING AGE 0-20 12,159 134,921 10,651 39,259 7,560 29,117 10,272 12,553
1760517395 CUISIA ZENAIDA ELVI S 2021 FFS RENDERING AGE 21+ 51 249 30 59 12 28 29 30
1760519805 THAN HUY T 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1760519805 THAN HUY T 2021 PHP RENDERING AGE 0-20 178 1,988 158 838 171 299 137 139
1760519805 THAN HUY T 2021 PHP RENDERING AGE 21+ 84 601 50 168 62 186 36 36
1760521587 GIOMETTI, ROBERT E, DDS 2021 FFS RENDERING AGE 0-20 20 126 1 1 1 2 18 21
1760521587 GIOMETTI, ROBERT E, DDS 2021 FFS RENDERING AGE 21+ 111 945 32 32 61 262 90 91
1760522312 CHU, ANNABELLA, DMD 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1760522312 CHU, ANNABELLA, DMD 2021 FFS RENDERING AGE 21+ 23 82 1 1 17 42 11 11
1760523922 MACDOWELL, MANA, DDS 2021 FFS RENDERING AGE 0-20 57 355 55 202 15 24 55 76
1760523922 MACDOWELL, MANA, DDS 2021 FFS RENDERING AGE 21+ 130 805 97 194 81 205 100 100
1760523930 KOO JOHNNY H 2021 FFS RENDERING AGE 0-20 105 655 85 229 27 61 73 76
1760523930 KOO JOHNNY H 2021 FFS RENDERING AGE 21+ 127 564 53 88 68 203 76 77
1760524656 PATEL BHAVNA 2021 FFS RENDERING AGE 0-20 473 3,246 373 1,420 104 159 449 505
1760524656 PATEL BHAVNA 2021 FFS RENDERING AGE 21+ 530 1,815 176 312 162 476 402 402
1760533889 WAN, LYNN, DDS 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1760535686 REFAAT YOUHANNA S 2021 FFS RENDERING AGE 0-20 389 2,371 297 1,232 74 152 300 336
1760535686 REFAAT YOUHANNA S 2021 FFS RENDERING AGE 21+ 612 1,951 146 254 258 505 366 366
1760535686 REFAAT YOUHANNA S 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1760540942 TASSARA GIANCARLO G 2021 FFS RENDERING AGE 0-20 314 803 1 1 102 333 1 1
1760540942 TASSARA GIANCARLO G 2021 FFS RENDERING AGE 21+ 16 22 0 0 1 1 1 1
1760544845 CHANG JOAO F 2021 FFS RENDERING AGE 0-20 38 157 14 28 26 56 13 14
1760544845 CHANG JOAO F 2021 FFS RENDERING AGE 21+ 207 765 25 25 192 419 25 25
1760546337 WESTERN DENTAL SERVICES INC 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1760546337 WESTERN DENTAL SERVICES INC 2021 PHP RENDERING AGE 0-20 36 354 30 98 1 1 34 34
1760546337 WESTERN DENTAL SERVICES INC 2021 PHP RENDERING AGE 21+ 61 217 19 41 12 14 47 49
1760546337 WESTERN DENTAL SERVICES, INC. 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1760546337 WESTERN DENTAL SERVICES, INC. 2021 PHP RENDERING AGE 0-20 36 354 30 98 1 1 34 34
1760546337 WESTERN DENTAL SERVICES, INC. 2021 PHP RENDERING AGE 21+ 61 217 19 41 12 14 47 49
1760546501 WESTERN DENTAL SERVICES INC 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1760546501 WESTERN DENTAL SERVICES INC 2021 GMC RENDERING AGE 0-20 692 4,864 371 1,471 164 268 431 439
1760546501 WESTERN DENTAL SERVICES INC 2021 GMC RENDERING AGE 21+ 1,077 3,847 137 257 277 323 342 343
1760546501 WESTERN DENTAL SERVICES, INC. 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1760546501 WESTERN DENTAL SERVICES, INC. 2021 GMC RENDERING AGE 0-20 692 4,864 371 1,471 164 268 431 439
1760546501 WESTERN DENTAL SERVICES, INC. 2021 GMC RENDERING AGE 21+ 1,077 3,847 137 257 277 323 342 343
1760550131 MOULIK BHASWATI 2021 FFS RENDERING AGE 0-20 53 641 50 183 12 45 52 71
1760550131 MOULIK BHASWATI 2021 FFS RENDERING AGE 21+ 107 772 92 180 45 157 95 95
1760550784 TU, TOM D, DDS 2021 FFS RENDERING AGE 0-20 734 9,348 709 2,372 204 666 717 825
1760550784 TU, TOM D, DDS 2021 FFS RENDERING AGE 21+ 335 2,745 218 456 188 483 250 255
1760561450 PARK STEPHEN J 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1760562599 MAXWELL MARK F 2021 FFS RENDERING AGE 0-20 1 2 0 0 1 1 0 0
1760574867 LUBCZUK ANDRZEJ 2021 FFS RENDERING AGE 0-20 423 4,078 311 741 168 712 329 380
1760574867 LUBCZUK ANDRZEJ 2021 FFS RENDERING AGE 21+ 860 5,540 301 427 544 2,335 452 452
1760578769 NADI HAMID R 2021 FFS RENDERING AGE 0-20 27 224 24 91 15 46 23 27
1760578769 NADI HAMID R 2021 FFS RENDERING AGE 21+ 180 979 86 86 115 445 139 139
1760578769 NADI HAMID R 2021 PHP RENDERING AGE 0-20 41 266 35 92 11 22 37 42
1760578769 NADI HAMID R 2021 PHP RENDERING AGE 21+ 35 177 14 21 17 46 28 29
1760579080 TRAN HUEY Q 2021 FFS RENDERING AGE 0-20 66 412 45 93 27 78 51 52
1760579080 TRAN HUEY Q 2021 FFS RENDERING AGE 21+ 152 753 36 41 74 284 98 99
1760580724 ROMANO, CLAUDIA DDS 2021 FFS RENDERING AGE 0-20 68 870 56 133 48 228 54 54
1760580724 ROMANO, CLAUDIA DDS 2021 FFS RENDERING AGE 21+ 199 2,154 92 179 175 1,031 99 99
1760580724 ROMANO, CLAUDIA DDS 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 2 1 1
1760580724 ROMANO, CLAUDIA DDS 2021 PHP RENDERING AGE 21+ 15 172 1 2 14 110 1 1
1760586101 NGUYEN, TUYEN Q, DDS 2021 FFS RENDERING AGE 0-20 17 123 14 14 1 2 1 1
1760586101 NGUYEN, TUYEN Q, DDS 2021 FFS RENDERING AGE 21+ 63 520 55 57 41 132 50 52
1760588925 AQUINO, MARY FELICITY 2021 FFS RENDERING AGE 0-20 32 301 28 73 20 67 29 36
1760588925 AQUINO, MARY FELICITY 2021 FFS RENDERING AGE 21+ 93 551 49 50 57 196 56 56
1760601173 VILDERMAN YULY 2021 FFS RENDERING AGE 21+ 58 159 13 13 37 65 30 30
1760603526 LEON CARLOS F 2021 FFS RENDERING AGE 0-20 140 1,949 135 307 72 262 134 152
1760603526 LEON CARLOS F 2021 FFS RENDERING AGE 21+ 18 189 18 26 1 2 18 18
1760604656 JOYNER, ARLENE DDS 2021 FFS RENDERING AGE 0-20 67 597 52 167 21 30 50 50
1760604656 JOYNER, ARLENE DDS 2021 FFS RENDERING AGE 21+ 11 52 1 1 1 1 1 1
1760606677 MEDINA LETICIA 2021 FFS RENDERING AGE 0-20 228 3,677 224 815 117 304 224 297
1760607626 WANG KEH-JENQ 2021 FFS RENDERING AGE 0-20 15 66 12 34 1 1 14 17
1760607626 WANG KEH-JENQ 2021 FFS RENDERING AGE 21+ 49 191 18 36 45 71 41 41
1760616510 HOLBROOK DAVID M 2021 FFS RENDERING AGE 0-20 44 45 0 0 26 26 0 0
1760616510 HOLBROOK DAVID M 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1760618367 BLASUCCI MADELENA 2021 FFS RENDERING AGE 0-20 17 32 16 30 1 1 0 0
1760618367 BLASUCCI MADELENA 2021 FFS RENDERING AGE 21+ 30 57 1 2 19 38 0 0
1760618367 BLASUCCI MADELENA 2021 PHP RENDERING AGE 0-20 1 2 1 2 0 0 1 1
1760618367 BLASUCCI MADELENA 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 2 0 0
1760633341 BAYSIDE ORAL SURGERY GRP 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1760633341 ELDER, M, DDS A PROFESSIONAL 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 2 0 0
1760633341 UNKNOWN 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1760636195 LA DENTAL 2021 FFS RENDERING AGE 0-20 435 4,219 430 1,422 158 338 418 623
1760636195 LA DENTAL 2021 FFS RENDERING AGE 21+ 159 796 143 143 68 140 147 147
1760636484 MKHEYAN, NUNE DDS 2021 FFS RENDERING AGE 0-20 27 248 27 71 1 2 23 26
1760636484 MKHEYAN, NUNE DDS 2021 FFS RENDERING AGE 21+ 144 1,134 93 94 121 477 113 113
1760636484 MKHEYAN, NUNE DDS 2021 PHP RENDERING AGE 0-20 17 169 16 93 1 1 17 20
1760636484 MKHEYAN, NUNE DDS 2021 PHP RENDERING AGE 21+ 20 110 18 19 1 2 20 20
1760649487 PEREZ YACZAIRA 2021 FFS RENDERING AGE 0-20 511 4,400 393 1,353 258 831 429 479
1760649487 PEREZ YACZAIRA 2021 FFS RENDERING AGE 21+ 501 2,951 165 170 370 1,387 311 311
1760651731 MONTGOMERY AIMEE L 2021 FFS RENDERING AGE 0-20 64 296 1 1 64 287 1 1
1760651731 MONTGOMERY AIMEE L 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 2 0 0
1760662209 CHANG, ALICIA 2021 FFS RENDERING AGE 0-20 112 927 94 283 64 200 91 108
1760662209 CHANG, ALICIA 2021 FFS RENDERING AGE 21+ 289 1,408 105 165 176 535 185 185
1760662209 CHANG, ALICIA 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1760672570 CONROY BARTON W 2021 FFS RENDERING AGE 0-20 419 598 0 0 95 202 0 0
1760672570 CONROY BARTON W 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1760672570 CONROY BARTON W 2021 PHP RENDERING AGE 0-20 14 55 0 0 11 51 0 0
1760672570 CONROY BARTON W 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1760678270 BARZIVAND, PAYAM DDS 2021 FFS RENDERING AGE 0-20 200 2,664 182 657 89 327 196 257
1760678270 BARZIVAND, PAYAM DDS 2021 FFS RENDERING AGE 21+ 463 3,486 295 594 305 1,228 348 349
1760690945 JOSEPHS WESLEY Y 2021 FFS RENDERING AGE 0-20 19 127 13 28 1 1 14 15
1760690945 JOSEPHS WESLEY Y 2021 FFS RENDERING AGE 21+ 72 271 22 44 43 67 37 37
1760693931 NGUYEN ADELINE H 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1760695217 DAGHER, ZIAD DDS 2021 FFS RENDERING AGE 0-20 341 3,535 321 1,375 100 279 311 447
1760695217 DAGHER, ZIAD DDS 2021 FFS RENDERING AGE 21+ 302 1,905 110 221 171 732 237 237
1760698914 CHANG PAUL CHENG Y 2021 FFS RENDERING AGE 0-20 17 101 14 27 1 2 16 18
1760698914 CHANG PAUL CHENG Y 2021 FFS RENDERING AGE 21+ 59 383 16 16 36 147 50 51
1760698914 CHANG PAUL CHENG Y 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1760712269 SHIM JERRY H 2021 FFS RENDERING AGE 0-20 286 465 0 0 23 72 0 0
1760712269 SHIM JERRY H 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1760712269 SHIM JERRY H 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1760720619 KHOSTEGYAN ARPIN V 2021 FFS RENDERING AGE 0-20 45 245 31 64 27 85 29 32
1760720619 KHOSTEGYAN ARPIN V 2021 FFS RENDERING AGE 21+ 141 829 53 68 105 508 62 64
1760721104 GILL RAMANDEEP K 2021 GMC RENDERING AGE 0-20 21 66 14 16 19 20 1 1
1760721104 GILL RAMANDEEP K 2021 GMC RENDERING AGE 21+ 314 923 148 176 59 181 307 311
1760725048 DEREGHISHIAN, MELINEH DDS 2021 FFS RENDERING AGE 0-20 524 1,242 0 0 317 799 0 0
1760750087 MAJANO VALERIE L 2021 GMC RENDERING AGE 0-20 68 287 64 133 56 64 22 22
1760750087 MAJANO VALERIE L 2021 GMC RENDERING AGE 21+ 256 1,534 233 581 238 524 81 106
1760750087 MAJANO VALERIE L 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1760780910 NGHIEM, TAN, DDS INC 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1760788095 WEEKS, ANDREW C MD 2021 FFS RENDERING AGE 0-20 245 1,103 0 0 202 799 123 131
1760788095 WEEKS, ANDREW C MD 2021 FFS RENDERING AGE 21+ 364 1,956 0 0 333 1,468 185 191
1760796023 EDALAT HOSSEIN 2021 FFS RENDERING AGE 0-20 92 378 0 0 69 150 77 77
1760796023 EDALAT HOSSEIN 2021 FFS RENDERING AGE 21+ 755 3,526 0 0 500 1,360 666 666
1760797047 LARA, SANDRA DDS 2021 FFS RENDERING AGE 0-20 257 729 0 0 169 219 235 237
1760797047 LARA, SANDRA DDS 2021 FFS RENDERING AGE 21+ 955 2,665 1 1 628 818 803 803
1760797815 KIM, HYUN JUNE DDS 2021 FFS RENDERING AGE 0-20 260 3,069 248 1,280 170 738 250 328
1760797815 KIM, HYUN JUNE DDS 2021 FFS RENDERING AGE 21+ 202 1,684 153 305 162 794 158 158
1760798094 TRAN NGUYEN D 2021 FFS RENDERING AGE 0-20 489 5,998 463 1,652 209 666 473 532
1760798094 TRAN NGUYEN D 2021 FFS RENDERING AGE 21+ 381 3,723 281 560 267 1,257 304 304
1760808158 ARAD, ARASH, DDS 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1760821615 MAJOR AMANDA 2021 FFS RENDERING AGE 0-20 844 3,713 675 1,551 423 749 565 604
1760854087 GOLABY SANAJANY SIAVASH 2021 FFS RENDERING AGE 0-20 46 179 22 37 14 22 33 33
1760854087 GOLABY SANAJANY SIAVASH 2021 FFS RENDERING AGE 21+ 31 77 1 1 13 26 15 15
1760854087 GOLABY SANAJANY SIAVASH 2021 PHP RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1760854087 GOLABY SANAJANY SIAVASH 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1760857189 SIDHU GURJOT K 2021 FFS RENDERING AGE 0-20 73 313 69 138 1 1 72 72
1760857189 SIDHU GURJOT K 2021 FFS RENDERING AGE 21+ 352 1,730 260 523 97 492 340 341
1760858153 LEE, YONGHEE DDS 2021 FFS RENDERING AGE 0-20 259 3,104 228 1,098 101 287 256 340
1760858153 LEE, YONGHEE DDS 2021 FFS RENDERING AGE 21+ 528 4,901 151 304 388 2,044 455 455
1760862031 RANDHAWA AMANDEEP K 2021 FFS RENDERING AGE 0-20 539 3,269 359 1,520 117 233 487 528
1760862031 RANDHAWA AMANDEEP K 2021 FFS RENDERING AGE 21+ 1,181 3,560 214 413 360 925 989 989
1760869184 WADIA, JASVEEN DDS 2021 FFS RENDERING AGE 0-20 1 2 0 0 1 1 1 1
1760869184 WADIA, JASVEEN DDS 2021 FFS RENDERING AGE 21+ 34 114 0 0 20 26 15 15
1760869184 WADIA, JASVEEN DDS 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1760869184 WADIA, JASVEEN DDS 2021 PHP RENDERING AGE 21+ 1 2 0 0 0 0 1 1
1760869796 NESS DENTAL CORP 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1760881619 HALAKA SAMIR B 2021 FFS RENDERING AGE 0-20 28 171 22 50 12 47 21 21
1760881619 HALAKA SAMIR B 2021 FFS RENDERING AGE 21+ 115 741 63 125 79 274 87 87
1760896336 MERCADO MARCUS ALLAN PERRERAS 2021 PHP RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1760906861 PANCHOLI MEGHANA K 2021 FFS RENDERING AGE 0-20 254 1,235 137 387 94 200 206 216
1760906861 PANCHOLI MEGHANA K 2021 FFS RENDERING AGE 21+ 291 759 24 47 105 231 179 179
1760906887 PARK, SHERIE, DDS INC 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1760906887 PARK, SHERIE, DDS INC 2021 PHP RENDERING AGE 21+ 17 82 1 2 1 1 16 16
1760908230 WESTERN DENTAL SERVICE, INC 2021 PHP RENDERING AGE 0-20 34 250 32 89 1 1 34 38
1760908230 WESTERN DENTAL SERVICES INC 2021 PHP RENDERING AGE 0-20 34 250 32 89 1 1 34 38
1760921878 BAYAT-MOKHTARI SIAMAK 2021 FFS RENDERING AGE 0-20 411 1,608 160 408 274 596 160 161
1760921878 BAYAT-MOKHTARI SIAMAK 2021 FFS RENDERING AGE 21+ 1,024 3,092 52 91 913 2,434 138 138
1760921878 BAYAT-MOKHTARI SIAMAK 2021 GMC RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1760921878 BAYAT-MOKHTARI SIAMAK 2021 PHP RENDERING AGE 0-20 32 151 18 56 12 19 24 25
1760921878 BAYAT-MOKHTARI SIAMAK 2021 PHP RENDERING AGE 21+ 56 191 1 2 49 129 14 14
1760922363 HO MICHELLE D 2021 FFS RENDERING AGE 0-20 162 1,166 120 301 41 104 151 151
1760922363 HO MICHELLE D 2021 FFS RENDERING AGE 21+ 99 550 23 36 44 105 75 79
1760931687 ROSALES RANDY A 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1760931687 ROSALES RANDY A 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 1 1 1
1760946719 CALA LUCAS A 2021 FFS RENDERING AGE 0-20 1 2 0 0 1 1 0 0
1760946719 CALA LUCAS A 2021 FFS RENDERING AGE 21+ 51 109 0 0 51 109 0 0
1760969760 NG NICHOLAS C 2021 FFS RENDERING AGE 0-20 1 2 0 0 1 1 0 0
1760969760 NG NICHOLAS C 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1760994214 YOUNG KEANE W 2021 FFS RENDERING AGE 0-20 15 77 1 2 12 21 1 1
1760994214 YOUNG KEANE W 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1770002511 KIM JOO H 2021 FFS RENDERING AGE 0-20 335 2,332 203 416 162 291 203 207
1770002511 KIM JOO H 2021 FFS RENDERING AGE 21+ 472 2,232 104 202 301 749 213 213
1770002511 KIM JOO H 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1770002511 KIM JOO H 2021 PHP RENDERING AGE 21+ 20 57 1 1 16 33 1 1
1770006728 ALTAMED HEALTH SERVICES 2021 PHP RENDERING AGE 0-20 122 1,498 107 713 108 202 88 103
1770006728 ALTAMED HEALTH SERVICES 2021 PHP RENDERING AGE 21+ 133 1,007 49 190 104 363 68 86
1770006728 ALTAMED HEALTH SERVICES CORP 2021 PHP RENDERING AGE 0-20 122 1,498 107 713 108 202 88 103
1770006728 ALTAMED HEALTH SERVICES CORP 2021 PHP RENDERING AGE 21+ 133 1,007 49 190 104 363 68 86
1770017956 HALLAJIAN LUCY T 2021 FFS RENDERING AGE 0-20 452 1,345 230 503 148 448 247 255
1770017956 HALLAJIAN LUCY T 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 0 0
1770017956 HALLAJIAN LUCY T 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1770028847 ZHAO, HONG, DDS 2021 FFS RENDERING AGE 0-20 103 991 101 399 38 124 102 132
1770028847 ZHAO, HONG, DDS 2021 FFS RENDERING AGE 21+ 245 2,294 218 434 122 471 220 220
1770029217 SUNDAR JYOTSNA 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1770040974 KEATHLEY, COREY MICHELE, RDH 2021 FFS RENDERING AGE 0-20 94 131 94 131 0 0 0 0
1770040974 KEATHLEY, COREY MICHELE, RDH 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 0 0
1770048621 MCCLURE KAITLIN N 2021 FFS RENDERING AGE 0-20 131 771 128 316 44 48 128 128
1770065963 HOANG MICHAEL T 2021 FFS RENDERING AGE 0-20 21 26 0 0 21 22 0 0
1770067571 TRAN KEVIN K 2021 FFS RENDERING AGE 0-20 213 1,923 109 220 112 370 171 186
1770067571 TRAN KEVIN K 2021 FFS RENDERING AGE 21+ 424 2,481 73 120 287 909 264 266
1770067571 TRAN KEVIN K 2021 PHP RENDERING AGE 0-20 27 146 23 41 14 30 20 20
1770067571 TRAN KEVIN K 2021 PHP RENDERING AGE 21+ 58 282 18 30 39 114 36 37
1770068934 AHMAD SHEHZAD 2021 FFS RENDERING AGE 0-20 577 2,347 202 785 146 236 380 394
1770068934 AHMAD SHEHZAD 2021 FFS RENDERING AGE 21+ 1,130 2,793 63 121 399 696 607 608
1770101081 ADIB HABIB 2021 FFS RENDERING AGE 0-20 205 1,016 91 272 110 330 154 162
1770101081 ADIB HABIB 2021 FFS RENDERING AGE 21+ 533 2,140 111 195 300 962 404 405
1770101081 ADIB HABIB 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1770101081 ADIB HABIB 2021 PHP RENDERING AGE 21+ 1 2 0 0 1 1 1 1
1770123515 NIK ELHAM 2021 FFS RENDERING AGE 0-20 314 2,241 212 482 115 201 221 222
1770123515 NIK ELHAM 2021 FFS RENDERING AGE 21+ 369 1,790 141 271 176 374 221 221
1770130767 SHOKER GURMAN S 2021 FFS RENDERING AGE 0-20 163 892 100 194 77 173 110 110
1770130767 SHOKER GURMAN S 2021 FFS RENDERING AGE 21+ 737 3,975 233 243 494 1,187 296 296
1770130767 SHOKER GURMAN S 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1770133308 KRISHNAKUMAR MINI 2021 FFS RENDERING AGE 0-20 488 2,707 331 974 281 820 289 304
1770133308 KRISHNAKUMAR MINI 2021 FFS RENDERING AGE 21+ 599 2,049 184 294 310 900 308 310
1770137549 TA DANIEL Q 2021 FFS RENDERING AGE 0-20 38 225 31 86 13 27 32 32
1770137549 TA DANIEL Q 2021 FFS RENDERING AGE 21+ 17 70 1 2 1 1 1 1
1770139966 BOYLE KRISTY L 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1770139966 BOYLE KRISTY L 2021 PHP RENDERING AGE 0-20 118 844 86 287 110 194 69 69
1770139966 BOYLE KRISTY L 2021 PHP RENDERING AGE 21+ 113 443 18 45 88 207 21 21
1770146516 YIP JASON 2021 FFS RENDERING AGE 0-20 81 604 70 243 36 114 68 69
1770146516 YIP JASON 2021 FFS RENDERING AGE 21+ 423 2,459 240 476 285 964 273 273
1770146714 CARRASCO SANDOV JOSE E 2021 PHP RENDERING AGE 0-20 95 781 80 276 93 189 74 79
1770146714 CARRASCO SANDOV JOSE E 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1770190175 KOHAN JOSHUA 2021 FFS RENDERING AGE 0-20 1,023 7,169 243 610 997 3,232 92 96
1770190175 KOHAN JOSHUA 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1770191041 CHUNG SO H 2021 FFS RENDERING AGE 0-20 3,062 23,707 2,345 6,244 2,090 4,896 2,283 2,364
1770191041 CHUNG SO H 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1770196024 BIBERA KEVIN T 2021 FFS RENDERING AGE 0-20 27 143 12 42 1 2 22 22
1770196024 BIBERA KEVIN T 2021 FFS RENDERING AGE 21+ 27 86 1 1 1 2 16 16
1770196024 BIBERA KEVIN T 2021 PHP RENDERING AGE 0-20 16 69 13 34 1 1 11 11
1770196024 BIBERA KEVIN T 2021 PHP RENDERING AGE 21+ 14 39 1 1 1 2 1 1
1770199275 GHIAM CHANTELLE A 2021 FFS RENDERING AGE 0-20 147 162 0 0 11 12 0 0
1770199275 GHIAM CHANTELLE A 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1770518326 MONIAGA ESTHER M 2021 FFS RENDERING AGE 0-20 45 532 41 166 23 90 38 47
1770518326 MONIAGA ESTHER M 2021 FFS RENDERING AGE 21+ 87 1,010 56 108 69 408 61 61
1770565327 SINGHAL, TARSEM L, DDS 2021 FFS RENDERING AGE 0-20 48 431 41 98 17 63 47 53
1770565327 SINGHAL, TARSEM L, DDS 2021 FFS RENDERING AGE 21+ 121 700 31 32 82 288 88 88
1770601502 MUSTAFA, ABRAHIM DDS, INC 2021 PHP RENDERING AGE 0-20 86 427 62 164 36 80 66 68
1770601502 MUSTAFA, ABRAHIM DDS, INC 2021 PHP RENDERING AGE 21+ 44 163 17 19 22 46 29 29
1770604209 GORMAN, JEFFREY S DMD 2021 FFS RENDERING AGE 0-20 600 5,073 564 1,726 270 423 570 797
1770604209 GORMAN, JEFFREY S DMD 2021 FFS RENDERING AGE 21+ 484 2,755 310 619 237 419 355 355
1770606519 LANCASTER DENTAL CARE ASSOC 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1770606519 SAIDARA, KAMRAN RON, DDS, A 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1770609760 MEHTA, SHUBHADA V, DDS 2021 FFS RENDERING AGE 0-20 50 380 49 140 13 33 49 67
1770609760 MEHTA, SHUBHADA V, DDS 2021 FFS RENDERING AGE 21+ 34 301 28 49 16 44 32 32
1770611956 CHU WAN YI 2021 FFS RENDERING AGE 0-20 135 919 112 451 50 85 111 115
1770611956 CHU WAN YI 2021 FFS RENDERING AGE 21+ 222 1,284 144 287 121 266 175 175
1770613598 VASQUEZ JOSE ANGELO R 2021 FFS RENDERING AGE 0-20 1,338 23,185 1,305 6,102 1,027 4,556 1,294 1,994
1770613598 VASQUEZ JOSE ANGELO R 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1770615692 DICKEY, JAMES E, DDS A PROFE 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1770615700 TRINH LINH N 2021 FFS RENDERING AGE 0-20 31 217 31 135 1 1 31 38
1770615700 TRINH LINH N 2021 FFS RENDERING AGE 21+ 112 668 77 152 84 313 85 85
1770617003 TEBOUL DANIEL 2021 FFS RENDERING AGE 0-20 14 68 1 2 1 2 1 1
1770617003 TEBOUL DANIEL 2021 FFS RENDERING AGE 21+ 151 623 21 43 116 362 51 51
1770617003 TEBOUL DANIEL 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1770618308 TRAN DIANE P 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 2 1 1
1770618308 TRAN DIANE P 2021 FFS RENDERING AGE 21+ 21 184 13 18 16 65 13 13
1770619694 PATEL UMA M 2021 FFS RENDERING AGE 0-20 142 883 142 288 25 78 122 143
1770619694 PATEL UMA M 2021 FFS RENDERING AGE 21+ 180 985 165 165 32 92 168 168
1770621591 DERAKSHAN RAY 2021 FFS RENDERING AGE 0-20 29 255 28 81 12 44 28 43
1770621591 DERAKSHAN RAY 2021 FFS RENDERING AGE 21+ 126 941 99 100 85 349 78 78
1770622052 GONZALEZ PEDRO P 2021 FFS RENDERING AGE 0-20 450 5,806 380 1,135 257 1,033 393 516
1770622052 GONZALEZ PEDRO P 2021 FFS RENDERING AGE 21+ 989 11,152 512 894 846 4,763 653 653
1770622052 GONZALEZ PEDRO P 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1770622052 GONZALEZ PEDRO P 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1770624876 PATEL, CHATTAN DDS 2021 FFS RENDERING AGE 0-20 306 4,103 282 1,483 170 545 287 373
1770624876 PATEL, CHATTAN DDS 2021 FFS RENDERING AGE 21+ 270 1,731 192 274 162 448 216 216
1770625337 CASTANEDA, CAROLINA, DDS INC 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1770625337 CASTANEDA, CAROLINA, DDS INC 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1770625337 CASTANEDA, CAROLINA, DDS INC 2021 PHP RENDERING AGE 0-20 18 95 12 29 1 1 11 12
1770625337 CASTANEDA, CAROLINA, DDS INC 2021 PHP RENDERING AGE 21+ 46 159 13 15 38 81 21 21
1770626962 OH MICHAEL C 2021 FFS RENDERING AGE 0-20 129 813 90 208 77 215 101 104
1770626962 OH MICHAEL C 2021 FFS RENDERING AGE 21+ 205 1,065 94 184 153 457 104 104
1770640914 SHODHAN KEYUR P 2021 FFS RENDERING AGE 0-20 535 8,330 436 2,417 206 776 494 609
1770640914 SHODHAN KEYUR P 2021 FFS RENDERING AGE 21+ 747 8,440 157 231 481 2,629 583 597
1770641771 ELIDO, MARILOU D DMD 2021 FFS RENDERING AGE 0-20 45 535 44 169 17 47 44 69
1770641771 ELIDO, MARILOU D DMD 2021 FFS RENDERING AGE 21+ 57 461 47 92 24 52 52 52
1770641771 ELIDO, MARILOU D, DMD INC 2021 FFS RENDERING AGE 0-20 45 535 44 169 17 47 44 69
1770641771 ELIDO, MARILOU D, DMD INC 2021 FFS RENDERING AGE 21+ 57 461 47 92 24 52 52 52
1770642548 BORRERO, JANJIK RODEF DENTAL 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1770649337 BORQUEZ RANDOLPH A 2021 FFS RENDERING AGE 0-20 22 71 1 2 14 15 1 1
1770649337 BORQUEZ RANDOLPH A 2021 FFS RENDERING AGE 21+ 64 146 1 2 52 61 1 1
1770649998 HOU ANNA L 2021 FFS RENDERING AGE 0-20 167 2,512 163 517 76 227 165 247
1770649998 HOU ANNA L 2021 FFS RENDERING AGE 21+ 286 3,502 233 464 204 895 251 251
1770649998 HOU ANNA L 2021 PHP RENDERING AGE 0-20 1 1 1 1 1 1 1 1
1770651051 KIWAN, SALEEM 2021 FFS RENDERING AGE 0-20 270 3,624 234 918 104 261 227 300
1770651051 KIWAN, SALEEM 2021 FFS RENDERING AGE 21+ 400 3,065 131 245 295 1,238 284 284
1770659716 WOHN KUMZOO 2021 FFS RENDERING AGE 0-20 403 3,218 327 1,229 140 346 385 525
1770659716 WOHN KUMZOO 2021 FFS RENDERING AGE 21+ 468 2,108 177 317 239 727 324 324
1770659716 WOHN KUMZOO 2021 PHP RENDERING AGE 0-20 14 41 1 2 1 1 1 1
1770659716 WOHN KUMZOO 2021 PHP RENDERING AGE 21+ 14 32 0 0 13 30 1 1
1770659773 SALAZAR-LINAYAO MARY JANE 2021 FFS RENDERING AGE 0-20 1,876 16,232 1,369 2,977 525 3,157 1,265 1,279
1770659773 SALAZAR-LINAYAO MARY JANE 2021 FFS RENDERING AGE 21+ 168 999 48 95 116 299 92 92
1770660987 SAWAYA IBRAHIM ASSAAD 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1770662306 NGUYEN, THAI Q, DDS 2021 FFS RENDERING AGE 0-20 81 639 74 174 31 108 77 83
1770662306 NGUYEN, THAI Q, DDS 2021 FFS RENDERING AGE 21+ 144 955 90 179 96 231 99 100
1770663452 XA DIANA T 2021 FFS RENDERING AGE 0-20 71 715 60 170 42 140 65 92
1770663452 XA DIANA T 2021 FFS RENDERING AGE 21+ 199 1,668 90 173 145 721 128 128
1770667941 YAN, MARTHA Z DDS 2021 PHP RENDERING AGE 21+ 1 1 1 1 1 1 0 0
1770672719 CHANG YOONHO 2021 FFS RENDERING AGE 0-20 239 2,372 198 591 128 492 188 224
1770672719 CHANG YOONHO 2021 FFS RENDERING AGE 21+ 547 3,823 83 160 442 1,856 322 324
1770673550 DRAGO JOSE A 2021 FFS RENDERING AGE 0-20 268 4,007 247 923 102 423 260 350
1770673550 DRAGO JOSE A 2021 FFS RENDERING AGE 21+ 196 1,546 84 91 111 388 151 151
1770673709 PARK BYUNG K 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1770673709 PARK, BYUNG-KYU, DDS 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1770676470 RODRIGUES OLIVIA M 2021 FFS RENDERING AGE 0-20 11 62 1 2 1 2 1 1
1770676470 RODRIGUES OLIVIA M 2021 FFS RENDERING AGE 21+ 50 172 17 34 29 37 20 20
1770676470 RODRIGUES OLIVIA M 2021 GMC RENDERING AGE 0-20 408 2,203 332 824 241 367 316 335
1770676470 RODRIGUES OLIVIA M 2021 GMC RENDERING AGE 21+ 313 1,162 113 215 222 392 121 122
1770677858 HATTAR, FAHED DAHER DDS 2021 FFS RENDERING AGE 0-20 377 5,427 329 1,303 177 673 367 481
1770677858 HATTAR, FAHED DAHER DDS 2021 FFS RENDERING AGE 21+ 445 4,603 238 241 320 1,611 365 365
1770677858 UNKNOWN 2021 FFS RENDERING AGE 0-20 377 5,427 329 1,303 177 673 367 481
1770677858 UNKNOWN 2021 FFS RENDERING AGE 21+ 445 4,603 238 241 320 1,611 365 365
1770679789 KHAN REHANA 2021 FFS RENDERING AGE 0-20 17 33 0 0 1 2 0 0
1770679789 KHAN REHANA 2021 PHP RENDERING AGE 0-20 1 2 0 0 1 2 1 1
1770681736 HTWE, HTWE, DDS 2021 FFS RENDERING AGE 0-20 208 1,643 200 725 76 225 203 234
1770681736 HTWE, HTWE, DDS 2021 FFS RENDERING AGE 21+ 182 1,012 153 305 101 310 153 153
1770689044 AHN, YONG SUK, DDS 2021 FFS RENDERING AGE 0-20 138 1,150 130 329 62 187 132 160
1770689044 AHN, YONG SUK, DDS 2021 FFS RENDERING AGE 21+ 104 668 56 111 44 130 99 99
1770689184 DARBRO MATTHEW P 2021 FFS RENDERING AGE 21+ 1 1 1 1 1 1 0 0
1770689952 CHI, TONY 2021 FFS RENDERING AGE 0-20 271 1,271 0 0 187 838 216 217
1770689952 CHI, TONY 2021 FFS RENDERING AGE 21+ 102 374 0 0 84 264 50 50
1770690828 YOO, JOON S, DDS 2021 FFS RENDERING AGE 0-20 367 3,171 367 935 171 455 367 558
1770690828 YOO, JOON S, DDS 2021 FFS RENDERING AGE 21+ 189 967 156 156 78 289 167 167
1770691545 HASHIMOTO, W W, DDS 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1770691545 HASHIMOTO, W W, DDS 2021 FFS RENDERING AGE 21+ 30 102 12 15 19 27 13 13
1770695447 XU, JING DDS 2021 FFS RENDERING AGE 0-20 94 1,307 88 379 48 179 93 104
1770695447 XU, JING DDS 2021 FFS RENDERING AGE 21+ 200 2,028 144 288 151 665 160 160
1770702680 PAIK EUN J 2021 FFS RENDERING AGE 0-20 139 1,990 137 650 84 247 138 196
1770702680 PAIK EUN J 2021 FFS RENDERING AGE 21+ 223 2,514 144 255 183 1,129 183 183
1770705741 FOWLER, NELLY 2021 FFS RENDERING AGE 0-20 87 986 79 175 35 204 73 79
1770705741 FOWLER, NELLY 2021 FFS RENDERING AGE 21+ 89 774 55 98 24 130 82 82
1770706558 WANGPICHIT KALLAYA 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1770707978 LE, YEN DDS 2021 FFS RENDERING AGE 0-20 37 311 35 104 14 24 33 33
1770707978 LE, YEN DDS 2021 FFS RENDERING AGE 21+ 216 1,198 70 140 179 573 73 73
1770708646 NOOR ASMATH S 2021 FFS RENDERING AGE 0-20 73 547 51 131 44 188 65 74
1770708646 NOOR ASMATH S 2021 FFS RENDERING AGE 21+ 246 1,668 68 68 173 843 191 191
1770716672 MANALESE JOSE J 2021 FFS RENDERING AGE 0-20 248 1,597 125 279 123 659 200 205
1770716672 MANALESE JOSE J 2021 FFS RENDERING AGE 21+ 657 3,579 164 267 424 1,977 423 423
1770717480 MAGHIRAN, DR VIVIEN M, DENTA 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1770728511 ALMASI GOURGEN 2021 FFS RENDERING AGE 0-20 32 178 15 30 15 53 24 25
1770728511 ALMASI GOURGEN 2021 FFS RENDERING AGE 21+ 459 2,375 122 239 321 1,052 358 358
1770750424 BAO, LOC DDS 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1770758344 ROH JEONG-HO 2021 FFS RENDERING AGE 0-20 282 3,236 203 322 198 645 230 267
1770758344 ROH JEONG-HO 2021 FFS RENDERING AGE 21+ 883 8,538 293 294 673 2,446 598 598
1770758344 ROH JEONG-HO 2021 PHP RENDERING AGE 0-20 36 374 35 65 15 41 33 37
1770759045 CENICEROS-BRUNE LILA S 2021 FFS RENDERING AGE 0-20 78 290 37 82 20 31 62 63
1770759045 CENICEROS-BRUNE LILA S 2021 FFS RENDERING AGE 21+ 354 1,027 67 126 130 269 203 203
1770759045 CENICEROS-BRUNE LILA S 2021 PHP RENDERING AGE 0-20 1 1 1 1 1 1 0 0
1770759045 CENICEROS-BRUNE LILA S 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1770762718 HAKIMI JASMIN 2021 FFS RENDERING AGE 0-20 51 572 48 143 27 62 47 47
1770762718 HAKIMI JASMIN 2021 FFS RENDERING AGE 21+ 96 587 31 61 59 131 47 47
1770768327 DHOLAKIYA, P, DDS INC 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1770768327 P DHOLAKIYA DDS INC 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1770769416 WOO STEVEN 2021 FFS RENDERING AGE 0-20 13 57 11 12 1 2 11 13
1770769416 WOO STEVEN 2021 FFS RENDERING AGE 21+ 68 256 47 47 31 71 56 56
1770771560 SHALABY TAMER 2021 FFS RENDERING AGE 0-20 88 535 71 164 28 82 59 69
1770771560 SHALABY TAMER 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1770772287 VU, DANIEL T DDS 2021 FFS RENDERING AGE 0-20 498 3,273 481 1,086 228 500 479 539
1770772287 VU, DANIEL T DDS 2021 FFS RENDERING AGE 21+ 272 1,549 237 472 145 272 237 237
1770775181 KHAMSEI LEILA 2021 FFS RENDERING AGE 0-20 390 2,293 295 934 67 96 382 446
1770775181 KHAMSEI LEILA 2021 FFS RENDERING AGE 21+ 394 1,084 50 94 77 190 340 340
1770775181 KHAMSEI LEILA 2021 GMC RENDERING AGE 0-20 1 1 1 1 1 1 0 0
1770776213 LUU LONG G 2021 FFS RENDERING AGE 0-20 309 459 0 0 62 145 0 0
1770776213 LUU LONG G 2021 FFS RENDERING AGE 21+ 30 30 0 0 0 0 0 0
1770776213 LUU LONG G 2021 GMC RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1770776213 LUU LONG G 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1770790594 KANG MO K 2021 FFS RENDERING AGE 0-20 164 215 0 0 164 215 0 0
1770790594 KANG MO K 2021 FFS RENDERING AGE 21+ 478 623 0 0 478 623 0 0
1770793051 PARTOVI, LADAN 2021 FFS RENDERING AGE 0-20 423 3,555 348 917 160 295 374 446
1770793051 PARTOVI, LADAN 2021 FFS RENDERING AGE 21+ 265 1,416 73 141 121 296 185 185
1770793051 PARTOVI, LADAN 2021 PHP RENDERING AGE 0-20 399 3,001 337 1,084 138 285 360 435
1770793051 PARTOVI, LADAN 2021 PHP RENDERING AGE 21+ 254 1,044 53 99 124 348 169 174
1770795320 JANI RAKHIBAHEN T 2021 FFS RENDERING AGE 0-20 111 1,165 99 344 52 164 100 131
1770795320 JANI RAKHIBAHEN T 2021 FFS RENDERING AGE 21+ 238 1,751 143 271 166 639 174 174
1770796831 PHAM, TU THANH, DDS 2021 FFS RENDERING AGE 0-20 194 1,176 181 483 55 136 143 177
1770796831 PHAM, TU THANH, DDS 2021 FFS RENDERING AGE 21+ 579 3,105 222 222 376 1,180 286 286
1770796831 PHAM, TU THANH, DDS 2021 PHP RENDERING AGE 0-20 27 227 25 96 18 40 25 34
1770796831 PHAM, TU THANH, DDS 2021 PHP RENDERING AGE 21+ 34 222 24 40 15 83 28 31
1770797672 WEBSTER RICHARD B 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1770806689 PAZOOKY, SHARONE DDS 2021 FFS RENDERING AGE 0-20 3,877 46,213 3,321 12,316 2,649 11,587 3,094 4,082
1770806689 PAZOOKY, SHARONE DDS 2021 FFS RENDERING AGE 21+ 312 3,157 223 312 168 837 227 227
1770806689 PAZOOKY, SHARONE DDS 2021 PHP RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1770810343 SEPARZADEH RAPHAEL 2021 FFS RENDERING AGE 0-20 132 195 0 0 57 87 0 0
1770810343 SEPARZADEH RAPHAEL 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1770810343 SEPARZADEH RAPHAEL 2021 PHP RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1770810343 SEPARZADEH RAPHAEL 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1770815953 FELDKAMP III IRVING M 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1770815953 FELDKAMP III IRVING M 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1770818031 CARO MANUEL Z 2021 FFS RENDERING AGE 0-20 64 299 29 74 37 70 34 42
1770818031 CARO MANUEL Z 2021 FFS RENDERING AGE 21+ 139 530 56 56 71 105 83 83
1770826463 DANG NAM T 2021 FFS RENDERING AGE 0-20 681 3,748 250 837 230 817 645 680
1770826463 DANG NAM T 2021 FFS RENDERING AGE 21+ 832 2,010 18 34 136 257 704 704
1770837643 OLSON JOSEPH M 2021 FFS RENDERING AGE 0-20 17 106 1 2 1 2 11 11
1770837643 OLSON JOSEPH M 2021 FFS RENDERING AGE 21+ 22 82 1 1 15 35 13 13
1770844268 HOMAPOUR HOMAN 2021 FFS RENDERING AGE 0-20 1,303 16,529 994 3,415 684 2,308 1,065 1,175
1770844268 HOMAPOUR HOMAN 2021 FFS RENDERING AGE 21+ 617 5,793 215 235 401 1,354 298 301
1770858565 SHAFIEI NIKKI 2021 FFS RENDERING AGE 0-20 533 12,967 216 419 524 8,929 15 15
1770864548 BHULLAR HAR 2021 FFS RENDERING AGE 0-20 20 129 11 30 1 2 17 17
1770864548 BHULLAR HAR 2021 FFS RENDERING AGE 21+ 252 1,176 96 181 119 285 221 221
1770867822 JUN DANIEL S 2021 FFS RENDERING AGE 0-20 1 1 0 0 0 0 1 1
1770867822 JUN DANIEL S 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 0 0
1770867822 JUN DANIEL S 2021 GMC RENDERING AGE 0-20 895 7,228 710 2,147 270 475 734 881
1770867822 JUN DANIEL S 2021 GMC RENDERING AGE 21+ 1,135 7,341 580 1,159 695 1,570 738 744
1770877524 RWIGEMA JEAN-PIERRE M 2021 FFS RENDERING AGE 0-20 275 1,877 172 447 143 517 198 238
1770877524 RWIGEMA JEAN-PIERRE M 2021 FFS RENDERING AGE 21+ 493 3,080 101 191 403 1,792 222 222
1770877524 RWIGEMA JEAN-PIERRE M 2021 GMC RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1770877524 RWIGEMA JEAN-PIERRE M 2021 PHP RENDERING AGE 0-20 150 1,490 136 344 101 395 144 161
1770877524 RWIGEMA JEAN-PIERRE M 2021 PHP RENDERING AGE 21+ 159 1,116 48 91 118 588 116 118
1770882854 ARMENTA, SELINA MARIE, RDHAP 2021 FFS RENDERING AGE 0-20 1 1 1 1 1 1 0 0
1770882854 ARMENTA, SELINA MARIE, RDHAP 2021 FFS RENDERING AGE 21+ 128 582 116 128 128 433 0 0
1770885493 SIMONTACCHI-GBO MICHAEL E 2021 FFS RENDERING AGE 0-20 245 893 0 0 78 234 0 0
1770885493 SIMONTACCHI-GBO MICHAEL E 2021 FFS RENDERING AGE 21+ 1 2 0 0 0 0 0 0
1770896797 SOMANI AMIT S 2021 FFS RENDERING AGE 0-20 141 1,067 86 171 60 127 105 105
1770896797 SOMANI AMIT S 2021 FFS RENDERING AGE 21+ 675 1,791 64 131 579 950 141 141
1770896797 SOMANI AMIT S 2021 PHP RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1770898702 SHAROBIEM ROBERT N 2021 FFS RENDERING AGE 0-20 321 1,719 0 0 312 1,674 12 12
1770898702 SHAROBIEM ROBERT N 2021 FFS RENDERING AGE 21+ 804 3,807 0 0 784 3,641 62 64
1770898702 SHAROBIEM ROBERT N 2021 PHP RENDERING AGE 0-20 1 2 0 0 1 2 1 1
1770898702 SHAROBIEM ROBERT N 2021 PHP RENDERING AGE 21+ 38 84 0 0 26 58 22 22
1770899304 MARTINEZ ANDRES K 2021 FFS RENDERING AGE 0-20 756 11,106 737 3,493 511 1,888 728 1,073
1770907826 LEE RACHEL S 2021 FFS RENDERING AGE 0-20 232 461 0 0 63 138 0 0
1770907826 LEE RACHEL S 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1770915035 TRAN THINH 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1770915035 TRAN THINH 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1770923245 NGUYEN ANDREW T 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1770929572 HAROUNI SAMAN 2021 FFS RENDERING AGE 0-20 507 2,696 0 0 448 2,493 77 77
1770929572 HAROUNI SAMAN 2021 FFS RENDERING AGE 21+ 491 2,137 0 0 385 1,741 145 145
1770929572 HAROUNI SAMAN 2021 PHP RENDERING AGE 0-20 47 189 0 0 44 158 1 1
1770929572 HAROUNI SAMAN 2021 PHP RENDERING AGE 21+ 172 600 0 0 112 399 115 117
1770933525 LEE JINTAEK 2021 FFS RENDERING AGE 0-20 30 264 1 2 30 196 1 2
1770937096 ABOLMAALI SARA 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 2 0 0
1770937997 HEO YOON-YOUNG 2021 FFS RENDERING AGE 0-20 778 1,893 0 0 445 1,112 0 0
1770937997 HEO YOON-YOUNG 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1770940421 WU DANNY 2021 FFS RENDERING AGE 0-20 19 111 15 37 1 2 14 14
1770940421 WU DANNY 2021 FFS RENDERING AGE 21+ 24 88 11 22 14 25 15 15
1770940520 ABRAHAM SHAWN 2021 FFS RENDERING AGE 0-20 518 681 0 0 338 424 0 0
1770962144 PHAM HOA H 2021 FFS RENDERING AGE 0-20 17 85 12 32 1 1 15 15
1770967713 PATEL SAMEER M 2021 FFS RENDERING AGE 0-20 371 4,488 332 1,070 187 500 333 414
1770967713 PATEL SAMEER M 2021 FFS RENDERING AGE 21+ 712 6,028 371 731 462 1,312 529 529
1770968463 BALOUCH AMIR 2021 PHP RENDERING AGE 0-20 175 999 141 487 73 104 94 108
1770968463 BALOUCH AMIR 2021 PHP RENDERING AGE 21+ 1 2 1 2 1 1 0 0
1770978223 ABARO, RONALD CRUZ, DDS INC 2021 FFS RENDERING AGE 0-20 1 1 1 1 1 1 0 0
1770978223 ABARO, RONALD CRUZ, DDS INC 2021 FFS RENDERING AGE 21+ 1 1 1 1 1 1 0 0
1770983959 SONGHORIAN ROBIN 2021 FFS RENDERING AGE 0-20 134 633 49 123 75 231 118 126
1770983959 SONGHORIAN ROBIN 2021 FFS RENDERING AGE 21+ 213 1,261 60 115 160 809 155 155
1770983983 WU WEI-YEN 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1770983983 WU WEI-YEN 2021 PHP RENDERING AGE 0-20 45 392 36 137 23 33 38 41
1770983983 WU WEI-YEN 2021 PHP RENDERING AGE 21+ 79 464 31 48 42 85 45 49
1770987612 REITTER JEAN F 2021 FFS RENDERING AGE 0-20 68 483 61 117 27 60 60 78
1770987612 REITTER JEAN F 2021 FFS RENDERING AGE 21+ 336 2,553 249 249 208 607 268 268
1770998569 DROZDZ RAFAL 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1770998569 DROZDZ RAFAL 2021 GMC RENDERING AGE 0-20 501 3,337 333 1,149 172 322 415 503
1770998569 DROZDZ RAFAL 2021 GMC RENDERING AGE 21+ 934 6,303 491 970 700 2,371 606 610
1770999856 REIS MELANIE 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1780001511 LEE MARY Y 2021 FFS RENDERING AGE 0-20 441 1,822 256 602 54 97 375 410
1780001511 LEE MARY Y 2021 FFS RENDERING AGE 21+ 609 1,491 20 29 112 238 390 390
1780001511 LEE MARY Y 2021 GMC RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1780001511 LEE MARY Y 2021 PHP RENDERING AGE 0-20 75 175 34 58 1 1 68 71
1780001511 LEE MARY Y 2021 PHP RENDERING AGE 21+ 117 242 1 1 32 79 90 94
1780025833 AMIN KAVITA S 2021 FFS RENDERING AGE 0-20 15 117 15 43 1 2 14 14
1780025833 AMIN KAVITA S 2021 FFS RENDERING AGE 21+ 35 264 22 48 24 121 25 25
1780067488 HALDIPUR SHWETA D 2021 GMC RENDERING AGE 0-20 64 173 28 57 11 11 33 33
1780067488 HALDIPUR SHWETA D 2021 GMC RENDERING AGE 21+ 87 219 16 32 40 48 31 31
1780074468 JINJUWADIA MILAN P 2021 FFS RENDERING AGE 0-20 718 4,132 578 1,621 188 257 668 775
1780074468 JINJUWADIA MILAN P 2021 FFS RENDERING AGE 21+ 670 2,122 140 256 256 669 427 427
1780074534 SCHULTZ NEIL E 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1780078246 IBARRA, ALEJANDRO MD 2021 FFS RENDERING AGE 0-20 36 88 0 0 36 88 0 0
1780084806 ABRAHAM ERINI 2021 FFS RENDERING AGE 0-20 44 542 30 83 29 92 44 44
1780084806 ABRAHAM ERINI 2021 FFS RENDERING AGE 21+ 65 670 53 106 40 179 55 55
1780086017 WONG WENDY 2021 FFS RENDERING AGE 0-20 150 664 99 241 40 80 131 137
1780086017 WONG WENDY 2021 FFS RENDERING AGE 21+ 147 452 33 54 70 140 92 92
1780086017 WONG WENDY 2021 PHP RENDERING AGE 0-20 35 123 26 56 1 2 32 32
1780086017 WONG WENDY 2021 PHP RENDERING AGE 21+ 40 79 1 1 20 39 26 26
1780090589 CHEN EN 2021 FFS RENDERING AGE 0-20 48 350 35 91 44 116 24 27
1780090589 CHEN EN 2021 FFS RENDERING AGE 21+ 30 188 1 1 27 116 1 1
1780095216 CHIU, CHRISTOPHER DDS 2021 FFS RENDERING AGE 0-20 1,176 11,867 862 2,388 639 3,747 853 1,009
1780102350 WONG RICHARD C 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1780108696 ALOKA HUSSAM 2021 FFS RENDERING AGE 0-20 1,372 6,755 853 2,034 546 789 1,153 1,228
1780108696 ALOKA HUSSAM 2021 FFS RENDERING AGE 21+ 997 3,243 318 614 386 904 630 632
1780120451 QAZI ZUMNA M 2021 FFS RENDERING AGE 0-20 362 1,681 164 429 86 160 313 332
1780120451 QAZI ZUMNA M 2021 FFS RENDERING AGE 21+ 709 2,410 52 79 211 519 513 522
1780120451 QAZI ZUMNA M 2021 PHP RENDERING AGE 0-20 160 1,428 117 384 89 426 133 154
1780120451 QAZI ZUMNA M 2021 PHP RENDERING AGE 21+ 184 1,179 62 130 114 588 134 140
1780134254 HEMMAT SOHA 2021 FFS RENDERING AGE 0-20 2,454 19,569 1,882 5,434 1,529 3,444 1,801 1,870
1780134254 HEMMAT SOHA 2021 FFS RENDERING AGE 21+ 22 70 1 2 1 2 1 1
1780137091 NGUYEN ANTHONY D 2021 FFS RENDERING AGE 0-20 578 2,185 437 1,031 194 426 457 483
1780137091 NGUYEN ANTHONY D 2021 FFS RENDERING AGE 21+ 627 2,373 244 492 456 1,222 312 312
1780163063 TSAI CHING 2021 FFS RENDERING AGE 0-20 536 2,619 333 892 201 444 351 357
1780163063 TSAI CHING 2021 FFS RENDERING AGE 21+ 907 3,068 177 320 472 1,362 514 514
1780163212 VUONG LAM K 2021 FFS RENDERING AGE 0-20 501 985 0 0 295 651 0 0
1780163212 VUONG LAM K 2021 FFS RENDERING AGE 21+ 12 12 0 0 0 0 0 0
1780163212 VUONG LAM K 2021 GMC RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1780175513 JING LIN 2021 FFS RENDERING AGE 0-20 1 2 1 1 0 0 1 1
1780182824 VERA EDUARDO A 2021 FFS RENDERING AGE 0-20 99 290 36 101 64 116 20 20
1780182824 VERA EDUARDO A 2021 FFS RENDERING AGE 21+ 243 565 42 61 215 467 1 1
1780188581 KIM CHAE HYUN 2021 FFS RENDERING AGE 0-20 97 967 88 227 41 166 87 92
1780188581 KIM CHAE HYUN 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1780197558 ROSTAMI ROZA 2021 FFS RENDERING AGE 0-20 118 964 57 170 76 249 87 87
1780197558 ROSTAMI ROZA 2021 FFS RENDERING AGE 21+ 150 723 22 43 103 256 90 90
1780239475 NGUYEN PHUC Q 2021 FFS RENDERING AGE 0-20 127 786 74 173 68 144 78 78
1780239475 NGUYEN PHUC Q 2021 FFS RENDERING AGE 21+ 126 464 22 40 76 177 41 41
1780245720 FONG ARIANA M 2021 FFS RENDERING AGE 0-20 200 1,398 175 657 120 212 169 175
1780245720 FONG ARIANA M 2021 FFS RENDERING AGE 21+ 133 568 73 146 76 156 86 86
1780273524 MEHANNY LAURA K 2021 FFS RENDERING AGE 0-20 506 2,285 314 842 379 1,031 101 101
1780273524 MEHANNY LAURA K 2021 FFS RENDERING AGE 21+ 416 1,348 135 271 302 788 73 73
1780278655 MUSTAFA HASAN M 2021 FFS RENDERING AGE 0-20 304 1,494 178 495 127 298 212 213
1780278655 MUSTAFA HASAN M 2021 FFS RENDERING AGE 21+ 588 1,657 119 222 282 540 242 244
1780278655 MUSTAFA HASAN M 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1780283481 VALENCIA HERNAN MONICA 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 1 1
1780283481 VALENCIA HERNAN MONICA 2021 FFS RENDERING AGE 21+ 13 31 1 1 1 1 1 1
1780296368 MISNER JEFF L 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1780604397 BUEHLER, SEAN P, DDS 2021 FFS RENDERING AGE 0-20 32 578 29 79 31 399 0 0
1780604397 BUEHLER, SEAN P, DDS 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 2 0 0
1780618173 BUI THANH-HA T 2021 FFS RENDERING AGE 0-20 23 147 21 60 1 2 19 20
1780633735 MATEVOSIAN, EDWARD, DDS 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 2 1 1
1780633735 MATEVOSIAN, EDWARD, DDS 2021 FFS RENDERING AGE 21+ 75 1,116 39 84 70 854 45 96
1780633735 MATEVOSIAN, EDWARD, DDS 2021 PHP RENDERING AGE 21+ 28 472 22 46 23 330 22 46
1780668681 CHOI LISA YUN JOU P 2021 FFS RENDERING AGE 0-20 1,931 31,626 1,799 7,290 1,355 5,310 1,799 2,495
1780668681 CHOI LISA YUN JOU P 2021 FFS RENDERING AGE 21+ 58 322 17 22 33 138 46 46
1780668681 CHOI LISA YUN JOU P 2021 PHP RENDERING AGE 0-20 1 1 1 1 1 1 1 1
1780687533 ALVARADO FRANK A 2021 FFS RENDERING AGE 0-20 49 207 18 44 19 47 35 39
1780687533 ALVARADO FRANK A 2021 FFS RENDERING AGE 21+ 94 257 1 2 38 79 46 46
1780687533 ALVARADO FRANK A 2021 PHP RENDERING AGE 0-20 19 68 1 2 1 2 14 14
1780687533 ALVARADO FRANK A 2021 PHP RENDERING AGE 21+ 26 53 1 1 11 24 16 18
1780702936 HAROONIAN OMID 2021 FFS RENDERING AGE 0-20 24 399 23 66 14 49 22 30
1780702936 HAROONIAN OMID 2021 FFS RENDERING AGE 21+ 121 1,946 72 132 101 614 98 98
1780711580 RODRIGUEZ, IRINA DDS 2021 FFS RENDERING AGE 0-20 217 2,472 201 576 71 228 210 274
1780711580 RODRIGUEZ, IRINA DDS 2021 FFS RENDERING AGE 21+ 341 2,701 154 261 228 1,028 259 259
1780711622 SHAFIE SEYED A 2021 FFS RENDERING AGE 0-20 307 2,535 221 659 100 259 238 248
1780711622 SHAFIE SEYED A 2021 FFS RENDERING AGE 21+ 453 1,907 87 130 287 717 221 223
1780715391 HTWE TIN TIN 2021 FFS RENDERING AGE 0-20 105 807 80 179 51 132 74 80
1780715391 HTWE TIN TIN 2021 FFS RENDERING AGE 21+ 169 1,096 84 85 122 307 76 77
1780721852 PARK JAMES K 2021 FFS RENDERING AGE 0-20 333 3,383 326 1,165 98 407 321 471
1780721852 PARK JAMES K 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1780726224 RIVAS, EMILIO, DDS 2021 FFS RENDERING AGE 0-20 23 118 22 25 1 2 19 22
1780726224 RIVAS, EMILIO, DDS 2021 FFS RENDERING AGE 21+ 52 256 43 43 34 96 41 41
1780739367 KIM, JESSE, DDS 2021 FFS RENDERING AGE 0-20 229 3,586 218 1,061 166 621 222 311
1780739367 KIM, JESSE, DDS 2021 FFS RENDERING AGE 21+ 377 2,913 300 598 226 987 338 338
1780740753 BARRERA, ORIETTA M, RDHAP 2021 FFS RENDERING AGE 0-20 1 1 1 1 1 1 0 0
1780740753 BARRERA, ORIETTA M, RDHAP 2021 FFS RENDERING AGE 21+ 1,617 7,078 1,439 4,139 1,613 2,939 0 0
1780748137 HANASAB, HERSEL DDS INC 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1780748137 HANASAB, HERSEL DDS INC 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1780748137 HANASAB, HERSEL DDS INC 2021 GMC RENDERING AGE 0-20 1 1 1 1 1 1 0 0
1780748137 HANASAB, HERSEL DDS INC 2021 PHP RENDERING AGE 0-20 40 270 35 88 1 2 37 38
1780748137 HANASAB, HERSEL DDS INC 2021 PHP RENDERING AGE 21+ 26 99 1 1 1 2 22 22
1780750794 NIKAEEN ATOOSA 2021 FFS RENDERING AGE 0-20 177 267 11 32 1 2 15 19
1780751727 BALISHA, CHARLES K, DDS 2021 FFS RENDERING AGE 0-20 333 3,062 313 1,034 92 248 322 408
1780751727 BALISHA, CHARLES K, DDS 2021 FFS RENDERING AGE 21+ 41 286 39 77 17 41 39 39
1780756346 DRACHENBERG ROLANDO G 2021 FFS RENDERING AGE 0-20 511 2,782 364 845 255 621 342 365
1780756346 DRACHENBERG ROLANDO G 2021 FFS RENDERING AGE 21+ 351 1,745 143 275 268 755 139 139
1780765198 FUNG, HAROLD K, DMD 2021 FFS RENDERING AGE 0-20 105 662 95 252 35 98 100 147
1780765198 FUNG, HAROLD K, DMD 2021 FFS RENDERING AGE 21+ 272 1,317 103 103 134 407 185 185
1780769067 AFLATOONI ROYA 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1780769067 AFLATOONI ROYA 2021 FFS RENDERING AGE 21+ 22 98 14 14 13 44 19 19
1780774182 MANCHANDIA, BELLA DDS 2021 FFS RENDERING AGE 0-20 11 62 1 2 1 1 1 1
1780774182 MANCHANDIA, BELLA DDS 2021 FFS RENDERING AGE 21+ 11 35 1 1 1 1 1 1
1780774182 MANCHANDIA, BELLA DDS 2021 PHP RENDERING AGE 0-20 20 126 16 36 1 2 18 20
1780774182 MANCHANDIA, BELLA DDS 2021 PHP RENDERING AGE 21+ 16 53 1 1 1 1 12 12
1780776922 NGUYEN THUAN A 2021 FFS RENDERING AGE 0-20 48 327 36 83 25 68 47 49
1780776922 NGUYEN THUAN A 2021 FFS RENDERING AGE 21+ 528 3,064 244 472 321 1,207 502 524
1780790014 TOLENTINO, LETICIA RIVERA 2021 FFS RENDERING AGE 0-20 41 319 38 52 22 104 39 39
1780790014 TOLENTINO, LETICIA RIVERA 2021 FFS RENDERING AGE 21+ 210 1,643 140 140 162 878 167 167
1780790014 TOLENTINO, LETICIA RIVERA 2021 PHP RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1780790113 RO, SUNG K, DDS 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1780790113 RO, SUNG K, DDS 2021 FFS RENDERING AGE 21+ 18 109 14 14 11 27 18 18
1780794529 GARCES ALVARO 2021 FFS RENDERING AGE 0-20 90 580 62 161 52 227 51 51
1780794529 GARCES ALVARO 2021 FFS RENDERING AGE 21+ 212 1,054 70 95 157 631 63 63
1780797092 ZONOOZI, AMY DDS 2021 FFS RENDERING AGE 0-20 187 1,771 173 630 94 374 179 226
1780797092 ZONOOZI, AMY DDS 2021 FFS RENDERING AGE 21+ 430 3,303 297 558 294 1,418 349 349
1780801399 DOMENECH DAMARIS N 2021 FFS RENDERING AGE 0-20 709 11,150 640 2,142 392 1,742 653 721
1780801399 DOMENECH DAMARIS N 2021 FFS RENDERING AGE 21+ 473 5,030 243 410 265 991 315 315
1780804310 KARIMIAN VARTAN 2021 FFS RENDERING AGE 0-20 35 189 31 70 16 25 32 35
1780804310 KARIMIAN VARTAN 2021 FFS RENDERING AGE 21+ 400 2,062 288 363 271 718 348 350
1780804328 NAKOUD MAHER 2021 FFS RENDERING AGE 0-20 196 1,492 173 490 97 302 180 252
1780804328 NAKOUD MAHER 2021 FFS RENDERING AGE 21+ 646 4,744 450 889 447 1,749 502 505
1780817577 LAUREOLA MELISSA L 2021 PHP RENDERING AGE 0-20 15 100 1 2 12 16 1 1
1780817577 LAUREOLA MELISSA L 2021 PHP RENDERING AGE 21+ 23 79 1 2 14 26 1 1
1780824557 MALEKI, KOUROSH DDS 2021 FFS RENDERING AGE 0-20 462 4,278 362 1,159 187 489 365 378
1780824557 MALEKI, KOUROSH DDS 2021 FFS RENDERING AGE 21+ 500 3,010 206 404 308 818 240 240
1780833202 VIRK GEETIKA 2021 FFS RENDERING AGE 0-20 633 3,784 499 1,426 155 232 602 698
1780833202 VIRK GEETIKA 2021 FFS RENDERING AGE 21+ 558 1,885 194 357 198 486 417 419
1780835520 HABASHY KEN N 2021 FFS RENDERING AGE 0-20 73 707 64 77 27 74 70 77
1780835520 HABASHY KEN N 2021 FFS RENDERING AGE 21+ 308 2,855 152 153 211 776 203 203
1780836411 TAKARLEKIAN HAGOP J 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1780836411 TAKARLEKIAN HAGOP J 2021 FFS RENDERING AGE 21+ 1 2 1 2 1 1 1 1
1780847301 PAHLAVAN PAYMON 2021 FFS RENDERING AGE 0-20 2,257 25,158 2,178 7,616 1,531 5,382 2,209 3,287
1780848887 AGADZHANOV EDVIN 2021 FFS RENDERING AGE 0-20 107 1,415 94 255 67 608 101 132
1780848887 AGADZHANOV EDVIN 2021 FFS RENDERING AGE 21+ 134 921 41 79 85 498 94 94
1780862771 SAFE FARHAD F 2021 FFS RENDERING AGE 0-20 41 158 24 25 13 35 27 28
1780862771 SAFE FARHAD F 2021 FFS RENDERING AGE 21+ 72 399 39 39 35 187 53 53
1780863266 NEMATOLLAHI ROYA 2021 FFS RENDERING AGE 0-20 40 349 34 97 29 108 29 37
1780863266 NEMATOLLAHI ROYA 2021 FFS RENDERING AGE 21+ 119 779 68 129 83 369 94 94
1780883504 NA SANG E 2021 FFS RENDERING AGE 0-20 59 964 57 253 19 66 58 73
1780883504 NA SANG E 2021 FFS RENDERING AGE 21+ 51 457 41 84 23 68 45 46
1780890699 MAYA PATRICIA 2021 FFS RENDERING AGE 0-20 328 3,934 259 702 167 643 263 300
1780890699 MAYA PATRICIA 2021 FFS RENDERING AGE 21+ 402 3,928 109 203 340 1,592 169 172
1780890756 IYENGAR, SURESH S, DDS 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1780890756 IYENGAR, SURESH S, DDS 2021 FFS RENDERING AGE 21+ 45 152 24 24 24 53 31 31
1780893297 NGUYEN RICHARD A 2021 FFS RENDERING AGE 0-20 17 135 1 2 1 2 15 17
1780893297 NGUYEN RICHARD A 2021 FFS RENDERING AGE 21+ 65 469 29 29 39 235 57 58
1780895904 MOON HOLLY J 2021 FFS RENDERING AGE 0-20 58 58 0 0 0 0 0 0
1780895904 MOON HOLLY J 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1780899260 LIPUMANO-PICAZO, LERIDA F, D 2021 FFS RENDERING AGE 0-20 276 1,509 201 446 108 411 193 195
1780899260 LIPUMANO-PICAZO, LERIDA F, D 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1780907378 TRIMOR-VELASCO, MILAGROS DDS 2021 FFS RENDERING AGE 0-20 123 888 107 362 63 218 103 128
1780907378 TRIMOR-VELASCO, MILAGROS DDS 2021 FFS RENDERING AGE 21+ 188 1,323 89 89 141 768 147 147
1780910604 HART FAMILY DENTAL 2021 FFS RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1780910604 HART, HARRY A, DDS 2021 FFS RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1780916163 AYALA SERGIO 2021 FFS RENDERING AGE 0-20 56 140 0 0 56 82 0 0
1780916163 AYALA SERGIO 2021 FFS RENDERING AGE 21+ 294 587 0 0 293 370 1 1
1780964528 ESSAPOUR ANTONIO 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 2 1 1
1780964528 ESSAPOUR ANTONIO 2021 FFS RENDERING AGE 21+ 15 96 1 1 1 2 11 11
1780968727 MUKHERJEE RIKU 2021 FFS RENDERING AGE 0-20 120 1,980 103 418 91 1,248 112 142
1780968727 MUKHERJEE RIKU 2021 FFS RENDERING AGE 21+ 337 7,964 185 329 309 7,075 268 268
1780978767 TAJBAKHSH MOJDEH 2021 FFS RENDERING AGE 0-20 1,420 18,533 1,232 3,967 990 3,893 1,221 1,350
1780978767 TAJBAKHSH MOJDEH 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1780979393 AL-HADDADIN HANAN S 2021 FFS RENDERING AGE 0-20 454 2,268 307 708 181 316 376 385
1780979393 AL-HADDADIN HANAN S 2021 FFS RENDERING AGE 21+ 481 1,396 54 107 169 370 309 309
1780979393 AL-HADDADIN HANAN S 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1780980003 TRAN PHU T 2021 FFS RENDERING AGE 0-20 108 589 93 302 53 164 99 110
1780980003 TRAN PHU T 2021 FFS RENDERING AGE 21+ 50 104 25 25 24 43 36 36
1780980177 SOLIVEN, SAMUEL G, DDS 2021 FFS RENDERING AGE 0-20 37 226 30 81 15 42 31 35
1780980177 SOLIVEN, SAMUEL G, DDS 2021 FFS RENDERING AGE 21+ 481 5,287 324 642 399 2,547 366 369
1780999565 TABIBNIA GIZEL 2021 FFS RENDERING AGE 0-20 254 524 0 0 51 148 0 0
1780999565 TABIBNIA GIZEL 2021 FFS RENDERING AGE 21+ 17 17 0 0 0 0 0 0
1780999565 TABIBNIA GIZEL 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1790012433 OUZOUNIAN, AMALIA, RDHAP 2021 FFS RENDERING AGE 0-20 1 1 1 1 1 1 0 0
1790012433 OUZOUNIAN, AMALIA, RDHAP 2021 FFS RENDERING AGE 21+ 1,374 5,353 1,298 1,549 1,372 3,728 0 0
1790020824 IVANOV PAVEL IVANOV 2021 GMC RENDERING AGE 0-20 1 2 1 1 0 0 1 1
1790030633 HWANG KELLY J 2021 FFS RENDERING AGE 0-20 348 3,611 318 1,113 186 418 316 405
1790030633 HWANG KELLY J 2021 FFS RENDERING AGE 21+ 471 2,800 227 444 322 1,011 339 339
1790032019 HA, JEE HOON 2021 FFS RENDERING AGE 0-20 162 362 0 0 161 274 0 0
1790032019 HA, JEE HOON 2021 FFS RENDERING AGE 21+ 145 394 0 0 145 315 0 0
1790040228 CHIANG JACK C 2021 FFS RENDERING AGE 0-20 46 272 28 55 19 52 41 41
1790040228 CHIANG JACK C 2021 FFS RENDERING AGE 21+ 57 219 1 1 32 92 36 36
1790046282 DELAKYAN SPARTAK 2021 FFS RENDERING AGE 0-20 235 2,553 179 464 109 453 231 278
1790046282 DELAKYAN SPARTAK 2021 FFS RENDERING AGE 21+ 490 3,354 134 269 244 915 427 427
1790087567 VONG HENRY SAI M 2021 FFS RENDERING AGE 0-20 1 2 1 1 0 0 1 1
1790087567 VONG HENRY SAI M 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1790090215 ZIAIE MATIN ELHAM 2021 FFS RENDERING AGE 0-20 59 83 0 0 1 1 0 0
1790090215 ZIAIE MATIN ELHAM 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1790093599 NELSON TYLER E 2021 FFS RENDERING AGE 0-20 100 494 0 0 48 304 98 98
1790093599 NELSON TYLER E 2021 FFS RENDERING AGE 21+ 155 635 0 0 88 342 148 149
1790101244 ELMASRI ANDREW M 2021 FFS RENDERING AGE 0-20 352 1,277 0 0 351 1,273 0 0
1790101244 ELMASRI ANDREW M 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 2 0 0
1790101244 ELMASRI ANDREW M 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1790111573 VALLIS SILVIA S 2021 FFS RENDERING AGE 0-20 82 384 74 208 1 2 79 105
1790111573 VALLIS SILVIA S 2021 FFS RENDERING AGE 21+ 130 495 88 169 50 86 120 120
1790113017 MESHKINFAM, SHARONA DDS 2021 FFS RENDERING AGE 0-20 69 511 42 103 20 54 46 50
1790113017 MESHKINFAM, SHARONA DDS 2021 FFS RENDERING AGE 21+ 87 411 16 27 36 127 56 56
1790119402 LA-PHAM KINH 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1790130821 YOST QUINN A 2021 FFS RENDERING AGE 0-20 1,970 16,723 1,518 3,957 1,258 3,180 1,332 1,370
1790139616 PATHAK ROHAN 2021 FFS RENDERING AGE 0-20 23 155 1 2 11 54 21 21
1790139616 PATHAK ROHAN 2021 FFS RENDERING AGE 21+ 132 418 1 1 52 127 99 100
1790149193 PATEL PAYAL S 2021 FFS RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1790162014 JACOBSON WILLIAM A 2021 GMC RENDERING AGE 0-20 74 496 61 219 32 56 50 54
1790162014 JACOBSON WILLIAM A 2021 GMC RENDERING AGE 21+ 185 1,406 138 306 153 546 77 104
1790167336 EDALAT SINA 2021 FFS RENDERING AGE 0-20 177 1,524 151 719 65 128 166 193
1790167336 EDALAT SINA 2021 FFS RENDERING AGE 21+ 376 2,043 134 258 203 697 290 292
1790167336 EDALAT SINA 2021 PHP RENDERING AGE 0-20 1 2 1 2 0 0 1 1
1790167336 EDALAT SINA 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1790169613 ESMERALDO VICTOR C 2021 FFS RENDERING AGE 0-20 136 435 12 36 136 337 13 13
1790169613 ESMERALDO VICTOR C 2021 FFS RENDERING AGE 21+ 292 1,095 1 1 284 1,023 1 1
1790169613 ESMERALDO VICTOR C 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1790185361 BANTY LAURA M 2021 FFS RENDERING AGE 0-20 703 6,412 469 1,398 519 1,816 405 452
1790185361 BANTY LAURA M 2021 FFS RENDERING AGE 21+ 240 1,007 53 103 200 545 52 52
1790200657 BHATT ABHIRAJ K 2021 FFS RENDERING AGE 0-20 1,026 6,636 656 1,610 654 1,477 645 646
1790202588 JANNATI HENGAMEH 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1790202745 RABII BAHAREH 2021 FFS RENDERING AGE 0-20 694 9,903 666 2,772 547 1,921 663 998
1790202745 RABII BAHAREH 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1790202745 RABII BAHAREH 2021 PHP RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1790211506 LI XIAO 2021 FFS RENDERING AGE 0-20 435 5,805 399 1,176 207 644 393 488
1790211506 LI XIAO 2021 FFS RENDERING AGE 21+ 167 1,970 135 274 93 367 135 137
1790214484 LEE LINDA M 2021 FFS RENDERING AGE 0-20 2,683 41,770 2,434 9,664 2,276 11,868 2,371 3,028
1790214484 LEE LINDA M 2021 FFS RENDERING AGE 21+ 67 549 30 64 55 246 33 33
1790215697 WESTERN DENTAL SERVICES INC 2021 FFS RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1790215697 WESTERN DENTAL SERVICES INC 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1790215697 WESTERN DENTAL SERVICES, INC. 2021 FFS RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1790215697 WESTERN DENTAL SERVICES, INC. 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1790217115 KIM JENNIFER E 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1790217669 ISSA TIKLAT 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 2 1 1
1790217669 ISSA TIKLAT 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1790226470 WESTERN DENTAL SERVICES INC 2021 PHP RENDERING AGE 0-20 30 298 24 94 1 2 27 29
1790226470 WESTERN DENTAL SERVICES INC 2021 PHP RENDERING AGE 21+ 31 102 1 2 1 2 20 20
1790226470 WESTERN DENTAL SERVICES, INC. 2021 PHP RENDERING AGE 0-20 30 298 24 94 1 2 27 29
1790226470 WESTERN DENTAL SERVICES, INC. 2021 PHP RENDERING AGE 21+ 31 102 1 2 1 2 20 20
1790233567 HSIEH JOHANNA 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1790233567 HSIEH JOHANNA 2021 GMC RENDERING AGE 0-20 682 4,521 468 1,214 213 318 559 678
1790233567 HSIEH JOHANNA 2021 GMC RENDERING AGE 21+ 1,180 7,188 446 884 753 1,724 746 750
1790257517 NUNEZURIBE LILIA M 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1790260933 KARAVAN SAMUEL V 2021 GMC RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1790263465 DR PARK DENTAL CORPORATION 2021 PHP RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1790263465 DR PARK DENTAL CORPORATION 2021 PHP RENDERING AGE 21+ 18 68 1 2 13 30 1 1
1790280980 WESTFALL, A, DENTAL CORPORAT 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1790291151 SERI MADHAVI S 2021 FFS RENDERING AGE 0-20 399 2,006 223 827 79 149 343 375
1790291151 SERI MADHAVI S 2021 FFS RENDERING AGE 21+ 1,125 3,573 281 527 352 959 738 738
1790295632 JANG, S, DDS INCORPORATED 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1790295632 S. JANG DDS INCORPORATED 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1790296986 KHALILINEJAD KAMBIZ 2021 FFS RENDERING AGE 0-20 502 2,267 0 0 379 514 415 425
1790296986 KHALILINEJAD KAMBIZ 2021 FFS RENDERING AGE 21+ 912 2,207 0 0 641 899 635 635
1790296986 KHALILINEJAD KAMBIZ 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1790318558 CHOI ANDREW S 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1790318558 CHOI ANDREW S 2021 FFS RENDERING AGE 21+ 12 45 1 1 1 2 1 1
1790344935 SAED DAVID I 2021 FFS RENDERING AGE 0-20 19 62 12 18 1 2 16 16
1790344935 SAED DAVID I 2021 FFS RENDERING AGE 21+ 49 131 1 1 21 61 34 34
1790350973 TRANNGUYEN JOHN N 2021 FFS RENDERING AGE 0-20 39 287 32 81 32 67 31 31
1790350973 TRANNGUYEN JOHN N 2021 FFS RENDERING AGE 21+ 69 391 35 71 52 192 52 54
1790350973 TRANNGUYEN JOHN N 2021 PHP RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1790355063 HOSSEINZADEH NASRIN 2021 FFS RENDERING AGE 0-20 124 636 79 226 56 160 82 82
1790355063 HOSSEINZADEH NASRIN 2021 FFS RENDERING AGE 21+ 334 1,183 93 129 196 502 186 186
1790355063 HOSSEINZADEH NASRIN 2021 PHP RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1790355063 HOSSEINZADEH NASRIN 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1790358422 GUEVARRA-SHAMS GENELLE 2021 GMC RENDERING AGE 0-20 466 2,766 299 1,177 174 274 188 188
1790358935 WU KEVIN E 2021 FFS RENDERING AGE 0-20 126 870 113 268 87 204 98 99
1790358935 WU KEVIN E 2021 FFS RENDERING AGE 21+ 103 446 35 64 68 193 47 47
1790358935 WU KEVIN E 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1790358968 ARNOUK YARA C 2021 FFS RENDERING AGE 0-20 179 950 120 252 90 206 127 127
1790358968 ARNOUK YARA C 2021 FFS RENDERING AGE 21+ 242 796 41 75 126 257 125 125
1790378719 NATARAJAN SUBASHINI 2021 FFS RENDERING AGE 0-20 700 2,671 454 945 306 619 237 239
1790378719 NATARAJAN SUBASHINI 2021 FFS RENDERING AGE 21+ 218 689 59 109 111 251 65 65
1790378719 NATARAJAN SUBASHINI 2021 PHP RENDERING AGE 0-20 1 1 1 1 1 1 0 0
1790378719 NATARAJAN SUBASHINI 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1790392298 UM BO RAM 2021 FFS RENDERING AGE 0-20 231 2,206 151 347 158 831 161 175
1790392298 UM BO RAM 2021 FFS RENDERING AGE 21+ 334 3,425 125 238 281 1,731 191 191
1790728764 ROWHANI SHIRIN A 2021 PHP RENDERING AGE 0-20 417 4,037 368 1,888 357 700 228 263
1790728764 ROWHANI SHIRIN A 2021 PHP RENDERING AGE 21+ 74 563 58 162 68 162 24 26
1790756245 PHAM, DAVID C, DDS MS 2021 FFS RENDERING AGE 0-20 184 540 1 1 55 180 49 49
1790756245 PHAM, DAVID C, DDS MS 2021 FFS RENDERING AGE 21+ 1 2 0 0 0 0 1 1
1790767564 TRAN TODD V 2021 FFS RENDERING AGE 0-20 1,170 15,880 969 2,569 479 1,878 1,047 1,249
1790767564 TRAN TODD V 2021 FFS RENDERING AGE 21+ 844 6,546 320 336 469 1,641 702 704
1790770592 JOSE, MARIA LILIBETH, DDS 2021 FFS RENDERING AGE 0-20 225 1,985 225 1,174 47 103 223 359
1790770592 JOSE, MARIA LILIBETH, DDS 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1790782811 HIROTA, MISAKO, DMD 2021 FFS RENDERING AGE 0-20 23 162 21 39 1 2 21 24
1790782811 HIROTA, MISAKO, DMD 2021 FFS RENDERING AGE 21+ 42 246 31 31 22 43 30 30
1790793818 HOFFMAN, IRVING D, DDS 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1790793818 HOFFMAN, IRVING D, DDS 2021 FFS RENDERING AGE 21+ 14 54 1 1 1 1 1 1
1790797546 HALILI, MARINELA G, DDS 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1790797868 YAMASHITA DENNIS D 2021 FFS RENDERING AGE 0-20 207 662 0 0 192 631 1 1
1790797868 YAMASHITA DENNIS D 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 2 0 0
1790800589 ASAF JAMES J 2021 FFS RENDERING AGE 0-20 13 100 11 19 1 2 1 1
1790800589 ASAF JAMES J 2021 FFS RENDERING AGE 21+ 116 757 37 44 105 441 60 62
1790803732 BUI, NEWTON N, DDS 2021 FFS RENDERING AGE 0-20 23 90 22 25 1 1 19 21
1790803732 BUI, NEWTON N, DDS 2021 FFS RENDERING AGE 21+ 146 758 116 116 79 160 66 66
1790803906 RADAIDEH, HANI MORSHED DDS 2021 FFS RENDERING AGE 0-20 91 866 85 439 43 107 81 94
1790803906 RADAIDEH, HANI MORSHED DDS 2021 FFS RENDERING AGE 21+ 316 2,757 229 462 271 1,599 211 212
1790803906 RADAIDEH, HANI MORSHED DDS 2021 GMC RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1790810174 GIANNOTTI KAREN A 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1790824894 MARTIR, ROWENA DMD 2021 FFS RENDERING AGE 0-20 158 1,947 146 572 97 307 146 202
1790824894 MARTIR, ROWENA DMD 2021 FFS RENDERING AGE 21+ 151 1,314 106 209 90 387 120 120
1790827467 BORJIAN, MARYAM 2021 FFS RENDERING AGE 0-20 115 1,619 103 447 64 220 103 139
1790827467 BORJIAN, MARYAM 2021 FFS RENDERING AGE 21+ 124 737 49 97 78 247 97 97
1790827996 MARTINEZ GABRIEL G 2021 FFS RENDERING AGE 0-20 349 3,807 268 853 192 635 291 326
1790827996 MARTINEZ GABRIEL G 2021 FFS RENDERING AGE 21+ 588 4,604 116 207 485 1,906 335 337
1790836435 NGUYEN, TIENG KIM DDS 2021 FFS RENDERING AGE 0-20 38 167 31 65 11 26 33 37
1790836435 NGUYEN, TIENG KIM DDS 2021 FFS RENDERING AGE 21+ 412 1,999 282 282 320 918 220 220
1790838449 NGUYEN, HUU T NP 2021 FFS RENDERING AGE 0-20 112 1,087 106 348 50 239 109 153
1790838449 NGUYEN, HUU T NP 2021 FFS RENDERING AGE 21+ 65 593 50 55 39 282 62 62
1790838902 GASPARIAN ARMEN 2021 PHP RENDERING AGE 0-20 19 161 16 36 1 2 19 24
1790839108 TAROIAN HAMLET 2021 FFS RENDERING AGE 0-20 375 3,329 300 796 130 290 264 272
1790839108 TAROIAN HAMLET 2021 FFS RENDERING AGE 21+ 209 1,384 26 52 113 286 96 96
1790842417 ROGERS TERRI L 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 1 1
1790842417 ROGERS TERRI L 2021 PHP RENDERING AGE 21+ 27 146 1 1 23 80 1 1
1790842672 PHILLIPS, HENRY DDS 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1790843613 WAKEFIELD ALAN T 2021 FFS RENDERING AGE 0-20 478 2,012 338 886 200 448 202 206
1790843613 WAKEFIELD ALAN T 2021 FFS RENDERING AGE 21+ 830 2,813 157 301 569 1,581 269 269
1790850527 ARIAS, HENIDE DDS 2021 FFS RENDERING AGE 0-20 82 1,072 73 220 32 122 71 93
1790850527 ARIAS, HENIDE DDS 2021 FFS RENDERING AGE 21+ 76 700 46 88 51 159 48 48
1790852952 PEZESHKIAN PAYAM 2021 FFS RENDERING AGE 0-20 237 1,675 163 353 59 143 212 235
1790852952 PEZESHKIAN PAYAM 2021 FFS RENDERING AGE 21+ 232 850 25 28 94 267 169 172
1790853034 SORAYA SHAHPOUR 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1790853034 SORAYA SHAHPOUR 2021 PHP RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1790853570 SOLOW DOUGLAS C 2021 FFS RENDERING AGE 0-20 1,746 11,866 1,013 3,056 988 3,475 1,190 1,417
1790853570 SOLOW DOUGLAS C 2021 FFS RENDERING AGE 21+ 3,707 16,015 736 948 2,943 9,110 1,501 1,511
1790853570 SOLOW DOUGLAS C 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1790862340 ARIAS JANET M 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1790862340 ARIAS JANET M 2021 PHP RENDERING AGE 0-20 59 531 46 207 49 83 33 35
1790862340 ARIAS JANET M 2021 PHP RENDERING AGE 21+ 89 480 33 99 65 218 29 29
1790864882 MORTEZAIE-FARD GOLSHAN 2021 FFS RENDERING AGE 0-20 110 1,448 99 367 73 297 103 131
1790864882 MORTEZAIE-FARD GOLSHAN 2021 FFS RENDERING AGE 21+ 133 1,394 50 99 111 505 88 88
1790870236 YAMAZAKI KIYOMI 2021 FFS RENDERING AGE 0-20 260 2,712 238 719 123 269 221 245
1790870236 YAMAZAKI KIYOMI 2021 FFS RENDERING AGE 21+ 68 592 50 89 30 69 50 50
1790870582 ESGUERRA CAROLINA P 2021 FFS RENDERING AGE 0-20 192 1,197 184 460 81 213 179 223
1790870582 ESGUERRA CAROLINA P 2021 FFS RENDERING AGE 21+ 193 918 148 150 98 232 150 150
1790875284 MUIR KYUNGIEE G 2021 FFS RENDERING AGE 0-20 34 258 34 116 1 2 34 52
1790875284 MUIR KYUNGIEE G 2021 FFS RENDERING AGE 21+ 45 226 35 70 18 31 40 40
1790899664 MICHERI JOSEPH 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1790902781 MARCELO ELIZABETH D 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1790926608 FAHMY EMAD S 2021 FFS RENDERING AGE 0-20 40 279 39 140 13 26 40 53
1790926608 FAHMY EMAD S 2021 FFS RENDERING AGE 21+ 51 281 32 51 29 87 43 43
1790926608 FAHMY EMAD S 2021 PHP RENDERING AGE 0-20 163 1,335 154 791 55 74 154 209
1790926608 FAHMY EMAD S 2021 PHP RENDERING AGE 21+ 92 402 55 135 24 55 80 80
1790959476 CARHUAMACA LATO ARTURO 2021 FFS RENDERING AGE 0-20 40 83 0 0 40 83 0 0
1790959476 CARHUAMACA LATO ARTURO 2021 FFS RENDERING AGE 21+ 124 380 0 0 122 361 1 1
1790963577 PARROQUIN MARTHA P 2021 FFS RENDERING AGE 0-20 96 817 83 206 35 129 87 103
1790963577 PARROQUIN MARTHA P 2021 FFS RENDERING AGE 21+ 150 1,031 58 106 95 393 112 112
1790963890 OCTOMAN CELIA P 2021 FFS RENDERING AGE 0-20 141 1,189 108 235 72 360 105 118
1790963890 OCTOMAN CELIA P 2021 FFS RENDERING AGE 21+ 576 3,697 283 454 418 2,017 261 263
1790969517 DABROWSKA ANNA H 2021 FFS RENDERING AGE 0-20 63 787 58 206 36 114 56 68
1790969517 DABROWSKA ANNA H 2021 FFS RENDERING AGE 21+ 275 3,300 57 77 250 1,739 192 194
1790973121 ZAVALA JOHN A. 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1790973212 BELEN MARIA SHARON B 2021 PHP RENDERING AGE 0-20 91 781 80 352 59 125 68 77
1790973212 BELEN MARIA SHARON B 2021 PHP RENDERING AGE 21+ 185 1,160 102 208 150 567 105 105
1790975597 KANUGA SHUKAN C 2021 FFS RENDERING AGE 0-20 1,082 13,933 985 4,528 858 3,773 947 1,449
1790975597 KANUGA SHUKAN C 2021 PHP RENDERING AGE 0-20 1 2 0 0 1 1 1 1
1790981983 JIMENEZ LINDA M 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1790981983 JIMENEZ LINDA M 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1790991917 GASPARIAN ROBERT DDS 2021 FFS RENDERING AGE 0-20 93 554 69 182 57 171 78 82
1790991917 GASPARIAN ROBERT DDS 2021 FFS RENDERING AGE 21+ 360 2,702 131 257 305 1,507 232 232
1790994341 WELSH, GREGG DDS 2021 FFS RENDERING AGE 0-20 373 2,262 0 0 245 1,588 337 337
1790994341 WELSH, GREGG DDS 2021 FFS RENDERING AGE 21+ 435 2,768 0 0 264 2,018 376 376
1801006879 HWYNN TANI M 2021 FFS RENDERING AGE 0-20 32 320 32 117 15 42 32 51
1801006879 HWYNN TANI M 2021 FFS RENDERING AGE 21+ 153 1,082 110 218 122 450 120 120
1801008495 TRINH MATT-PHUOC Q 2021 FFS RENDERING AGE 0-20 586 6,579 528 1,807 461 2,041 533 656
1801008495 TRINH MATT-PHUOC Q 2021 FFS RENDERING AGE 21+ 266 1,821 93 156 201 997 184 184
1801009428 CARDONA DOLOROSA B 2021 FFS RENDERING AGE 0-20 165 2,095 155 478 83 269 150 220
1801009428 CARDONA DOLOROSA B 2021 FFS RENDERING AGE 21+ 234 2,193 135 135 165 595 174 174
1801026919 FLORES JEFFREY V 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1801026919 FLORES JEFFREY V 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1801033949 SANIEI-ABADEH NILOUFAR 2021 FFS RENDERING AGE 0-20 439 1,904 336 788 126 291 298 306
1801033949 SANIEI-ABADEH NILOUFAR 2021 FFS RENDERING AGE 21+ 680 1,988 246 473 326 825 282 282
1801033998 OH DANIEL Y 2021 FFS RENDERING AGE 0-20 1 2 1 1 0 0 1 1
1801033998 OH DANIEL Y 2021 FFS RENDERING AGE 21+ 38 243 32 63 14 26 32 32
1801044680 RAO SMITHA 2021 FFS RENDERING AGE 0-20 2,270 27,249 2,093 8,146 1,322 4,984 2,060 2,479
1801044680 RAO SMITHA 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1801053871 CASTRO ELSA C 2021 FFS RENDERING AGE 0-20 27 232 25 73 20 75 26 30
1801053871 CASTRO ELSA C 2021 FFS RENDERING AGE 21+ 26 181 22 42 1 2 24 24
1801063763 BALACHANDRAN NATHERA 2021 FFS RENDERING AGE 0-20 423 5,309 412 1,812 223 786 408 650
1801063763 BALACHANDRAN NATHERA 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1801070131 ANGELES KATRINA G 2021 FFS RENDERING AGE 0-20 786 6,884 770 2,347 129 340 781 781
1801070131 ANGELES KATRINA G 2021 PHP RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1801077904 SHEIKH HASEEB N 2021 FFS RENDERING AGE 0-20 4,399 73,883 3,983 14,558 2,811 5,957 3,910 4,655
1801082151 CERVANTES JORGE D 2021 FFS RENDERING AGE 0-20 453 4,991 358 1,174 256 587 342 364
1801082151 CERVANTES JORGE D 2021 FFS RENDERING AGE 21+ 420 3,206 149 297 292 793 195 197
1801083803 AUDI AMAL M 2021 FFS RENDERING AGE 0-20 220 1,156 111 419 64 148 157 176
1801083803 AUDI AMAL M 2021 FFS RENDERING AGE 21+ 442 1,253 20 34 157 277 269 269
1801083803 AUDI AMAL M 2021 PHP RENDERING AGE 0-20 124 480 54 214 25 49 101 105
1801083803 AUDI AMAL M 2021 PHP RENDERING AGE 21+ 275 623 32 34 82 216 201 207
1801085782 FATEMI, MOJDEH DDS 2021 FFS RENDERING AGE 0-20 56 449 42 126 25 81 52 56
1801085782 FATEMI, MOJDEH DDS 2021 FFS RENDERING AGE 21+ 123 1,126 57 58 101 682 92 92
1801085782 FATEMI, MOJDEH DDS 2021 PHP RENDERING AGE 0-20 11 69 1 2 1 2 1 1
1801085782 FATEMI, MOJDEH DDS 2021 PHP RENDERING AGE 21+ 39 200 17 25 25 87 30 30
1801087176 HAKIMI, S SEAN, DDS INC 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1801089925 KIM, CHUNG DDS 2021 FFS RENDERING AGE 0-20 73 343 64 78 37 117 66 70
1801089925 KIM, CHUNG DDS 2021 FFS RENDERING AGE 21+ 87 385 52 52 69 197 24 24
1801092648 BLACK JR JAMES T 2021 FFS RENDERING AGE 0-20 49 392 32 47 20 50 46 49
1801092648 BLACK JR JAMES T 2021 FFS RENDERING AGE 21+ 480 3,517 84 85 271 933 362 362
1801092648 BLACK JR JAMES T 2021 PHP RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1801092648 BLACK JR JAMES T 2021 PHP RENDERING AGE 21+ 35 204 14 16 21 105 29 29
1801108907 INDELICATO MARCELLO 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1801116611 MOLINA, JOSE ALBERTO, DDS 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1801118567 OLEX, ALLISON 2021 FFS RENDERING AGE 0-20 1,706 13,016 1,427 4,128 942 2,815 1,370 1,538
1801118567 OLEX, ALLISON 2021 FFS RENDERING AGE 21+ 75 313 22 24 42 75 35 35
1801118567 OLEX, ALLISON 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1801121975 CARO JANET A 2021 FFS RENDERING AGE 0-20 245 1,810 233 611 50 80 214 287
1801121975 CARO JANET A 2021 FFS RENDERING AGE 21+ 276 1,459 199 225 118 229 195 196
1801136494 BOURKLIAN JACK 2021 FFS RENDERING AGE 0-20 587 2,923 408 880 198 339 513 538
1801136494 BOURKLIAN JACK 2021 FFS RENDERING AGE 21+ 933 3,415 202 356 459 1,291 636 636
1801136494 BOURKLIAN JACK 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1801143458 WESTERN DENTAL SERVICES INC 2021 GMC RENDERING AGE 0-20 1 1 0 0 0 0 1 1
1801143458 WESTERN DENTAL SERVICES INC 2021 GMC RENDERING AGE 21+ 1 2 0 0 0 0 1 1
1801143458 WESTERN DENTAL SERVICES, INC. 2021 GMC RENDERING AGE 0-20 1 1 0 0 0 0 1 1
1801143458 WESTERN DENTAL SERVICES, INC. 2021 GMC RENDERING AGE 21+ 1 2 0 0 0 0 1 1
1801153820 ABICHAKER GEORGE 2021 FFS RENDERING AGE 0-20 4,150 7,869 1 2 261 775 1 1
1801153820 ABICHAKER GEORGE 2021 FFS RENDERING AGE 21+ 19 25 0 0 1 1 0 0
1801160635 BINGHAM, CHERYL D, DDS INC 2021 PHP RENDERING AGE 0-20 26 125 22 53 11 17 22 22
1801160635 BINGHAM, CHERYL D, DDS INC 2021 PHP RENDERING AGE 21+ 17 49 1 2 1 2 1 1
1801165279 BAUM BRADLEY J 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 1 1
1801204029 YACOOB DANIEL D 2021 FFS RENDERING AGE 0-20 90 238 0 0 89 221 1 1
1801204029 YACOOB DANIEL D 2021 FFS RENDERING AGE 21+ 208 617 0 0 207 570 1 1
1801204508 TANEJA NIDHI 2021 FFS RENDERING AGE 0-20 103 688 73 171 46 171 63 63
1801213442 PARK DDS MPH INC 2021 GMC RENDERING AGE 0-20 15 48 1 2 1 2 1 1
1801213442 PARK DDS MPH INC 2021 GMC RENDERING AGE 21+ 21 50 1 1 16 20 1 1
1801230453 RIAZ SAMREEN F 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1801230453 RIAZ SAMREEN F 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 1 1 1
1801255773 RAHNAMA RAHI 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1801255773 RAHNAMA RAHI 2021 PHP RENDERING AGE 21+ 32 60 0 0 26 32 21 21
1801277645 AGHEVLI CRYSTAL A 2021 FFS RENDERING AGE 0-20 14 62 1 2 1 2 0 0
1801277645 AGHEVLI CRYSTAL A 2021 FFS RENDERING AGE 21+ 35 81 13 18 26 59 0 0
1801285200 CHEBBI, KAIS DDS 2021 FFS RENDERING AGE 0-20 999 11,696 914 3,047 421 755 884 1,042
1801285200 CHEBBI, KAIS DDS 2021 FFS RENDERING AGE 21+ 333 2,306 182 364 178 395 194 194
1801290291 LU JOHN 2021 FFS RENDERING AGE 0-20 1 2 0 0 1 1 0 0
1801290291 LU JOHN 2021 FFS RENDERING AGE 21+ 62 322 1 1 31 64 31 35
1801290291 LU JOHN 2021 GMC RENDERING AGE 21+ 103 552 97 121 69 124 34 34
1801290796 AMBACH GERHARD G 2021 FFS RENDERING AGE 0-20 563 4,126 445 1,597 205 455 471 471
1801290796 AMBACH GERHARD G 2021 FFS RENDERING AGE 21+ 618 2,532 152 280 352 941 352 352
1801290796 AMBACH GERHARD G 2021 GMC RENDERING AGE 0-20 1 1 1 1 1 1 0 0
1801294301 CAMPILLO PERALT PATRICIA C 2021 FFS RENDERING AGE 0-20 142 219 0 0 19 56 0 0
1801294301 CAMPILLO PERALT PATRICIA C 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1801294301 CAMPILLO PERALT PATRICIA C 2021 GMC RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1801294301 CAMPILLO PERALT PATRICIA C 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1801319157 KIM DONGHAN 2021 FFS RENDERING AGE 0-20 440 2,546 164 376 228 622 286 298
1801319157 KIM DONGHAN 2021 FFS RENDERING AGE 21+ 575 2,477 154 301 298 832 410 414
1801319157 KIM DONGHAN 2021 PHP RENDERING AGE 21+ 11 35 1 2 1 1 1 1
1801335237 ROCHA PALAFOX JORGE A 2021 FFS RENDERING AGE 0-20 14 48 1 1 1 2 1 1
1801335237 ROCHA PALAFOX JORGE A 2021 FFS RENDERING AGE 21+ 77 269 1 1 75 250 1 1
1801338868 PARK, D SANGHO, DDS INC 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1801338868 PARK, D SANGHO, DDS INC 2021 PHP RENDERING AGE 0-20 14 99 11 38 1 2 11 11
1801338868 PARK, D SANGHO, DDS INC 2021 PHP RENDERING AGE 21+ 24 108 1 2 19 69 1 1
1801341607 SHABANI GAZELLE 2021 FFS RENDERING AGE 0-20 1 2 1 2 0 0 1 1
1801341607 SHABANI GAZELLE 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1801343124 TA SERENA 2021 FFS RENDERING AGE 0-20 25 156 21 61 1 2 24 29
1801343124 TA SERENA 2021 FFS RENDERING AGE 21+ 67 337 41 70 28 76 46 46
1801360441 WESTERN DENTAL SERVICES INC 2021 PHP RENDERING AGE 0-20 669 5,282 565 2,054 102 216 616 667
1801360441 WESTERN DENTAL SERVICES INC 2021 PHP RENDERING AGE 21+ 259 979 71 131 95 155 161 162
1801360441 WESTERN DENTAL SERVICES, INC. 2021 PHP RENDERING AGE 0-20 669 5,282 565 2,054 102 216 616 667
1801360441 WESTERN DENTAL SERVICES, INC. 2021 PHP RENDERING AGE 21+ 259 979 71 131 95 155 161 162
1801381017 LEE, RYAN SEIN C, DDS INC 2021 PHP RENDERING AGE 0-20 1 2 0 0 1 1 1 1
1801381017 LEE, RYAN SEIN C, DDS INC 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1801403886 POULDAR EDWIN J 2021 FFS RENDERING AGE 0-20 195 1,852 105 229 111 373 117 119
1801403886 POULDAR EDWIN J 2021 FFS RENDERING AGE 21+ 206 1,377 41 77 127 365 102 102
1801416417 LIN CHIA CHING 2021 FFS RENDERING AGE 0-20 99 590 61 162 37 77 62 62
1801416417 LIN CHIA CHING 2021 FFS RENDERING AGE 21+ 206 683 42 68 108 251 80 80
1801416417 LIN CHIA CHING 2021 PHP RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1801416417 LIN CHIA CHING 2021 PHP RENDERING AGE 21+ 11 32 1 1 1 2 1 1
1801453337 SHANABO DENTAL CORPORATION 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1801465356 AHUJA SHARVIKA 2021 FFS RENDERING AGE 0-20 166 612 108 254 67 172 62 62
1801465356 AHUJA SHARVIKA 2021 FFS RENDERING AGE 21+ 310 873 82 157 189 464 98 98
1801467535 ABDEL-RAHIM OMAR 2021 FFS RENDERING AGE 0-20 448 3,153 285 611 184 335 303 303
1801467535 ABDEL-RAHIM OMAR 2021 FFS RENDERING AGE 21+ 380 1,737 96 196 250 545 161 161
1801480298 BILVA GOWRI 2021 FFS RENDERING AGE 0-20 254 1,084 78 240 163 390 92 93
1801480298 BILVA GOWRI 2021 FFS RENDERING AGE 21+ 617 1,869 74 142 385 897 218 218
1801481494 RANSBY CHERIE U 2021 FFS RENDERING AGE 0-20 1 1 1 1 1 1 1 1
1801481494 RANSBY CHERIE U 2021 FFS RENDERING AGE 21+ 1 1 1 1 1 1 0 0
1801481494 RANSBY CHERIE U 2021 GMC RENDERING AGE 0-20 647 2,583 96 274 308 463 320 322
1801481494 RANSBY CHERIE U 2021 GMC RENDERING AGE 21+ 186 1,016 23 29 98 164 63 63
1801481494 RANSBY CHERIE U 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1801481643 DOGRA RAJESH 2021 FFS RENDERING AGE 0-20 35 102 1 2 1 2 20 20
1801481643 DOGRA RAJESH 2021 FFS RENDERING AGE 21+ 206 530 31 56 91 158 76 76
1801481643 DOGRA RAJESH 2021 GMC RENDERING AGE 0-20 1 1 0 0 0 0 1 1
1801493432 LAI GREGORY J 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1801493432 LAI GREGORY J 2021 FFS RENDERING AGE 21+ 1 2 1 2 1 1 1 1
1801498902 KATZ ERICA J 2021 FFS RENDERING AGE 0-20 730 7,522 614 1,874 573 1,520 590 683
1801498902 KATZ ERICA J 2021 FFS RENDERING AGE 21+ 712 5,765 370 745 542 2,784 418 418
1801498902 KATZ ERICA J 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1801498902 KATZ ERICA J 2021 PHP RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1801801659 DEHGHAN KHASHAYAR 2021 GMC RENDERING AGE 0-20 1 1 0 0 0 0 1 1
1801805635 PUGEDA SERENA G 2021 GMC RENDERING AGE 0-20 172 1,077 149 478 21 27 152 181
1801805635 PUGEDA SERENA G 2021 GMC RENDERING AGE 21+ 233 1,146 139 265 79 222 162 166
1801812474 SADRIAN SEDIGHEH R 2021 FFS RENDERING AGE 0-20 595 5,567 562 2,076 350 998 540 773
1801812474 SADRIAN SEDIGHEH R 2021 FFS RENDERING AGE 21+ 1 2 1 1 0 0 1 1
1801819065 WEN ZHUANG 2021 FFS RENDERING AGE 0-20 1,373 22,277 1,257 4,385 737 4,970 1,243 1,684
1801819065 WEN ZHUANG 2021 FFS RENDERING AGE 21+ 1 2 1 2 1 2 1 1
1801820261 HWANG, GLORIA W MD 2021 FFS RENDERING AGE 0-20 53 168 0 0 53 168 0 0
1801820261 HWANG, GLORIA W MD 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1801827001 REZA HAMID 2021 FFS RENDERING AGE 0-20 635 6,281 524 1,998 209 609 500 625
1801827001 REZA HAMID 2021 FFS RENDERING AGE 21+ 1,321 9,306 387 780 865 3,172 764 769
1801827001 REZA HAMID 2021 PHP RENDERING AGE 0-20 122 1,135 110 383 42 105 114 124
1801827001 REZA HAMID 2021 PHP RENDERING AGE 21+ 167 1,331 112 276 83 252 126 132
1801832704 PARCEL, GARY V, DDS 2021 FFS RENDERING AGE 0-20 50 283 42 102 20 74 44 50
1801832704 PARCEL, GARY V, DDS 2021 FFS RENDERING AGE 21+ 252 1,123 144 144 167 483 188 188
1801858592 AMINPOUR BABAK 2021 FFS RENDERING AGE 0-20 293 1,337 1 1 241 1,035 136 136
1801858592 AMINPOUR BABAK 2021 FFS RENDERING AGE 21+ 445 1,754 0 0 369 1,287 191 197
1801858592 AMINPOUR BABAK 2021 PHP RENDERING AGE 0-20 45 225 1 1 45 190 1 1
1801858592 AMINPOUR BABAK 2021 PHP RENDERING AGE 21+ 122 474 1 1 79 267 104 108
1801876842 CHAO MARK T 2021 FFS RENDERING AGE 0-20 1 2 1 1 0 0 1 1
1801876842 CHAO MARK T 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1801881743 VAN, JOHN 2021 FFS RENDERING AGE 0-20 36 142 19 36 14 29 31 33
1801881743 VAN, JOHN 2021 FFS RENDERING AGE 21+ 1,246 8,154 1,054 2,224 872 2,480 1,124 1,130
1801905708 THAI, JEANETTE H DDS 2021 FFS RENDERING AGE 0-20 730 10,586 713 3,457 496 1,931 717 1,162
1801905708 THAI, JEANETTE H DDS 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1801908298 BUSAN, MIA MARIOARA, DDS 2021 FFS RENDERING AGE 0-20 41 277 36 93 11 28 38 48
1801908298 BUSAN, MIA MARIOARA, DDS 2021 FFS RENDERING AGE 21+ 148 1,108 104 189 99 326 111 113
1801909858 FAHMY MONA A 2021 FFS RENDERING AGE 0-20 163 1,166 133 325 59 214 147 161
1801909858 FAHMY MONA A 2021 FFS RENDERING AGE 21+ 287 1,214 100 127 159 482 191 191
1801917711 PEREZ JR HENRY J 2021 FFS RENDERING AGE 0-20 349 2,606 318 1,229 120 255 262 354
1801917711 PEREZ JR HENRY J 2021 FFS RENDERING AGE 21+ 489 2,815 297 301 309 1,040 293 297
1801921291 TOMASZEWSKI CHRISTINE V 2021 FFS RENDERING AGE 0-20 1,568 8,360 1,351 3,533 884 1,703 1,148 1,277
1801921291 TOMASZEWSKI CHRISTINE V 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 0 0
1801922273 MALLEMPALLI, MANIMANJARI, DD 2021 FFS RENDERING AGE 0-20 108 740 93 245 48 139 76 90
1801922273 MALLEMPALLI, MANIMANJARI, DD 2021 FFS RENDERING AGE 21+ 381 1,894 128 173 241 907 247 247
1801923743 ELHUSSINY NAEIL K 2021 FFS RENDERING AGE 0-20 180 464 0 0 176 449 1 1
1801923743 ELHUSSINY NAEIL K 2021 FFS RENDERING AGE 21+ 1,869 6,609 1 1 1,862 6,562 1 1
1801923743 ELHUSSINY NAEIL K 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1801923743 ELHUSSINY NAEIL K 2021 PHP RENDERING AGE 0-20 1 2 0 0 1 1 0 0
1801923743 ELHUSSINY NAEIL K 2021 PHP RENDERING AGE 21+ 1 2 0 0 1 1 1 1
1801929393 MIKAELIAN TATIANA 2021 FFS RENDERING AGE 0-20 1,533 21,184 1,412 5,460 1,032 2,969 1,405 1,805
1801929393 MIKAELIAN TATIANA 2021 FFS RENDERING AGE 21+ 433 4,200 291 752 306 1,083 288 290
1801930284 KOZIOL PAUL H 2021 FFS RENDERING AGE 0-20 16 139 16 66 1 1 16 23
1801930284 KOZIOL PAUL H 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1801931993 KAPLAN BETSY G 2021 FFS RENDERING AGE 0-20 247 1,653 239 815 116 249 216 280
1801931993 KAPLAN BETSY G 2021 FFS RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1801933585 BERRYHILL, ANDREA A, DDS 2021 FFS RENDERING AGE 0-20 44 330 42 120 18 93 39 46
1801933585 BERRYHILL, ANDREA A, DDS 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1801935127 BHANDARI, YASHPAL S, DDS 2021 FFS RENDERING AGE 0-20 607 5,593 542 1,636 269 779 564 702
1801935127 BHANDARI, YASHPAL S, DDS 2021 FFS RENDERING AGE 21+ 484 2,960 205 387 311 1,054 383 383
1801935127 BHANDARI, YASHPAL SINGH DDS 2021 FFS RENDERING AGE 0-20 607 5,593 542 1,636 269 779 564 702
1801935127 BHANDARI, YASHPAL SINGH DDS 2021 FFS RENDERING AGE 21+ 484 2,960 205 387 311 1,054 383 383
1801936968 BYUN JUNG-WOOK 2021 FFS RENDERING AGE 0-20 324 2,336 194 530 211 376 189 195
1801936968 BYUN JUNG-WOOK 2021 FFS RENDERING AGE 21+ 179 718 34 55 131 230 50 50
1801939459 KARIMI-HAJISHOR KAVEH 2021 FFS RENDERING AGE 0-20 85 360 43 123 26 62 50 51
1801939459 KARIMI-HAJISHOR KAVEH 2021 FFS RENDERING AGE 21+ 176 574 34 53 67 177 99 104
1801939715 COHEN-SEDGH SOLEYMAN 2021 FFS RENDERING AGE 0-20 481 1,046 136 349 1 1 12 12
1801939715 COHEN-SEDGH SOLEYMAN 2021 FFS RENDERING AGE 21+ 657 1,176 85 136 94 192 1 1
1801939715 COHEN-SEDGH SOLEYMAN 2021 GMC RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1801939715 COHEN-SEDGH SOLEYMAN 2021 PHP RENDERING AGE 0-20 919 2,721 159 438 43 72 95 99
1801939715 COHEN-SEDGH SOLEYMAN 2021 PHP RENDERING AGE 21+ 1,324 3,032 99 138 117 261 115 115
1801940010 RO, JUNE DDS 2021 FFS RENDERING AGE 0-20 1,386 15,677 808 1,736 823 7,533 658 684
1801940010 RO, JUNE DDS 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1801942172 LUTSKY JAY M 2021 FFS RENDERING AGE 0-20 3,380 30,105 3,130 11,010 1,990 6,518 3,052 3,769
1801942172 LUTSKY JAY M 2021 PHP RENDERING AGE 0-20 21 114 13 37 1 2 15 16
1801944814 BENITEZ, AARON B, RDHAP 2021 FFS RENDERING AGE 21+ 30 92 29 30 30 62 0 0
1801945332 ARREOLA OMAR M 2021 FFS RENDERING AGE 0-20 226 1,165 103 279 86 355 152 155
1801945332 ARREOLA OMAR M 2021 FFS RENDERING AGE 21+ 813 3,241 183 350 362 1,430 455 457
1801945332 ARREOLA OMAR M 2021 GMC RENDERING AGE 0-20 1 1 0 0 1 1 1 1
1801945332 ARREOLA OMAR M 2021 GMC RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1801947254 YEN, YU S, DDS 2021 FFS RENDERING AGE 0-20 70 327 61 168 18 35 19 19
1801947254 YEN, YU S, DDS 2021 FFS RENDERING AGE 21+ 273 905 155 155 120 335 134 134
1801947254 YEN, YU-SONG DDS 2021 FFS RENDERING AGE 0-20 70 327 61 168 18 35 19 19
1801947254 YEN, YU-SONG DDS 2021 FFS RENDERING AGE 21+ 273 905 155 155 120 335 134 134
1801947353 HILDER, RONALD R, DDS 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1801947353 HILDER, RONALD R, DDS 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 2 0 0
1801947494 ENGSTROM, BERT F, DMD 2021 FFS RENDERING AGE 0-20 30 182 21 40 20 71 13 17
1801947494 ENGSTROM, BERT F, DMD 2021 FFS RENDERING AGE 21+ 58 309 40 41 39 123 22 22
1801954391 TIMPLE LLEWELLYNE L 2021 FFS RENDERING AGE 0-20 2,550 32,653 2,356 9,296 1,776 6,383 2,403 3,243
1801954391 TIMPLE LLEWELLYNE L 2021 FFS RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1801957485 GHIAI MOJGAN 2021 PHP RENDERING AGE 0-20 1 2 0 0 1 2 1 1
1801957485 GHIAI MOJGAN 2021 PHP RENDERING AGE 21+ 50 80 0 0 34 45 34 35
1801960067 CHUNG, JONG HOON, DDS 2021 FFS RENDERING AGE 0-20 82 896 74 231 53 162 76 83
1801960067 CHUNG, JONG HOON, DDS 2021 FFS RENDERING AGE 21+ 333 3,024 257 259 282 1,001 279 279
1801960067 CHUNG, JONG HOON, DDS 2021 PHP RENDERING AGE 0-20 14 100 14 33 1 2 14 17
1801963434 STRAUSS, RONALD E, DDS 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1801963434 STRAUSS, RONALD E, DDS 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1801970264 NAIK SUNEAL P 2021 FFS RENDERING AGE 0-20 775 6,135 582 2,459 316 843 656 728
1801970264 NAIK SUNEAL P 2021 FFS RENDERING AGE 21+ 1,278 8,251 699 1,386 884 3,884 882 882
1801982004 CHIN, WING, DMD 2021 FFS RENDERING AGE 21+ 28 379 25 48 26 194 24 24
1801983440 VALLARINE, ALAN J, DDS 2021 FFS RENDERING AGE 0-20 347 7,899 307 2,589 178 705 257 786
1801983440 VALLARINE, ALAN J, DDS 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1801984307 PONGHIRUN CHARMANE 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 2 1 1
1801984307 PONGHIRUN CHARMANE 2021 FFS RENDERING AGE 21+ 49 313 38 39 28 129 40 40
1801988795 RAMIREZ, DAVID M, DDS 2021 FFS RENDERING AGE 0-20 136 1,081 116 273 62 354 111 123
1801988795 RAMIREZ, DAVID M, DDS 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1801990130 NGUYEN LONG B 2021 FFS RENDERING AGE 0-20 140 706 104 178 72 194 63 64
1801990130 NGUYEN LONG B 2021 FFS RENDERING AGE 21+ 192 883 107 107 125 331 49 49
1801994892 OAK SARA J 2021 FFS RENDERING AGE 21+ 23 72 0 0 16 36 1 1
1801994959 MAHBOUB, MADJID, DDS 2021 FFS RENDERING AGE 0-20 25 206 24 52 1 1 15 17
1801994959 MAHBOUB, MADJID, DDS 2021 FFS RENDERING AGE 21+ 81 999 66 130 40 122 64 64
1801996970 HAN, JIN SOO, DDS 2021 FFS RENDERING AGE 0-20 83 1,490 70 340 36 262 66 160
1801996970 HAN, JIN SOO, DDS 2021 FFS RENDERING AGE 21+ 164 2,696 94 188 104 820 122 244
1801999396 GHALY HANY I 2021 FFS RENDERING AGE 0-20 330 3,691 276 674 122 380 304 341
1801999396 GHALY HANY I 2021 FFS RENDERING AGE 21+ 455 3,822 149 150 294 997 329 329
1811007420 MANANGAN SUSAN BRAVO 2021 GMC RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1811010721 LAM, MICHAEL DDS 2021 FFS RENDERING AGE 0-20 262 2,684 211 439 85 281 239 264
1811010721 LAM, MICHAEL DDS 2021 FFS RENDERING AGE 21+ 786 6,396 316 317 481 1,764 576 578
1811017031 SOURIALLE ANTOINE O 2021 FFS RENDERING AGE 0-20 69 800 51 172 31 90 45 54
1811017031 SOURIALLE ANTOINE O 2021 FFS RENDERING AGE 21+ 45 352 22 34 22 51 22 22
1811019342 HANEFIELD JR HAROLD R 2021 GMC RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1811019342 HANEFIELD JR HAROLD R 2021 GMC RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1811021728 GARCIA CARLOS F 2021 FFS RENDERING AGE 0-20 134 1,531 118 316 49 113 118 145
1811021728 GARCIA CARLOS F 2021 FFS RENDERING AGE 21+ 233 1,665 122 241 151 372 135 135
1811022023 LE, KIM QUOC DDS 2021 FFS RENDERING AGE 0-20 31 286 29 31 12 26 30 32
1811022023 LE, KIM QUOC DDS 2021 FFS RENDERING AGE 21+ 55 619 41 42 23 48 50 51
1811023104 YAZDANI SOHRAB 2021 FFS RENDERING AGE 0-20 106 1,044 90 239 63 290 95 101
1811023104 YAZDANI SOHRAB 2021 FFS RENDERING AGE 21+ 188 2,335 89 177 157 1,018 88 88
1811023104 YAZDANI SOHRAB 2021 PHP RENDERING AGE 0-20 39 340 35 77 17 69 37 41
1811023104 YAZDANI SOHRAB 2021 PHP RENDERING AGE 21+ 171 1,179 42 83 57 326 129 129
1811024227 PAREGIAN, SAM, DDS 2021 FFS RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1811025604 KIM, KIHO, DDS 2021 FFS RENDERING AGE 0-20 24 175 23 37 1 2 23 28
1811025604 KIM, KIHO, DDS 2021 FFS RENDERING AGE 21+ 11 75 1 1 1 1 11 11
1811027006 GAMINCHI FARINOUSH 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 1 1
1811027006 GAMINCHI FARINOUSH 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 1 1 1
1811027006 GAMINCHI, FARINOUSH, DMD INC 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 1 1
1811027006 GAMINCHI, FARINOUSH, DMD INC 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 1 1 1
1811031057 MANZANA MARY ROSE B 2021 FFS RENDERING AGE 0-20 737 9,837 655 1,985 535 3,236 452 493
1811031057 MANZANA MARY ROSE B 2021 FFS RENDERING AGE 21+ 31 335 1 2 22 121 17 17
1811033517 DUONG BAOCHAU T 2021 PHP RENDERING AGE 0-20 75 534 51 199 68 108 40 40
1811033517 DUONG BAOCHAU T 2021 PHP RENDERING AGE 21+ 90 265 11 30 66 91 18 18
1811033541 KRAMER MARK B 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1811033541 KRAMER MARK B 2021 FFS RENDERING AGE 21+ 17 43 1 1 1 2 1 1
1811033699 TAMAYO ENRIQUE 2021 FFS RENDERING AGE 0-20 211 4,224 201 672 168 993 202 286
1811033699 TAMAYO ENRIQUE 2021 FFS RENDERING AGE 21+ 178 1,784 103 207 128 460 135 136
1811033814 TRAN DANIEL D 2021 FFS RENDERING AGE 0-20 169 2,594 162 858 58 150 164 192
1811033814 TRAN DANIEL D 2021 FFS RENDERING AGE 21+ 518 6,533 424 849 404 1,363 453 455
1811035207 YANG GERYOUNG 2021 FFS RENDERING AGE 0-20 12 38 1 2 1 1 1 1
1811035207 YANG GERYOUNG 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1811035207 YANG GERYOUNG 2021 GMC RENDERING AGE 0-20 500 2,662 420 619 233 639 466 520
1811035207 YANG GERYOUNG 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1811036775 GHOBRIAL EMEEL N 2021 FFS RENDERING AGE 0-20 254 2,977 227 613 119 365 239 323
1811036775 GHOBRIAL EMEEL N 2021 FFS RENDERING AGE 21+ 195 1,523 44 86 130 577 155 155
1811037435 SUMARDI, KUSUMO DDS 2021 FFS RENDERING AGE 0-20 49 446 48 114 19 54 45 53
1811037435 SUMARDI, KUSUMO DDS 2021 FFS RENDERING AGE 21+ 135 942 74 146 73 214 106 106
1811037542 GOMEZ, MICHAEL RAYMOND DDS 2021 FFS RENDERING AGE 0-20 16 104 15 37 1 2 13 15
1811037542 GOMEZ, MICHAEL RAYMOND DDS 2021 FFS RENDERING AGE 21+ 28 185 16 32 16 40 19 19
1811037989 LE HUAN CUA CHRISTOPHE E 2021 FFS RENDERING AGE 0-20 553 4,970 439 1,336 376 925 469 476
1811041650 TRAN, PHI KIM DDS 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1811041650 TRAN, PHI KIM DDS 2021 FFS RENDERING AGE 21+ 91 764 69 139 87 241 70 71
1811046261 NAKASHIAN, BRUCE, DDS 2021 FFS RENDERING AGE 0-20 148 1,233 133 382 59 165 134 176
1811046261 NAKASHIAN, BRUCE, DDS 2021 FFS RENDERING AGE 21+ 218 1,940 141 277 179 657 166 166
1811052343 UNTALAN, NORMAN ROY DDS 2021 FFS RENDERING AGE 0-20 236 4,196 227 984 147 671 228 302
1811052343 UNTALAN, NORMAN ROY DDS 2021 FFS RENDERING AGE 21+ 159 2,282 111 229 128 808 121 125
1811053804 PRASAD, N K M, DDS 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 1 1
1811053804 PRASAD, N K M, DDS 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1811061344 PATTANAYAK PRANATEE 2021 FFS RENDERING AGE 0-20 158 1,612 155 537 71 216 152 214
1811061344 PATTANAYAK PRANATEE 2021 FFS RENDERING AGE 21+ 271 1,588 207 413 150 380 218 218
1811063902 PHUI LENH S 2021 FFS RENDERING AGE 0-20 620 5,285 487 1,671 168 525 543 614
1811063902 PHUI LENH S 2021 FFS RENDERING AGE 21+ 612 2,337 79 88 291 864 410 427
1811064934 CANTRELL TONIA L 2021 FFS RENDERING AGE 0-20 486 4,283 459 1,564 199 748 448 644
1811064934 CANTRELL TONIA L 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 0 0
1811065089 KWONG, OWEN DDS 2021 FFS RENDERING AGE 0-20 134 1,070 115 267 60 97 111 111
1811065089 KWONG, OWEN DDS 2021 FFS RENDERING AGE 21+ 62 265 16 32 46 111 21 21
1811065527 FITZPATRICK MARY L 2021 FFS RENDERING AGE 0-20 372 3,826 356 1,302 111 250 359 558
1811065527 FITZPATRICK MARY L 2021 FFS RENDERING AGE 21+ 279 1,720 135 137 206 595 152 152
1811071004 KIM, NICHOLAS H DDS 2021 FFS RENDERING AGE 0-20 1,995 24,549 1,473 4,091 828 7,675 1,372 1,509
1811071004 KIM, NICHOLAS H DDS 2021 FFS RENDERING AGE 21+ 1 2 1 2 0 0 1 1
1811071004 KIM, NICHOLAS H, DDS 2021 FFS RENDERING AGE 0-20 1,995 49,098 1,473 8,182 828 15,350 1,372 3,018
1811071004 KIM, NICHOLAS H, DDS 2021 FFS RENDERING AGE 21+ 1 2 1 2 0 0 1 2
1811079106 CHAN, KENNETH K, DDS A PROFE 2021 FFS RENDERING AGE 0-20 11 87 1 2 1 1 1 2
1811079106 CHAN, KENNETH K, DDS A PROFE 2021 FFS RENDERING AGE 21+ 23 135 13 25 16 59 15 15
1811079551 MORRIS DAVID E 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1811090384 CAMPOS LUCELLY 2021 FFS RENDERING AGE 21+ 62 194 1 1 36 73 32 32
1811095888 TRAN, THUY-LINH HOANG, DDS 2021 FFS RENDERING AGE 0-20 63 445 63 196 19 35 63 95
1811095888 TRAN, THUY-LINH HOANG, DDS 2021 FFS RENDERING AGE 21+ 69 318 65 132 19 38 66 66
1811097991 SINGH ANITA C 2021 FFS RENDERING AGE 0-20 259 1,821 241 762 75 188 250 286
1811097991 SINGH ANITA C 2021 FFS RENDERING AGE 21+ 394 1,783 98 98 258 870 129 129
1811097991 SINGH, ANITA C, DDS 2021 FFS RENDERING AGE 0-20 259 1,821 241 762 75 188 250 286
1811097991 SINGH, ANITA C, DDS 2021 FFS RENDERING AGE 21+ 394 1,783 98 98 258 870 129 129
1811102346 JEON PETER D 2021 FFS RENDERING AGE 0-20 125 353 0 0 116 292 0 0
1811104524 SHAY MARK 2021 FFS RENDERING AGE 0-20 70 299 41 108 30 49 44 44
1811104524 SHAY MARK 2021 FFS RENDERING AGE 21+ 94 278 16 32 49 118 40 40
1811106131 LEE MINDO 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1811106131 LEE MINDO 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1811106131 LEE MINDO 2021 PHP RENDERING AGE 21+ 42 134 0 0 33 48 35 37
1811107709 MASHHADIAN SHAHRAM Y 2021 FFS RENDERING AGE 0-20 1 2 0 0 1 2 0 0
1811107709 MASHHADIAN SHAHRAM Y 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1811107980 NGUYEN THOMAS T 2021 FFS RENDERING AGE 0-20 241 3,370 222 900 109 242 222 277
1811107980 NGUYEN THOMAS T 2021 FFS RENDERING AGE 21+ 449 3,615 236 456 335 1,224 318 318
1811107980 NGUYEN THOMAS T 2021 PHP RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1811107980 NGUYEN THOMAS T 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1811129851 SALWAN MEENAKSHI 2021 FFS RENDERING AGE 0-20 243 1,959 158 542 145 392 165 165
1811129851 SALWAN MEENAKSHI 2021 FFS RENDERING AGE 21+ 197 922 31 61 121 385 104 104
1811155187 FILLER TRACY D 2021 FFS RENDERING AGE 0-20 1,127 15,429 1,017 4,799 907 4,721 982 1,309
1811155187 FILLER TRACY D 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1811157894 ROSATO LUZ ADRIANA 2021 FFS RENDERING AGE 0-20 61 466 47 118 29 88 49 53
1811160880 PHAM RICHARD K 2021 FFS RENDERING AGE 0-20 25 135 21 39 1 1 22 22
1811160880 PHAM RICHARD K 2021 FFS RENDERING AGE 21+ 35 122 11 18 16 37 21 23
1811161292 FERNANDO JOANNE LYNNE S 2021 FFS RENDERING AGE 0-20 189 1,805 186 709 68 186 185 264
1811161292 FERNANDO JOANNE LYNNE S 2021 FFS RENDERING AGE 21+ 172 1,349 123 240 103 463 130 130
1811170681 MICHAEL, DALIA DDS 2021 FFS RENDERING AGE 0-20 199 1,707 184 465 121 538 192 206
1811170681 MICHAEL, DALIA DDS 2021 FFS RENDERING AGE 21+ 313 1,876 272 537 129 369 267 271
1811172711 SAYOC VINCENT A 2021 FFS RENDERING AGE 0-20 41 266 36 60 21 82 31 33
1811172711 SAYOC VINCENT A 2021 FFS RENDERING AGE 21+ 152 957 109 109 97 518 97 97
1811176399 TRAN, SON, DDS 2021 FFS RENDERING AGE 0-20 93 696 72 206 38 64 72 80
1811176399 TRAN, SON, DDS 2021 FFS RENDERING AGE 21+ 341 2,012 192 379 256 767 185 185
1811180839 AZIMI SHIDEH 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1811180839 AZIMI SHIDEH 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 1 1 1
1811180961 EDWARDS RICHARD L 2021 FFS RENDERING AGE 0-20 92 173 0 0 76 88 21 21
1811180961 EDWARDS RICHARD L 2021 FFS RENDERING AGE 21+ 184 399 0 0 120 147 59 59
1811181613 ELSAYESS PERIHAN 2021 FFS RENDERING AGE 0-20 508 4,322 329 825 213 447 376 392
1811181613 ELSAYESS PERIHAN 2021 FFS RENDERING AGE 21+ 609 2,682 165 319 308 474 380 382
1811184708 AMORES ARLENE F 2021 FFS RENDERING AGE 0-20 923 6,317 454 1,067 665 2,160 170 175
1811184708 AMORES ARLENE F 2021 FFS RENDERING AGE 21+ 147 1,011 50 105 100 302 84 84
1811185648 CHEN JIANYE 2021 FFS RENDERING AGE 0-20 57 680 54 209 12 34 52 66
1811185648 CHEN JIANYE 2021 FFS RENDERING AGE 21+ 121 1,039 106 201 47 128 111 111
1811192180 TOLEDO MARCELO G 2021 FFS RENDERING AGE 0-20 687 3,946 564 1,519 348 1,059 566 690
1811192180 TOLEDO MARCELO G 2021 FFS RENDERING AGE 21+ 2,049 10,745 929 1,709 1,531 5,022 1,360 1,360
1811192180 TOLEDO MARCELO G 2021 PHP RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1811198476 NAMSINH LILY A 2021 FFS RENDERING AGE 0-20 388 2,139 261 538 222 593 262 274
1811198476 NAMSINH LILY A 2021 FFS RENDERING AGE 21+ 669 3,399 254 434 508 1,689 303 303
1811253180 FALAKASSA SHEREEN A 2021 FFS RENDERING AGE 0-20 26 60 0 0 14 44 0 0
1811253180 FALAKASSA SHEREEN A 2021 PHP RENDERING AGE 0-20 1 2 0 0 1 2 0 0
1811255474 HUANG DAVID T 2021 FFS RENDERING AGE 0-20 157 971 105 267 115 351 102 105
1811255474 HUANG DAVID T 2021 FFS RENDERING AGE 21+ 373 2,251 105 212 335 1,587 144 144
1811255474 HUANG DAVID T 2021 GMC RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1811255474 HUANG DAVID T 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1811257280 NASSERI NOSAR NADER 2021 FFS RENDERING AGE 0-20 304 1,340 1 1 300 1,230 67 67
1811257280 NASSERI NOSAR NADER 2021 FFS RENDERING AGE 21+ 67 286 0 0 66 273 1 1
1811263734 KHOSHBIN SARA 2021 FFS RENDERING AGE 0-20 1,330 8,815 1,076 2,709 732 1,542 1,056 1,083
1811277015 NGUYEN ANTHONY MINH T 2021 FFS RENDERING AGE 0-20 164 1,921 155 551 118 460 158 243
1811277015 NGUYEN ANTHONY MINH T 2021 FFS RENDERING AGE 21+ 240 1,898 171 339 169 789 183 183
1811278013 AMINLOO, GITA, RDHAP 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 0 0
1811278013 AMINLOO, GITA, RDHAP 2021 FFS RENDERING AGE 21+ 256 975 243 437 256 538 0 0
1811278435 NIRANJAN REMYA 2021 FFS RENDERING AGE 0-20 220 1,528 174 487 151 239 144 144
1811278435 NIRANJAN REMYA 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1811281033 OURSHALIMI ORNA 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1811281462 MOBILIA ANDREA J 2021 FFS RENDERING AGE 0-20 169 1,724 154 572 85 280 151 186
1811281462 MOBILIA ANDREA J 2021 FFS RENDERING AGE 21+ 157 1,092 62 126 110 418 112 118
1811285430 MOEZZI NEDA 2021 FFS RENDERING AGE 0-20 28 124 14 30 1 2 26 26
1811285430 MOEZZI NEDA 2021 FFS RENDERING AGE 21+ 34 80 1 1 13 20 20 20
1811303555 JOHNSON BETTY M 2021 FFS RENDERING AGE 0-20 323 3,004 164 782 211 930 123 123
1811303555 JOHNSON BETTY M 2021 FFS RENDERING AGE 21+ 91 292 0 0 91 195 0 0
1811320781 PEREZ FERRERUEL ISABEL 2021 FFS RENDERING AGE 0-20 80 876 66 215 57 180 73 89
1811320781 PEREZ FERRERUEL ISABEL 2021 FFS RENDERING AGE 21+ 159 1,456 59 93 135 773 109 109
1811322365 KYURKCHYAN ELIZABETH 2021 FFS RENDERING AGE 0-20 636 4,778 557 1,711 492 1,349 554 655
1811322365 KYURKCHYAN ELIZABETH 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 0 0
1811325525 GUMANGAN RHODELIA J 2021 FFS RENDERING AGE 0-20 376 2,236 188 474 253 655 186 186
1811329485 CRAIG ANTHONY J 2021 FFS RENDERING AGE 0-20 212 1,148 165 364 29 48 193 216
1811329485 CRAIG ANTHONY J 2021 FFS RENDERING AGE 21+ 567 1,727 63 83 259 580 391 391
1811351604 CHEN ERIC C 2021 FFS RENDERING AGE 0-20 128 218 0 0 27 73 1 1
1811351604 CHEN ERIC C 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1811351604 CHEN ERIC C 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1811355035 DOROUDIANTEHRAN BETSABEH 2021 FFS RENDERING AGE 0-20 349 1,473 151 404 30 48 315 364
1811355035 DOROUDIANTEHRAN BETSABEH 2021 FFS RENDERING AGE 21+ 661 1,797 114 201 156 251 533 535
1811355134 PEJMAN-GONZALEZ NATASHA 2021 PHP RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1811355134 PEJMAN-GONZALEZ NATASHA 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1811364755 MASTIKIAN HAIG 2021 FFS RENDERING AGE 0-20 657 9,221 576 2,132 512 2,382 576 651
1811365042 NAIMAN VICTORIYA 2021 FFS RENDERING AGE 0-20 70 379 42 94 41 93 35 44
1811365042 NAIMAN VICTORIYA 2021 FFS RENDERING AGE 21+ 140 801 25 36 100 422 80 80
1811365042 NAIMAN VICTORIYA 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1811372089 ASWANI, POOJA, DENTAL CORPOR 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1811402761 HASSAN SHERIF A 2021 FFS RENDERING AGE 0-20 2,836 21,715 2,059 5,016 1,532 3,862 2,036 2,285
1811402761 HASSAN SHERIF A 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1811408123 NGUYEN JULIE K 2021 PHP RENDERING AGE 21+ 1 2 0 0 1 2 1 1
1811449168 KIM LAURI J 2021 FFS RENDERING AGE 0-20 90 98 0 0 0 0 0 0
1811449168 KIM LAURI J 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1811449168 KIM LAURI J 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1811449168 KIM LAURI J 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1811473770 SHAHRI SOHEIL 2021 FFS RENDERING AGE 0-20 141 1,154 113 372 67 201 122 138
1811473770 SHAHRI SOHEIL 2021 FFS RENDERING AGE 21+ 117 582 52 91 66 204 87 87
1811473770 SHAHRI SOHEIL 2021 GMC RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1811473770 SHAHRI SOHEIL 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1811473770 SHAHRI SOHEIL 2021 PHP RENDERING AGE 0-20 271 1,637 113 413 193 533 121 121
1811473770 SHAHRI SOHEIL 2021 PHP RENDERING AGE 21+ 435 2,148 41 91 398 1,017 52 52
1811475908 LE PETER 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1811475908 LE PETER 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1811477763 ALTUNIS CHRIS E 2021 FFS RENDERING AGE 0-20 303 1,312 197 485 40 77 245 260
1811477763 ALTUNIS CHRIS E 2021 FFS RENDERING AGE 21+ 759 2,580 224 407 305 831 486 486
1811477763 ALTUNIS CHRIS E 2021 PHP RENDERING AGE 0-20 14 48 1 1 1 1 11 11
1811477763 ALTUNIS CHRIS E 2021 PHP RENDERING AGE 21+ 24 68 1 1 1 2 13 14
1811507213 PATEL MALVIKA P 2021 FFS RENDERING AGE 0-20 31 154 18 61 1 2 24 30
1811507213 PATEL MALVIKA P 2021 FFS RENDERING AGE 21+ 117 349 20 37 50 126 84 84
1811507320 SINGH SHRUTI 2021 FFS RENDERING AGE 0-20 362 1,589 283 628 149 324 176 179
1811507320 SINGH SHRUTI 2021 FFS RENDERING AGE 21+ 687 2,258 222 433 480 1,209 191 191
1811507320 SINGH SHRUTI 2021 GMC RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1811509458 KHAN ABRAR J 2021 FFS RENDERING AGE 0-20 471 1,906 164 426 191 423 342 343
1811509458 KHAN ABRAR J 2021 FFS RENDERING AGE 21+ 1,022 2,737 114 210 459 870 615 615
1811530488 MARCINKOWSKI ADRIA 2021 FFS RENDERING AGE 0-20 23 127 14 39 15 43 11 11
1811530488 MARCINKOWSKI ADRIA 2021 FFS RENDERING AGE 21+ 142 533 35 68 117 323 24 24
1811537962 NGUYEN AN D 2021 FFS RENDERING AGE 0-20 894 1,383 0 0 291 648 0 0
1811537962 NGUYEN AN D 2021 FFS RENDERING AGE 21+ 50 52 0 0 1 1 0 0
1811537962 NGUYEN AN D 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1811537962 NGUYEN AN D 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1811537962 NGUYEN AN D 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1811559974 HOSHIYAR DIARY D 2021 FFS RENDERING AGE 0-20 411 2,425 347 982 123 319 368 425
1811559974 HOSHIYAR DIARY D 2021 FFS RENDERING AGE 21+ 464 1,699 110 137 270 676 320 320
1811559974 HOSHIYAR DIARY D 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1811582331 SAJJAD AYESHA 2021 FFS RENDERING AGE 0-20 666 3,039 436 940 401 1,136 183 183
1811582331 SAJJAD AYESHA 2021 FFS RENDERING AGE 21+ 706 2,425 210 411 512 1,371 144 144
1811582331 SAJJAD AYESHA 2021 GMC RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1811594096 BAGHBANIAN RAHA 2021 FFS RENDERING AGE 0-20 22 111 11 23 1 2 1 1
1811594096 BAGHBANIAN RAHA 2021 FFS RENDERING AGE 21+ 38 117 1 1 25 48 11 11
1811905896 KHAUV, KIM LANG, DDS 2021 FFS RENDERING AGE 0-20 28 243 27 44 1 2 27 30
1811905896 KHAUV, KIM LANG, DDS 2021 FFS RENDERING AGE 21+ 45 314 20 21 20 58 39 39
1811908809 SPROUL VAN N 2021 FFS RENDERING AGE 0-20 619 6,590 593 2,040 145 391 585 775
1811908809 SPROUL VAN N 2021 FFS RENDERING AGE 21+ 21 187 18 36 1 2 18 18
1811915069 ZAIDE FLORENCE M 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1811915069 ZAIDE FLORENCE M 2021 FFS RENDERING AGE 21+ 38 137 22 43 14 37 26 26
1811917636 PARK PHILLIP S 2021 FFS RENDERING AGE 0-20 100 868 96 286 28 110 97 144
1811917636 PARK PHILLIP S 2021 FFS RENDERING AGE 21+ 171 943 144 144 64 223 155 156
1811985567 GATES LUCAS F 2021 FFS RENDERING AGE 0-20 37 77 0 0 36 71 1 1
1811985567 GATES LUCAS F 2021 FFS RENDERING AGE 21+ 358 939 0 0 356 926 1 1
1811985567 GATES LUCAS F 2021 GMC RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1811985567 GATES LUCAS F 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1811985567 GATES LUCAS F 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1811985567 GATES LUCAS F 2021 PHP RENDERING AGE 21+ 1 2 0 0 1 2 0 0
1811999519 OKAMOTO MUNEKUNI 2021 FFS RENDERING AGE 0-20 34 222 24 72 14 20 23 28
1811999519 OKAMOTO MUNEKUNI 2021 FFS RENDERING AGE 21+ 182 792 48 94 122 329 89 89
1811999519 OKAMOTO MUNEKUNI 2021 PHP RENDERING AGE 0-20 84 629 69 248 48 85 67 73
1811999519 OKAMOTO MUNEKUNI 2021 PHP RENDERING AGE 21+ 242 1,144 149 309 147 462 143 143
1821008863 EVRIGENIS, GREGORY W DDS 2021 FFS RENDERING AGE 0-20 264 358 0 0 131 179 0 0
1821008863 EVRIGENIS, GREGORY W DDS 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1821008863 EVRIGENIS, GREGORY W DDS 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1821011354 TRAN, QUYNH DDS 2021 FFS RENDERING AGE 0-20 264 3,310 214 738 190 884 241 362
1821011354 TRAN, QUYNH DDS 2021 FFS RENDERING AGE 21+ 154 1,220 31 38 109 467 119 143
1821011776 HER, POGE DDS 2021 FFS RENDERING AGE 0-20 77 572 72 213 42 123 72 94
1821011776 HER, POGE DDS 2021 FFS RENDERING AGE 21+ 210 1,333 151 274 138 512 184 184
1821011776 HER, POGE, DDS 2021 FFS RENDERING AGE 0-20 77 572 72 213 42 123 72 94
1821011776 HER, POGE, DDS 2021 FFS RENDERING AGE 21+ 210 1,333 151 274 138 512 184 184
1821021890 PUEN ROYANNA J 2021 FFS RENDERING AGE 0-20 626 4,805 477 1,171 280 966 476 533
1821021890 PUEN ROYANNA J 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1821024613 ELIAS RAMI C 2021 FFS RENDERING AGE 0-20 50 289 38 86 22 84 26 26
1821024613 ELIAS RAMI C 2021 FFS RENDERING AGE 21+ 127 489 28 43 90 291 39 39
1821052796 CHRISTENSEN RUSSELL E 2021 FFS RENDERING AGE 0-20 117 135 0 0 1 2 0 0
1821052796 CHRISTENSEN RUSSELL E 2021 FFS RENDERING AGE 21+ 190 218 0 0 1 1 0 0
1821052796 CHRISTENSEN RUSSELL E 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1821055344 BARBOSA DECIO A 2021 FFS RENDERING AGE 21+ 656 2,015 212 235 646 1,249 427 429
1821055344 BARBOSA DECIO A 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1821057415 MOFTAKHAR FARSHAD 2021 FFS RENDERING AGE 0-20 22 158 21 24 1 2 20 23
1821057415 MOFTAKHAR FARSHAD 2021 FFS RENDERING AGE 21+ 168 940 84 84 100 373 134 134
1821062829 KOTRUSH JWAN 2021 FFS RENDERING AGE 0-20 58 612 47 200 29 189 52 57
1821062829 KOTRUSH JWAN 2021 FFS RENDERING AGE 21+ 209 1,898 135 264 145 988 169 169
1821065897 RAMIREZ, FERDINAND DDS 2021 FFS RENDERING AGE 0-20 193 1,606 168 388 61 170 149 183
1821065897 RAMIREZ, FERDINAND DDS 2021 FFS RENDERING AGE 21+ 255 1,506 143 145 168 540 143 144
1821103169 LAY, GILBERT KHIN DDS 2021 FFS RENDERING AGE 0-20 101 730 94 216 62 225 68 70
1821103169 LAY, GILBERT KHIN DDS 2021 FFS RENDERING AGE 21+ 281 2,199 211 211 226 1,215 171 171
1821103169 LAY, GILBERT KHIN DDS 2021 PHP RENDERING AGE 0-20 61 465 61 140 32 141 54 65
1821103169 LAY, GILBERT KHIN DDS 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1821103169 LAY, GILBERT KHIN, DDS 2021 FFS RENDERING AGE 0-20 101 730 94 216 62 225 68 70
1821103169 LAY, GILBERT KHIN, DDS 2021 FFS RENDERING AGE 21+ 281 2,199 211 211 226 1,215 171 171
1821103169 LAY, GILBERT KHIN, DDS 2021 PHP RENDERING AGE 0-20 61 465 61 140 32 141 54 65
1821103169 LAY, GILBERT KHIN, DDS 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1821105446 NESS DOUGLAS G 2021 FFS RENDERING AGE 0-20 657 1,744 83 125 606 1,338 16 18
1821105446 NESS DOUGLAS G 2021 FFS RENDERING AGE 21+ 1,345 4,113 143 143 1,255 3,245 29 29
1821121096 FRANCIS STEVEN L 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1821121096 FRANCIS STEVEN L 2021 FFS RENDERING AGE 21+ 21 81 14 14 1 2 15 15
1821125634 NGUYEN QUYNH C 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1821125634 NGUYEN QUYNH C 2021 FFS RENDERING AGE 21+ 1 2 1 1 0 0 1 1
1821130352 KERAMATI SABINEH 2021 FFS RENDERING AGE 21+ 18 61 1 1 16 54 1 1
1821135179 SINGH, G R, DDS 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1821135179 SINGH, G R, DDS 2021 FFS RENDERING AGE 21+ 29 99 13 13 20 36 15 15
1821135385 SPENCER, RICHARD O, DDS 2021 FFS RENDERING AGE 0-20 1,055 18,155 472 1,263 1,055 11,756 478 483
1821137969 SETIA, THEO W, DDS 2021 FFS RENDERING AGE 0-20 57 353 52 129 20 40 51 54
1821137969 SETIA, THEO W, DDS 2021 FFS RENDERING AGE 21+ 130 796 87 88 103 362 89 89
1821141128 SAUCEDO, REUBEN DDS 2021 FFS RENDERING AGE 0-20 267 3,465 238 630 142 438 247 314
1821141128 SAUCEDO, REUBEN DDS 2021 FFS RENDERING AGE 21+ 334 3,551 172 343 233 923 244 248
1821141128 SAUCEDO, REUBEN I, DDS 2021 FFS RENDERING AGE 0-20 267 3,465 238 630 142 438 247 314
1821141128 SAUCEDO, REUBEN I, DDS 2021 FFS RENDERING AGE 21+ 334 3,551 172 343 233 923 244 248
1821142233 CHAR, LAWRENCE H, DDS 2021 FFS RENDERING AGE 0-20 289 3,640 274 1,129 121 256 275 335
1821142233 CHAR, LAWRENCE H, DDS 2021 FFS RENDERING AGE 21+ 219 2,156 172 344 140 626 188 188
1821142233 HEI FEI CHAR, LAWRENCE DDS 2021 FFS RENDERING AGE 0-20 289 3,640 274 1,129 121 256 275 335
1821142233 HEI FEI CHAR, LAWRENCE DDS 2021 FFS RENDERING AGE 21+ 219 2,156 172 344 140 626 188 188
1821145079 NGUYEN, ANTHONY DDS 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1821145079 NGUYEN, ANTHONY DDS 2021 FFS RENDERING AGE 21+ 24 117 1 1 17 20 1 1
1821145681 YEUNG JONATHAN C 2021 FFS RENDERING AGE 0-20 49 278 39 63 15 55 44 52
1821145681 YEUNG JONATHAN C 2021 FFS RENDERING AGE 21+ 74 400 48 48 49 166 62 62
1821145681 YEUNG JONATHAN C 2021 PHP RENDERING AGE 0-20 1 2 1 2 0 0 1 1
1821145681 YEUNG JONATHAN C 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1821145939 FARRELL-RODRIGUEZ, KIMBERLY 2021 FFS RENDERING AGE 0-20 42 285 42 171 39 96 0 0
1821145939 FARRELL-RODRIGUEZ, KIMBERLY 2021 FFS RENDERING AGE 21+ 347 2,112 317 860 311 1,153 0 0
1821146416 REDMOND MICHAEL J 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1821154006 TRINH STEVE P 2021 FFS RENDERING AGE 0-20 128 1,435 116 330 67 214 119 165
1821154006 TRINH STEVE P 2021 FFS RENDERING AGE 21+ 228 2,137 154 312 170 725 180 180
1821156191 MARSHALL ROSANNA B 2021 FFS RENDERING AGE 0-20 477 2,852 313 1,033 114 332 451 510
1821156191 MARSHALL ROSANNA B 2021 FFS RENDERING AGE 21+ 1,135 4,870 243 435 540 1,930 834 834
1821158726 PATEL ANJANA V 2021 FFS RENDERING AGE 0-20 653 4,398 532 1,794 218 436 590 660
1821158726 PATEL ANJANA V 2021 FFS RENDERING AGE 21+ 713 2,775 208 372 271 768 530 530
1821158726 PATEL ANJANA V 2021 GMC RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1821158726 PATEL ANJANA V 2021 PHP RENDERING AGE 0-20 15 94 11 34 1 2 12 14
1821158726 PATEL ANJANA V 2021 PHP RENDERING AGE 21+ 19 77 1 1 1 2 15 16
1821159468 MEHRVARZI SHAHRIAR 2021 FFS RENDERING AGE 0-20 118 445 1 2 108 262 38 38
1821159468 MEHRVARZI SHAHRIAR 2021 FFS RENDERING AGE 21+ 589 2,404 1 1 562 1,746 127 131
1821159468 MEHRVARZI SHAHRIAR 2021 GMC RENDERING AGE 0-20 533 3,352 394 1,313 274 449 373 388
1821159468 MEHRVARZI SHAHRIAR 2021 GMC RENDERING AGE 21+ 1,262 4,367 533 728 875 2,103 470 483
1821166075 OGANESYAN ARSEN 2021 FFS RENDERING AGE 0-20 36 240 28 37 21 93 17 17
1821166075 OGANESYAN ARSEN 2021 FFS RENDERING AGE 21+ 241 1,109 93 100 175 484 126 126
1821166075 OGANESYAN, ARSEN, DDS 2021 FFS RENDERING AGE 0-20 36 240 28 37 21 93 17 17
1821166075 OGANESYAN, ARSEN, DDS 2021 FFS RENDERING AGE 21+ 241 1,109 93 100 175 484 126 126
1821170374 HOANG, SCOTT A, DDS 2021 FFS RENDERING AGE 0-20 1 2 1 2 0 0 1 2
1821170374 HOANG, SCOTT A, DDS 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1821175514 CHOI MARK K 2021 FFS RENDERING AGE 0-20 261 1,787 238 680 83 488 231 292
1821175514 CHOI MARK K 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1821176389 DOROTHEO NOEL T 2021 FFS RENDERING AGE 0-20 16 115 1 2 13 47 13 13
1821176389 DOROTHEO NOEL T 2021 FFS RENDERING AGE 21+ 58 342 21 41 44 130 38 39
1821178062 O'BRAITIS RICHARD J 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1821178344 BERDICHEVSKY MIKHAIL 2021 FFS RENDERING AGE 0-20 209 1,251 166 460 66 204 168 194
1821178344 BERDICHEVSKY MIKHAIL 2021 FFS RENDERING AGE 21+ 1,784 13,051 1,116 2,112 1,123 3,028 1,298 1,299
1821178344 BERDICHEVSKY MIKHAIL 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1821181843 PARTOVI, FARANGIS, DDS 2021 FFS RENDERING AGE 0-20 22 41 1 1 13 17 1 1
1821181843 PARTOVI, FARANGIS, DDS 2021 FFS RENDERING AGE 21+ 224 538 11 11 170 380 68 69
1821181843 PARTOVI, FARANGIS, DDS 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1821181843 PARTOVI, FARANGIS, DDS 2021 PHP RENDERING AGE 21+ 40 109 1 1 13 71 28 29
1821182312 YUILLE KATRINA C 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1821182312 YUILLE KATRINA C 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1821185844 GRANDHI ANUPAMA 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1821202375 LEE, JAMES L, DDS 2021 FFS RENDERING AGE 0-20 32 320 30 92 19 55 29 43
1821202375 LEE, JAMES L, DDS 2021 FFS RENDERING AGE 21+ 54 332 40 73 30 115 47 47
1821203282 KIM DONG M 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1821203282 KIM DONG M 2021 FFS RENDERING AGE 21+ 27 134 23 45 18 46 20 20
1821203811 HWANG DANIEL W 2021 FFS RENDERING AGE 0-20 933 12,345 867 3,332 486 1,772 878 1,217
1821203811 HWANG DANIEL W 2021 FFS RENDERING AGE 21+ 894 7,569 424 819 651 2,920 663 664
1821207507 BRUST, KENNETH JAMES, DDS 2021 FFS RENDERING AGE 0-20 84 918 74 203 14 18 79 100
1821207507 BRUST, KENNETH JAMES, DDS 2021 FFS RENDERING AGE 21+ 157 1,038 95 176 83 231 125 125
1821208141 EMANUEL DONNY A 2021 FFS RENDERING AGE 0-20 483 5,708 428 1,765 210 667 458 496
1821208141 EMANUEL DONNY A 2021 FFS RENDERING AGE 21+ 474 4,693 260 516 307 1,695 370 370
1821208240 CHUNG KYUNG H 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1821210915 AZAULA, NER H, DDS 2021 FFS RENDERING AGE 0-20 15 62 11 18 1 2 1 1
1821210915 AZAULA, NER H, DDS 2021 FFS RENDERING AGE 21+ 127 748 56 59 105 387 72 72
1821211798 BAGHERPOUR MAHNAZ 2021 FFS RENDERING AGE 0-20 14 48 1 1 11 20 1 1
1821211798 BAGHERPOUR MAHNAZ 2021 FFS RENDERING AGE 21+ 64 148 1 2 55 104 1 1
1821214784 DEUKMEDJIAN PHAEDRA 2021 FFS RENDERING AGE 0-20 438 3,272 391 1,165 157 551 405 576
1821214784 DEUKMEDJIAN PHAEDRA 2021 FFS RENDERING AGE 21+ 21 88 15 24 1 2 11 15
1821218298 RAMCHANDANI MANISHA H 2021 FFS RENDERING AGE 0-20 248 1,890 239 869 62 150 248 248
1821218298 RAMCHANDANI MANISHA H 2021 PHP RENDERING AGE 0-20 37 345 36 134 15 33 36 37
1821230582 WESTERN DENTAL SERVICES INC 2021 FFS RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1821230582 WESTERN DENTAL SERVICES INC 2021 GMC RENDERING AGE 0-20 102 819 60 217 1 1 92 93
1821230582 WESTERN DENTAL SERVICES INC 2021 GMC RENDERING AGE 21+ 165 530 41 67 25 54 117 117
1821230582 WESTERN DENTAL SERVICES, INC. 2021 FFS RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1821230582 WESTERN DENTAL SERVICES, INC. 2021 GMC RENDERING AGE 0-20 102 819 60 217 1 1 92 93
1821230582 WESTERN DENTAL SERVICES, INC. 2021 GMC RENDERING AGE 21+ 165 530 41 67 25 54 117 117
1821238841 JAFARINEJAD MEHDI A 2021 FFS RENDERING AGE 0-20 122 517 16 36 98 245 115 115
1821238841 JAFARINEJAD MEHDI A 2021 FFS RENDERING AGE 21+ 440 1,828 50 88 304 951 391 391
1821243551 CHUNG JOO SUNG 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1821247347 HEYRANI, NAHAL D.D.S 2021 FFS RENDERING AGE 0-20 356 4,388 305 1,019 138 736 335 412
1821247347 HEYRANI, NAHAL D.D.S 2021 FFS RENDERING AGE 21+ 281 1,703 78 118 139 676 241 241
1821248444 NAZARYAN, LEONIS, DDS 2021 FFS RENDERING AGE 0-20 40 346 33 104 24 146 38 50
1821248444 NAZARYAN, LEONIS, DDS 2021 FFS RENDERING AGE 21+ 372 3,331 276 551 272 2,146 303 303
1821249269 HAKOPYAN VAHAGN 2021 FFS RENDERING AGE 0-20 17 128 16 35 1 2 14 16
1821249269 HAKOPYAN VAHAGN 2021 FFS RENDERING AGE 21+ 92 504 24 24 66 299 65 66
1821249426 TAN MINTRA 2021 FFS RENDERING AGE 0-20 892 10,144 867 3,415 364 1,198 853 1,007
1821249426 TAN MINTRA 2021 FFS RENDERING AGE 21+ 1 2 1 2 0 0 1 1
1821249426 TAN MINTRA 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 2 0 0
1821250796 MORRIS LATOYA C 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 2 1 1
1821250796 MORRIS LATOYA C 2021 FFS RENDERING AGE 21+ 85 722 57 105 70 255 64 64
1821259292 BELUSKO PAUL B 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 1 1
1821259292 BELUSKO PAUL B 2021 FFS RENDERING AGE 21+ 278 1,898 0 0 214 1,635 146 146
1821260795 PUGEDA JAMES ROCEL G 2021 GMC RENDERING AGE 0-20 277 1,918 245 604 53 84 246 322
1821260795 PUGEDA JAMES ROCEL G 2021 GMC RENDERING AGE 21+ 157 715 81 84 63 170 103 105
1821270547 VARGAS-LOO, MARIA DULCE DMD 2021 FFS RENDERING AGE 0-20 92 801 90 296 43 121 90 140
1821270547 VARGAS-LOO, MARIA DULCE DMD 2021 FFS RENDERING AGE 21+ 78 543 56 103 53 203 66 66
1821281809 DOVE, EDWARD E, DDS 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 2 1 1
1821281809 EDWARD E DOVE, DDS PC 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 2 1 1
1821291246 COY CRAIG G 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1821291246 COY CRAIG G 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 0 0
1821303538 GOODMAN BROCK A 2021 FFS RENDERING AGE 0-20 39 130 0 0 32 114 0 0
1821308990 LIN HAO Y 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 1 1 2
1821308990 LIN HAO Y 2021 FFS RENDERING AGE 21+ 14 85 1 2 1 2 13 13
1821308990 LIN HAO Y 2021 PHP RENDERING AGE 0-20 33 484 33 267 1 1 33 54
1821308990 LIN HAO Y 2021 PHP RENDERING AGE 21+ 63 485 63 146 35 135 61 77
1821312273 REZNIK, BELLA, DDS 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1821312273 REZNIK, BELLA, DDS 2021 FFS RENDERING AGE 21+ 45 175 23 23 28 58 1 1
1821318288 RABIEE AMIR R 2021 FFS RENDERING AGE 0-20 2,841 30,010 2,459 6,736 1,507 4,169 2,410 2,773
1821318288 RABIEE AMIR R 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1821333428 LEE CHRISTINA S 2021 FFS RENDERING AGE 0-20 145 1,509 120 310 59 163 136 171
1821333428 LEE CHRISTINA S 2021 FFS RENDERING AGE 21+ 163 1,169 78 139 105 469 123 123
1821333477 BROWN RALPH D 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1821333477 BROWN RALPH D 2021 FFS RENDERING AGE 21+ 11 33 1 1 1 1 1 1
1821341942 MUNJPARA DHARABEN R 2021 FFS RENDERING AGE 0-20 78 460 56 156 32 80 59 63
1821341942 MUNJPARA DHARABEN R 2021 FFS RENDERING AGE 21+ 283 1,388 134 260 183 510 195 195
1821386285 MAKAN SIRISH 2021 FFS RENDERING AGE 0-20 83 433 0 0 83 424 0 0
1821386285 MAKAN SIRISH 2021 FFS RENDERING AGE 21+ 133 674 0 0 133 665 0 0
1821386285 MAKAN SIRISH 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1821386285 MAKAN SIRISH 2021 PHP RENDERING AGE 0-20 94 523 0 0 94 522 0 0
1821386285 MAKAN SIRISH 2021 PHP RENDERING AGE 21+ 133 723 1 1 133 722 0 0
1821402538 NIGOGHOSIAN JOHNNY V 2021 FFS RENDERING AGE 0-20 96 544 31 65 45 134 78 85
1821402538 NIGOGHOSIAN JOHNNY V 2021 FFS RENDERING AGE 21+ 411 1,962 61 116 214 695 307 307
1821402538 NIGOGHOSIAN JOHNNY V 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1821402983 RODRIGUEZ SOFIA 2021 FFS RENDERING AGE 0-20 163 1,828 144 447 97 349 142 176
1821402983 RODRIGUEZ SOFIA 2021 FFS RENDERING AGE 21+ 325 3,639 136 200 274 1,658 234 234
1821402983 RODRIGUEZ SOFIA 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1821403312 GILL SANGRAM S 2021 FFS RENDERING AGE 0-20 815 10,555 707 2,708 407 1,270 774 992
1821403312 GILL SANGRAM S 2021 FFS RENDERING AGE 21+ 789 6,330 213 414 481 1,818 591 593
1821411968 LENISE N YARBER DDS 2021 FFS RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1821412834 NGUYEN AIMEE V 2021 FFS RENDERING AGE 0-20 108 137 0 0 1 2 0 0
1821412834 NGUYEN AIMEE V 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1821412834 NGUYEN AIMEE V 2021 GMC RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1821412834 NGUYEN AIMEE V 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1821415852 KIM VIRGINIA H 2021 FFS RENDERING AGE 0-20 2,379 3,547 0 0 45 98 0 0
1821415852 KIM VIRGINIA H 2021 FFS RENDERING AGE 21+ 16 18 0 0 1 1 0 0
1821441809 HAMED MAJD NAZLI 2021 FFS RENDERING AGE 0-20 43 384 34 135 24 89 36 50
1821441809 HAMED MAJD NAZLI 2021 FFS RENDERING AGE 21+ 161 1,632 100 192 124 1,004 116 117
1821455668 LE-NGUYEN IVANE 2021 FFS RENDERING AGE 0-20 59 504 40 125 35 80 36 36
1821455668 LE-NGUYEN IVANE 2021 FFS RENDERING AGE 21+ 47 318 20 33 25 69 27 27
1821464801 MIKAYELYAN MISAK 2021 FFS RENDERING AGE 0-20 31 164 18 41 20 66 23 24
1821464801 MIKAYELYAN MISAK 2021 FFS RENDERING AGE 21+ 606 3,647 228 407 460 1,818 469 469
1821466822 PALACIOS, CONSUELO DDS 2021 FFS RENDERING AGE 0-20 415 1,642 49 101 362 1,167 51 67
1821466822 PALACIOS, CONSUELO DDS 2021 FFS RENDERING AGE 21+ 651 1,905 1 2 609 1,612 34 34
1821466822 PALACIOS, CONSUELO DDS 2021 PHP RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1821466822 PALACIOS, CONSUELO DDS 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1821467655 MELZER SAMANTHA A 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1821472275 CHENG JULIANA L 2021 FFS RENDERING AGE 0-20 29 33 0 0 0 0 0 0
1821479171 DIWAN RITESH 2021 FFS RENDERING AGE 0-20 31 258 28 91 12 52 27 41
1821479171 DIWAN RITESH 2021 FFS RENDERING AGE 21+ 74 429 35 66 64 189 33 33
1821495573 LEE JR JOHN 2021 FFS RENDERING AGE 0-20 151 1,312 130 361 85 203 114 128
1821495573 LEE JR JOHN 2021 FFS RENDERING AGE 21+ 172 925 78 154 105 311 125 125
1821505496 HERNANDEZ CARLOS M 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1821521428 KAJEH PAYAM P 2021 FFS RENDERING AGE 0-20 176 447 0 0 176 447 0 0
1821521428 KAJEH PAYAM P 2021 FFS RENDERING AGE 21+ 112 438 0 0 112 438 0 0
1821525767 VACURA SARRIS BRITTANY N 2021 FFS RENDERING AGE 0-20 1 1 0 0 0 0 1 1
1821525767 VACURA SARRIS BRITTANY N 2021 GMC RENDERING AGE 0-20 1,278 6,758 758 2,631 356 510 513 523
1821525767 VACURA SARRIS BRITTANY N 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1821526419 MORADZADEH, DR ALEXANDER S, 2021 PHP RENDERING AGE 0-20 83 873 82 348 35 101 78 84
1821526419 MORADZADEH, DR ALEXANDER S, 2021 PHP RENDERING AGE 21+ 83 471 20 44 51 181 50 51
1821543547 SUNG, DAHYE DDS 2021 FFS RENDERING AGE 0-20 853 9,607 692 2,561 401 806 696 786
1821543547 SUNG, DAHYE DDS 2021 FFS RENDERING AGE 21+ 504 2,691 148 295 313 733 273 273
1821547498 CHUNG ROBERT M 2021 PHP RENDERING AGE 0-20 28 127 20 39 1 1 17 17
1821547498 CHUNG ROBERT M 2021 PHP RENDERING AGE 21+ 14 40 0 0 1 2 1 1
1821557851 ORTIZ MARIA 2021 PHP RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1821568254 LIGANS ERIK C 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1821568254 LIGANS ERIK C 2021 FFS RENDERING AGE 21+ 11 58 1 1 1 2 1 1
1821576232 YUN YOUNGHO 2021 FFS RENDERING AGE 0-20 21 101 19 40 1 2 18 18
1821576232 YUN YOUNGHO 2021 FFS RENDERING AGE 21+ 70 273 46 89 16 42 61 64
1821583048 KIM HAK KYUN 2021 FFS RENDERING AGE 0-20 74 180 0 0 74 180 0 0
1821583048 KIM HAK KYUN 2021 FFS RENDERING AGE 21+ 445 1,080 1 1 443 1,071 1 1
1821586249 HOVASAPIAN ANGINEH 2021 FFS RENDERING AGE 0-20 1,367 8,272 1,227 2,894 653 1,150 1,218 1,236
1821586249 HOVASAPIAN ANGINEH 2021 PHP RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1821588039 KIM NAMGU 2021 FFS RENDERING AGE 0-20 76 77 0 0 1 1 0 0
1821588039 KIM NAMGU 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1821598988 CHOI HOYONG 2021 FFS RENDERING AGE 0-20 237 1,076 119 269 62 111 204 204
1821598988 CHOI HOYONG 2021 FFS RENDERING AGE 21+ 375 1,213 91 187 123 266 265 265
1821598988 CHOI HOYONG 2021 GMC RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1821616913 RAHIMDEL ALEXANDER 2021 FFS RENDERING AGE 0-20 62 277 21 44 39 108 33 33
1821616913 RAHIMDEL ALEXANDER 2021 FFS RENDERING AGE 21+ 148 530 21 41 86 283 59 59
1821628900 CHOE MARK Y 2021 FFS RENDERING AGE 0-20 495 2,404 431 932 87 108 427 428
1821628900 CHOE MARK Y 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1821686999 OZAWA SAIDO 2021 FFS RENDERING AGE 0-20 136 616 75 194 95 231 38 38
1821686999 OZAWA SAIDO 2021 FFS RENDERING AGE 21+ 174 575 35 66 137 347 40 40
1821686999 OZAWA SAIDO 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1821686999 OZAWA SAIDO 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1821689100 GONZALEZ FONSEC MICHELE A 2021 FFS RENDERING AGE 0-20 992 8,812 852 1,945 291 651 879 881
1821689100 GONZALEZ FONSEC MICHELE A 2021 FFS RENDERING AGE 21+ 20 80 1 2 1 2 13 13
1821699133 AHMAD AYESHA I 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1821699133 AHMAD AYESHA I 2021 GMC RENDERING AGE 0-20 192 934 142 448 155 183 54 55
1821699133 AHMAD AYESHA I 2021 GMC RENDERING AGE 21+ 211 814 22 41 173 350 61 70
1821699133 AHMAD AYESHA I 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1831104355 SALMAN, ASAD H DDS 2021 FFS RENDERING AGE 0-20 780 6,015 694 1,289 290 1,017 698 749
1831104355 SALMAN, ASAD H DDS 2021 FFS RENDERING AGE 21+ 933 8,189 523 523 714 2,603 532 532
1831105105 PETTY, RICHARD A, DDS 2021 FFS RENDERING AGE 0-20 1 2 0 0 1 2 0 0
1831105105 PETTY, RICHARD A, DDS 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1831117712 WEIBERT RICHARD JOSEPH 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1831150150 ALFONSO, EMMANUEL, DDS 2021 FFS RENDERING AGE 0-20 19 119 17 34 1 2 18 18
1831150150 ALFONSO, EMMANUEL, DDS 2021 FFS RENDERING AGE 21+ 22 117 14 28 1 2 17 17
1831152453 GARCIA, ELIZABETH DDS 2021 FFS RENDERING AGE 0-20 53 655 48 87 37 358 49 54
1831152453 GARCIA, ELIZABETH DDS 2021 FFS RENDERING AGE 21+ 110 842 50 50 78 461 97 97
1831200666 BOTZBACH, RICHARD L II 2021 FFS RENDERING AGE 0-20 227 678 0 0 79 266 64 65
1831200666 BOTZBACH, RICHARD L II 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1831209493 ACHESON GUY EDWARD 2021 GMC RENDERING AGE 0-20 14 103 1 2 1 2 1 1
1831209493 ACHESON GUY EDWARD 2021 GMC RENDERING AGE 21+ 13 143 1 2 13 104 1 1
1831227495 SANCHEZ. RALPH DDS 2021 FFS RENDERING AGE 0-20 140 834 124 305 41 109 134 149
1831227495 SANCHEZ. RALPH DDS 2021 FFS RENDERING AGE 21+ 267 1,404 197 392 133 298 235 235
1831230994 JEON, YEONG ROK DDS 2021 FFS RENDERING AGE 0-20 384 4,600 380 1,811 317 1,329 382 666
1831230994 JEON, YEONG ROK DDS 2021 FFS RENDERING AGE 21+ 171 1,188 130 259 141 470 136 136
1831233204 KISS SIMONA D 2021 FFS RENDERING AGE 0-20 33 241 33 118 1 1 30 36
1831233204 KISS SIMONA D 2021 FFS RENDERING AGE 21+ 104 488 73 73 28 78 92 92
1831238005 FAISON, JARI 2021 FFS RENDERING AGE 0-20 622 6,564 500 1,988 356 1,438 583 687
1831238005 FAISON, JARI 2021 FFS RENDERING AGE 21+ 74 541 34 67 58 203 52 52
1831238005 FAISON, JARI 2021 PHP RENDERING AGE 0-20 20 153 1 2 18 77 1 1
1831238609 VEERA, HAREESH DDS 2021 FFS RENDERING AGE 0-20 205 2,510 172 704 110 269 182 196
1831238609 VEERA, HAREESH DDS 2021 FFS RENDERING AGE 21+ 189 1,385 45 49 143 435 123 123
1831240084 HOANG MICHELLE T 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1831240084 HOANG MICHELLE T 2021 FFS RENDERING AGE 21+ 43 243 27 54 32 109 27 27
1831244268 LIM JANE S 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 2 1 1
1831244359 MENDICINI EVELINA 2021 FFS RENDERING AGE 0-20 602 1,303 0 0 297 797 0 0
1831244359 MENDICINI EVELINA 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1831246578 SHAHNUBARYAN ARTUR 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 2 0 0
1831250489 SABBAGH, AHMAD OMAR DDS 2021 FFS RENDERING AGE 0-20 45 556 35 171 23 106 42 54
1831250489 SABBAGH, AHMAD OMAR DDS 2021 FFS RENDERING AGE 21+ 226 1,695 111 214 148 820 187 187
1831252105 CHOE YONGCHUN 2021 FFS RENDERING AGE 0-20 85 521 77 178 24 70 81 94
1831252105 CHOE YONGCHUN 2021 FFS RENDERING AGE 21+ 189 963 92 182 71 216 157 157
1831255413 FALABELLA JUAN P 2021 FFS RENDERING AGE 0-20 211 3,918 206 771 104 447 209 323
1831255413 FALABELLA JUAN P 2021 FFS RENDERING AGE 21+ 175 1,764 153 287 88 348 166 166
1831259605 KOHANBASH AMIN 2021 FFS RENDERING AGE 0-20 567 3,355 497 1,728 329 1,059 491 535
1831259605 KOHANBASH AMIN 2021 FFS RENDERING AGE 21+ 314 1,697 150 302 263 1,222 171 171
1831259605 KOHANBASH AMIN 2021 PHP RENDERING AGE 0-20 38 340 35 110 14 72 35 39
1831259605 KOHANBASH AMIN 2021 PHP RENDERING AGE 21+ 64 364 32 46 49 217 46 46
1831260249 NGO, HUY T, DDS 2021 FFS RENDERING AGE 0-20 181 1,924 177 746 47 108 169 217
1831260249 NGO, HUY T, DDS 2021 FFS RENDERING AGE 21+ 399 3,149 319 639 211 486 370 371
1831260496 MIRANDA-MAURICI ROSALINDA A 2021 FFS RENDERING AGE 0-20 146 2,254 144 461 67 180 144 202
1831260496 MIRANDA-MAURICI ROSALINDA A 2021 FFS RENDERING AGE 21+ 127 1,445 99 179 105 357 103 103
1831261866 LEE YOUNGSYL O 2021 FFS RENDERING AGE 0-20 151 745 97 297 53 103 114 116
1831261866 LEE YOUNGSYL O 2021 FFS RENDERING AGE 21+ 378 1,112 68 124 158 391 220 220
1831261866 LEE YOUNGSYL O 2021 GMC RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1831261866 LEE YOUNGSYL O 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1831261866 LEE YOUNGSYL O 2021 PHP RENDERING AGE 0-20 1 1 1 1 1 1 1 1
1831261866 LEE YOUNGSYL O 2021 PHP RENDERING AGE 21+ 1 1 1 1 1 1 0 0
1831263086 REDDY KRISHNA M 2021 FFS RENDERING AGE 0-20 48 346 41 99 18 36 27 28
1831263086 REDDY KRISHNA M 2021 FFS RENDERING AGE 21+ 121 782 69 135 83 252 71 71
1831263086 REDDY KRISHNA M 2021 PHP RENDERING AGE 0-20 25 197 22 59 11 31 23 27
1831263086 REDDY KRISHNA M 2021 PHP RENDERING AGE 21+ 58 351 40 87 38 103 53 62
1831263086 REDDY, KRISHNA M, DDS 2021 FFS RENDERING AGE 0-20 48 346 41 99 18 36 27 28
1831263086 REDDY, KRISHNA M, DDS 2021 FFS RENDERING AGE 21+ 121 782 69 135 83 252 71 71
1831263086 REDDY, KRISHNA M, DDS 2021 PHP RENDERING AGE 0-20 25 197 22 59 11 31 23 27
1831263086 REDDY, KRISHNA M, DDS 2021 PHP RENDERING AGE 21+ 58 351 40 87 38 103 53 62
1831265651 KIM, KEON JUNG DDS 2021 FFS RENDERING AGE 0-20 265 2,358 221 659 159 523 242 319
1831265651 KIM, KEON JUNG DDS 2021 FFS RENDERING AGE 21+ 516 3,735 303 606 387 1,613 364 364
1831267053 PHAM FRANK P 2021 FFS RENDERING AGE 0-20 215 2,543 202 639 66 206 201 234
1831267053 PHAM FRANK P 2021 FFS RENDERING AGE 21+ 189 1,708 103 200 122 481 119 119
1831267525 CHALIAN RAFFI G 2021 FFS RENDERING AGE 0-20 12 74 1 2 1 2 1 2
1831267525 CHALIAN RAFFI G 2021 FFS RENDERING AGE 21+ 42 196 24 24 24 92 29 29
1831269489 FAYOUMI M HASSAN 2021 FFS RENDERING AGE 0-20 361 3,407 241 802 239 1,026 285 318
1831269489 FAYOUMI M HASSAN 2021 FFS RENDERING AGE 21+ 720 4,512 38 56 592 3,273 316 318
1831269935 SHIN JOON WOO J 2021 FFS RENDERING AGE 0-20 2,251 26,077 2,132 8,848 941 4,388 2,135 2,857
1831269935 SHIN JOON WOO J 2021 FFS RENDERING AGE 21+ 1 2 1 1 0 0 1 1
1831285170 RAZI SAGHI S 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1831285170 RAZI SAGHI S 2021 PHP RENDERING AGE 21+ 1 2 0 0 1 1 1 1
1831285329 CHIANG PETER C J 2021 FFS RENDERING AGE 0-20 3,438 33,865 2,778 9,189 2,458 14,718 2,421 2,489
1831285329 CHIANG PETER C J 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1831287424 MAJD NOOSHIN 2021 FFS RENDERING AGE 0-20 85 284 0 0 35 123 0 0
1831287424 MAJD NOOSHIN 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1831287721 MORENO, JACOB DDS 2021 FFS RENDERING AGE 0-20 356 3,289 292 1,254 139 356 281 341
1831287721 MORENO, JACOB DDS 2021 FFS RENDERING AGE 21+ 242 1,249 86 161 162 398 119 119
1831297092 RASHTIAN, ROYA DDS 2021 FFS RENDERING AGE 0-20 187 2,771 181 722 50 132 180 276
1831297092 RASHTIAN, ROYA DDS 2021 FFS RENDERING AGE 21+ 197 1,957 72 144 112 412 153 153
1831297092 RASHTIAN, ROYA DDS 2021 PHP RENDERING AGE 0-20 28 138 26 68 1 1 27 28
1831297092 RASHTIAN, ROYA DDS 2021 PHP RENDERING AGE 21+ 12 41 1 1 1 2 11 11
1831299643 VALDEZ, ROBERT J, DDS 2021 FFS RENDERING AGE 0-20 39 180 26 53 11 52 35 36
1831299643 VALDEZ, ROBERT J, DDS 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1831302389 REALON MARYSOL B 2021 FFS RENDERING AGE 0-20 55 274 44 86 21 54 40 40
1831302975 NGUYEN, TRAM THUY, DMD 2021 FFS RENDERING AGE 0-20 215 3,576 208 960 117 389 206 292
1831302975 NGUYEN, TRAM THUY, DMD 2021 FFS RENDERING AGE 21+ 382 4,021 280 559 249 953 299 299
1831304823 SHAH, PRABHUDAS JATIN DDS 2021 FFS RENDERING AGE 0-20 77 701 57 156 41 102 57 57
1831304823 SHAH, PRABHUDAS JATIN DDS 2021 FFS RENDERING AGE 21+ 290 3,260 103 201 217 824 182 183
1831305010 RASUL MAMOONA S 2021 FFS RENDERING AGE 0-20 11 55 1 2 1 1 1 1
1831305010 RASUL MAMOONA S 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 1 1 1
1831307396 YAMPOLSKY, VLADIMIR DDS 2021 FFS RENDERING AGE 0-20 1,142 15,177 1,117 4,678 406 1,247 1,094 1,282
1831307396 YAMPOLSKY, VLADIMIR DDS 2021 FFS RENDERING AGE 21+ 698 6,742 432 868 532 2,297 445 448
1831307396 YAMPOLSKY, VLADIMIR DDS 2021 PHP RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1831307396 YAMPOLSKY, VLADIMIR DDS 2021 PHP RENDERING AGE 21+ 20 106 11 20 1 2 14 14
1831309681 LUU TRINH-THUC T 2021 FFS RENDERING AGE 0-20 40 218 38 77 11 21 40 46
1831309681 LUU TRINH-THUC T 2021 FFS RENDERING AGE 21+ 89 403 73 73 34 72 77 77
1831310663 LIU STANLEY 2021 FFS RENDERING AGE 21+ 57 161 1 1 45 101 20 20
1831312198 NGUYEN, LAWRENCE 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1831312644 KIM YONG Y 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1831312644 KIM YONG Y 2021 FFS RENDERING AGE 21+ 48 162 25 25 28 57 23 23
1831314590 AMIR MICHAEL 2021 FFS RENDERING AGE 0-20 111 1,272 109 338 1 1 109 117
1831314590 AMIR MICHAEL 2021 FFS RENDERING AGE 21+ 20 159 15 29 1 1 15 15
1831318054 NGUYEN TRUNG Q 2021 FFS RENDERING AGE 0-20 14 103 12 26 1 2 1 2
1831318054 NGUYEN TRUNG Q 2021 FFS RENDERING AGE 21+ 40 261 13 25 1 2 31 31
1831321751 NGUYEN KIEN HUNG V 2021 FFS RENDERING AGE 0-20 89 407 21 53 70 185 18 18
1831321751 NGUYEN KIEN HUNG V 2021 FFS RENDERING AGE 21+ 171 572 12 22 152 425 26 26
1831334929 JOHNSON TYLER JACK C 2021 FFS RENDERING AGE 0-20 164 697 0 0 164 697 0 0
1831339316 KHAMSI YOUSEF R 2021 FFS RENDERING AGE 0-20 397 4,432 365 915 90 305 376 470
1831339316 KHAMSI YOUSEF R 2021 FFS RENDERING AGE 21+ 1,489 11,273 925 1,836 847 3,104 1,150 1,155
1831340959 JANG SABRINA Y 2021 FFS RENDERING AGE 0-20 537 3,464 383 804 156 483 431 450
1831340959 JANG SABRINA Y 2021 GMC RENDERING AGE 0-20 117 1,017 70 148 100 679 14 14
1831348705 HERRERA, MERCEDES DDS 2021 FFS RENDERING AGE 0-20 1,682 21,368 1,625 6,619 895 2,312 1,638 2,030
1831348705 HERRERA, MERCEDES DDS 2021 FFS RENDERING AGE 21+ 1,019 8,073 790 1,580 544 1,576 854 865
1831356112 MASSA DEXTER S 2021 FFS RENDERING AGE 0-20 112 893 90 218 63 384 87 94
1831356112 MASSA DEXTER S 2021 FFS RENDERING AGE 21+ 418 4,016 247 475 286 2,551 240 255
1831370972 RAHBAR FIROOZEH 2021 FFS RENDERING AGE 0-20 27 49 0 0 1 2 0 0
1831373729 UMALI MARGARITA I 2021 FFS RENDERING AGE 0-20 2,177 27,903 1,894 5,476 1,355 4,887 1,824 2,089
1831373729 UMALI MARGARITA I 2021 FFS RENDERING AGE 21+ 173 1,148 33 66 103 329 113 113
1831373729 UMALI MARGARITA I 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1831373877 PAPEHN NEGEEN 2021 FFS RENDERING AGE 0-20 245 1,666 111 237 147 419 159 170
1831373877 PAPEHN NEGEEN 2021 FFS RENDERING AGE 21+ 129 826 77 140 78 229 79 79
1831386671 OH SANGDUK 2021 FFS RENDERING AGE 0-20 43 206 40 78 16 25 41 50
1831386671 OH SANGDUK 2021 FFS RENDERING AGE 21+ 97 533 76 81 57 172 85 85
1831386689 OSSAIAN CAROLINE 2021 FFS RENDERING AGE 0-20 24 110 19 42 1 1 23 23
1831386689 OSSAIAN CAROLINE 2021 FFS RENDERING AGE 21+ 77 462 31 58 38 223 67 70
1831387307 WANG CHARLES 2021 FFS RENDERING AGE 0-20 28 233 24 85 1 2 20 23
1831387307 WANG CHARLES 2021 FFS RENDERING AGE 21+ 114 697 40 71 77 338 76 76
1831387307 WANG CHARLES 2021 PHP RENDERING AGE 0-20 17 103 15 37 1 2 17 22
1831387307 WANG CHARLES 2021 PHP RENDERING AGE 21+ 45 208 1 2 19 71 38 40
1831390228 FILLMORE, GALEN M MD 2021 FFS RENDERING AGE 0-20 554 1,493 0 0 283 897 0 0
1831390293 MOLINA SONIA E 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1831395425 BONNER KENNETH 2021 FFS RENDERING AGE 0-20 55 361 31 63 27 69 29 29
1831395425 BONNER KENNETH 2021 FFS RENDERING AGE 21+ 149 798 45 66 124 332 43 45
1831403468 GODOY ANA V 2021 FFS RENDERING AGE 0-20 426 3,952 304 812 254 841 335 379
1831403468 GODOY ANA V 2021 FFS RENDERING AGE 21+ 535 2,845 176 326 442 1,472 239 241
1831415520 CHOI SEONG H 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1831446400 HAN EUGENE 2021 FFS RENDERING AGE 0-20 173 378 0 0 113 126 1 1
1831446400 HAN EUGENE 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1831457118 DANG, ELAINE DDS 2021 FFS RENDERING AGE 21+ 867 3,620 284 494 849 1,276 576 576
1831457118 DANG, ELAINE DDS 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1831473719 CHOW ELAINE N 2021 FFS RENDERING AGE 0-20 256 512 0 0 207 439 0 0
1831473719 CHOW ELAINE N 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1831473719 CHOW ELAINE N 2021 GMC RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1831478734 ELIMELECH DAVID 2021 PHP RENDERING AGE 0-20 39 231 34 119 24 33 23 25
1831478734 ELIMELECH DAVID 2021 PHP RENDERING AGE 21+ 81 451 57 140 59 156 45 45
1831498757 MAHOOTY, MAHASTY, RDHAP 2021 FFS RENDERING AGE 21+ 335 1,645 334 746 334 899 0 0
1831505288 CHIN DAVID A 2021 FFS RENDERING AGE 0-20 30 164 30 89 1 1 30 37
1831505288 CHIN DAVID A 2021 FFS RENDERING AGE 21+ 1 2 1 2 0 0 1 1
1831530039 SHAMTOUB GABREAL 2021 FFS RENDERING AGE 0-20 1 2 0 0 1 1 1 1
1831530039 SHAMTOUB GABREAL 2021 FFS RENDERING AGE 21+ 65 355 0 0 57 108 50 50
1831530039 SHAMTOUB GABREAL 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1831530039 SHAMTOUB GABREAL 2021 PHP RENDERING AGE 21+ 91 607 38 43 59 78 82 82
1831542778 ELKHATIEB AMRO 2021 FFS RENDERING AGE 0-20 1 2 0 0 1 2 0 0
1831542778 ELKHATIEB AMRO 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1831545052 SOLTANI SAHAND S 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1831545052 SOLTANI SAHAND S 2021 FFS RENDERING AGE 21+ 14 36 1 1 14 24 1 1
1831545052 SOLTANI SAHAND S 2021 GMC RENDERING AGE 0-20 1 2 1 1 1 2 1 1
1831545052 SOLTANI SAHAND S 2021 GMC RENDERING AGE 21+ 11 29 1 1 1 2 1 1
1831571694 MORIGUCHI KRISTIN M 2021 FFS RENDERING AGE 0-20 240 1,480 197 581 155 277 167 168
1831571694 MORIGUCHI KRISTIN M 2021 PHP RENDERING AGE 0-20 52 311 34 131 38 79 21 21
1831571694 MORIGUCHI KRISTIN M 2021 PHP RENDERING AGE 21+ 53 206 24 47 44 67 14 14
1831590231 PETRI ODETA 2021 FFS RENDERING AGE 0-20 99 1,549 98 376 46 110 94 137
1831590231 PETRI ODETA 2021 FFS RENDERING AGE 21+ 113 986 80 166 73 264 85 85
1831596816 DIAZ DOMINIQUE 2021 PHP RENDERING AGE 21+ 26 114 26 61 22 53 0 0
1831596857 LIM LINDA M 2021 FFS RENDERING AGE 0-20 1,950 27,832 1,821 7,289 1,203 3,513 1,805 2,598
1831596857 LIM LINDA M 2021 FFS RENDERING AGE 21+ 1 2 1 2 1 1 1 1
1831596857 LIM LINDA M 2021 PHP RENDERING AGE 0-20 1 1 1 1 1 1 0 0
1831609403 RAPER LUSHELL A 2021 GMC RENDERING AGE 0-20 1 1 1 1 1 1 1 1
1831624410 MAYALL ISHA K 2021 FFS RENDERING AGE 0-20 351 2,680 313 840 126 275 304 307
1831624410 MAYALL ISHA K 2021 FFS RENDERING AGE 21+ 37 207 22 22 21 85 29 29
1831632421 JAFARI HELIA 2021 FFS RENDERING AGE 0-20 14 35 0 0 14 14 0 0
1831632421 JAFARI HELIA 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 1 0 0
1831635317 DEZA ROLANDO ABRAHAM N 2021 FFS RENDERING AGE 0-20 261 2,779 251 819 145 420 202 226
1831635317 DEZA ROLANDO ABRAHAM N 2021 FFS RENDERING AGE 21+ 378 2,385 170 335 235 939 305 306
1831638329 LE VIET Q 2021 FFS RENDERING AGE 0-20 67 485 23 51 45 160 36 36
1831638329 LE VIET Q 2021 FFS RENDERING AGE 21+ 17 121 1 1 14 61 1 1
1831640523 TILLAPAUGH SAMANTHA KEI D 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1831644053 SAVITTIERI MARCO A 2021 FFS RENDERING AGE 0-20 168 572 0 0 168 572 0 0
1831646637 RAMIREZ, DANIEL DDS 2021 FFS RENDERING AGE 0-20 94 1,389 92 493 29 112 93 114
1831646637 RAMIREZ, DANIEL DDS 2021 FFS RENDERING AGE 21+ 357 4,967 326 953 185 887 325 326
1831664630 AP TRUONG DENTAL CORPORATION 2021 FFS RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1831668961 LEE, DONGHEE, DDS 2021 FFS RENDERING AGE 21+ 55 133 1 1 25 52 37 37
1831676675 WEBBER, FONDA, DDS INC 2021 GMC RENDERING AGE 0-20 1 2 1 2 0 0 1 1
1831676675 WEBBER, FONDA, DDS INC 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1831684836 MACIAS ALMAZAN DANIEL 2021 FFS RENDERING AGE 0-20 93 309 0 0 82 103 46 46
1831684836 MACIAS ALMAZAN DANIEL 2021 FFS RENDERING AGE 21+ 445 1,412 0 0 382 554 179 179
1831684836 MACIAS ALMAZAN DANIEL 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1831684836 MACIAS ALMAZAN DANIEL 2021 PHP RENDERING AGE 21+ 16 35 1 1 15 32 0 0
1831690403 NAND, SHIVAM, DMD INC 2021 GMC RENDERING AGE 0-20 88 777 86 372 83 91 85 89
1831690403 NAND, SHIVAM, DMD INC 2021 GMC RENDERING AGE 21+ 335 1,436 41 43 219 560 169 169
1831717230 INOUYE DANIEL S 2021 FFS RENDERING AGE 0-20 50 177 29 69 16 41 28 28
1831717230 INOUYE DANIEL S 2021 FFS RENDERING AGE 21+ 186 483 30 54 110 251 72 72
1831717230 INOUYE DANIEL S 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1831717230 INOUYE DANIEL S 2021 PHP RENDERING AGE 21+ 19 75 1 1 14 33 1 1
1831754100 CHUNG, NA EUN, DMD 2021 FFS RENDERING AGE 21+ 38 138 1 1 24 50 16 16
1831760842 GUNADI JESSICA 2021 GMC RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1831797489 NESKIN LILY 2021 FFS RENDERING AGE 0-20 64 336 54 112 49 74 44 44
1831797489 NESKIN LILY 2021 FFS RENDERING AGE 21+ 159 690 57 86 117 341 92 92
1831864776 SHIN HOKYUNG 2021 FFS RENDERING AGE 0-20 72 304 45 94 17 33 57 57
1831864776 SHIN HOKYUNG 2021 FFS RENDERING AGE 21+ 194 621 53 96 88 209 110 112
1831864776 SHIN HOKYUNG 2021 PHP RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1831864776 SHIN HOKYUNG 2021 PHP RENDERING AGE 21+ 43 217 12 22 25 104 30 31
1841201506 TRUONG TIFFANY U 2021 FFS RENDERING AGE 0-20 680 5,620 636 2,478 264 590 645 812
1841201506 TRUONG TIFFANY U 2021 FFS RENDERING AGE 21+ 392 1,788 159 314 184 440 271 271
1841216561 SU JUI-MIN 2021 FFS RENDERING AGE 0-20 563 4,653 515 1,614 229 956 534 667
1841216561 SU JUI-MIN 2021 FFS RENDERING AGE 21+ 282 1,477 153 288 162 579 234 235
1841218229 BERGER, JOEL S MD 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 2 0 0
1841224029 PIANSAY JEAN EMILE F 2021 FFS RENDERING AGE 0-20 104 606 100 192 45 117 94 115
1841224029 PIANSAY JEAN EMILE F 2021 FFS RENDERING AGE 21+ 242 1,238 195 195 168 464 189 189
1841248580 ABARI MOHSEN ROBIN F 2021 FFS RENDERING AGE 0-20 986 3,213 0 0 122 348 657 657
1841248580 ABARI MOHSEN ROBIN F 2021 FFS RENDERING AGE 21+ 389 494 0 0 17 20 35 35
1841250065 RAMOS, MA THERESA, DMD 2021 FFS RENDERING AGE 0-20 93 901 82 276 37 119 85 110
1841250065 RAMOS, MA THERESA, DMD 2021 FFS RENDERING AGE 21+ 141 1,139 108 215 88 328 112 112
1841253564 MARDIROSIAN, HOVIK, DDS 2021 FFS RENDERING AGE 0-20 65 379 34 136 25 60 38 38
1841253564 MARDIROSIAN, HOVIK, DDS 2021 FFS RENDERING AGE 21+ 83 290 1 2 42 93 33 33
1841253564 MARDIROSIAN, HOVIK, DDS 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1841253564 MARDIROSIAN, HOVIK, DDS 2021 PHP RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1841290020 TAN ROSE MARIE L 2021 FFS RENDERING AGE 0-20 20 145 17 39 14 55 17 18
1841290020 TAN ROSE MARIE L 2021 FFS RENDERING AGE 21+ 91 667 65 128 56 326 75 75
1841290020 TAN, ROSE MARIE L, DDS 2021 FFS RENDERING AGE 0-20 20 145 17 39 14 55 17 18
1841290020 TAN, ROSE MARIE L, DDS 2021 FFS RENDERING AGE 21+ 91 667 65 128 56 326 75 75
1841301371 ELDER, MAHR DDS MD 2021 FFS RENDERING AGE 0-20 131 828 0 0 115 796 18 18
1841301371 ELDER, MAHR DDS MD 2021 FFS RENDERING AGE 21+ 202 1,889 0 0 170 1,810 39 41
1841307501 MCGAUGHEY, JOHN WARREN DDS 2021 FFS RENDERING AGE 0-20 23 81 15 19 1 2 14 14
1841307501 MCGAUGHEY, JOHN WARREN DDS 2021 FFS RENDERING AGE 21+ 220 1,188 106 106 171 519 103 103
1841311966 AUNG BANYA 2021 FFS RENDERING AGE 0-20 32 103 25 50 14 29 24 24
1841311966 AUNG BANYA 2021 FFS RENDERING AGE 21+ 42 92 1 1 29 64 17 17
1841315611 NGUYEN BRANDON T 2021 FFS RENDERING AGE 0-20 298 4,135 291 889 129 421 282 361
1841315611 NGUYEN BRANDON T 2021 FFS RENDERING AGE 21+ 253 2,092 191 195 154 742 214 216
1841319936 PAPADOPOULOS, M, DENTAL CORP 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 1 1
1841319936 PAPADOPOULOS, M, DENTAL CORP 2021 FFS RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1841320405 TON, JULIANNE MAI DDS 2021 FFS RENDERING AGE 0-20 75 606 73 205 34 126 73 99
1841320405 TON, JULIANNE MAI DDS 2021 FFS RENDERING AGE 21+ 120 744 92 92 83 263 96 96
1841320652 CHEUNG, WAI, DDS 2021 FFS RENDERING AGE 0-20 73 589 66 204 36 71 69 104
1841320652 CHEUNG, WAI, DDS 2021 FFS RENDERING AGE 21+ 168 1,147 130 255 111 426 149 149
1841321742 RAMOS RICHARD D 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1841321742 RAMOS RICHARD D 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1841325164 GHAZARYAN GHAZAR M 2021 FFS RENDERING AGE 0-20 99 732 78 203 55 333 86 105
1841325164 GHAZARYAN GHAZAR M 2021 FFS RENDERING AGE 21+ 687 7,781 364 716 614 5,705 464 464
1841326295 NAGUIB KARIM R 2021 FFS RENDERING AGE 0-20 474 5,465 406 1,456 275 1,434 425 506
1841326295 NAGUIB KARIM R 2021 FFS RENDERING AGE 21+ 516 2,879 147 261 345 1,279 357 358
1841329364 KLPAKCHIAN, ARSEN 2021 FFS RENDERING AGE 0-20 104 640 70 173 44 147 93 108
1841329364 KLPAKCHIAN, ARSEN 2021 FFS RENDERING AGE 21+ 769 5,270 217 396 629 2,601 542 542
1841330156 ZERMENO, JOSE M, DDS 2021 FFS RENDERING AGE 0-20 456 4,817 377 1,035 199 451 404 461
1841330156 ZERMENO, JOSE M, DDS 2021 FFS RENDERING AGE 21+ 609 3,978 203 354 439 1,244 389 391
1841330511 CHEING ANTHONY J 2021 FFS RENDERING AGE 0-20 99 872 96 279 37 137 99 112
1841330511 CHEING ANTHONY J 2021 FFS RENDERING AGE 21+ 141 1,073 103 205 72 175 117 117
1841332384 KYAW ZAY Y 2021 FFS RENDERING AGE 0-20 145 800 89 247 62 219 120 125
1841332384 KYAW ZAY Y 2021 FFS RENDERING AGE 21+ 262 958 50 73 158 435 149 149
1841332384 KYAW ZAY Y 2021 PHP RENDERING AGE 0-20 41 186 27 79 1 2 29 30
1841332384 KYAW ZAY Y 2021 PHP RENDERING AGE 21+ 96 325 22 24 47 177 73 77
1841336856 MA LIN 2021 FFS RENDERING AGE 0-20 60 423 31 59 31 74 40 42
1841336856 MA LIN 2021 FFS RENDERING AGE 21+ 98 594 41 41 60 208 56 56
1841336898 CHEN PETER 2021 FFS RENDERING AGE 0-20 2,308 35,277 2,052 7,058 1,687 8,264 1,875 2,315
1841338530 PEARA, DONALD DDS 2021 FFS RENDERING AGE 0-20 32 115 0 0 11 59 28 28
1841338530 PEARA, DONALD DDS 2021 FFS RENDERING AGE 21+ 142 832 0 0 65 588 123 123
1841340460 LIM JOSEPH J 2021 FFS RENDERING AGE 0-20 45 225 24 69 21 58 28 28
1841340460 LIM JOSEPH J 2021 FFS RENDERING AGE 21+ 223 772 51 97 147 388 110 110
1841344389 STANLEY, STEVEN F, DDS 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1841344389 STANLEY, STEVEN F, DDS 2021 FFS RENDERING AGE 21+ 61 292 46 46 36 109 49 49
1841347176 FARZAD PHILIP 2021 FFS RENDERING AGE 0-20 15 101 11 40 1 2 1 2
1841347176 FARZAD PHILIP 2021 FFS RENDERING AGE 21+ 48 258 32 63 24 71 37 37
1841349669 REDDY NIRUP 2021 FFS RENDERING AGE 0-20 1,098 16,960 857 3,280 626 2,188 1,032 1,316
1841349669 REDDY NIRUP 2021 FFS RENDERING AGE 21+ 2,425 27,659 560 1,105 1,661 7,726 2,070 2,070
1841351376 FAY WILLIAM W 2021 FFS RENDERING AGE 0-20 76 84 0 0 0 0 0 0
1841351376 FAY WILLIAM W 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1841351376 FAY WILLIAM W 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1841351376 FAY WILLIAM W 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1841355401 LEONIS, VANGE, RDHAP 2021 FFS RENDERING AGE 21+ 22 36 12 12 22 22 0 0
1841355401 UNKNOWN 2021 FFS RENDERING AGE 21+ 22 36 12 12 22 22 0 0
1841355633 SHABTAIE RAMIN 2021 PHP RENDERING AGE 0-20 1 2 0 0 1 2 1 1
1841355633 SHABTAIE RAMIN 2021 PHP RENDERING AGE 21+ 16 52 0 0 13 34 16 17
1841359981 HAMOUD MONEM 2021 FFS RENDERING AGE 0-20 27 135 1 2 14 52 26 26
1841359981 HAMOUD MONEM 2021 FFS RENDERING AGE 21+ 117 469 1 1 63 248 92 92
1841359981 HAMOUD MONEM 2021 GMC RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1841359981 HAMOUD MONEM 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1841362019 VANJARAPU SANJAY K 2021 FFS RENDERING AGE 0-20 506 3,707 462 1,373 164 221 489 559
1841362019 VANJARAPU SANJAY K 2021 FFS RENDERING AGE 21+ 652 2,760 299 589 228 584 580 583
1841363264 BHULLAR NAMRATA K 2021 FFS RENDERING AGE 0-20 150 783 104 261 48 67 143 145
1841377546 LOWE, LAWRENCE A, DDS 2021 FFS RENDERING AGE 0-20 17 81 11 19 1 2 11 15
1841377546 LOWE, LAWRENCE A, DDS 2021 FFS RENDERING AGE 21+ 91 374 41 41 65 154 33 33
1841382603 HOANG ELIZABETH T 2021 FFS RENDERING AGE 21+ 15 43 0 0 11 25 1 1
1841382603 HOANG ELIZABETH T 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1841382603 HOANG ELIZABETH T 2021 PHP RENDERING AGE 21+ 1 2 0 0 1 2 1 1
1841386422 KIM BRIAN S. 2021 GMC RENDERING AGE 0-20 20 201 15 42 11 36 16 22
1841386422 KIM BRIAN S. 2021 GMC RENDERING AGE 21+ 35 147 13 26 21 58 17 17
1841395043 CHAN GENY-ANA R 2021 FFS RENDERING AGE 0-20 110 1,410 86 259 59 189 93 114
1841395043 CHAN GENY-ANA R 2021 FFS RENDERING AGE 21+ 197 1,328 34 46 117 394 117 117
1841395217 TRUONG, PHUONGTU DDS 2021 FFS RENDERING AGE 0-20 104 1,242 95 306 46 121 96 115
1841395217 TRUONG, PHUONGTU DDS 2021 FFS RENDERING AGE 21+ 304 2,757 209 417 204 656 245 245
1841415379 HENRIKSEN SCOTT L 2021 FFS RENDERING AGE 0-20 64 289 55 124 15 55 47 59
1841415379 HENRIKSEN SCOTT L 2021 FFS RENDERING AGE 21+ 63 205 39 39 15 45 54 54
1841419116 MOUA MICKEY C 2021 FFS RENDERING AGE 21+ 2,082 12,700 862 1,732 2,078 6,524 1,843 1,843
1841419959 TSOLAKYAN, ARAM, DDS 2021 FFS RENDERING AGE 0-20 22 76 1 2 13 29 18 18
1841419959 TSOLAKYAN, ARAM, DDS 2021 FFS RENDERING AGE 21+ 139 488 57 65 77 202 86 86
1841419959 TSOLAKYAN, ARAM, DDS 2021 PHP RENDERING AGE 0-20 33 103 21 25 11 16 29 29
1841419959 TSOLAKYAN, ARAM, DDS 2021 PHP RENDERING AGE 21+ 163 624 90 110 53 161 147 149
1841433695 DAVID TOMA DDS, INC. 2021 FFS RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1841433695 TOMA, DAVID, DDS INC 2021 FFS RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1841435062 DONABEDIAN KHAJADOUR 2021 FFS RENDERING AGE 0-20 27 180 20 49 13 61 26 26
1841435062 DONABEDIAN KHAJADOUR 2021 FFS RENDERING AGE 21+ 195 1,343 80 131 145 764 158 158
1841438702 SAHYAN ABRAHAM 2021 FFS RENDERING AGE 0-20 148 1,171 68 102 87 376 90 93
1841438702 SAHYAN ABRAHAM 2021 FFS RENDERING AGE 21+ 429 2,979 50 64 343 1,901 188 188
1841442308 KIM HELEN D 2021 FFS RENDERING AGE 0-20 30 336 29 74 12 41 30 36
1841442308 KIM HELEN D 2021 FFS RENDERING AGE 21+ 181 1,342 152 152 127 509 167 167
1841442308 KIM HELEN D 2021 PHP RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1841443546 LI MIN 2021 FFS RENDERING AGE 0-20 257 2,437 201 544 117 338 206 229
1841443546 LI MIN 2021 FFS RENDERING AGE 21+ 436 3,488 155 311 349 1,496 227 227
1841444585 OHANNESSIAN, MANUEL, DDS INC 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 0 0
1841451606 CHEN, WEI KUO DDS 2021 FFS RENDERING AGE 0-20 16 70 1 2 1 2 11 12
1841451606 CHEN, WEI KUO DDS 2021 FFS RENDERING AGE 21+ 27 104 11 20 22 41 11 11
1841465721 TRAN DIENAN N 2021 PHP RENDERING AGE 0-20 22 142 18 32 1 1 18 18
1841465721 TRAN DIENAN N 2021 PHP RENDERING AGE 21+ 123 735 66 66 72 243 101 101
1841472875 TANG YAT Y 2021 FFS RENDERING AGE 0-20 2,800 39,198 2,767 15,231 915 3,616 2,786 4,574
1841472875 TANG YAT Y 2021 FFS RENDERING AGE 21+ 51 321 46 92 11 20 47 47
1841477387 STEPHAN WALEED A 2021 FFS RENDERING AGE 0-20 161 1,105 133 376 81 112 137 150
1841477387 STEPHAN WALEED A 2021 FFS RENDERING AGE 21+ 478 2,476 170 290 275 739 290 292
1841480555 GROSLEIB JAMES W 2021 FFS RENDERING AGE 0-20 12 44 1 2 0 0 1 1
1841480555 GROSLEIB JAMES W 2021 FFS RENDERING AGE 21+ 100 415 46 47 47 155 74 74
1841485208 KUNDURU, ARVINDA REDDY, DDS 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1841485208 KUNDURU, ARVINDA REDDY, DDS 2021 FFS RENDERING AGE 21+ 19 126 11 20 14 69 15 15
1841485620 KEUROGHLIAN APEL 2021 FFS RENDERING AGE 0-20 259 944 0 0 257 937 0 0
1841485620 KEUROGHLIAN APEL 2021 FFS RENDERING AGE 21+ 213 671 0 0 207 662 0 0
1841485620 KEUROGHLIAN APEL 2021 PHP RENDERING AGE 0-20 58 156 0 0 55 131 1 1
1841485620 KEUROGHLIAN APEL 2021 PHP RENDERING AGE 21+ 278 740 1 1 181 469 194 210
1841485877 SHAHSAVARI KAMRAN 2021 FFS RENDERING AGE 0-20 278 3,234 191 568 128 547 239 282
1841485877 SHAHSAVARI KAMRAN 2021 FFS RENDERING AGE 21+ 190 1,300 35 52 117 397 128 128
1841487964 YOO, DAVID DMD 2021 FFS RENDERING AGE 0-20 273 1,716 226 690 149 360 134 149
1841487964 YOO, DAVID DMD 2021 FFS RENDERING AGE 21+ 292 1,230 95 164 194 550 135 135
1841490703 MAYOR CARLOS A 2021 FFS RENDERING AGE 21+ 20 66 1 1 18 49 1 1
1841492287 ALIJANI MICHAEL M 2021 FFS RENDERING AGE 0-20 5,428 66,905 4,920 16,038 2,361 3,320 4,504 4,944
1841492287 ALIJANI MICHAEL M 2021 FFS RENDERING AGE 21+ 1 2 1 2 1 1 1 1
1841498607 OBEID WAEL H 2021 FFS RENDERING AGE 0-20 57 550 54 287 21 57 54 77
1841498607 OBEID WAEL H 2021 FFS RENDERING AGE 21+ 62 389 19 30 39 144 42 42
1841498607 OBEID WAEL H 2021 PHP RENDERING AGE 0-20 78 722 78 431 27 51 77 94
1841498607 OBEID WAEL H 2021 PHP RENDERING AGE 21+ 29 134 20 33 1 2 25 25
1841499571 FARNAD FARIBORZ A 2021 FFS RENDERING AGE 0-20 550 2,510 0 0 372 1,567 480 480
1841499571 FARNAD FARIBORZ A 2021 FFS RENDERING AGE 21+ 944 3,968 0 0 532 2,314 833 833
1841508488 CHERNIS NATALIYA 2021 FFS RENDERING AGE 0-20 1,919 17,824 1,626 4,899 1,258 2,695 1,588 1,736
1841543360 PADILLA, MARIA J, RDHAP 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 0 0
1841548849 ANWAR ADNAN 2021 FFS RENDERING AGE 0-20 489 1,995 97 246 463 1,068 38 38
1841548849 ANWAR ADNAN 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1841548849 ANWAR ADNAN 2021 GMC RENDERING AGE 0-20 1,991 10,285 1,121 3,663 534 719 908 939
1841551991 SAGMAN SAAD FAIZ B 2021 FFS RENDERING AGE 0-20 88 750 65 149 51 170 66 67
1841551991 SAGMAN SAAD FAIZ B 2021 FFS RENDERING AGE 21+ 379 2,279 157 290 294 1,053 219 219
1841551991 SAGMAN SAAD FAIZ B 2021 PHP RENDERING AGE 0-20 1 1 1 1 1 1 1 1
1841570777 SANFORD KAMILAH A 2021 FFS RENDERING AGE 0-20 817 2,151 1 1 279 722 0 0
1841570777 SANFORD KAMILAH A 2021 FFS RENDERING AGE 21+ 19 19 0 0 0 0 0 0
1841570777 SANFORD KAMILAH A 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1841578390 JOURABCHI, MICKEL DDS 2021 FFS RENDERING AGE 0-20 340 665 1 1 72 192 1 1
1841578390 JOURABCHI, MICKEL DDS 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1841580453 VILLA ALESSANDRO 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 2 1 1
1841580453 VILLA ALESSANDRO 2021 FFS RENDERING AGE 21+ 51 85 1 1 22 37 35 35
1841596673 MAHMOUDIANI REZA 2021 FFS RENDERING AGE 0-20 56 386 32 79 28 56 37 37
1841596673 MAHMOUDIANI REZA 2021 FFS RENDERING AGE 21+ 57 236 14 14 33 58 16 16
1841596673 MAHMOUDIANI REZA 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1841597457 LUBO, SAHYLI V, DDS 2021 FFS RENDERING AGE 0-20 109 1,025 77 205 56 209 81 86
1841597457 LUBO, SAHYLI V, DDS 2021 FFS RENDERING AGE 21+ 129 715 30 39 95 316 66 66
1841597457 LUBO, SAHYLI VERONICE DDS 2021 FFS RENDERING AGE 0-20 109 1,025 77 205 56 209 81 86
1841597457 LUBO, SAHYLI VERONICE DDS 2021 FFS RENDERING AGE 21+ 129 715 30 39 95 316 66 66
1841597473 MANOEL ZARMINE 2021 FFS RENDERING AGE 0-20 59 356 46 137 33 115 49 66
1841597473 MANOEL ZARMINE 2021 FFS RENDERING AGE 21+ 259 1,673 101 201 220 1,135 187 187
1841601085 HOANG VIET X 2021 FFS RENDERING AGE 0-20 1 1 0 0 0 0 1 1
1841601085 HOANG VIET X 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1841601192 GOMEZ ERIKA 2021 FFS RENDERING AGE 0-20 2,526 27,798 2,206 6,532 1,530 4,212 2,207 2,399
1841601192 GOMEZ ERIKA 2021 FFS RENDERING AGE 21+ 315 1,873 123 252 200 517 147 147
1841601192 GOMEZ ERIKA 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1841604659 TOMKINSON TYLER C 2021 FFS RENDERING AGE 0-20 130 420 0 0 130 420 0 0
1841604659 TOMKINSON TYLER C 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1841607694 KINGRA SUKHDEEP K 2021 FFS RENDERING AGE 0-20 222 1,554 198 648 81 223 168 182
1841607694 KINGRA SUKHDEEP K 2021 FFS RENDERING AGE 21+ 417 2,349 199 393 284 1,140 314 320
1841607827 NIKOGHOSYAN YULIA 2021 FFS RENDERING AGE 0-20 59 438 54 197 17 70 55 59
1841607827 NIKOGHOSYAN YULIA 2021 FFS RENDERING AGE 21+ 253 1,758 124 245 188 1,014 221 221
1841607850 NARANG SAPNA 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1841631611 ABAZARNIA NADIA 2021 FFS RENDERING AGE 0-20 1 1 1 1 1 1 0 0
1841631611 ABAZARNIA NADIA 2021 FFS RENDERING AGE 21+ 1 1 1 1 1 1 0 0
1841631611 ABAZARNIA NADIA 2021 PHP RENDERING AGE 0-20 1 2 1 2 0 0 0 0
1841631611 ABAZARNIA NADIA 2021 PHP RENDERING AGE 21+ 1 1 1 1 0 0 0 0
1841636248 CHOI ANNIE 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1841636248 CHOI ANNIE 2021 FFS RENDERING AGE 21+ 15 33 1 1 1 2 1 1
1841638624 DRS SALEM & SOLIMAN DNTL 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 0 0
1841638624 DRS SALEM AND SOLIMAN DENTAL 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 2 0 0
1841641172 DASON RACHEL M 2021 FFS RENDERING AGE 0-20 558 2,111 1 2 558 2,074 1 1
1841641172 DASON RACHEL M 2021 FFS RENDERING AGE 21+ 92 309 1 1 92 301 1 1
1841649001 GANDHI ANKUR D 2021 FFS RENDERING AGE 0-20 4,422 33,680 3,427 10,482 2,591 6,407 3,214 3,523
1841649001 GANDHI ANKUR D 2021 FFS RENDERING AGE 21+ 30 149 17 33 1 2 19 19
1841673936 KIM DAVID H 2021 FFS RENDERING AGE 0-20 1,374 12,854 1,181 4,545 405 1,290 1,205 1,386
1841673936 KIM DAVID H 2021 FFS RENDERING AGE 21+ 679 3,147 263 517 361 1,057 383 383
1841673936 KIM DAVID H 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1841673936 KIM DAVID H 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1841676418 TA ASHLEY 2021 FFS RENDERING AGE 0-20 43 67 0 0 1 1 0 0
1841676418 TA ASHLEY 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1841694759 NIDAMARTHI APARNA 2021 FFS RENDERING AGE 0-20 1,059 3,929 307 519 229 243 1,009 1,076
1841694759 NIDAMARTHI APARNA 2021 FFS RENDERING AGE 21+ 1,553 3,654 26 49 31 44 1,212 1,216
1841710316 GARABEDIAN RAFFIE 2021 FFS RENDERING AGE 0-20 62 201 0 0 60 182 1 1
1841710316 GARABEDIAN RAFFIE 2021 FFS RENDERING AGE 21+ 335 1,120 1 1 324 855 73 73
1841716792 HONG HANNAH SU Y 2021 FFS RENDERING AGE 0-20 66 540 57 136 31 90 55 64
1841716792 HONG HANNAH SU Y 2021 FFS RENDERING AGE 21+ 133 1,132 102 136 73 255 101 101
1841717790 DHERI JASPREET K 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1841741360 SONG ESTHER H 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1841741360 SONG ESTHER H 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1841741360 SONG ESTHER H 2021 GMC RENDERING AGE 0-20 23 85 1 2 1 1 13 13
1841741360 SONG ESTHER H 2021 GMC RENDERING AGE 21+ 26 103 0 0 14 31 16 17
1841741782 ORDOVEZA PATRISHA T 2021 FFS RENDERING AGE 0-20 3,071 26,346 2,702 8,446 1,940 7,432 2,752 3,002
1841742954 TRUONG ANDY 2021 FFS RENDERING AGE 0-20 317 5,484 306 1,013 158 556 308 486
1841742954 TRUONG ANDY 2021 FFS RENDERING AGE 21+ 213 2,361 171 337 128 398 183 183
1841744083 PHAM EVELYN Q 2021 FFS RENDERING AGE 0-20 801 6,847 723 2,487 479 970 712 875
1841744083 PHAM EVELYN Q 2021 FFS RENDERING AGE 21+ 386 2,146 212 399 251 545 235 235
1841748811 PHAM LAN D 2021 FFS RENDERING AGE 0-20 110 631 82 202 59 92 78 78
1841772050 HO KEVIN W 2021 FFS RENDERING AGE 0-20 1 1 1 1 1 1 1 1
1841774668 BLOM JACOB B 2021 GMC RENDERING AGE 0-20 34 100 20 44 1 1 11 11
1841774668 BLOM JACOB B 2021 GMC RENDERING AGE 21+ 16 32 1 1 1 1 1 1
1841774734 GREEN RICHARD D 2021 FFS RENDERING AGE 0-20 244 2,118 221 551 79 206 227 275
1841774734 GREEN RICHARD D 2021 FFS RENDERING AGE 21+ 247 1,481 173 350 117 413 197 197
1841789724 GANAS ARIELLE 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1841797297 PARK DAHEE 2021 FFS RENDERING AGE 0-20 315 1,676 168 438 90 298 237 252
1841797297 PARK DAHEE 2021 FFS RENDERING AGE 21+ 706 2,681 182 334 351 880 447 448
1841802667 ABDELRAHMAN LAILA A 2021 FFS RENDERING AGE 0-20 270 1,434 196 619 157 408 70 70
1841802667 ABDELRAHMAN LAILA A 2021 FFS RENDERING AGE 21+ 352 1,378 132 252 275 695 69 69
1841802667 ABDELRAHMAN LAILA A 2021 PHP RENDERING AGE 21+ 1 1 1 1 0 0 0 0
1841807336 BUN CHANVATTANAK 2021 FFS RENDERING AGE 0-20 316 1,320 102 214 160 378 219 220
1841807336 BUN CHANVATTANAK 2021 FFS RENDERING AGE 21+ 887 2,614 83 154 402 928 601 601
1841846433 SIONAT, P, DENTAL CORP 2021 FFS RENDERING AGE 21+ 1 1 1 1 1 1 0 0
1841848413 SCOTT ZACHARY D 2021 FFS RENDERING AGE 0-20 341 1,809 220 545 90 210 316 351
1841848413 SCOTT ZACHARY D 2021 FFS RENDERING AGE 21+ 762 3,072 211 415 344 946 573 573
1841852837 LEON KATHLEEN L 2021 FFS RENDERING AGE 0-20 1,805 15,866 1,342 3,220 984 2,617 1,318 1,334
1841881760 ABDELAZIZ AMR A 2021 FFS RENDERING AGE 0-20 59 88 0 0 57 83 1 1
1841881760 ABDELAZIZ AMR A 2021 FFS RENDERING AGE 21+ 241 313 0 0 240 310 1 1
1841881760 ABDELAZIZ AMR A 2021 GMC RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1841881760 ABDELAZIZ AMR A 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1841891314 AMINI NELDA 2021 FFS RENDERING AGE 0-20 211 853 103 306 40 69 168 169
1841891314 AMINI NELDA 2021 FFS RENDERING AGE 21+ 450 1,181 39 51 178 323 267 267
1841891314 AMINI NELDA 2021 PHP RENDERING AGE 0-20 91 259 46 101 24 48 75 75
1841891314 AMINI NELDA 2021 PHP RENDERING AGE 21+ 133 305 25 26 35 79 107 109
1851066310 NASSAR HEBA F 2021 FFS RENDERING AGE 0-20 66 652 57 169 25 80 53 53
1851066310 NASSAR HEBA F 2021 FFS RENDERING AGE 21+ 134 926 51 102 81 240 79 81
1851305338 BUI MICHAEL 2021 FFS RENDERING AGE 0-20 12 63 1 2 1 1 12 12
1851305338 BUI MICHAEL 2021 FFS RENDERING AGE 21+ 68 498 56 114 38 241 68 70
1851305908 APPLEFIELD PAUL S 2021 PHP RENDERING AGE 0-20 29 109 24 55 1 2 13 13
1851307789 PALLARES BERNARD J 2021 FFS RENDERING AGE 0-20 26 128 18 32 1 2 18 18
1851307789 PALLARES BERNARD J 2021 FFS RENDERING AGE 21+ 41 128 11 12 27 47 13 13
1851315741 SUFI GURMINDERAJI S 2021 GMC RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1851315741 SUFI GURMINDERAJI S 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1851319842 AHMED, NASIR, DDS 2021 FFS RENDERING AGE 0-20 220 2,348 216 875 106 265 195 225
1851319842 AHMED, NASIR, DDS 2021 FFS RENDERING AGE 21+ 104 798 65 123 66 261 75 75
1851320170 MOBLEY DELMAR R 2021 FFS RENDERING AGE 0-20 31 73 0 0 15 39 0 0
1851398010 RAHNAMA HOUMAN 2021 FFS RENDERING AGE 0-20 239 2,553 216 658 137 463 222 258
1851398010 RAHNAMA HOUMAN 2021 FFS RENDERING AGE 21+ 629 4,776 317 329 498 1,826 458 458
1851400816 GOZINI MAHNAZ 2021 FFS RENDERING AGE 0-20 59 484 57 264 35 82 56 78
1851400816 GOZINI MAHNAZ 2021 FFS RENDERING AGE 21+ 293 1,630 225 449 215 658 232 233
1851411367 PREMIERE MAXILLOFACIAL SURGEONS, INC. 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 2 0 0
1851412001 TOUR RAMIN 2021 FFS RENDERING AGE 0-20 29 178 26 43 21 111 11 11
1851412001 TOUR RAMIN 2021 FFS RENDERING AGE 21+ 36 186 21 24 18 119 17 17
1851412001 TOUR RAMIN 2021 PHP RENDERING AGE 0-20 147 640 138 323 32 76 146 169
1851412001 TOUR RAMIN 2021 PHP RENDERING AGE 21+ 67 248 47 49 20 81 64 68
1851417190 SONI NEETA R 2021 FFS RENDERING AGE 21+ 28 107 0 0 28 105 1 1
1851419808 GABBAY, ALAIN GERARD DDS 2021 FFS RENDERING AGE 0-20 176 1,526 129 310 81 314 167 200
1851419808 GABBAY, ALAIN GERARD DDS 2021 FFS RENDERING AGE 21+ 630 5,099 187 187 497 2,841 463 467
1851422471 ARAFILES, YVONNE P, DMD 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 2 1 1
1851422471 ARAFILES, YVONNE P, DMD 2021 FFS RENDERING AGE 21+ 722 3,819 128 143 671 1,695 653 654
1851425334 PHAM THERESA U 2021 FFS RENDERING AGE 0-20 218 713 0 0 218 713 0 0
1851425334 PHAM THERESA U 2021 FFS RENDERING AGE 21+ 12 38 0 0 12 38 0 0
1851425771 KY L DO DDS DENTAL CORP 2021 PHP RENDERING AGE 0-20 38 263 36 72 1 2 34 35
1851428213 MAGAR, SALWA DDS 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1851428213 MAGAR, SALWA DDS 2021 FFS RENDERING AGE 21+ 31 142 16 18 24 50 21 21
1851428411 HAROUNI JACK 2021 FFS RENDERING AGE 0-20 276 1,768 218 600 115 342 211 250
1851428411 HAROUNI JACK 2021 FFS RENDERING AGE 21+ 574 2,827 164 264 349 1,292 411 412
1851432447 PHAM, TRAN LAN, DDS 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1851432447 PHAM, TRAN LAN, DDS 2021 FFS RENDERING AGE 21+ 99 682 71 78 79 333 24 24
1851433205 LIN, JAMES S, DDS 2021 FFS RENDERING AGE 0-20 15 38 0 0 1 2 0 0
1851440952 ADAMS, BRUCE W, DDS 2021 FFS RENDERING AGE 0-20 28 82 19 19 1 2 25 25
1851440952 ADAMS, BRUCE W, DDS 2021 FFS RENDERING AGE 21+ 730 3,794 622 623 351 1,706 550 551
1851443451 HUANG MENGYA 2021 FFS RENDERING AGE 0-20 626 6,317 451 1,501 384 1,198 512 631
1851443451 HUANG MENGYA 2021 FFS RENDERING AGE 21+ 719 4,535 232 462 536 2,047 451 453
1851444947 GALANG MARIA M 2021 FFS RENDERING AGE 0-20 1,715 16,378 1,426 4,051 1,090 3,804 1,434 1,548
1851444947 GALANG MARIA M 2021 FFS RENDERING AGE 21+ 485 2,529 154 297 256 855 263 263
1851444947 GALANG MARIA M 2021 PHP RENDERING AGE 0-20 1 1 1 1 1 1 1 1
1851444947 GALANG MARIA M 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1851446660 DHULIYA VISHAL R 2021 FFS RENDERING AGE 0-20 111 1,522 105 442 34 74 108 142
1851446660 DHULIYA VISHAL R 2021 FFS RENDERING AGE 21+ 127 1,266 78 155 103 225 105 105
1851447650 KIM DANIEL D 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1851447650 KIM DANIEL D 2021 FFS RENDERING AGE 21+ 27 32 0 0 27 31 0 0
1851450993 AGHAKHANI ARASH 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 2 0 0
1851450993 AGHAKHANI ARASH 2021 GMC RENDERING AGE 0-20 3,383 27,088 3,356 6,183 3,374 14,252 1 1
1851450993 AGHAKHANI ARASH 2021 GMC RENDERING AGE 21+ 1 2 1 1 1 2 0 0
1851451108 BERRY DOROTHEA J 2021 FFS RENDERING AGE 0-20 805 4,170 1 1 782 4,025 34 34
1851451108 BERRY DOROTHEA J 2021 FFS RENDERING AGE 21+ 1,127 5,821 0 0 1,089 5,538 91 92
1851451108 BERRY DOROTHEA J 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1851451108 BERRY DOROTHEA J 2021 PHP RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1851451108 BERRY DOROTHEA J 2021 PHP RENDERING AGE 21+ 1 2 0 0 1 2 0 0
1851453427 GHAZARYAN NJDEH N 2021 FFS RENDERING AGE 0-20 2,039 18,039 1,733 5,227 1,348 3,371 1,668 1,711
1851453427 GHAZARYAN NJDEH N 2021 PHP RENDERING AGE 0-20 1 1 1 1 1 1 1 1
1851453542 SHAH MAULIK M 2021 FFS RENDERING AGE 0-20 405 7,184 375 1,614 194 489 391 480
1851453542 SHAH MAULIK M 2021 FFS RENDERING AGE 21+ 754 7,715 474 944 258 768 658 660
1851460976 FRIDMAN NINA 2021 FFS RENDERING AGE 0-20 76 824 75 388 31 96 74 97
1851460976 FRIDMAN NINA 2021 FFS RENDERING AGE 21+ 362 3,419 224 604 346 2,015 324 329
1851461016 NGUYEN, TIEP VAN, DDS 2021 FFS RENDERING AGE 0-20 102 974 73 138 44 114 76 86
1851461016 NGUYEN, TIEP VAN, DDS 2021 FFS RENDERING AGE 21+ 75 406 22 23 48 135 39 41
1851462147 NGUYEN HOANG M 2021 FFS RENDERING AGE 0-20 559 2,798 283 908 220 464 393 393
1851462147 NGUYEN HOANG M 2021 FFS RENDERING AGE 21+ 679 2,107 140 259 206 486 437 437
1851462147 NGUYEN HOANG M 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1851462147 NGUYEN HOANG M 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1851462147 NGUYEN HOANG M 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1851469134 NAKHLA ANN ABD E 2021 FFS RENDERING AGE 0-20 1,150 9,824 426 1,481 773 1,955 941 1,054
1851469134 NAKHLA ANN ABD E 2021 FFS RENDERING AGE 21+ 1,129 5,915 113 227 643 1,561 785 786
1851469985 KHERADYAR HAMID C 2021 FFS RENDERING AGE 0-20 60 541 49 104 21 98 55 60
1851469985 KHERADYAR HAMID C 2021 FFS RENDERING AGE 21+ 285 2,236 113 114 227 1,125 168 168
1851469985 KHERADYAR HAMID C 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1851476089 MISNER REBECCA S 2021 FFS RENDERING AGE 0-20 382 3,064 251 637 220 630 242 246
1851484794 GILL HARPREET K 2021 GMC RENDERING AGE 0-20 1 2 1 2 0 0 1 1
1851484794 GILL HARPREET K 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1851485916 STAUDHAMMER DEBRA J 2021 FFS RENDERING AGE 0-20 11 37 1 2 1 1 1 1
1851485916 STAUDHAMMER DEBRA J 2021 FFS RENDERING AGE 21+ 41 122 1 1 28 100 0 0
1851486989 EUREKA COMM HEALTH CTR 2021 GMC RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1851486989 HUMBOLDT OPEN DOOR CLINIC 2021 GMC RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1851487300 LEE JEFFEREY SZEAN 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1851487995 RAWLINS JOSEPH T 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 2 0 0
1851487995 RAWLINS JOSEPH T 2021 GMC RENDERING AGE 0-20 638 7,031 422 1,256 632 4,080 16 17
1851493084 VILLACIS DENTAL CORPORATION 2021 FFS RENDERING AGE 0-20 56 478 51 123 25 83 48 55
1851493084 VILLACIS DENTAL CORPORATION 2021 FFS RENDERING AGE 21+ 96 561 41 41 62 226 54 54
1851493084 VILLACIS DENTAL CORPORATION 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 2 1 2
1851493084 VILLACIS DENTAL CORPORATION 2021 PHP RENDERING AGE 21+ 50 262 26 32 31 118 35 38
1851493084 VILLACIS SASKIA M 2021 FFS RENDERING AGE 0-20 56 478 51 123 25 83 48 55
1851493084 VILLACIS SASKIA M 2021 FFS RENDERING AGE 21+ 96 561 41 41 62 226 54 54
1851493084 VILLACIS SASKIA M 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 2 1 2
1851493084 VILLACIS SASKIA M 2021 PHP RENDERING AGE 21+ 50 262 26 32 31 118 35 38
1851495147 GOODIS, MITCHELL 2021 FFS RENDERING AGE 0-20 1,581 14,947 1,338 4,684 684 2,192 1,380 1,965
1851495147 GOODIS, MITCHELL 2021 FFS RENDERING AGE 21+ 580 3,920 46 86 516 2,607 313 315
1851495147 GOODIS, MITCHELL 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1851496335 CHING CLAYTON V 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1851496335 CHING CLAYTON V 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 0 0
1851497630 BATHEJA AMIT 2021 PHP RENDERING AGE 0-20 1 2 0 0 1 2 1 1
1851497630 BATHEJA AMIT 2021 PHP RENDERING AGE 21+ 53 143 0 0 29 39 47 48
1851499966 ONG, WILLIAM DDS 2021 FFS RENDERING AGE 0-20 350 2,653 331 1,165 141 363 328 456
1851499966 ONG, WILLIAM DDS 2021 FFS RENDERING AGE 21+ 973 7,168 675 1,348 689 2,903 745 745
1851500441 KRIPALANI, NISHA DDS 2021 FFS RENDERING AGE 0-20 50 363 35 98 17 82 46 55
1851500441 KRIPALANI, NISHA DDS 2021 FFS RENDERING AGE 21+ 99 687 47 49 54 229 84 85
1851503429 AKPINAR, REYHAN DDS 2021 FFS RENDERING AGE 0-20 870 8,784 470 1,435 464 958 705 845
1851503429 AKPINAR, REYHAN DDS 2021 FFS RENDERING AGE 21+ 1,000 6,842 115 234 472 1,035 722 723
1851504112 DOWAIDARI, MOHAMED KAYS, DDS 2021 FFS RENDERING AGE 0-20 185 4,568 164 1,624 104 854 161 414
1851504112 DOWAIDARI, MOHAMED KAYS, DDS 2021 FFS RENDERING AGE 21+ 544 11,286 414 1,640 406 5,950 473 972
1851504484 ORDILLAS-MANGRO JESUSA A 2021 FFS RENDERING AGE 0-20 34 208 11 33 15 70 21 21
1851504484 ORDILLAS-MANGRO JESUSA A 2021 FFS RENDERING AGE 21+ 122 488 21 36 65 212 70 70
1851505507 YU JACK T 2021 GMC RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1851505507 YU JACK T 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1851505507 YU JACK T 2021 PHP RENDERING AGE 21+ 13 30 0 0 1 2 13 13
1851522064 NGUYEN JULIE C 2021 FFS RENDERING AGE 0-20 1,532 10,715 1,158 2,949 883 2,161 1,059 1,087
1851523682 COUTO CRYSTIANE B 2021 FFS RENDERING AGE 0-20 71 77 0 0 17 20 0 0
1851523682 COUTO CRYSTIANE B 2021 PHP RENDERING AGE 21+ 1 1 1 1 1 1 0 0
1851524961 CABRERA MIRIAM R 2021 FFS RENDERING AGE 0-20 126 796 115 328 38 95 111 125
1851524961 CABRERA MIRIAM R 2021 FFS RENDERING AGE 21+ 287 1,753 167 328 192 809 210 210
1851524961 CABRERA MIRIAM R 2021 PHP RENDERING AGE 0-20 71 701 58 152 36 100 62 73
1851524961 CABRERA MIRIAM R 2021 PHP RENDERING AGE 21+ 216 1,782 42 77 157 685 182 194
1851526628 ESPEJO-CHHIT JENNIFER A 2021 FFS RENDERING AGE 0-20 13 95 1 2 1 1 1 1
1851526628 ESPEJO-CHHIT JENNIFER A 2021 FFS RENDERING AGE 21+ 15 63 1 1 12 25 1 1
1851527253 LE RYAN N 2021 FFS RENDERING AGE 0-20 18 99 1 2 1 2 13 13
1851527253 LE RYAN N 2021 FFS RENDERING AGE 21+ 56 192 0 0 46 157 1 1
1851527253 LE RYAN N 2021 PHP RENDERING AGE 0-20 153 954 113 295 59 225 111 128
1851527253 LE RYAN N 2021 PHP RENDERING AGE 21+ 369 1,382 34 41 177 583 257 264
1851527576 NG SERAN 2021 FFS RENDERING AGE 0-20 1,781 25,457 1,694 7,358 1,289 5,156 1,042 1,372
1851527576 NG SERAN 2021 FFS RENDERING AGE 21+ 142 1,171 121 240 56 139 125 125
1851527576 NG SERAN 2021 PHP RENDERING AGE 0-20 21 266 11 42 20 130 1 1
1851532568 OGAN ELENA 2021 GMC RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1851537039 KRUIZENGA MEGHANNE E 2021 FFS RENDERING AGE 0-20 230 1,807 201 587 145 351 199 212
1851537039 KRUIZENGA MEGHANNE E 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1851539464 MAKAR GEORGE E 2021 FFS RENDERING AGE 0-20 21 200 18 57 11 36 19 19
1851539464 MAKAR GEORGE E 2021 FFS RENDERING AGE 21+ 86 620 20 31 64 254 58 58
1851542294 NASIRI-ANSARI AMITISS 2021 FFS RENDERING AGE 0-20 44 409 34 82 24 99 38 44
1851542294 NASIRI-ANSARI AMITISS 2021 FFS RENDERING AGE 21+ 54 375 26 49 33 129 37 37
1851550248 KIM, JEFFREY DDS 2021 FFS RENDERING AGE 0-20 257 2,931 210 695 169 629 224 257
1851550248 KIM, JEFFREY DDS 2021 FFS RENDERING AGE 21+ 442 4,253 258 510 369 1,327 327 327
1851557532 DOMINICS JR LUIS R 2021 PHP RENDERING AGE 0-20 74 513 46 142 68 160 38 38
1851557532 DOMINICS JR LUIS R 2021 PHP RENDERING AGE 21+ 117 553 32 53 93 270 29 29
1851562102 JOSEPH SINAIRAD DDS INC 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1851562102 JOSEPH SINAIRAD DDS INC 2021 PHP RENDERING AGE 0-20 1 2 1 2 1 2 1 1
1851562102 JOSEPH SINAIRAD DDS INC 2021 PHP RENDERING AGE 21+ 12 66 1 1 11 45 1 1
1851562102 SINAIRAD, JOSEPH, DDS INC 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1851562102 SINAIRAD, JOSEPH, DDS INC 2021 PHP RENDERING AGE 0-20 1 2 1 2 1 2 1 1
1851562102 SINAIRAD, JOSEPH, DDS INC 2021 PHP RENDERING AGE 21+ 12 66 1 1 11 45 1 1
1851569735 GONZALEZ, ROLANDO DDS 2021 FFS RENDERING AGE 0-20 143 1,185 118 344 79 191 121 139
1851569735 GONZALEZ, ROLANDO DDS 2021 FFS RENDERING AGE 21+ 227 1,351 104 193 146 429 137 137
1851571764 KAUSHAL POONAM S 2021 FFS RENDERING AGE 0-20 1,441 11,363 1,270 5,281 495 770 1,385 1,652
1851571764 KAUSHAL POONAM S 2021 FFS RENDERING AGE 21+ 1,164 3,778 243 457 377 586 921 921
1851571764 KAUSHAL POONAM S 2021 PHP RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1851583983 GURSES NERGIS A 2021 FFS RENDERING AGE 0-20 313 2,957 294 907 64 145 286 369
1851583983 GURSES NERGIS A 2021 FFS RENDERING AGE 21+ 513 2,613 381 385 197 597 446 446
1851586093 LE THIMY D 2021 FFS RENDERING AGE 0-20 1 1 0 0 0 0 1 1
1851588297 TADLE GUIA C 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1851598015 FLORENDO JONATHAN M 2021 FFS RENDERING AGE 21+ 1 1 1 1 1 1 0 0
1851603625 PAKZAMIR DELARAM 2021 FFS RENDERING AGE 0-20 2,899 34,205 2,566 9,173 1,576 4,773 2,539 2,946
1851603625 PAKZAMIR DELARAM 2021 FFS RENDERING AGE 21+ 361 2,032 136 269 226 491 155 155
1851609333 ARROYO MERCEDES P 2021 FFS RENDERING AGE 0-20 577 6,198 434 1,247 304 882 466 558
1851609333 ARROYO MERCEDES P 2021 FFS RENDERING AGE 21+ 673 4,804 187 347 504 1,731 388 388
1851613715 ALINGOG RENE R 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1851617013 CODDINGTON KENNETH S 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 1 0 0
1851617013 CODDINGTON KENNETH S 2021 FFS RENDERING AGE 21+ 13 32 1 1 11 26 0 0
1851617013 CODDINGTON KENNETH S 2021 PHP RENDERING AGE 21+ 1 1 1 1 1 1 0 0
1851623672 TSAI JESSICA I 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1851637144 PANNU SUMEET 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1851637144 PANNU SUMEET 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1851688626 HOUSKE JR CHESLEY R 2021 FFS RENDERING AGE 0-20 1 2 1 1 0 0 1 1
1851688626 HOUSKE JR CHESLEY R 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1851696587 WEI CHANG, YEH 2021 FFS RENDERING AGE 0-20 237 384 1 1 44 138 0 0
1851698245 MOORE, AMY, RDHAP 2021 FFS RENDERING AGE 21+ 204 2,101 181 433 204 1,668 0 0
1851698484 RYAN WATKINS DDS INC 2021 FFS RENDERING AGE 0-20 1 1 1 1 1 1 0 0
1851705560 NIGOGHOSIAN HARRY V 2021 FFS RENDERING AGE 0-20 27 230 16 34 17 92 23 24
1851705560 NIGOGHOSIAN HARRY V 2021 FFS RENDERING AGE 21+ 154 667 29 53 68 268 109 109
1851715924 MARAIS, PHILIP G, DDS 2021 FFS RENDERING AGE 0-20 35 236 31 80 1 1 30 40
1851715924 MARAIS, PHILIP G, DDS 2021 FFS RENDERING AGE 21+ 78 373 48 94 30 101 64 64
1851723472 PATEL MILI R 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1851724629 AMINI FARNAZ 2021 FFS RENDERING AGE 0-20 260 2,832 252 1,058 83 165 253 329
1851724629 AMINI FARNAZ 2021 FFS RENDERING AGE 21+ 264 2,588 160 328 196 986 198 202
1851724629 AMINI FARNAZ 2021 PHP RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1851724686 EGHLIMI NILOUFAR 2021 FFS RENDERING AGE 0-20 77 370 37 125 27 78 58 59
1851724686 EGHLIMI NILOUFAR 2021 FFS RENDERING AGE 21+ 165 553 14 23 88 268 112 112
1851725030 BAYAT SHAYAN M 2021 FFS RENDERING AGE 0-20 966 8,465 735 2,923 78 128 882 976
1851725030 BAYAT SHAYAN M 2021 FFS RENDERING AGE 21+ 2,652 20,412 477 952 1,489 4,301 1,776 1,778
1851725436 TU TOM K 2021 PHP RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1851725436 TU TOM K 2021 PHP RENDERING AGE 21+ 25 132 16 35 18 39 11 11
1851763569 CHOI EUNICE 2021 FFS RENDERING AGE 0-20 22 161 13 29 12 36 13 13
1851763569 CHOI EUNICE 2021 FFS RENDERING AGE 21+ 71 306 1 1 67 257 1 1
1851765069 MINOOFAR MAZIAR 2021 FFS RENDERING AGE 0-20 39 400 28 93 21 46 32 32
1851765069 MINOOFAR MAZIAR 2021 FFS RENDERING AGE 21+ 26 131 1 2 17 40 1 1
1851774285 BRAR ARPANPREET K 2021 FFS RENDERING AGE 0-20 49 315 27 71 18 60 41 46
1851774285 BRAR ARPANPREET K 2021 FFS RENDERING AGE 21+ 368 1,452 71 106 154 472 282 283
1851774285 BRAR ARPANPREET K 2021 GMC RENDERING AGE 0-20 14 44 1 1 12 16 1 1
1851774285 BRAR ARPANPREET K 2021 GMC RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1851777510 CHANG MICHAEL W 2021 FFS RENDERING AGE 0-20 3,658 42,219 3,268 10,557 1,952 4,686 3,200 3,400
1851777510 CHANG MICHAEL W 2021 FFS RENDERING AGE 21+ 204 1,544 96 196 94 282 148 149
1851784268 LEE ALEXANDER W 2021 FFS RENDERING AGE 0-20 230 1,874 181 539 153 392 183 217
1851791131 LIM DOO Y 2021 FFS RENDERING AGE 0-20 129 1,443 104 316 103 569 98 104
1851791131 LIM DOO Y 2021 FFS RENDERING AGE 21+ 763 8,680 360 705 719 6,081 407 407
1851831416 LEE KIRA C 2021 FFS RENDERING AGE 0-20 31 123 1 2 26 65 1 1
1851831416 LEE KIRA C 2021 PHP RENDERING AGE 0-20 1 2 1 2 1 2 1 1
1851832703 MENESES ZAMBRAN ANA P 2021 FFS RENDERING AGE 0-20 216 550 1 1 209 297 18 18
1851832703 MENESES ZAMBRAN ANA P 2021 FFS RENDERING AGE 21+ 825 2,177 0 0 786 1,120 59 59
1851832703 MENESES ZAMBRAN ANA P 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 1 1
1851832703 MENESES ZAMBRAN ANA P 2021 PHP RENDERING AGE 21+ 68 106 0 0 33 38 49 52
1851865349 WESTERN DENTAL SERVICES INC 2021 PHP RENDERING AGE 0-20 546 4,322 381 1,786 139 169 422 456
1851865349 WESTERN DENTAL SERVICES INC 2021 PHP RENDERING AGE 21+ 468 1,669 81 205 286 390 188 189
1851865349 WESTERN DENTAL SERVICES, INC. 2021 PHP RENDERING AGE 0-20 546 4,322 381 1,786 139 169 422 456
1851865349 WESTERN DENTAL SERVICES, INC. 2021 PHP RENDERING AGE 21+ 468 1,669 81 205 286 390 188 189
1851873434 AZARI NEGIN N 2021 FFS RENDERING AGE 0-20 132 490 75 163 73 141 38 38
1851873434 AZARI NEGIN N 2021 FFS RENDERING AGE 21+ 137 405 24 43 90 167 40 40
1851873434 AZARI NEGIN N 2021 PHP RENDERING AGE 0-20 16 55 1 2 1 2 1 1
1851873434 AZARI NEGIN N 2021 PHP RENDERING AGE 21+ 33 95 1 1 28 75 1 1
1851878045 TAGLE-CASTRO PA MARIA J 2021 FFS RENDERING AGE 0-20 783 4,874 594 1,695 345 787 656 841
1851878045 TAGLE-CASTRO PA MARIA J 2021 FFS RENDERING AGE 21+ 1,089 4,657 271 396 622 1,976 743 747
1851878045 TAGLE-CASTRO PA MARIA J 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1851887012 MOON SCOTT D 2021 FFS RENDERING AGE 0-20 143 1,085 119 260 55 212 123 137
1851887012 MOON SCOTT D 2021 FFS RENDERING AGE 21+ 508 4,953 312 506 375 2,102 346 348
1851901151 BEHNAM ALEX 2021 FFS RENDERING AGE 0-20 29 110 18 38 1 1 22 22
1851901151 BEHNAM ALEX 2021 FFS RENDERING AGE 21+ 34 76 1 1 1 2 18 18
1851901151 BEHNAM ALEX 2021 PHP RENDERING AGE 0-20 19 54 11 25 1 1 15 15
1851901151 BEHNAM ALEX 2021 PHP RENDERING AGE 21+ 13 24 1 1 1 1 1 1
1851926596 KINSER TRAVIS W 2021 FFS RENDERING AGE 0-20 214 479 0 0 214 428 0 0
1851940126 BARAKAZYAN ARTUR 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1851953418 LIN YANGDA 2021 FFS RENDERING AGE 0-20 384 1,656 183 456 131 243 273 274
1851953418 LIN YANGDA 2021 FFS RENDERING AGE 21+ 463 1,244 60 117 169 309 285 285
1851953418 LIN YANGDA 2021 PHP RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1851953418 LIN YANGDA 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1851984546 KANG JIMIN K 2021 FFS RENDERING AGE 0-20 433 794 0 0 165 343 0 0
1851984546 KANG JIMIN K 2021 FFS RENDERING AGE 21+ 34 35 0 0 0 0 0 0
1851984546 KANG JIMIN K 2021 GMC RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1851985014 BARIA DIVYANA R 2021 FFS RENDERING AGE 0-20 19 60 1 1 17 58 0 0
1851985014 BARIA DIVYANA R 2021 FFS RENDERING AGE 21+ 141 532 0 0 141 532 0 0
1851987549 ELSEMARY & SALEM DENTAL CORP 2021 FFS RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1851987549 ELSEMARY AND SALEM DENTAL CORPORATION 2021 FFS RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1851991152 DANDEMPALLY ARTHI 2021 FFS RENDERING AGE 0-20 1,288 21,468 1,132 3,840 642 2,957 1,232 1,646
1861001885 BERGER ROBERT E 2021 FFS RENDERING AGE 0-20 45 55 0 0 1 1 0 0
1861030900 MIKHAIL LILIAN A 2021 FFS RENDERING AGE 0-20 1,172 8,517 969 3,593 602 1,425 1,004 1,064
1861030900 MIKHAIL LILIAN A 2021 FFS RENDERING AGE 21+ 773 2,555 127 239 305 664 565 566
1861030900 MIKHAIL LILIAN A 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1861035651 MELIK-BAKHSHYAN RIMA 2021 FFS RENDERING AGE 0-20 104 658 70 214 59 131 76 76
1861035651 MELIK-BAKHSHYAN RIMA 2021 FFS RENDERING AGE 21+ 129 575 53 105 91 204 70 70
1861065211 SAHNI KARAN D 2021 FFS RENDERING AGE 0-20 167 512 12 14 76 155 116 116
1861065211 SAHNI KARAN D 2021 FFS RENDERING AGE 21+ 343 1,137 0 0 173 441 211 212
1861089120 ZEKI ROULA K 2021 FFS RENDERING AGE 0-20 2,827 32,242 2,106 6,299 2,081 9,235 2,170 2,408
1861089120 ZEKI ROULA K 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1861091167 LEE CLARE H 2021 FFS RENDERING AGE 0-20 2,129 12,482 899 1,988 1,571 3,438 881 919
1861091167 LEE CLARE H 2021 FFS RENDERING AGE 21+ 57 313 21 42 47 88 18 18
1861166597 RODMAN MATTHEW J 2021 FFS RENDERING AGE 0-20 29 131 15 33 16 26 15 15
1861166597 RODMAN MATTHEW J 2021 FFS RENDERING AGE 21+ 63 243 12 24 49 97 21 21
1861402737 LEE JU-YOUNG 2021 FFS RENDERING AGE 0-20 623 8,246 586 2,016 216 593 591 809
1861402737 LEE JU-YOUNG 2021 FFS RENDERING AGE 21+ 665 3,584 205 363 382 1,166 427 431
1861402737 LEE JU-YOUNG 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1861406712 RUDASHEVSKY, YEVGENY, DDS 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1861406712 RUDASHEVSKY, YEVGENY, DDS 2021 FFS RENDERING AGE 21+ 60 345 38 38 44 154 34 34
1861422529 AMIGON REMEDIOS A 2021 PHP RENDERING AGE 0-20 80 533 39 67 76 244 36 40
1861422529 AMIGON REMEDIOS A 2021 PHP RENDERING AGE 21+ 109 539 1 2 105 356 1 1
1861426827 BEGINO RUBEN H 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1861426827 BEGINO RUBEN H 2021 FFS RENDERING AGE 21+ 20 73 0 0 20 73 0 0
1861440836 STRINGER DALE E 2021 FFS RENDERING AGE 0-20 137 500 0 0 68 303 90 90
1861440836 STRINGER DALE E 2021 FFS RENDERING AGE 21+ 126 479 0 0 64 298 87 87
1861458713 THAKUR, BHAVANA, DDS 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 2 1 1
1861458713 THAKUR, BHAVANA, DDS 2021 FFS RENDERING AGE 21+ 160 1,098 124 247 85 285 140 140
1861487985 RAMIREZ MINH PHUONG N 2021 FFS RENDERING AGE 0-20 2,035 36,232 2,010 11,419 929 2,106 2,009 3,798
1861487985 RAMIREZ MINH PHUONG N 2021 FFS RENDERING AGE 21+ 1 2 1 1 0 0 1 1
1861500480 PHAN PHUOC H 2021 FFS RENDERING AGE 0-20 186 608 0 0 181 298 25 25
1861500480 PHAN PHUOC H 2021 FFS RENDERING AGE 21+ 906 3,230 0 0 902 1,412 1 1
1861500480 PHAN PHUOC H 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1861500480 PHAN PHUOC H 2021 PHP RENDERING AGE 21+ 82 214 0 0 59 96 50 51
1861508764 JONES, JULIUS R, DDS 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1861508764 JONES, JULIUS R, DDS 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1861510570 BLAKE JOHN L 2021 FFS RENDERING AGE 0-20 865 4,483 826 2,666 608 880 42 42
1861510570 BLAKE JOHN L 2021 FFS RENDERING AGE 21+ 1 1 1 1 1 1 0 0
1861510570 BLAKE JOHN L 2021 PHP RENDERING AGE 0-20 1 1 1 1 1 1 1 1
1861511420 NGUYEN, KENNETH THI DDS 2021 FFS RENDERING AGE 0-20 82 567 75 183 42 135 67 74
1861511420 NGUYEN, KENNETH THI DDS 2021 FFS RENDERING AGE 21+ 124 735 94 94 82 321 96 96
1861512428 BANDALA JOSE L 2021 GMC RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1861520215 DOVALI MARTHA E 2021 FFS RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1861521577 NGUYEN DIANE D 2021 FFS RENDERING AGE 0-20 161 2,513 154 656 111 422 155 202
1861521577 NGUYEN DIANE D 2021 FFS RENDERING AGE 21+ 398 4,285 276 611 344 2,000 301 301
1861521692 FRENCH, MICHAEL L, DDS 2021 FFS RENDERING AGE 0-20 195 1,499 167 470 80 249 164 184
1861521692 FRENCH, MICHAEL L, DDS 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 0 0
1861521874 EINOLLAHI, VAHID, DDS 2021 FFS RENDERING AGE 0-20 210 2,026 179 597 107 391 171 230
1861521874 EINOLLAHI, VAHID, DDS 2021 FFS RENDERING AGE 21+ 219 1,876 82 97 163 940 148 148
1861523482 TRAN PAULINE P 2021 FFS RENDERING AGE 0-20 41 453 40 115 16 51 37 46
1861523482 TRAN PAULINE P 2021 FFS RENDERING AGE 21+ 152 999 69 69 108 360 114 114
1861530461 CAMHI ROBERT A 2021 FFS RENDERING AGE 0-20 1,675 4,798 1 1 1,552 1,603 125 136
1861530461 CAMHI ROBERT A 2021 FFS RENDERING AGE 21+ 4,151 12,785 1 1 3,801 4,021 384 384
1861531618 LINARES, FLORIDALMA DDS 2021 FFS RENDERING AGE 0-20 73 830 66 233 27 92 67 69
1861531618 LINARES, FLORIDALMA DDS 2021 FFS RENDERING AGE 21+ 241 1,816 89 176 148 598 173 173
1861537516 KASHANI JAMSHID A 2021 FFS RENDERING AGE 0-20 154 1,498 134 351 55 146 151 193
1861537516 KASHANI JAMSHID A 2021 FFS RENDERING AGE 21+ 231 1,229 128 237 109 274 184 185
1861542268 SOE KYAW K 2021 FFS RENDERING AGE 0-20 162 1,909 158 781 13 28 152 233
1861542268 SOE KYAW K 2021 FFS RENDERING AGE 21+ 152 1,393 136 271 29 40 139 139
1861543092 NADERI SARA Z 2021 FFS RENDERING AGE 0-20 31 226 31 81 13 36 27 36
1861543092 NADERI SARA Z 2021 FFS RENDERING AGE 21+ 65 278 36 48 34 95 39 39
1861545170 RAJABIAN REZA 2021 GMC RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1861546020 WONG SAMUEL S 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1861546020 WONG SAMUEL S 2021 FFS RENDERING AGE 21+ 21 134 11 22 1 2 1 1
1861552176 PATEL, ARSHOK RAMAN DDS 2021 FFS RENDERING AGE 0-20 452 4,435 426 1,329 163 543 409 595
1861552176 PATEL, ARSHOK RAMAN DDS 2021 FFS RENDERING AGE 21+ 538 3,871 273 280 376 2,079 447 455
1861552812 ISSUED IN ERROR 2021 FFS RENDERING AGE 0-20 431 2,573 411 896 129 376 411 552
1861552812 ISSUED IN ERROR 2021 FFS RENDERING AGE 21+ 905 3,119 572 572 361 877 418 418
1861560104 KALANDOOR, MANGALA DDS 2021 FFS RENDERING AGE 0-20 139 1,628 134 629 62 212 135 189
1861560104 KALANDOOR, MANGALA DDS 2021 FFS RENDERING AGE 21+ 422 3,266 367 729 215 890 379 379
1861560120 HADADEEN ZAIDOON M 2021 FFS RENDERING AGE 0-20 137 1,315 90 291 101 283 117 124
1861560120 HADADEEN ZAIDOON M 2021 FFS RENDERING AGE 21+ 240 1,183 74 145 185 528 124 124
1861560443 GUSILATAR RICHARD P 2021 FFS RENDERING AGE 0-20 120 1,240 85 223 75 239 85 98
1861560443 GUSILATAR RICHARD P 2021 FFS RENDERING AGE 21+ 418 3,435 190 341 331 1,293 236 236
1861562837 LIU, VIVIAN C, DDS 2021 FFS RENDERING AGE 0-20 84 665 83 272 25 49 83 101
1861567349 LEE, KANG Y, DDS 2021 FFS RENDERING AGE 0-20 198 591 62 163 86 138 112 113
1861567349 LEE, KANG Y, DDS 2021 FFS RENDERING AGE 21+ 489 983 29 45 292 518 204 204
1861573339 MEIGS ANA M 2021 FFS RENDERING AGE 0-20 113 1,105 102 366 54 207 109 150
1861573339 MEIGS ANA M 2021 FFS RENDERING AGE 21+ 335 2,167 223 444 204 876 293 293
1861582801 LEE SEONG W 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1861582801 LEE SEONG W 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1861588063 DHILLON, SONIA, DDS 2021 FFS RENDERING AGE 0-20 125 1,380 118 554 37 97 117 171
1861588063 DHILLON, SONIA, DDS 2021 FFS RENDERING AGE 21+ 50 267 40 76 1 2 37 37
1861591844 AU, VERNON T K, DDS 2021 FFS RENDERING AGE 21+ 1 1 1 1 1 1 0 0
1861600124 SHRESTHA ROSI 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1861600322 MARASHI NILOFAR 2021 FFS RENDERING AGE 0-20 3,119 40,317 2,948 10,844 2,141 6,063 2,946 3,607
1861600322 MARASHI NILOFAR 2021 FFS RENDERING AGE 21+ 1 2 1 2 1 2 1 1
1861600322 MARASHI NILOFAR 2021 PHP RENDERING AGE 0-20 1 1 1 1 1 1 1 1
1861603615 NGUYEN TRACY T 2021 FFS RENDERING AGE 0-20 131 1,299 124 438 28 46 124 156
1861603615 NGUYEN TRACY T 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1861605339 JACKSON, MELODY L, RDHAP 2021 FFS RENDERING AGE 0-20 1 2 1 2 0 0 0 0
1861605339 JACKSON, MELODY L, RDHAP 2021 FFS RENDERING AGE 21+ 44 94 44 86 1 1 0 0
1861606758 WU, LAWRENCE, DDS 2021 FFS RENDERING AGE 0-20 188 3,182 184 970 34 292 183 472
1861606758 WU, LAWRENCE, DDS 2021 FFS RENDERING AGE 21+ 260 3,434 214 852 59 276 246 492
1861608358 KUO ELISA L 2021 FFS RENDERING AGE 0-20 100 684 97 314 38 84 98 156
1861608358 KUO ELISA L 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1861608671 KIM, KENNETH HYON MO DDS 2021 FFS RENDERING AGE 0-20 180 898 145 324 29 74 174 188
1861608671 KIM, KENNETH HYON MO DDS 2021 FFS RENDERING AGE 21+ 116 488 93 94 53 115 100 100
1861612020 NAFTALIN LEONARD W 2021 FFS RENDERING AGE 0-20 299 941 0 0 299 941 0 0
1861612020 NAFTALIN LEONARD W 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 2 0 0
1861612954 HASHEM, MD ABUL, DDS 2021 FFS RENDERING AGE 0-20 31 188 30 67 13 32 24 27
1861612954 HASHEM, MD ABUL, DDS 2021 FFS RENDERING AGE 21+ 127 770 78 78 85 366 86 86
1861616195 COHEN-SEDGH, SOL, DENTAL COR 2021 PHP RENDERING AGE 0-20 33 94 12 27 1 1 11 11
1861616195 COHEN-SEDGH, SOL, DENTAL COR 2021 PHP RENDERING AGE 21+ 25 70 1 1 1 2 1 1
1861616500 CHEN JEFFREY C 2021 FFS RENDERING AGE 0-20 13 56 12 30 1 1 12 15
1861616500 CHEN JEFFREY C 2021 FFS RENDERING AGE 21+ 57 248 36 72 25 39 42 42
1861624389 NEFT AMBER L 2021 PHP RENDERING AGE 0-20 157 1,478 153 624 137 260 79 88
1861624389 NEFT AMBER L 2021 PHP RENDERING AGE 21+ 236 1,497 156 357 225 482 82 83
1861624645 ZAISER, SEREANA, RDHAP 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 0 0
1861632010 MARDIROSIAN ARMEN 2021 FFS RENDERING AGE 0-20 42 472 38 149 24 53 40 51
1861632010 MARDIROSIAN ARMEN 2021 FFS RENDERING AGE 21+ 148 1,175 20 39 121 679 109 109
1861632010 MARDIROSIAN ARMEN 2021 PHP RENDERING AGE 0-20 88 630 71 256 21 56 84 102
1861632010 MARDIROSIAN ARMEN 2021 PHP RENDERING AGE 21+ 46 231 1 2 37 81 28 31
1861632234 BYRNES MARILUCI C 2021 FFS RENDERING AGE 0-20 686 5,913 624 2,005 441 1,164 501 575
1861640302 MAKHMALBAF ALI O 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 2 1 1
1861640302 MAKHMALBAF ALI O 2021 FFS RENDERING AGE 21+ 29 135 1 1 11 63 18 18
1861640302 MAKHMALBAF ALI O 2021 PHP RENDERING AGE 0-20 21 121 19 56 1 1 20 22
1861640302 MAKHMALBAF ALI O 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1861646689 RIZI EFTEKHARI, MINA DDS 2021 FFS RENDERING AGE 0-20 1,486 17,041 1,306 4,079 707 3,333 1,304 1,460
1861646689 RIZI EFTEKHARI, MINA DDS 2021 FFS RENDERING AGE 21+ 547 4,361 324 634 351 1,346 344 344
1861648941 TRINH KAREN N 2021 FFS RENDERING AGE 0-20 537 2,908 456 964 190 410 418 459
1861648941 TRINH KAREN N 2021 FFS RENDERING AGE 21+ 526 2,473 209 233 259 682 216 216
1861649790 HAN THEO M 2021 FFS RENDERING AGE 0-20 331 2,834 309 766 67 150 305 368
1861649790 HAN THEO M 2021 FFS RENDERING AGE 21+ 318 2,491 213 213 148 460 226 226
1861652935 UDALL BROOK M 2021 GMC RENDERING AGE 0-20 1 1 1 1 1 1 0 0
1861655417 LUCERO, MARTHA R, DDS 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 1 1 2
1861655417 LUCERO, MARTHA R, DDS 2021 FFS RENDERING AGE 21+ 13 80 1 1 1 2 1 1
1861662603 BANGSIL, LEA 2021 FFS RENDERING AGE 0-20 64 684 47 121 36 143 56 62
1861662603 BANGSIL, LEA 2021 FFS RENDERING AGE 21+ 103 798 1 2 77 357 65 65
1861669533 HUQ SYEDA S 2021 FFS RENDERING AGE 0-20 255 1,344 118 340 174 380 145 149
1861669533 HUQ SYEDA S 2021 FFS RENDERING AGE 21+ 339 1,389 55 109 235 592 179 186
1861689408 MAHER RAMIN 2021 FFS RENDERING AGE 0-20 754 7,717 696 2,425 468 1,243 591 731
1861689408 MAHER RAMIN 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1861689721 FARKAS, DAVID E, DDS 2021 FFS RENDERING AGE 0-20 178 1,244 130 389 63 134 150 172
1861689721 FARKAS, DAVID E, DDS 2021 FFS RENDERING AGE 21+ 304 1,663 69 69 163 593 253 253
1861698813 LI DAVID Y 2021 FFS RENDERING AGE 0-20 116 668 108 286 25 48 105 132
1861698813 LI DAVID Y 2021 FFS RENDERING AGE 21+ 828 4,530 703 1,399 377 1,015 718 718
1861699167 FRANCO ZORRO DIANA M 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1861704124 FOGARTY KATIE W 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1861704124 FOGARTY KATIE W 2021 FFS RENDERING AGE 21+ 13 28 0 0 1 2 1 1
1861710378 REDDEN VALENTINA 2021 FFS RENDERING AGE 0-20 184 1,722 167 509 67 195 161 220
1861710378 REDDEN VALENTINA 2021 FFS RENDERING AGE 21+ 250 2,257 161 291 179 812 181 181
1861710378 REDDEN VALENTINA 2021 PHP RENDERING AGE 0-20 21 207 20 80 1 2 20 25
1861710378 REDDEN VALENTINA 2021 PHP RENDERING AGE 21+ 30 172 26 45 15 59 27 29
1861723942 HAKIM DAVID L 2021 FFS RENDERING AGE 0-20 1 2 0 0 1 1 1 1
1861723942 HAKIM DAVID L 2021 FFS RENDERING AGE 21+ 76 182 0 0 74 160 1 1
1861730343 SHARMA NIVEDITA 2021 FFS RENDERING AGE 0-20 1 2 0 0 1 2 0 0
1861730343 SHARMA NIVEDITA 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 2 0 0
1861732034 BAYARDO LUIS 2021 FFS RENDERING AGE 0-20 383 4,911 355 1,404 190 705 364 499
1861732034 BAYARDO LUIS 2021 FFS RENDERING AGE 21+ 583 4,669 398 413 385 1,505 472 474
1861732034 BAYARDO LUIS 2021 PHP RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1861756553 YANG WENDY 2021 FFS RENDERING AGE 0-20 1,771 13,877 1,202 3,385 1,100 3,630 1,072 1,098
1861756553 YANG WENDY 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1861764318 TORBATI SHAILA 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1861771909 LAI YU-CHING 2021 FFS RENDERING AGE 0-20 160 189 0 0 17 27 0 0
1861771909 LAI YU-CHING 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1861780181 NAYYAR AMIT 2021 FFS RENDERING AGE 0-20 210 3,068 202 703 96 281 199 262
1861780181 NAYYAR AMIT 2021 FFS RENDERING AGE 21+ 235 2,193 175 346 177 801 192 192
1861786154 DHILLON SUKHJINDER S 2021 FFS RENDERING AGE 0-20 1 1 1 1 1 1 0 0
1861786154 DHILLON SUKHJINDER S 2021 FFS RENDERING AGE 21+ 42 152 1 1 38 135 1 1
1861786154 DHILLON SUKHJINDER S 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1861789513 COHEN SEDGH MANAVI & PAKRAVA 2021 GMC RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1861789513 COHEN SEDGH MANAVI & PAKRAVA 2021 PHP RENDERING AGE 0-20 52 193 18 35 1 2 25 28
1861789513 COHEN SEDGH MANAVI & PAKRAVA 2021 PHP RENDERING AGE 21+ 86 308 23 31 19 53 27 28
1861789513 COHEN SEDGH, MANAVI & PAKRAVAN DENTAL CORPORATION 2021 GMC RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1861789513 COHEN SEDGH, MANAVI & PAKRAVAN DENTAL CORPORATION 2021 PHP RENDERING AGE 0-20 52 193 18 35 1 2 25 28
1861789513 COHEN SEDGH, MANAVI & PAKRAVAN DENTAL CORPORATION 2021 PHP RENDERING AGE 21+ 86 308 23 31 19 53 27 28
1861789968 ZHOU BING 2021 FFS RENDERING AGE 0-20 183 2,098 137 530 110 362 138 147
1861789968 ZHOU BING 2021 FFS RENDERING AGE 21+ 762 8,440 454 912 596 2,564 498 498
1861789968 ZHOU BING 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 1 1
1861789968 ZHOU BING 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1861805954 CHOI WESLEY W 2021 FFS RENDERING AGE 0-20 15 85 14 42 1 1 13 13
1861825895 SPIVAK STEVEN R 2021 FFS RENDERING AGE 0-20 230 1,785 212 819 96 190 209 240
1861825895 SPIVAK STEVEN R 2021 FFS RENDERING AGE 21+ 412 2,396 160 297 309 1,089 224 226
1861833998 DR KERI A PROFESSIONAL CORPO 2021 FFS RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1861839243 LORENZ BROCK J 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1861851453 JIMENEZ ALEJANDRO 2021 FFS RENDERING AGE 0-20 156 1,526 128 483 58 133 136 158
1861851453 JIMENEZ ALEJANDRO 2021 FFS RENDERING AGE 21+ 227 1,224 59 114 148 481 151 151
1861851628 LU STEVEN 2021 FFS RENDERING AGE 21+ 52 66 0 0 52 66 0 0
1861860975 BACHOUR OLGA 2021 FFS RENDERING AGE 0-20 385 2,401 371 781 46 75 370 377
1861860975 BACHOUR OLGA 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1861869976 WAHEED MARYAM 2021 FFS RENDERING AGE 0-20 96 898 77 211 43 116 90 112
1861869976 WAHEED MARYAM 2021 FFS RENDERING AGE 21+ 224 1,590 74 122 138 516 175 179
1861881021 HE JULIE Z 2021 FFS RENDERING AGE 0-20 3,322 38,305 3,105 11,205 2,127 5,232 3,095 3,515
1861881021 HE JULIE Z 2021 FFS RENDERING AGE 21+ 14 113 1 2 1 2 1 1
1861881021 HE JULIE Z 2021 PHP RENDERING AGE 0-20 1 1 1 1 1 1 1 1
1861893844 ST JOHN'S WELL CHILD & FAMIL 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 0 0
1861893844 ST JOHN'S WELL CHILD & FAMIL 2021 PHP RENDERING AGE 21+ 1 2 1 2 1 1 1 1
1861893844 ST JOHNS WELL CHILD 2021 PHP RENDERING AGE 0-20 1 2 1 2 1 2 0 0
1861893844 ST JOHNS WELL CHILD 2021 PHP RENDERING AGE 21+ 1 2 1 2 1 2 1 2
1861894529 CHO EUNMEE L 2021 FFS RENDERING AGE 0-20 1,455 17,821 1,333 6,799 1,233 5,470 1,311 1,725
1861894529 CHO EUNMEE L 2021 FFS RENDERING AGE 21+ 341 3,166 178 492 312 1,646 177 177
1861895088 CHOI JEREMIAH J 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1861895088 CHOI JEREMIAH J 2021 FFS RENDERING AGE 21+ 28 91 0 0 28 91 0 0
1861899627 DUNLAP LUZ N 2021 FFS RENDERING AGE 0-20 192 806 29 72 156 351 179 183
1861899627 DUNLAP LUZ N 2021 FFS RENDERING AGE 21+ 176 571 30 30 124 357 96 96
1861912909 MIN DAVID W 2021 FFS RENDERING AGE 0-20 16 187 16 37 1 2 16 16
1861912909 MIN DAVID W 2021 FFS RENDERING AGE 21+ 24 144 1 2 11 18 1 1
1861912909 MIN DAVID W 2021 PHP RENDERING AGE 21+ 1 1 1 1 1 1 0 0
1861918831 ABNER EMIL 2021 FFS RENDERING AGE 0-20 712 6,906 529 1,204 296 758 561 622
1861918831 ABNER EMIL 2021 FFS RENDERING AGE 21+ 891 4,916 256 427 453 1,130 488 488
1861918831 ABNER EMIL 2021 PHP RENDERING AGE 0-20 26 127 11 37 15 29 1 1
1861918831 ABNER EMIL 2021 PHP RENDERING AGE 21+ 24 82 1 1 17 36 1 1
1861921413 ALMUSAWI, MAHA, DDS INC 2021 GMC RENDERING AGE 0-20 439 4,814 419 2,073 293 500 418 481
1861928426 JOSEFSSON EVALINA 2021 FFS RENDERING AGE 0-20 2,010 17,843 1,581 5,429 1,415 6,073 1,436 1,602
1861928426 JOSEFSSON EVALINA 2021 PHP RENDERING AGE 0-20 92 843 44 148 89 609 1 1
1861955809 FARAHANI MAHSHID A 2021 FFS RENDERING AGE 0-20 136 761 32 69 133 436 1 1
1861955809 FARAHANI MAHSHID A 2021 FFS RENDERING AGE 21+ 33 134 0 0 33 79 0 0
1861955809 FARAHANI MAHSHID A 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1861957870 KIM DIANA M 2021 FFS RENDERING AGE 0-20 131 1,445 97 288 81 290 112 126
1861957870 KIM DIANA M 2021 FFS RENDERING AGE 21+ 231 1,942 73 114 188 850 149 151
1861968919 CHOW DAVID L 2021 FFS RENDERING AGE 0-20 673 2,937 414 994 264 626 365 367
1861968919 CHOW DAVID L 2021 FFS RENDERING AGE 21+ 1,288 4,255 304 563 672 1,698 605 605
1861968919 CHOW DAVID L 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1861971616 HAZIM FARAH I 2021 FFS RENDERING AGE 0-20 254 2,367 200 568 134 444 187 202
1861971616 HAZIM FARAH I 2021 FFS RENDERING AGE 21+ 433 2,443 174 363 268 694 267 273
1861978454 VENKATESH ANCHITA 2021 FFS RENDERING AGE 0-20 15 29 0 0 15 21 1 1
1861978454 VENKATESH ANCHITA 2021 FFS RENDERING AGE 21+ 307 777 20 21 258 426 70 70
1871004531 KIM AHREUM 2021 FFS RENDERING AGE 0-20 205 2,878 189 601 80 374 203 286
1871004531 KIM AHREUM 2021 FFS RENDERING AGE 21+ 496 5,729 299 491 341 2,141 369 369
1871029603 JAVIER VALADEZ, DDS, INC. 2021 FFS RENDERING AGE 21+ 24 76 1 1 19 57 1 1
1871035840 TOY DOUGLAS D 2021 FFS RENDERING AGE 0-20 140 599 52 147 49 146 88 89
1871035840 TOY DOUGLAS D 2021 FFS RENDERING AGE 21+ 286 756 38 69 159 363 112 112
1871035840 TOY DOUGLAS D 2021 PHP RENDERING AGE 0-20 1 2 0 0 1 1 0 0
1871035840 TOY DOUGLAS D 2021 PHP RENDERING AGE 21+ 1 2 0 0 1 2 1 1
1871046797 RIVERA RICARDO A 2021 FFS RENDERING AGE 0-20 1,200 16,434 1,074 4,086 723 2,147 1,074 1,334
1871046797 RIVERA RICARDO A 2021 FFS RENDERING AGE 21+ 398 3,846 216 429 306 1,495 265 265
1871046797 RIVERA RICARDO A 2021 PHP RENDERING AGE 0-20 39 297 36 107 15 47 36 41
1871046797 RIVERA RICARDO A 2021 PHP RENDERING AGE 21+ 36 174 19 38 21 65 24 24
1871072736 PEREIRA MARIANA D 2021 PHP RENDERING AGE 0-20 102 695 61 153 91 214 62 62
1871072736 PEREIRA MARIANA D 2021 PHP RENDERING AGE 21+ 131 553 1 2 108 324 17 17
1871085670 DHILLON RANDEEP S 2021 FFS RENDERING AGE 0-20 183 1,249 136 556 101 179 116 128
1871085670 DHILLON RANDEEP S 2021 FFS RENDERING AGE 21+ 259 1,098 60 117 192 583 121 121
1871091173 MANN, SANDEEP KAUR, RDHAP 2021 FFS RENDERING AGE 21+ 1 1 1 1 1 1 0 0
1871103119 ALPATTY RONDA 2021 FFS RENDERING AGE 0-20 46 134 33 78 18 32 0 0
1871103119 ALPATTY RONDA 2021 FFS RENDERING AGE 21+ 22 36 1 1 14 16 0 0
1871103358 AZDAIR JAMIE A 2021 FFS RENDERING AGE 0-20 53 437 36 78 31 68 36 36
1871103358 AZDAIR JAMIE A 2021 FFS RENDERING AGE 21+ 60 376 15 30 47 121 26 26
1871107193 TUTUNARU EUGEN 2021 GMC RENDERING AGE 0-20 478 4,877 417 1,471 220 390 415 482
1871107193 TUTUNARU EUGEN 2021 GMC RENDERING AGE 21+ 732 4,642 349 679 440 968 488 492
1871107201 HOANG JONATHAN V 2021 FFS RENDERING AGE 0-20 252 2,409 191 568 149 586 202 202
1871107201 HOANG JONATHAN V 2021 FFS RENDERING AGE 21+ 221 1,366 91 173 155 495 166 166
1871108647 SAGHIAN DAVID 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1871118844 HAKOBYAN ZARUHI 2021 FFS RENDERING AGE 0-20 1,412 14,521 1,287 4,973 1,051 3,284 1,304 1,635
1871127704 LEE BRIAN 2021 FFS RENDERING AGE 0-20 80 333 51 119 29 52 41 41
1871127704 LEE BRIAN 2021 FFS RENDERING AGE 21+ 27 72 1 1 20 26 1 1
1871143594 DAYAN LAUREN 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1871143594 DAYAN LAUREN 2021 FFS RENDERING AGE 21+ 62 71 0 0 62 71 0 0
1871146951 DARDASHTI SASON 2021 FFS RENDERING AGE 0-20 736 6,454 496 1,316 355 1,327 484 498
1871146951 DARDASHTI SASON 2021 FFS RENDERING AGE 21+ 983 5,978 297 425 674 2,398 512 517
1871146951 DARDASHTI SASON 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1871146951 DARDASHTI SASON 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1871153460 AMARNATH ANEESHA R 2021 FFS RENDERING AGE 0-20 423 2,711 368 974 164 535 273 273
1871505289 SPRAGUE RICHARD E 2021 FFS RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1871505289 SPRAGUE RICHARD E 2021 GMC RENDERING AGE 0-20 339 1,031 60 71 324 539 35 35
1871505289 SPRAGUE RICHARD E 2021 GMC RENDERING AGE 21+ 2,020 5,737 397 436 1,248 1,712 1,415 1,459
1871505289 SPRAGUE RICHARD E 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 1 1
1871505289 SPRAGUE RICHARD E 2021 PHP RENDERING AGE 21+ 19 31 0 0 1 2 16 16
1871506360 MANSOUR, ENGELLA S, DDS 2021 FFS RENDERING AGE 0-20 25 150 24 79 1 2 22 26
1871506360 MANSOUR, ENGELLA S, DDS 2021 FFS RENDERING AGE 21+ 221 1,140 127 128 129 570 213 213
1871509711 LEUNG JENNY A 2021 FFS RENDERING AGE 0-20 375 2,081 319 812 151 251 317 320
1871509711 LEUNG JENNY A 2021 FFS RENDERING AGE 21+ 220 798 75 145 103 242 130 130
1871526764 HORNER GERALD D 2021 FFS RENDERING AGE 0-20 1,759 11,511 0 0 1,161 7,340 1,521 1,521
1871526764 HORNER GERALD D 2021 FFS RENDERING AGE 21+ 2,637 18,045 0 0 1,442 10,381 2,324 2,325
1871533760 SHAGRAMANOVA KRISTINA 2021 FFS RENDERING AGE 0-20 370 1,134 0 0 161 371 330 330
1871533760 SHAGRAMANOVA KRISTINA 2021 FFS RENDERING AGE 21+ 518 1,858 0 0 206 426 460 463
1871533760 SHAGRAMANOVA KRISTINA 2021 PHP RENDERING AGE 0-20 34 150 0 0 32 68 1 1
1871533760 SHAGRAMANOVA KRISTINA 2021 PHP RENDERING AGE 21+ 252 890 0 0 137 185 243 261
1871539221 WHITE MICHAEL J 2021 FFS RENDERING AGE 0-20 160 1,004 88 283 80 255 105 116
1871539221 WHITE MICHAEL J 2021 FFS RENDERING AGE 21+ 212 711 47 72 111 299 104 104
1871541540 KIM KYUNG M 2021 FFS RENDERING AGE 0-20 58 555 57 173 15 40 40 43
1871541540 KIM KYUNG M 2021 FFS RENDERING AGE 21+ 117 750 61 98 86 231 69 69
1871584763 DENDINGER, JOAN E, DDS 2021 FFS RENDERING AGE 0-20 1 2 1 2 0 0 1 1
1871584763 DENDINGER, JOAN E, DDS 2021 FFS RENDERING AGE 21+ 20 81 1 1 19 36 1 1
1871585984 PHAN, VAN THU, DDS 2021 FFS RENDERING AGE 0-20 28 208 25 76 11 44 26 29
1871585984 PHAN, VAN THU, DDS 2021 FFS RENDERING AGE 21+ 208 1,217 138 163 129 508 146 146
1871602904 TANIOKA DARRON T 2021 FFS RENDERING AGE 0-20 163 1,687 131 762 81 155 136 155
1871602904 TANIOKA DARRON T 2021 FFS RENDERING AGE 21+ 340 2,483 196 368 228 702 235 235
1871610097 CHOYKOVA, PAVLINA B, DDS 2021 FFS RENDERING AGE 0-20 350 2,639 264 689 164 379 273 306
1871610097 CHOYKOVA, PAVLINA B, DDS 2021 FFS RENDERING AGE 21+ 241 1,236 51 96 168 399 117 117
1871611863 GRINBERG, INESSA, DDS 2021 FFS RENDERING AGE 0-20 73 407 69 143 21 77 63 82
1871611863 GRINBERG, INESSA, DDS 2021 FFS RENDERING AGE 21+ 396 1,994 306 306 189 631 356 356
1871623132 LU, DAVID C, DDS 2021 FFS RENDERING AGE 0-20 19 118 17 27 1 2 16 18
1871623132 LU, DAVID C, DDS 2021 FFS RENDERING AGE 21+ 94 455 49 49 61 169 57 57
1871623686 MOZAFFARI JAMACK 2021 FFS RENDERING AGE 0-20 908 7,470 864 2,691 493 1,071 861 961
1871623686 MOZAFFARI JAMACK 2021 FFS RENDERING AGE 21+ 370 2,708 269 598 238 724 282 282
1871629097 FENG BO 2021 FFS RENDERING AGE 0-20 412 3,677 379 1,345 198 587 403 480
1871629097 FENG BO 2021 FFS RENDERING AGE 21+ 624 3,516 415 828 395 1,244 251 251
1871629097 FENG BO 2021 PHP RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1871630673 MIYAMOTO YOICHIRO ROY 2021 FFS RENDERING AGE 0-20 522 681 0 0 102 186 0 0
1871630673 MIYAMOTO YOICHIRO ROY 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1871633438 BENGO GLORIA D 2021 FFS RENDERING AGE 0-20 93 1,376 93 351 43 231 93 131
1871633438 BENGO GLORIA D 2021 FFS RENDERING AGE 21+ 33 319 25 50 20 108 28 28
1871633594 NGUYEN THUY-MAI 2021 FFS RENDERING AGE 0-20 207 1,953 204 450 27 63 203 269
1871633594 NGUYEN THUY-MAI 2021 FFS RENDERING AGE 21+ 390 3,359 326 326 139 255 338 338
1871634493 ROMERO PEDRO A 2021 FFS RENDERING AGE 0-20 799 11,790 763 2,642 416 1,510 775 1,178
1871634493 ROMERO PEDRO A 2021 FFS RENDERING AGE 21+ 1 2 1 2 1 1 1 1
1871634493 ROMERO PEDRO A 2021 PHP RENDERING AGE 0-20 1 1 1 1 1 1 1 1
1871637553 BUI TAN D 2021 FFS RENDERING AGE 0-20 33 238 31 78 13 47 32 38
1871637553 BUI TAN D 2021 FFS RENDERING AGE 21+ 158 1,066 123 239 93 339 138 138
1871639948 LEE SANGMOK 2021 FFS RENDERING AGE 0-20 23 130 17 17 12 52 22 22
1871639948 LEE SANGMOK 2021 FFS RENDERING AGE 21+ 95 384 51 51 51 110 74 74
1871641092 MARSHAK, DAVID M, DDS 2021 FFS RENDERING AGE 0-20 200 310 1 1 23 45 0 0
1871641092 MARSHAK, DAVID M, DDS 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1871641092 MARSHAK, DAVID M, DDS 2021 PHP RENDERING AGE 0-20 28 76 0 0 27 60 0 0
1871641092 MARSHAK, DAVID M, DDS 2021 PHP RENDERING AGE 21+ 17 40 0 0 16 33 0 0
1871641597 BLAND EMILY G 2021 FFS RENDERING AGE 0-20 128 1,006 105 297 61 222 115 126
1871641597 BLAND EMILY G 2021 FFS RENDERING AGE 21+ 358 2,231 123 123 239 1,180 271 271
1871643288 ROBLES CHRISTLINE S 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 2 1 1
1871643288 ROBLES CHRISTLINE S 2021 FFS RENDERING AGE 21+ 717 4,736 325 713 700 2,479 468 469
1871643288 ROBLES CHRISTLINE S 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1871645101 SHAH, KISHORE 2021 FFS RENDERING AGE 0-20 229 3,076 215 695 121 444 173 202
1871645101 SHAH, KISHORE 2021 FFS RENDERING AGE 21+ 432 3,956 265 381 337 1,733 280 280
1871645101 SHAH, KISHORE 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1871645101 SHAH, KISHORE 2021 PHP RENDERING AGE 0-20 122 956 105 353 54 126 108 120
1871645101 SHAH, KISHORE 2021 PHP RENDERING AGE 21+ 120 801 78 104 79 288 83 85
1871645101 SHAH, KISHORE DDS 2021 FFS RENDERING AGE 0-20 229 3,076 215 695 121 444 173 202
1871645101 SHAH, KISHORE DDS 2021 FFS RENDERING AGE 21+ 432 3,956 265 381 337 1,733 280 280
1871645101 SHAH, KISHORE DDS 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1871645101 SHAH, KISHORE DDS 2021 PHP RENDERING AGE 0-20 122 956 105 353 54 126 108 120
1871645101 SHAH, KISHORE DDS 2021 PHP RENDERING AGE 21+ 120 801 78 104 79 288 83 85
1871648311 ORTEGA JR ANTHONY 2021 FFS RENDERING AGE 0-20 93 445 70 154 20 59 70 75
1871648311 ORTEGA JR ANTHONY 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1871648543 ABZUG MARK M 2021 FFS RENDERING AGE 0-20 86 198 24 74 31 55 0 0
1871648543 ABZUG MARK M 2021 FFS RENDERING AGE 21+ 1,051 4,206 508 1,918 672 1,501 1 1
1871650473 WOLFORD MARIANNE 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1871650903 MONIRI NAHID B 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 0 0
1871652933 TAASAN, MARLON C, DMD 2021 FFS RENDERING AGE 0-20 550 1,179 16 29 1 2 530 535
1871652933 TAASAN, MARLON C, DMD 2021 FFS RENDERING AGE 21+ 777 1,767 45 45 44 117 720 721
1871652933 TAASAN, MARLON C, DMD 2021 GMC RENDERING AGE 0-20 1 1 0 0 0 0 1 1
1871653667 NGUYEN ANISHA A 2021 FFS RENDERING AGE 0-20 44 477 33 105 27 185 42 44
1871653667 NGUYEN ANISHA A 2021 FFS RENDERING AGE 21+ 135 1,533 77 139 98 811 120 120
1871653667 NGUYEN ANISHA A 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1871653667 NGUYEN ANISHA A 2021 PHP RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1871658955 DASON SAM D 2021 FFS RENDERING AGE 0-20 82 408 46 102 34 90 35 35
1871658955 DASON SAM D 2021 FFS RENDERING AGE 21+ 126 728 15 22 91 341 77 77
1871660308 RABAH REFAD J 2021 FFS RENDERING AGE 0-20 76 896 68 258 22 69 73 88
1871660308 RABAH REFAD J 2021 FFS RENDERING AGE 21+ 127 987 71 149 76 245 104 105
1871660670 SADJADI AMIR DMD 2021 FFS RENDERING AGE 0-20 202 1,443 130 392 60 154 158 176
1871660670 SADJADI AMIR DMD 2021 FFS RENDERING AGE 21+ 359 1,760 85 135 212 618 226 236
1871660670 SADJADI AMIR DMD 2021 PHP RENDERING AGE 0-20 103 694 62 132 42 147 91 97
1871660670 SADJADI AMIR DMD 2021 PHP RENDERING AGE 21+ 73 337 13 18 34 124 50 50
1871661736 ABO ELALA AIMAN A 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1871661736 ABO ELALA AIMAN A 2021 FFS RENDERING AGE 21+ 13 38 1 1 1 2 1 1
1871685164 TALEBZADEH, NOJAN MD 2021 FFS RENDERING AGE 0-20 829 3,804 0 0 450 2,665 467 469
1871685164 TALEBZADEH, NOJAN MD 2021 FFS RENDERING AGE 21+ 1,358 5,314 0 0 589 3,352 837 841
1871688465 ARREDONDO MANUEL R 2021 FFS RENDERING AGE 0-20 72 860 64 299 23 87 67 93
1871688465 ARREDONDO MANUEL R 2021 FFS RENDERING AGE 21+ 251 2,058 173 176 165 618 192 192
1871689935 ROSE DANIEL LEE 2021 GMC RENDERING AGE 0-20 24 85 0 0 23 39 1 1
1871689935 ROSE DANIEL LEE 2021 GMC RENDERING AGE 21+ 146 627 0 0 89 173 144 147
1871694638 BURQUEZ, FLORENCIO T, DDS 2021 FFS RENDERING AGE 0-20 112 1,038 104 302 42 192 107 128
1871694638 BURQUEZ, FLORENCIO T, DDS 2021 FFS RENDERING AGE 21+ 369 2,135 316 559 208 780 356 356
1871700997 CHOU YU W 2021 FFS RENDERING AGE 0-20 744 10,329 733 3,023 425 1,435 732 1,201
1871700997 CHOU YU W 2021 PHP RENDERING AGE 0-20 24 307 14 43 23 144 0 0
1871703926 TRABOULSI NADA J 2021 FFS RENDERING AGE 0-20 36 270 31 117 12 22 33 46
1871703926 TRABOULSI NADA J 2021 FFS RENDERING AGE 21+ 78 529 47 88 42 119 65 65
1871707083 AMALIA SERASPI OSMA DMD 2021 FFS RENDERING AGE 0-20 428 6,137 348 1,333 307 1,424 340 433
1871707083 AMALIA SERASPI OSMA DMD 2021 FFS RENDERING AGE 21+ 262 1,830 139 265 157 512 182 184
1871707083 AMALIA SERASPI OSMA DMD 2021 PHP RENDERING AGE 0-20 1 1 0 0 0 0 1 1
1871710772 WITKOSKY GARY 2021 FFS RENDERING AGE 0-20 637 1,427 0 0 634 665 0 0
1871710772 WITKOSKY GARY 2021 FFS RENDERING AGE 21+ 1,874 5,259 0 0 1,777 2,347 1 1
1871711937 OU SU-HWEI 2021 FFS RENDERING AGE 0-20 53 487 46 148 25 75 44 51
1871711937 OU SU-HWEI 2021 FFS RENDERING AGE 21+ 95 896 70 72 70 298 73 74
1871724138 KHAN SARAH 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1871724138 KHAN SARAH 2021 FFS RENDERING AGE 21+ 19 58 1 1 13 31 1 1
1871742965 OH IN S 2021 FFS RENDERING AGE 0-20 69 436 17 31 34 103 57 58
1871742965 OH IN S 2021 FFS RENDERING AGE 21+ 318 1,620 21 22 173 541 230 236
1871743781 JEONG NORAN 2021 FFS RENDERING AGE 0-20 131 1,100 124 266 51 155 129 171
1871743781 JEONG NORAN 2021 FFS RENDERING AGE 21+ 218 1,297 159 159 124 511 180 180
1871743781 JEONG NORAN 2021 PHP RENDERING AGE 0-20 1 1 1 1 1 1 1 1
1871743781 JEONG NORAN 2021 PHP RENDERING AGE 21+ 18 129 15 16 1 2 17 17
1871744029 BURTCH PERRY D 2021 FFS RENDERING AGE 0-20 142 2,424 102 309 142 1,607 130 130
1871744029 BURTCH PERRY D 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1871745075 HOYBJERG CHRISTIAN J 2021 FFS RENDERING AGE 0-20 655 1,623 0 0 157 510 0 0
1871745075 HOYBJERG CHRISTIAN J 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1871746669 PAREDES ALFREDO R 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 0 0
1871747774 NAGAL ROGELIO C 2021 FFS RENDERING AGE 0-20 20 192 14 21 11 74 14 16
1871747774 NAGAL ROGELIO C 2021 FFS RENDERING AGE 21+ 101 913 57 59 79 486 64 65
1871751339 KOLLING ERIN A 2021 FFS RENDERING AGE 0-20 3,410 46,734 2,790 8,480 1,672 10,943 2,670 3,331
1871755652 AHUJA, DR HC, DDS A PROFESSI 2021 FFS RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1871755652 AHUJA, DR HC, DDS A PROFESSI 2021 PHP RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1871755959 DIVELBISS JOSHUA WEBB 2021 PHP RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1871765321 SHAW JEFFREY S 2021 FFS RENDERING AGE 0-20 54 442 48 142 35 71 48 48
1871765321 SHAW JEFFREY S 2021 PHP RENDERING AGE 0-20 1 2 1 2 1 2 1 1
1871773101 PARK HYUN J 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1871775858 TRAN MINH H 2021 FFS RENDERING AGE 0-20 55 335 48 107 15 34 49 51
1871775858 TRAN MINH H 2021 FFS RENDERING AGE 21+ 305 1,851 185 186 175 400 230 230
1871784546 WANG LINGLI 2021 FFS RENDERING AGE 0-20 27 239 25 98 15 53 27 36
1871784546 WANG LINGLI 2021 FFS RENDERING AGE 21+ 37 199 27 36 24 73 35 37
1871784546 WANG LINGLI 2021 PHP RENDERING AGE 0-20 20 138 19 61 12 25 19 29
1871784546 WANG LINGLI 2021 PHP RENDERING AGE 21+ 26 110 23 34 1 2 26 27
1871787275 TOTH WILLIAM 2021 PHP RENDERING AGE 21+ 1 1 1 1 1 1 0 0
1871793620 MALKOUNIAN RAFFI S 2021 FFS RENDERING AGE 0-20 32 177 23 52 14 38 32 37
1871793620 MALKOUNIAN RAFFI S 2021 FFS RENDERING AGE 21+ 406 1,831 140 278 269 685 338 342
1871796912 OLSEN, DEBRA, RDHAP 2021 FFS RENDERING AGE 0-20 1 1 1 1 1 1 0 0
1871796912 OLSEN, DEBRA, RDHAP 2021 FFS RENDERING AGE 21+ 173 856 165 500 137 356 0 0
1871803742 AGABABYAN MARGARITA 2021 FFS RENDERING AGE 0-20 141 1,434 132 387 37 144 124 160
1871803742 AGABABYAN MARGARITA 2021 FFS RENDERING AGE 21+ 198 1,614 128 245 113 439 139 139
1871808352 KAUR HARNEET 2021 FFS RENDERING AGE 0-20 49 141 16 36 1 1 36 37
1871808352 KAUR HARNEET 2021 FFS RENDERING AGE 21+ 521 1,527 70 133 177 414 341 343
1871808352 KAUR HARNEET 2021 GMC RENDERING AGE 0-20 32 153 1 1 1 2 21 21
1871808352 KAUR HARNEET 2021 GMC RENDERING AGE 21+ 199 630 19 28 87 262 66 66
1871808352 KAUR HARNEET 2021 PHP RENDERING AGE 0-20 1 2 0 0 1 1 0 0
1871809269 ALVARADO OLGA G 2021 FFS RENDERING AGE 0-20 1,856 17,290 1,587 5,315 1,229 3,731 1,514 1,820
1871809269 ALVARADO OLGA G 2021 FFS RENDERING AGE 21+ 1 2 1 2 0 0 1 1
1871816686 QUINTANA CASTRI YVAN C 2021 FFS RENDERING AGE 0-20 287 2,122 263 870 123 524 269 363
1871816686 QUINTANA CASTRI YVAN C 2021 FFS RENDERING AGE 21+ 421 2,469 228 229 283 1,505 331 331
1871829234 ZIADEH SENAN K 2021 PHP RENDERING AGE 0-20 16 75 0 0 1 2 0 0
1871832097 SALWAN RITU 2021 FFS RENDERING AGE 0-20 11 82 11 29 1 2 11 11
1871844423 JEONG DONG J 2021 GMC RENDERING AGE 21+ 1 1 1 1 1 1 0 0
1871845362 HINGU, MONAL, RDHAP 2021 FFS RENDERING AGE 21+ 610 3,014 581 1,124 610 1,890 0 0
1871845636 SHAHBAZIAN PIROUZ 2021 FFS RENDERING AGE 0-20 59 133 0 0 56 127 1 1
1871845636 SHAHBAZIAN PIROUZ 2021 FFS RENDERING AGE 21+ 335 1,043 0 0 335 1,042 0 0
1871888123 AL-RAWI WISAM 2021 FFS RENDERING AGE 0-20 163 519 44 111 79 147 76 76
1871888123 AL-RAWI WISAM 2021 FFS RENDERING AGE 21+ 406 944 40 76 251 418 129 129
1871890038 SONG, EUGENE DDS INC 2021 FFS RENDERING AGE 0-20 214 2,882 197 676 95 274 211 251
1871890038 SONG, EUGENE DDS INC 2021 FFS RENDERING AGE 21+ 492 5,391 370 737 301 1,093 428 428
1871891564 ABBINK KRISTEN M 2021 FFS RENDERING AGE 0-20 1 2 1 2 0 0 1 1
1871891564 ABBINK KRISTEN M 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1871901165 TAK CYNTHIA K 2021 FFS RENDERING AGE 0-20 52 444 45 160 33 75 38 51
1871901165 TAK CYNTHIA K 2021 FFS RENDERING AGE 21+ 107 561 31 61 88 231 54 54
1871901827 VIDOVICH CASEY C 2021 FFS RENDERING AGE 0-20 365 1,537 1 1 365 1,513 1 1
1871901827 VIDOVICH CASEY C 2021 FFS RENDERING AGE 21+ 73 229 0 0 73 229 0 0
1871904896 WANG RAYMOND S 2021 FFS RENDERING AGE 0-20 2,040 17,553 1,815 6,017 1,313 3,711 1,855 2,133
1871904896 WANG RAYMOND S 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1871904896 WANG RAYMOND S 2021 PHP RENDERING AGE 0-20 1 1 1 1 1 1 1 1
1871911032 KELLY PONO K 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 1 1
1871911032 KELLY PONO K 2021 FFS RENDERING AGE 21+ 1,422 3,870 1 1 1,416 3,326 536 536
1871917872 LIN GUO-HAO 2021 FFS RENDERING AGE 0-20 93 262 1 1 57 177 74 78
1871917872 LIN GUO-HAO 2021 FFS RENDERING AGE 21+ 622 1,880 16 16 341 1,269 453 465
1871926501 ELVIA JUAREZ A DENTAL CORPORATION 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1871926501 JUAREZ, ELVIA, A DENTAL CORP 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1871930545 THURMAN BRIAN D 2021 FFS RENDERING AGE 0-20 345 1,442 0 0 35 110 0 0
1871930545 THURMAN BRIAN D 2021 FFS RENDERING AGE 21+ 41 113 0 0 0 0 0 0
1871934125 LOPEZ WEENA 2021 FFS RENDERING AGE 0-20 509 1,963 167 512 154 361 337 354
1871934125 LOPEZ WEENA 2021 FFS RENDERING AGE 21+ 414 1,280 72 130 248 612 135 135
1871934125 LOPEZ WEENA 2021 GMC RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1871934125 LOPEZ WEENA 2021 GMC RENDERING AGE 21+ 1 2 0 0 1 2 1 1
1871934125 LOPEZ WEENA 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 1 1
1871934125 LOPEZ WEENA 2021 PHP RENDERING AGE 21+ 16 27 0 0 11 13 1 1
1871946764 AFSHAR NIMA 2021 FFS RENDERING AGE 0-20 85 247 1 1 83 222 1 1
1871946764 AFSHAR NIMA 2021 FFS RENDERING AGE 21+ 670 1,818 0 0 669 1,765 1 1
1871946764 AFSHAR NIMA 2021 GMC RENDERING AGE 0-20 1 2 0 0 1 2 0 0
1871946764 AFSHAR NIMA 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1871946764 AFSHAR NIMA 2021 PHP RENDERING AGE 0-20 309 2,839 253 1,079 162 660 264 351
1871946764 AFSHAR NIMA 2021 PHP RENDERING AGE 21+ 404 3,089 167 366 299 1,840 305 327
1871950378 AKHAVAN JONATHAN A 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 2 0 0
1871955336 CHI KWANG H 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1871955336 CHI KWANG H 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 1 0 0
1871963090 RUMINSON JONATHAN W 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 2 1 1
1871964742 KIM RACHELLE 2021 FFS RENDERING AGE 0-20 312 1,435 0 0 312 1,412 1 1
1871966622 AGHAJANI, JASMINE, DDS 2021 FFS RENDERING AGE 0-20 62 440 55 143 32 189 53 53
1871966622 AGHAJANI, JASMINE, DDS 2021 FFS RENDERING AGE 21+ 236 1,792 153 154 143 1,132 181 181
1871966622 AGHAJANI, JASMINE, DDS 2021 PHP RENDERING AGE 0-20 20 86 16 32 1 1 18 19
1871966622 AGHAJANI, JASMINE, DDS 2021 PHP RENDERING AGE 21+ 76 457 55 56 36 219 60 60
1871970947 KHANDELWAL RAGHAV 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1871970947 KHANDELWAL RAGHAV 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 2 0 0
1871977744 NASER AYMAN 2021 FFS RENDERING AGE 0-20 101 1,036 90 314 85 239 91 115
1871977744 NASER AYMAN 2021 FFS RENDERING AGE 21+ 523 5,307 366 728 460 2,767 468 471
1871977975 KISLING ASHLEY 2021 FFS RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1871977975 KISLING ASHLEY 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1871979351 DESAI HIMANI V 2021 FFS RENDERING AGE 0-20 388 2,303 286 878 90 144 372 413
1871979351 DESAI HIMANI V 2021 FFS RENDERING AGE 21+ 450 1,477 93 157 172 371 342 342
1871979351 DESAI HIMANI V 2021 PHP RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1871979351 DESAI HIMANI V 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1871992065 GOPAL MALA 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1871993238 KADIVETI VENKATESWARL 2021 GMC RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1881030062 FIELDS KRISTEN A 2021 FFS RENDERING AGE 0-20 142 953 101 209 44 108 114 121
1881030062 FIELDS KRISTEN A 2021 FFS RENDERING AGE 21+ 94 341 21 39 26 54 73 74
1881030872 HUSSEIN THAYER F 2021 FFS RENDERING AGE 0-20 65 409 49 112 30 99 56 60
1881030872 HUSSEIN THAYER F 2021 FFS RENDERING AGE 21+ 246 1,557 72 144 197 897 174 174
1881030880 KANG JESSICA K 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1881046084 HARUTYUNYAN DAVIT 2021 FFS RENDERING AGE 0-20 529 3,987 315 744 239 593 332 338
1881046084 HARUTYUNYAN DAVIT 2021 FFS RENDERING AGE 21+ 874 4,047 163 322 624 1,640 323 327
1881046084 HARUTYUNYAN DAVIT 2021 PHP RENDERING AGE 0-20 13 71 1 2 1 2 1 1
1881046084 HARUTYUNYAN DAVIT 2021 PHP RENDERING AGE 21+ 39 128 1 2 25 68 15 15
1881052777 HARRISON MIA A 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1881052777 HARRISON MIA A 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1881056992 USTAREZ ANDREA T 2021 FFS RENDERING AGE 0-20 2,889 41,290 2,658 11,349 2,287 6,945 2,617 4,011
1881062727 TAHMASBI DEZFUL KOOSHYAR 2021 FFS RENDERING AGE 0-20 96 782 66 160 53 192 74 88
1881062727 TAHMASBI DEZFUL KOOSHYAR 2021 FFS RENDERING AGE 21+ 289 1,654 53 61 224 931 147 147
1881062727 TAHMASBI DEZFUL KOOSHYAR 2021 PHP RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1881066637 MCCARDLE JEFFREY EDWARD 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1881078913 SAHAWNEH DENTAL CORPORATION 2021 FFS RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1881078913 SAHAWNEH DENTAL CORPORATION 2021 FFS RENDERING AGE 21+ 1 1 1 1 1 1 0 0
1881079507 SASTIEL SHANNE J 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1881085934 OFIR ALON 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1881087765 JUE LAURIE A 2021 FFS RENDERING AGE 0-20 52 269 48 110 1 1 47 50
1881087765 JUE LAURIE A 2021 FFS RENDERING AGE 21+ 40 258 32 51 24 66 29 29
1881130227 THAI JENNY 2021 FFS RENDERING AGE 0-20 5,420 58,577 4,726 13,792 3,344 11,136 4,651 5,709
1881130227 THAI JENNY 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1881169886 ZAZUETA ANTONIO 2021 FFS RENDERING AGE 0-20 35 259 14 34 23 72 12 13
1881169886 ZAZUETA ANTONIO 2021 FFS RENDERING AGE 21+ 93 542 21 38 66 249 35 35
1881233708 MOVAFAGHI RAMIN 2021 FFS RENDERING AGE 0-20 367 3,236 308 757 175 764 319 364
1881233708 MOVAFAGHI RAMIN 2021 FFS RENDERING AGE 21+ 1,070 8,692 664 1,312 806 3,985 743 743
1881248458 FORUTAN SOLMAZ 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1881249068 BARAKAT ANDRE J 2021 FFS RENDERING AGE 0-20 116 890 95 288 72 294 102 131
1881249068 BARAKAT ANDRE J 2021 FFS RENDERING AGE 21+ 295 1,781 77 150 211 1,035 204 208
1881266401 ZAMAN CAROLINE 2021 FFS RENDERING AGE 0-20 109 722 105 285 68 102 99 99
1881266401 ZAMAN CAROLINE 2021 FFS RENDERING AGE 21+ 90 403 34 59 51 147 49 49
1881266401 ZAMAN CAROLINE 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1881356962 NGUYEN TERESA M 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1881628832 PAGES HARRY J 2021 FFS RENDERING AGE 0-20 216 1,310 140 306 60 168 176 183
1881628832 PAGES HARRY J 2021 FFS RENDERING AGE 21+ 310 1,312 67 108 151 349 203 203
1881657310 LIN CHRISTINA H 2021 FFS RENDERING AGE 0-20 164 1,391 155 461 54 165 150 171
1881686251 YEUNG HELEN K 2021 FFS RENDERING AGE 0-20 159 1,191 145 441 77 151 152 152
1881686251 YEUNG HELEN K 2021 PHP RENDERING AGE 0-20 21 178 19 58 16 38 19 19
1881692424 TRUONG QUYNH-TRAM T 2021 FFS RENDERING AGE 0-20 612 7,861 523 1,585 310 1,131 530 656
1881692424 TRUONG QUYNH-TRAM T 2021 FFS RENDERING AGE 21+ 187 1,317 73 88 113 480 126 126
1881715993 AZIZIAN, SHAHRAM, DDS 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 2 1 1
1881715993 AZIZIAN, SHAHRAM, DDS 2021 FFS RENDERING AGE 21+ 32 291 16 16 27 174 17 17
1881715993 AZIZIAN, SHAHRAM, DDS 2021 PHP RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1881715993 AZIZIAN, SHAHRAM, DDS 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1881717882 MONIZ, SHARILYN T, DDS 2021 FFS RENDERING AGE 0-20 1 1 0 0 0 0 1 1
1881717882 MONIZ, SHARILYN T, DDS 2021 FFS RENDERING AGE 21+ 1 2 1 2 1 1 1 1
1881731834 DAVID-SANTOS MARIA P 2021 FFS RENDERING AGE 0-20 73 1,118 64 219 28 116 71 103
1881731834 DAVID-SANTOS MARIA P 2021 FFS RENDERING AGE 21+ 121 866 95 96 50 288 111 111
1881732659 ANG VEROME L 2021 FFS RENDERING AGE 0-20 917 6,345 547 1,449 738 2,970 475 492
1881732659 ANG VEROME L 2021 FFS RENDERING AGE 21+ 25 54 1 1 14 31 12 12
1881732659 ANG VEROME L 2021 GMC RENDERING AGE 0-20 799 3,099 111 304 517 1,335 258 265
1881732659 ANG VEROME L 2021 GMC RENDERING AGE 21+ 295 1,245 17 17 193 370 89 89
1881734481 SHABANZADEH DAVID 2021 PHP RENDERING AGE 0-20 174 1,725 146 543 47 93 142 182
1881734481 SHABANZADEH DAVID 2021 PHP RENDERING AGE 21+ 453 4,420 327 712 279 1,012 378 480
1881736684 BARAKZOY MOSTAFA 2021 GMC RENDERING AGE 21+ 1 2 0 0 1 1 1 1
1881738094 CULLAMPE, WASHINGTON, DDS 2021 FFS RENDERING AGE 0-20 271 2,577 214 587 73 185 230 238
1881738094 CULLAMPE, WASHINGTON, DDS 2021 FFS RENDERING AGE 21+ 201 1,248 45 90 112 335 134 134
1881738193 INLAND EMPIRE ORTHODONTICS I 2021 FFS RENDERING AGE 0-20 1,504 5,955 0 0 347 1,053 0 0
1881738193 INLAND EMPIRE ORTHODONTICS I 2021 FFS RENDERING AGE 21+ 105 303 0 0 0 0 0 0
1881740165 BUI KURT K 2021 FFS RENDERING AGE 0-20 184 266 0 0 30 87 0 0
1881740165 BUI KURT K 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1881740199 TAM, SCOTT F, DDS 2021 FFS RENDERING AGE 0-20 16 162 16 61 1 2 16 22
1881740199 TAM, SCOTT F, DDS 2021 FFS RENDERING AGE 21+ 48 329 42 84 23 46 41 41
1881740280 AYALA, RODRIGO 2021 FFS RENDERING AGE 0-20 313 2,557 128 276 195 534 211 222
1881740280 AYALA, RODRIGO 2021 FFS RENDERING AGE 21+ 1,344 10,218 281 569 996 3,201 851 857
1881743037 FENG, CHENG-PO, DDS 2021 FFS RENDERING AGE 0-20 161 751 68 163 159 396 59 73
1881743037 FENG, CHENG-PO, DDS 2021 FFS RENDERING AGE 21+ 370 1,316 87 171 359 903 93 93
1881743219 ROTHMAN, DAVID L, DDS 2021 FFS RENDERING AGE 0-20 74 428 72 207 19 72 67 95
1881743219 ROTHMAN, DAVID L, DDS 2021 FFS RENDERING AGE 21+ 28 85 24 47 1 1 22 22
1881744415 ONYANGO OMARI 2021 FFS RENDERING AGE 0-20 363 2,437 332 1,030 124 659 299 380
1881744415 ONYANGO OMARI 2021 FFS RENDERING AGE 21+ 246 1,233 33 36 155 730 171 171
1881745347 ABBAS HAYTHAM M 2021 FFS RENDERING AGE 0-20 17 85 1 2 1 2 12 12
1881745347 ABBAS HAYTHAM M 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1881745347 ABBAS HAYTHAM M 2021 GMC RENDERING AGE 0-20 316 1,726 97 264 299 1,380 14 14
1881745347 ABBAS HAYTHAM M 2021 GMC RENDERING AGE 21+ 34 72 1 1 22 28 1 1
1881747012 YACAMAN FANNY 2021 GMC RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1881751758 MENG HSIAO-YEN 2021 FFS RENDERING AGE 0-20 1,037 2,375 0 0 306 740 0 0
1881751758 MENG HSIAO-YEN 2021 FFS RENDERING AGE 21+ 37 46 0 0 1 1 0 0
1881751758 MENG HSIAO-YEN 2021 PHP RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1881751758 MENG HSIAO-YEN 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1881752129 NAING MA M 2021 FFS RENDERING AGE 0-20 818 11,504 708 2,408 416 1,547 728 848
1881752129 NAING MA M 2021 FFS RENDERING AGE 21+ 1,060 8,803 600 608 689 2,978 729 730
1881755791 MIN GRACE 2021 GMC RENDERING AGE 0-20 1 1 1 1 1 1 0 0
1881755791 MIN GRACE 2021 GMC RENDERING AGE 21+ 1 2 1 2 1 2 1 1
1881757672 CURTIN JOSEPH A 2021 FFS RENDERING AGE 0-20 2,815 26,885 2,290 6,138 983 5,532 2,410 2,767
1881757672 CURTIN JOSEPH A 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 0 0
1881757672 CURTIN JOSEPH A 2021 PHP RENDERING AGE 0-20 1 1 1 1 1 1 0 0
1881760114 JAUL DOUGLAS H 2021 FFS RENDERING AGE 0-20 1 1 1 1 1 1 0 0
1881760114 JAUL DOUGLAS H 2021 GMC RENDERING AGE 0-20 1 2 0 0 1 2 0 0
1881760114 JAUL DOUGLAS H 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1881760858 YESAYAN, EDUARD, DDS 2021 FFS RENDERING AGE 0-20 548 3,346 425 1,129 123 306 483 602
1881760858 YESAYAN, EDUARD, DDS 2021 FFS RENDERING AGE 21+ 1,023 4,219 275 539 513 1,577 688 688
1881760858 YESAYAN, EDUARD, DDS 2021 PHP RENDERING AGE 21+ 1 1 1 1 1 1 0 0
1881764637 DANG, DIEP KIM DDS 2021 FFS RENDERING AGE 0-20 284 2,969 278 1,022 146 628 276 483
1881764637 DANG, DIEP KIM DDS 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1881766848 APPLETON, STANTON DDS 2021 FFS RENDERING AGE 0-20 233 5,528 160 413 233 3,793 232 232
1881766848 APPLETON, STANTON DDS 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1881768521 TRAN ROBIN THUCAN P 2021 FFS RENDERING AGE 0-20 37 294 33 100 1 2 36 52
1881768521 TRAN ROBIN THUCAN P 2021 FFS RENDERING AGE 21+ 48 276 39 78 17 69 45 45
1881769800 JAUREGUI, JOSE H DDS 2021 FFS RENDERING AGE 0-20 491 7,276 471 1,431 197 539 472 692
1881769800 JAUREGUI, JOSE H DDS 2021 FFS RENDERING AGE 21+ 623 5,561 408 816 364 1,350 492 492
1881769834 LUU, TREVOR DUC DMD 2021 FFS RENDERING AGE 0-20 68 477 41 101 46 142 40 48
1881769834 LUU, TREVOR DUC DMD 2021 FFS RENDERING AGE 21+ 275 1,569 133 252 200 626 156 156
1881777605 BUDIMAN, HERMAN, DDS 2021 FFS RENDERING AGE 0-20 124 848 114 276 34 95 120 152
1881777605 BUDIMAN, HERMAN, DDS 2021 FFS RENDERING AGE 21+ 166 1,004 115 119 67 151 143 143
1881777969 FISCHER KENNETH J 2021 FFS RENDERING AGE 0-20 184 240 0 0 91 125 0 0
1881777969 FISCHER KENNETH J 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1881777969 FISCHER KENNETH J 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1881777969 FISCHER KENNETH J 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1881780096 ISSUED IN ERROR 2021 FFS RENDERING AGE 0-20 350 3,717 310 1,193 144 330 336 472
1881780096 ISSUED IN ERROR 2021 FFS RENDERING AGE 21+ 436 2,412 150 291 308 1,170 337 339
1881781201 MADOULIAN, ASMIK, DDS 2021 FFS RENDERING AGE 0-20 39 277 29 45 23 76 21 23
1881781201 MADOULIAN, ASMIK, DDS 2021 FFS RENDERING AGE 21+ 318 2,586 174 177 280 1,144 100 101
1881785376 GANDHI BHAVIN S 2021 FFS RENDERING AGE 0-20 572 2,622 233 557 386 1,096 219 222
1881785376 GANDHI BHAVIN S 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 1 1 1
1881789113 MAUNGMAUNG, TIN, DDS 2021 FFS RENDERING AGE 0-20 63 653 49 142 38 174 56 67
1881789113 MAUNGMAUNG, TIN, DDS 2021 FFS RENDERING AGE 21+ 142 1,193 85 168 104 553 110 110
1881794568 HEGDE HARDALLY H 2021 FFS RENDERING AGE 0-20 96 506 51 113 61 153 82 93
1881794568 HEGDE HARDALLY H 2021 FFS RENDERING AGE 21+ 206 1,101 75 75 139 510 157 159
1881805844 ALIREZAEI RAMBOD R 2021 PHP RENDERING AGE 0-20 14 28 0 0 13 21 1 1
1881805844 ALIREZAEI RAMBOD R 2021 PHP RENDERING AGE 21+ 178 325 1 2 106 131 169 174
1881807477 PARK NO H 2021 FFS RENDERING AGE 0-20 33 97 22 27 21 43 21 21
1881807477 PARK NO H 2021 FFS RENDERING AGE 21+ 1,004 3,214 202 230 653 2,050 569 569
1881808095 OH, JENNY DDS 2021 FFS RENDERING AGE 0-20 60 570 41 93 36 156 54 60
1881808095 OH, JENNY DDS 2021 FFS RENDERING AGE 21+ 180 1,397 56 91 118 476 121 121
1881809812 TORRES CARLOS R 2021 FFS RENDERING AGE 0-20 559 6,432 471 989 270 903 377 464
1881809812 TORRES CARLOS R 2021 FFS RENDERING AGE 21+ 517 4,354 307 353 323 1,027 310 310
1881814101 MORCOS, SAMIR CHARLES, DDS 2021 FFS RENDERING AGE 0-20 85 595 65 148 40 128 73 74
1881814101 MORCOS, SAMIR CHARLES, DDS 2021 FFS RENDERING AGE 21+ 268 1,314 113 113 174 464 155 155
1881814242 AHMADZADEH FARIBA 2021 FFS RENDERING AGE 0-20 197 2,914 190 775 86 212 190 256
1881814242 AHMADZADEH FARIBA 2021 FFS RENDERING AGE 21+ 163 1,418 108 176 101 424 128 128
1881814242 AHMADZADEH FARIBA 2021 PHP RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1881814242 AHMADZADEH FARIBA 2021 PHP RENDERING AGE 21+ 1 2 1 2 1 1 1 1
1881815686 PENTECOST, TIMOTHY M, DDS 2021 FFS RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1881817369 HOVHANNISYAN, TIGRAN, DDS 2021 FFS RENDERING AGE 0-20 14 97 11 29 1 2 14 15
1881817369 HOVHANNISYAN, TIGRAN, DDS 2021 FFS RENDERING AGE 21+ 121 655 47 51 97 275 41 41
1881819225 GOWDA ROOPA S 2021 FFS RENDERING AGE 0-20 332 4,641 307 1,029 161 465 324 376
1881819225 GOWDA ROOPA S 2021 FFS RENDERING AGE 21+ 377 3,588 125 249 300 1,444 130 130
1881826170 PEJMAN-ZADEH PARISA 2021 FFS RENDERING AGE 0-20 1,932 21,637 1,650 5,965 1,469 7,808 1,551 1,750
1881826170 PEJMAN-ZADEH PARISA 2021 FFS RENDERING AGE 21+ 100 528 49 96 61 196 59 61
1881829521 FORD DRUECIEL 2021 FFS RENDERING AGE 0-20 4,092 35,162 2,288 6,083 3,171 15,720 1,815 1,820
1881829521 FORD DRUECIEL 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1881847762 LEE SHIRLEY T 2021 FFS RENDERING AGE 0-20 144 1,683 117 339 94 485 114 131
1881847762 LEE SHIRLEY T 2021 FFS RENDERING AGE 21+ 222 1,877 47 49 137 735 157 159
1881851921 TURCO KATERINA 2021 FFS RENDERING AGE 0-20 58 495 43 154 26 88 43 45
1881851921 TURCO KATERINA 2021 FFS RENDERING AGE 21+ 126 898 73 153 89 275 76 78
1881864262 PHAN MATT T 2021 FFS RENDERING AGE 0-20 25 167 18 47 13 26 18 18
1881864262 PHAN MATT T 2021 FFS RENDERING AGE 21+ 34 186 14 28 17 48 21 21
1881873552 ACEVEDO LIDYA S 2021 FFS RENDERING AGE 0-20 211 1,376 134 198 94 438 191 220
1881873552 ACEVEDO LIDYA S 2021 FFS RENDERING AGE 21+ 419 2,072 74 74 183 931 342 342
1881874170 NISSEN PAUL A 2021 FFS RENDERING AGE 0-20 621 3,908 337 708 239 599 503 540
1881874170 NISSEN PAUL A 2021 FFS RENDERING AGE 21+ 776 3,334 193 276 424 1,334 534 547
1881874212 NGUYEN CUONG DDS 2021 FFS RENDERING AGE 0-20 37 332 32 107 11 34 36 49
1881874212 NGUYEN CUONG DDS 2021 FFS RENDERING AGE 21+ 209 1,143 95 190 116 454 168 168
1881878882 ZARRINNEGAR MANSOUREH 2021 FFS RENDERING AGE 0-20 19 199 17 77 0 0 19 23
1881878882 ZARRINNEGAR MANSOUREH 2021 FFS RENDERING AGE 21+ 16 46 1 1 1 1 13 13
1881880169 NAKAMATSU CRAIG YOSHIO 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1881886448 VALENCIA JUAN C 2021 FFS RENDERING AGE 0-20 176 1,412 123 245 120 521 141 172
1881886448 VALENCIA JUAN C 2021 FFS RENDERING AGE 21+ 331 1,954 105 107 246 896 197 197
1881889392 LU KENNETH 2021 FFS RENDERING AGE 0-20 837 6,882 798 2,637 264 712 818 818
1881889392 LU KENNETH 2021 GMC RENDERING AGE 0-20 1 2 1 1 0 0 1 1
1881893634 RHEE SUNKI 2021 FFS RENDERING AGE 0-20 34 237 30 84 1 2 22 27
1881893634 RHEE SUNKI 2021 FFS RENDERING AGE 21+ 101 440 56 112 25 76 58 58
1881894855 THOMAS, VARTAN L 2021 FFS RENDERING AGE 0-20 62 790 48 230 31 110 60 67
1881894855 THOMAS, VARTAN L 2021 FFS RENDERING AGE 21+ 232 2,091 61 119 135 562 192 192
1881895571 AZARINFAR FARAMARZ A 2021 FFS RENDERING AGE 0-20 152 215 0 0 49 97 116 117
1881895571 AZARINFAR FARAMARZ A 2021 FFS RENDERING AGE 21+ 337 682 0 0 215 498 177 177
1881897452 YU CHEOL H 2021 FFS RENDERING AGE 0-20 117 515 21 63 46 113 93 99
1881897452 YU CHEOL H 2021 FFS RENDERING AGE 21+ 143 398 1 1 77 153 71 71
1881900157 DENTAL PARK 2021 PHP RENDERING AGE 0-20 61 428 60 183 17 39 61 62
1881900157 DENTAL PARK 2021 PHP RENDERING AGE 21+ 31 165 17 33 1 1 27 27
1881901437 HERMO, IRENE B, DDS 2021 FFS RENDERING AGE 0-20 159 1,782 141 499 68 239 153 198
1881901437 HERMO, IRENE B, DDS 2021 FFS RENDERING AGE 21+ 514 4,403 373 726 359 1,456 418 418
1881907145 CARROLL SHARI H 2021 PHP RENDERING AGE 0-20 1 1 1 1 1 1 1 1
1881907145 CARROLL SHARI H 2021 PHP RENDERING AGE 21+ 1 1 1 1 1 1 0 0
1881912459 MORENO JULIO G 2021 FFS RENDERING AGE 0-20 75 344 52 91 35 97 56 58
1881912459 MORENO JULIO G 2021 FFS RENDERING AGE 21+ 118 476 49 69 70 188 71 71
1881912459 MORENO JULIO G 2021 PHP RENDERING AGE 0-20 16 68 1 2 13 22 1 1
1881912459 MORENO JULIO G 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1881916047 AHIMIE ODUFALU EKINOMO U 2021 FFS RENDERING AGE 0-20 37 317 36 162 16 31 36 48
1881916047 AHIMIE ODUFALU EKINOMO U 2021 FFS RENDERING AGE 21+ 102 680 50 93 65 326 86 86
1881918571 HUBER JR DONALD E 2021 FFS RENDERING AGE 0-20 1 1 0 0 0 0 1 1
1881918571 HUBER JR DONALD E 2021 FFS RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1881952745 JOACHIM-ROMERO, DIANNE, RDHA 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 2 0 0
1881959914 ZAMANI SOSEH 2021 FFS RENDERING AGE 0-20 293 422 0 0 53 130 1 1
1881959914 ZAMANI SOSEH 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1881963742 DALL'OLMO FABRIZIO 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1881963742 DALL'OLMO FABRIZIO 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1881975381 VASA SCARLET S 2021 FFS RENDERING AGE 0-20 16 157 14 49 1 2 15 16
1881975381 VASA SCARLET S 2021 FFS RENDERING AGE 21+ 15 135 11 20 1 2 13 13
1881994689 ALMUSAWI MAHA S 2021 FFS RENDERING AGE 0-20 21 165 20 79 12 18 20 20
1881994689 ALMUSAWI MAHA S 2021 GMC RENDERING AGE 0-20 3,344 59,430 3,194 24,308 2,478 7,354 3,189 5,934
1891006128 LIN WINSTON 2021 GMC RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1891030730 KERI DDS A PROFESSIONAL CORP 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1891038527 CESENA KRISTINA M 2021 FFS RENDERING AGE 0-20 2,276 14,289 1,475 3,927 1,756 4,837 947 961
1891048500 KHAJAVI, SUZAN DDS 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1891048500 KHAJAVI, SUZAN DDS 2021 PHP RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1891060547 GUERRERO II ENCARNACION S 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1891060547 GUERRERO II ENCARNACION S 2021 FFS RENDERING AGE 21+ 18 111 1 1 1 2 12 12
1891068516 GARZA, ESMERALDA, RDHAP 2021 FFS RENDERING AGE 0-20 43 296 41 200 0 0 0 0
1891068516 GARZA, ESMERALDA, RDHAP 2021 FFS RENDERING AGE 21+ 84 344 76 149 31 132 0 0
1891084836 NIETO ANGELICA M 2021 FFS RENDERING AGE 0-20 55 254 26 96 14 29 43 43
1891084836 NIETO ANGELICA M 2021 FFS RENDERING AGE 21+ 92 223 12 23 32 59 58 58
1891119061 HAIMOF RYAN J 2021 FFS RENDERING AGE 0-20 314 411 0 0 41 69 0 0
1891119061 HAIMOF RYAN J 2021 FFS RENDERING AGE 21+ 15 15 0 0 0 0 0 0
1891119061 HAIMOF RYAN J 2021 PHP RENDERING AGE 0-20 30 124 0 0 26 100 0 0
1891119061 HAIMOF RYAN J 2021 PHP RENDERING AGE 21+ 1 2 0 0 1 2 0 0
1891120432 BARONIAN LISA 2021 FFS RENDERING AGE 0-20 1,610 11,401 1,371 4,404 875 2,263 1,335 1,431
1891120432 BARONIAN LISA 2021 FFS RENDERING AGE 21+ 31 105 1 1 18 50 1 1
1891121695 CORPODIAN COREY D 2021 FFS RENDERING AGE 0-20 143 267 0 0 30 94 0 0
1891121695 CORPODIAN COREY D 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1891128245 SHARMA MANU 2021 FFS RENDERING AGE 0-20 303 2,037 230 731 130 348 261 292
1891128245 SHARMA MANU 2021 FFS RENDERING AGE 21+ 714 3,152 253 469 364 1,110 531 533
1891128245 SHARMA MANU 2021 GMC RENDERING AGE 21+ 1 1 1 1 0 0 0 0
1891128245 SHARMA MANU 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1891144184 DACKER GARRETT Y 2021 FFS RENDERING AGE 0-20 76 129 0 0 22 43 0 0
1891144184 DACKER GARRETT Y 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1891154282 ATTALLA ERENE 2021 FFS RENDERING AGE 0-20 161 309 79 79 44 95 135 135
1891154282 ATTALLA ERENE 2021 FFS RENDERING AGE 21+ 284 573 29 29 153 374 156 156
1891164760 NAGEL ANNE E 2021 FFS RENDERING AGE 0-20 277 1,598 259 554 32 34 257 262
1891164760 NAGEL ANNE E 2021 FFS RENDERING AGE 21+ 140 451 87 88 18 48 95 95
1891169124 THODUPUNOORI VEDASRI 2021 FFS RENDERING AGE 0-20 359 2,163 241 787 119 321 256 263
1891169124 THODUPUNOORI VEDASRI 2021 FFS RENDERING AGE 21+ 617 1,849 96 179 369 839 255 255
1891170221 SHAKER MARIAM A 2021 FFS RENDERING AGE 0-20 2,104 31,764 1,924 7,124 1,619 6,665 1,995 2,491
1891182507 KEUROGHLIAN ARMAND 2021 FFS RENDERING AGE 0-20 711 2,064 0 0 709 1,696 12 12
1891182507 KEUROGHLIAN ARMAND 2021 FFS RENDERING AGE 21+ 1,139 3,204 0 0 1,124 2,491 90 90
1891182507 KEUROGHLIAN ARMAND 2021 PHP RENDERING AGE 0-20 1 2 0 0 1 2 0 0
1891182507 KEUROGHLIAN ARMAND 2021 PHP RENDERING AGE 21+ 59 160 0 0 31 99 51 52
1891193140 BUBLIK, OKSANA, DDS A DENTAL 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1891195053 TODOROV BOYAN 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1891195053 TODOROV BOYAN 2021 PHP RENDERING AGE 0-20 32 164 18 51 14 39 22 24
1891195053 TODOROV BOYAN 2021 PHP RENDERING AGE 21+ 24 82 1 1 1 2 17 20
1891198339 ZAMANI, PAYAM DDS 2021 FFS RENDERING AGE 0-20 103 344 0 0 18 50 0 0
1891198339 ZAMANI, PAYAM DDS 2021 FFS RENDERING AGE 21+ 36 106 0 0 0 0 35 35
1891211421 CHEN ELIOTT L 2021 FFS RENDERING AGE 0-20 168 2,034 147 417 78 301 162 198
1891211421 CHEN ELIOTT L 2021 FFS RENDERING AGE 21+ 380 3,172 141 259 281 1,116 298 298
1891218715 CHUNG YOUNG H 2021 FFS RENDERING AGE 0-20 47 222 1 1 46 143 0 0
1891218715 CHUNG YOUNG H 2021 FFS RENDERING AGE 21+ 135 567 1 2 134 391 1 1
1891226890 JUNG BETHANY A 2021 FFS RENDERING AGE 0-20 608 1,097 0 0 268 324 0 0
1891226890 JUNG BETHANY A 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1891242756 BHARDWAJ RITU 2021 FFS RENDERING AGE 0-20 669 3,338 333 1,070 228 511 572 612
1891242756 BHARDWAJ RITU 2021 FFS RENDERING AGE 21+ 716 1,934 82 128 143 388 563 565
1891271441 ABDUL RASSOOL MERYAM S 2021 FFS RENDERING AGE 0-20 11 44 1 2 1 1 1 1
1891271441 ABDUL RASSOOL MERYAM S 2021 FFS RENDERING AGE 21+ 75 250 1 1 32 99 53 53
1891274205 MEHTA MANALI 2021 FFS RENDERING AGE 0-20 144 826 94 245 45 110 110 111
1891274205 MEHTA MANALI 2021 FFS RENDERING AGE 21+ 331 1,196 36 56 176 464 194 194
1891281085 GALVEZ JONATHAN P 2021 FFS RENDERING AGE 0-20 43 226 24 56 22 48 28 28
1891281085 GALVEZ JONATHAN P 2021 FFS RENDERING AGE 21+ 161 548 36 67 112 254 62 62
1891281085 GALVEZ JONATHAN P 2021 PHP RENDERING AGE 0-20 75 503 53 182 44 101 53 55
1891281085 GALVEZ JONATHAN P 2021 PHP RENDERING AGE 21+ 90 413 42 97 63 196 39 39
1891281242 MARASHI ZOHREH 2021 FFS RENDERING AGE 21+ 34 101 1 1 18 45 22 22
1891299723 VILCHEZ HELEN J 2021 FFS RENDERING AGE 0-20 2,476 38,176 2,356 10,038 2,007 7,948 2,369 3,560
1891300471 CHIEN CYNTHIA 2021 FFS RENDERING AGE 0-20 104 960 86 311 44 124 84 103
1891300471 CHIEN CYNTHIA 2021 FFS RENDERING AGE 21+ 240 1,944 101 201 205 836 114 114
1891307625 ALIDOUSTI SHAHR FAEZEH 2021 FFS RENDERING AGE 0-20 152 1,897 123 403 93 368 123 142
1891307625 ALIDOUSTI SHAHR FAEZEH 2021 FFS RENDERING AGE 21+ 259 1,657 123 242 202 618 106 106
1891345112 PEDRAM MICHAEL 2021 FFS RENDERING AGE 0-20 1 2 0 0 1 2 0 0
1891345112 PEDRAM MICHAEL 2021 FFS RENDERING AGE 21+ 29 75 0 0 29 73 0 0
1891385050 SAN NICOLAS ESTHER C 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1891468682 SODHI NAVDEEP KAUR 2021 FFS RENDERING AGE 0-20 128 617 89 256 59 148 55 55
1891468682 SODHI NAVDEEP KAUR 2021 FFS RENDERING AGE 21+ 299 946 84 159 187 468 84 84
1891705349 LE, KEVIN THAI HOANG DDS 2021 FFS RENDERING AGE 0-20 11 71 1 2 1 2 1 1
1891705349 LE, KEVIN THAI HOANG DDS 2021 FFS RENDERING AGE 21+ 81 757 54 108 79 344 67 67
1891706636 MA, JAMES C, DDS 2021 FFS RENDERING AGE 0-20 310 2,307 251 706 141 470 267 333
1891706636 MA, JAMES C, DDS 2021 FFS RENDERING AGE 21+ 355 1,859 142 271 201 632 283 285
1891713566 SOLAK LEVON 2021 FFS RENDERING AGE 0-20 126 1,076 86 185 42 99 99 99
1891713566 SOLAK LEVON 2021 FFS RENDERING AGE 21+ 277 1,449 115 194 155 409 152 152
1891714754 NGUYEN, PHUNG K, DDS 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 2 1 1
1891714754 NGUYEN, PHUNG K, DDS 2021 FFS RENDERING AGE 21+ 27 203 22 44 14 26 16 16
1891719217 BAYRAKDARIAN ISHKHAN 2021 FFS RENDERING AGE 0-20 2,772 7,401 0 0 1,180 2,870 0 0
1891719217 BAYRAKDARIAN ISHKHAN 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1891748158 HUYNH, VU T MD 2021 FFS RENDERING AGE 0-20 71 145 0 0 71 145 0 0
1891796884 ALEJANDRINO-BUE MARIE E 2021 FFS RENDERING AGE 0-20 189 1,399 179 536 48 108 166 239
1891796884 ALEJANDRINO-BUE MARIE E 2021 FFS RENDERING AGE 21+ 214 1,247 180 355 90 275 182 182
1891801502 BAUMAN, DAVID G, DDS 2021 FFS RENDERING AGE 0-20 223 2,795 217 716 72 192 211 271
1891801825 MALOO HUZAIFA H 2021 FFS RENDERING AGE 0-20 394 2,598 172 405 178 530 356 372
1891801825 MALOO HUZAIFA H 2021 FFS RENDERING AGE 21+ 394 1,989 21 41 274 912 294 299
1891803714 PENG ERIC C 2021 FFS RENDERING AGE 0-20 292 3,268 279 911 97 256 285 390
1891803714 PENG ERIC C 2021 FFS RENDERING AGE 21+ 349 3,356 251 498 238 792 262 262
1891812038 KARIA, PIYUSH TULSIDA DDS 2021 FFS RENDERING AGE 0-20 107 1,360 91 261 41 157 77 85
1891812038 KARIA, PIYUSH TULSIDA DDS 2021 FFS RENDERING AGE 21+ 232 2,145 68 69 122 447 157 157
1891814224 NGUYEN, NHUNG N T, DDS 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 2 1 2
1891814224 NGUYEN, NHUNG N T, DDS 2021 FFS RENDERING AGE 21+ 13 54 1 1 1 2 1 1
1891814687 ASSIL FARIBA 2021 FFS RENDERING AGE 0-20 69 375 17 19 30 74 55 60
1891814687 ASSIL FARIBA 2021 FFS RENDERING AGE 21+ 361 1,982 31 32 211 684 260 274
1891815346 GARCIA CARLOS A 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1891815346 GARCIA CARLOS A 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 2 0 0
1891818274 BOYADJIAN, ALINE, DDS 2021 FFS RENDERING AGE 0-20 41 447 38 94 28 145 38 43
1891818274 BOYADJIAN, ALINE, DDS 2021 FFS RENDERING AGE 21+ 168 1,764 104 175 151 931 117 117
1891820445 DO TRI M 2021 FFS RENDERING AGE 0-20 27 134 15 36 1 2 12 14
1891820445 DO TRI M 2021 FFS RENDERING AGE 21+ 59 366 47 66 22 73 54 54
1891821765 FULLER, CLAYTON S, DDS 2021 FFS RENDERING AGE 0-20 372 1,147 0 0 80 256 0 0
1891821765 FULLER, CLAYTON S, DDS 2021 FFS RENDERING AGE 21+ 36 70 0 0 0 0 0 0
1891828778 JIMENEZ PETER N 2021 FFS RENDERING AGE 0-20 2,206 30,570 2,045 8,381 1,634 5,925 2,058 2,865
1891828778 JIMENEZ PETER N 2021 FFS RENDERING AGE 21+ 1 1 1 1 1 1 0 0
1891833372 THANT, AUNG MYO DDS 2021 FFS RENDERING AGE 0-20 236 2,416 221 917 130 407 229 267
1891833372 THANT, AUNG MYO DDS 2021 FFS RENDERING AGE 21+ 147 1,044 77 150 97 424 108 109
1891833372 THANT, AUNG MYO DDS 2021 PHP RENDERING AGE 0-20 91 909 89 354 42 129 90 109
1891833372 THANT, AUNG MYO DDS 2021 PHP RENDERING AGE 21+ 40 217 16 18 20 89 39 39
1891834941 JAVIDAN MAZDYAS MITRA 2021 FFS RENDERING AGE 0-20 110 522 67 155 59 129 61 61
1891834941 JAVIDAN MAZDYAS MITRA 2021 FFS RENDERING AGE 21+ 207 855 37 70 155 475 60 60
1891837449 KISSEVICH ZSOLT H GEN PTR 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1891845236 DAOUDIAN MEHRAN 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 1 1
1891845236 DAOUDIAN MEHRAN 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 2 1 1
1891845236 DAOUDIAN MEHRAN 2021 PHP RENDERING AGE 0-20 1 1 1 1 1 1 1 1
1891845236 DAOUDIAN MEHRAN 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 2 0 0
1891846523 PARK SANGHO 2021 FFS RENDERING AGE 0-20 2,362 33,091 2,279 6,612 1,502 9,041 1,686 1,883
1891846523 PARK SANGHO 2021 GMC RENDERING AGE 21+ 1 1 1 1 1 1 0 0
1891847596 AKHBARI CYRUS M 2021 FFS RENDERING AGE 0-20 1,017 9,534 937 3,299 360 462 948 1,115
1891847596 AKHBARI CYRUS M 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1891848248 ENCARNACION, TIM D, DDS 2021 FFS RENDERING AGE 0-20 74 542 63 135 29 98 68 73
1891848248 ENCARNACION, TIM D, DDS 2021 FFS RENDERING AGE 21+ 168 1,187 46 48 117 504 131 131
1891848453 GALVAN DE BARBOSA, ADRIANA, 2021 FFS RENDERING AGE 0-20 12 226 1 2 1 2 11 22
1891848453 GALVAN DE BARBOSA, ADRIANA, 2021 FFS RENDERING AGE 21+ 59 866 20 76 38 338 44 88
1891848842 DUARTE EYNALD A 2021 FFS RENDERING AGE 0-20 43 323 21 25 29 192 29 29
1891848842 DUARTE EYNALD A 2021 FFS RENDERING AGE 21+ 96 545 33 33 49 317 61 61
1891848842 DUARTE EYNALD A 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1891848842 DUARTE EYNALD A 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 2 1 2
1891849873 WONG LYNNE M 2021 FFS RENDERING AGE 0-20 184 207 0 0 0 0 0 0
1891849873 WONG LYNNE M 2021 FFS RENDERING AGE 21+ 1,355 1,880 0 0 1 1 1 1
1891852398 PHAN, LYNDON TRONGLAN DDS 2021 FFS RENDERING AGE 0-20 544 7,864 530 1,910 120 289 530 750
1891852398 PHAN, LYNDON TRONGLAN DDS 2021 FFS RENDERING AGE 21+ 218 1,473 160 319 98 294 164 164
1891854691 HO VANANH T 2021 FFS RENDERING AGE 0-20 870 7,919 663 2,619 382 1,905 781 899
1891854691 HO VANANH T 2021 FFS RENDERING AGE 21+ 905 4,204 167 342 382 1,626 619 625
1891854691 HO VANANH T 2021 GMC RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1891854691 HO VANANH T 2021 PHP RENDERING AGE 0-20 1 2 0 0 1 2 1 1
1891854691 HO VANANH T 2021 PHP RENDERING AGE 21+ 1 2 0 0 1 2 0 0
1891856589 ISKANDER AFAF E 2021 FFS RENDERING AGE 0-20 179 1,535 121 373 80 254 157 178
1891856589 ISKANDER AFAF E 2021 FFS RENDERING AGE 21+ 308 1,592 44 46 167 602 221 226
1891856589 ISKANDER AFAF E 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1891856753 NIKFARJAM DAVID S 2021 FFS RENDERING AGE 0-20 1,195 9,946 1,143 4,079 416 1,672 1,083 1,572
1891856753 NIKFARJAM DAVID S 2021 PHP RENDERING AGE 0-20 45 373 18 51 43 242 1 1
1891858106 BROOKS, CAROL J DDS 2021 FFS RENDERING AGE 0-20 16 81 13 30 1 1 12 14
1891858106 BROOKS, CAROL J DDS 2021 FFS RENDERING AGE 21+ 125 531 46 50 64 212 69 69
1891859666 PATEL KIRIT R 2021 FFS RENDERING AGE 0-20 291 4,371 281 1,201 141 257 275 338
1891859666 PATEL KIRIT R 2021 FFS RENDERING AGE 21+ 896 10,438 681 1,142 508 1,839 791 791
1891862918 LAMPASI JAMES P 2021 FFS RENDERING AGE 0-20 116 767 80 170 53 203 72 77
1891862918 LAMPASI JAMES P 2021 FFS RENDERING AGE 21+ 207 1,011 82 136 103 338 143 143
1891865499 PARK, CHARLES C, DDS 2021 FFS RENDERING AGE 0-20 77 737 61 149 45 145 66 72
1891865499 PARK, CHARLES C, DDS 2021 FFS RENDERING AGE 21+ 98 580 22 26 73 247 57 61
1891868766 TRAN, THU ANH DMD 2021 FFS RENDERING AGE 0-20 108 1,982 104 372 72 326 106 163
1891868766 TRAN, THU ANH DMD 2021 FFS RENDERING AGE 21+ 117 1,271 93 183 75 407 106 106
1891870796 AMBARTSUMYAN, HASMIK 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 2 1 1
1891870796 AMBARTSUMYAN, HASMIK 2021 FFS RENDERING AGE 21+ 316 2,278 155 155 275 1,781 127 127
1891874897 MARATHE KAUSTUBH K 2021 FFS RENDERING AGE 0-20 75 520 67 168 31 108 57 70
1891874897 MARATHE KAUSTUBH K 2021 FFS RENDERING AGE 21+ 97 455 32 35 61 208 60 60
1891881751 DAWOOD NAJLAA F 2021 FFS RENDERING AGE 0-20 227 1,298 180 522 72 177 193 219
1891881751 DAWOOD NAJLAA F 2021 FFS RENDERING AGE 21+ 289 1,103 130 248 139 360 212 215
1891883880 ELO JEFFREY A 2021 FFS RENDERING AGE 0-20 51 202 0 0 51 196 0 0
1891883880 ELO JEFFREY A 2021 FFS RENDERING AGE 21+ 123 344 0 0 123 338 0 0
1891893152 CHANG YAOJEN 2021 FFS RENDERING AGE 0-20 291 3,339 235 912 184 534 237 267
1891893152 CHANG YAOJEN 2021 FFS RENDERING AGE 21+ 496 3,735 243 492 356 1,038 293 294
1891893152 CHANG YAOJEN 2021 PHP RENDERING AGE 0-20 1 1 1 1 1 1 1 1
1891893152 CHANG YAOJEN 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1891896395 FAN SHEUNG-LUNG 2021 FFS RENDERING AGE 0-20 28 225 26 76 13 25 27 37
1891896395 FAN SHEUNG-LUNG 2021 FFS RENDERING AGE 21+ 94 785 72 122 59 296 81 81
1891900221 PLEYTO, XERES DESIREE A DDS 2021 FFS RENDERING AGE 0-20 32 230 26 75 13 32 28 36
1891900221 PLEYTO, XERES DESIREE A DDS 2021 FFS RENDERING AGE 21+ 74 383 42 77 42 117 45 45
1891900221 PLEYTO, XERES DESIREE A DDS 2021 PHP RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1891902326 ESFANDIARI FARSHID F 2021 FFS RENDERING AGE 0-20 127 1,210 118 560 56 215 113 135
1891902326 ESFANDIARI FARSHID F 2021 FFS RENDERING AGE 21+ 325 1,897 179 333 206 720 246 248
1891902326 ESFANDIARI FARSHID F 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1891904397 GALLASTEGUI ALBERTO 2021 FFS RENDERING AGE 0-20 1,072 5,708 639 1,840 651 2,168 460 494
1891904397 GALLASTEGUI ALBERTO 2021 FFS RENDERING AGE 21+ 2,416 11,615 598 1,192 2,167 8,054 451 451
1891905626 EMAMISADR II, MAHVASH DDS 2021 FFS RENDERING AGE 0-20 39 132 34 35 12 41 21 21
1891905626 EMAMISADR II, MAHVASH DDS 2021 FFS RENDERING AGE 21+ 172 810 24 24 131 533 113 113
1891905626 EMAMISADR II, MAHVASH DDS 2021 PHP RENDERING AGE 0-20 24 82 19 31 1 1 19 21
1891905626 EMAMISADR II, MAHVASH DDS 2021 PHP RENDERING AGE 21+ 46 162 16 16 20 63 40 40
1891906640 PRUSS MARIA E 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1891909081 SUNGLAO JESSAMINE T 2021 FFS RENDERING AGE 0-20 18 193 17 80 1 2 17 21
1891909081 SUNGLAO JESSAMINE T 2021 FFS RENDERING AGE 21+ 56 304 46 48 33 150 47 47
1891912168 FRIENDLY ENDODONTICS INC 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1891914495 HUGHES, BRENNAN, DMD A PROFE 2021 PHP RENDERING AGE 0-20 1 2 1 1 0 0 1 1
1891914495 HUGHES, BRENNAN, DMD A PROFE 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1891915492 BERHANU-DEMISSI AMSALE 2021 FFS RENDERING AGE 0-20 66 323 43 88 32 50 44 45
1891915492 BERHANU-DEMISSI AMSALE 2021 FFS RENDERING AGE 21+ 193 742 57 109 135 289 67 67
1891917860 RAOUF, MEDHAT M, DDS 2021 FFS RENDERING AGE 0-20 15 121 14 47 1 1 14 18
1891917860 RAOUF, MEDHAT M, DDS 2021 FFS RENDERING AGE 21+ 66 420 43 86 43 170 51 51
1891927505 MAGALLANES ELIZABETH 2021 PHP RENDERING AGE 0-20 214 1,408 181 698 81 115 134 154
1891927505 MAGALLANES ELIZABETH 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1891937249 GUERRERO FERNANDES, ANDRE V 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1891941654 SAADAT DARA 2021 FFS RENDERING AGE 0-20 545 1,530 0 0 55 135 0 0
1891941654 SAADAT DARA 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1891942652 KARIMI MAHYAR A 2021 FFS RENDERING AGE 0-20 54 304 0 0 54 304 0 0
1891942652 KARIMI MAHYAR A 2021 FFS RENDERING AGE 21+ 69 486 0 0 69 484 0 0
1891945978 SALES VIVIAN R 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1891945978 SALES VIVIAN R 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1891960480 SAAD, RIMON V DDS 2021 FFS RENDERING AGE 0-20 498 8,273 483 2,094 255 857 485 695
1891960480 SAAD, RIMON V DDS 2021 FFS RENDERING AGE 21+ 301 2,392 193 383 212 749 241 241
1891960480 SAAD, RIMON V, DDS 2021 FFS RENDERING AGE 0-20 498 8,273 483 2,094 255 857 485 695
1891960480 SAAD, RIMON V, DDS 2021 FFS RENDERING AGE 21+ 301 2,392 193 383 212 749 241 241
1891962270 NGUYEN HOPE ANN T 2021 FFS RENDERING AGE 0-20 369 2,695 271 681 187 750 243 270
1891962809 LEE EUNICE J 2021 FFS RENDERING AGE 0-20 4,611 34,471 4,118 10,529 1,905 3,897 4,184 4,484
1891962809 LEE EUNICE J 2021 FFS RENDERING AGE 21+ 11 42 1 1 0 0 1 1
1891962809 LEE EUNICE J 2021 PHP RENDERING AGE 0-20 30 203 11 21 24 91 1 1
1891964565 LU, WENBO, DDS 2021 FFS RENDERING AGE 0-20 311 1,341 96 290 163 442 113 113
1891964565 LU, WENBO, DDS 2021 FFS RENDERING AGE 21+ 384 1,371 71 128 237 682 133 134
1891964565 LU, WENBO, DDS 2021 PHP RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1891967766 RODRIGUEZ-PUGED PAULYN C 2021 GMC RENDERING AGE 0-20 103 706 81 265 19 31 86 104
1891967766 RODRIGUEZ-PUGED PAULYN C 2021 GMC RENDERING AGE 21+ 42 210 19 36 16 27 25 29
1891973095 ASIDERA, SALINA S DDS 2021 FFS RENDERING AGE 0-20 151 2,200 135 432 105 405 141 187
1891973095 ASIDERA, SALINA S DDS 2021 FFS RENDERING AGE 21+ 222 2,311 113 197 182 1,012 156 156
1891973533 ARMENIAN BAYRAMYAN DENTAL 2021 FFS RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1891978508 SHARIFZADEH ALIREZA 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1891978508 SHARIFZADEH ALIREZA 2021 FFS RENDERING AGE 21+ 19 129 15 30 14 38 16 16
1891980116 GERSHFELD JULIAN G 2021 FFS RENDERING AGE 0-20 31 144 27 69 1 2 26 27
1891980116 GERSHFELD JULIAN G 2021 FFS RENDERING AGE 21+ 111 487 45 86 69 186 74 74
1891980116 GERSHFELD JULIAN G 2021 PHP RENDERING AGE 0-20 36 274 29 112 11 54 33 42
1891980116 GERSHFELD JULIAN G 2021 PHP RENDERING AGE 21+ 129 860 38 53 83 509 108 116
1891995320 LEONG EDWARD C 2021 FFS RENDERING AGE 0-20 111 1,089 100 304 46 152 108 143
1891995320 LEONG EDWARD C 2021 FFS RENDERING AGE 21+ 194 1,468 135 135 129 456 157 157
1902006554 SHIM CHARLES 2021 FFS RENDERING AGE 0-20 934 16,300 915 3,681 666 3,565 913 1,224
1902006554 SHIM CHARLES 2021 FFS RENDERING AGE 21+ 13 82 1 2 1 1 1 1
1902014160 KAO GEORGE H 2021 FFS RENDERING AGE 0-20 22 162 17 55 12 27 19 23
1902014160 KAO GEORGE H 2021 FFS RENDERING AGE 21+ 79 676 65 132 70 291 68 69
1902015803 SOLEIMANI KATAYOUN 2021 FFS RENDERING AGE 0-20 31 223 24 63 12 46 30 32
1902015803 SOLEIMANI KATAYOUN 2021 FFS RENDERING AGE 21+ 138 1,073 79 147 82 303 119 119
1902016876 DE JESUS DEXTER R 2021 FFS RENDERING AGE 0-20 164 2,048 139 387 68 261 158 197
1902016876 DE JESUS DEXTER R 2021 FFS RENDERING AGE 21+ 198 1,603 59 112 131 554 160 162
1902019805 EISENHOFER, KAREN F DDS 2021 FFS RENDERING AGE 0-20 19 135 14 30 1 2 13 13
1902019805 EISENHOFER, KAREN F DDS 2021 FFS RENDERING AGE 21+ 25 131 1 2 14 34 14 14
1902019805 EISENHOFER, KAREN F DDS 2021 PHP RENDERING AGE 0-20 78 569 67 232 51 88 38 42
1902019805 EISENHOFER, KAREN F DDS 2021 PHP RENDERING AGE 21+ 80 313 45 75 65 89 25 25
1902019870 SALEEB, NADIA DDS 2021 FFS RENDERING AGE 0-20 62 532 57 221 30 88 60 72
1902019870 SALEEB, NADIA DDS 2021 FFS RENDERING AGE 21+ 187 1,394 85 86 148 684 141 142
1902020456 PAKRAVAN, FARID, DDS II INC 2021 PHP RENDERING AGE 0-20 1 2 1 1 0 0 1 1
1902020456 PAKRAVAN, FARID, DDS II INC 2021 PHP RENDERING AGE 21+ 1 2 0 0 1 1 1 1
1902020977 PACHECO ROBERTO A 2021 FFS RENDERING AGE 0-20 128 1,793 114 306 36 111 119 145
1902020977 PACHECO ROBERTO A 2021 FFS RENDERING AGE 21+ 78 715 52 52 34 101 59 59
1902025919 NGUYEN DOUGLAS DUC T 2021 FFS RENDERING AGE 0-20 354 847 0 0 115 407 64 64
1902025919 NGUYEN DOUGLAS DUC T 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1902026388 RAD, MOSTAFA DMD 2021 FFS RENDERING AGE 0-20 686 8,237 664 3,248 320 952 666 986
1902026388 RAD, MOSTAFA DMD 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1902034432 DEEPAK RAHIL DDS 2021 FFS RENDERING AGE 0-20 979 11,149 883 3,674 515 1,413 901 1,041
1902034432 DEEPAK RAHIL DDS 2021 FFS RENDERING AGE 21+ 898 5,979 306 611 610 2,343 684 686
1902034432 DEEPAK RAHIL DDS 2021 PHP RENDERING AGE 0-20 1 2 1 1 0 0 1 1
1902044183 PIERSON KENNETH D 2021 FFS RENDERING AGE 0-20 733 15,285 387 986 731 11,476 668 671
1902055536 NIRMALA RAMACHANDRAN DDS 2021 FFS RENDERING AGE 0-20 456 4,346 300 1,016 334 1,060 282 309
1902055536 NIRMALA RAMACHANDRAN DDS 2021 FFS RENDERING AGE 21+ 1,109 6,669 389 885 916 3,334 384 390
1902055783 KIRAKOSIAN, LOUSINE, DDS 2021 FFS RENDERING AGE 0-20 56 572 43 128 36 112 46 47
1902055783 KIRAKOSIAN, LOUSINE, DDS 2021 FFS RENDERING AGE 21+ 286 3,250 160 287 236 1,411 203 203
1902059728 HONG, JENNIFER WU 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1902063498 MEIMBAN, BEDAN, DDS 2021 FFS RENDERING AGE 0-20 46 350 43 136 25 76 40 54
1902063498 MEIMBAN, BEDAN, DDS 2021 FFS RENDERING AGE 21+ 158 1,259 86 163 135 650 93 93
1902082381 KHAN AMNA 2021 FFS RENDERING AGE 0-20 132 685 85 222 45 95 102 116
1902082381 KHAN AMNA 2021 FFS RENDERING AGE 21+ 237 796 57 104 149 398 93 93
1902082381 KHAN AMNA 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1902082381 KHAN AMNA 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1902082381 KHAN AMNA 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1902085855 SHIH YEN S 2021 FFS RENDERING AGE 0-20 25 171 13 39 13 38 15 16
1902085855 SHIH YEN S 2021 FFS RENDERING AGE 21+ 64 416 34 54 52 208 27 27
1902086895 SHIR NUSHIN 2021 FFS RENDERING AGE 0-20 12 54 1 2 0 0 12 12
1902086895 SHIR NUSHIN 2021 FFS RENDERING AGE 21+ 22 95 0 0 1 2 16 16
1902086895 SHIR NUSHIN 2021 PHP RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1902095706 LAHMANI JASON M 2021 FFS RENDERING AGE 0-20 126 573 13 24 118 224 1 1
1902095706 LAHMANI JASON M 2021 FFS RENDERING AGE 21+ 32 107 1 1 23 33 1 1
1902095706 LAHMANI JASON M 2021 PHP RENDERING AGE 0-20 34 219 28 102 11 33 27 29
1902095706 LAHMANI JASON M 2021 PHP RENDERING AGE 21+ 22 106 1 2 18 71 1 1
1902095813 TAITZ, ORLY 2021 FFS RENDERING AGE 0-20 96 1,024 94 603 35 57 74 91
1902095813 TAITZ, ORLY 2021 FFS RENDERING AGE 21+ 233 1,940 156 304 166 1,226 175 175
1902096720 FULLER MARILYN C 2021 FFS RENDERING AGE 0-20 13 47 1 2 1 2 1 1
1902096720 FULLER MARILYN C 2021 FFS RENDERING AGE 21+ 13 50 1 1 1 2 1 1
1902109234 SIMAN AFSOON 2021 FFS RENDERING AGE 0-20 113 939 81 197 64 153 92 101
1902109234 SIMAN AFSOON 2021 FFS RENDERING AGE 21+ 271 1,300 50 51 186 440 125 125
1902109234 SIMAN AFSOON 2021 PHP RENDERING AGE 0-20 73 768 49 134 32 69 55 72
1902109234 SIMAN AFSOON 2021 PHP RENDERING AGE 21+ 79 461 21 23 54 124 42 45
1902127558 SEHEULT STUART R 2021 FFS RENDERING AGE 0-20 489 3,161 83 286 489 2,583 0 0
1902127558 SEHEULT STUART R 2021 FFS RENDERING AGE 21+ 825 4,850 133 179 825 4,075 0 0
1902128390 KOBAYASHI ROXANNE N 2021 FFS RENDERING AGE 0-20 404 4,290 333 1,148 191 573 336 376
1902128390 KOBAYASHI ROXANNE N 2021 FFS RENDERING AGE 21+ 596 4,210 180 355 427 1,645 396 396
1902156367 JUNGMAN ROBERT W 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1902165202 YOON MIYOUNG 2021 FFS RENDERING AGE 0-20 71 866 62 290 31 88 69 95
1902165202 YOON MIYOUNG 2021 FFS RENDERING AGE 21+ 137 1,231 97 194 83 276 113 113
1902173362 CHEN BETTY 2021 FFS RENDERING AGE 0-20 227 413 0 0 79 220 0 0
1902185846 RODEF DENTAL CORP 2021 FFS RENDERING AGE 0-20 1 1 1 1 1 1 0 0
1902192719 GRANGER, SHANNON L MD 2021 FFS RENDERING AGE 0-20 509 1,895 0 0 509 1,895 0 0
1902192719 GRANGER, SHANNON L MD 2021 FFS RENDERING AGE 21+ 19 66 0 0 19 66 0 0
1902193774 GHANOUNI SEPAND 2021 FFS RENDERING AGE 0-20 300 778 1 2 1 2 1 1
1902193774 GHANOUNI SEPAND 2021 FFS RENDERING AGE 21+ 67 141 1 1 1 1 1 1
1902193774 GHANOUNI SEPAND 2021 GMC RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1902202823 MANOUCHEHRI & RODEF DENTAL C 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1902208796 SINGH ARUNA 2021 FFS RENDERING AGE 0-20 110 483 46 98 34 118 77 81
1902208796 SINGH ARUNA 2021 FFS RENDERING AGE 21+ 348 1,265 59 107 207 584 214 214
1902244668 MATTAR DINA 2021 FFS RENDERING AGE 0-20 119 1,477 109 468 55 196 116 192
1902244668 MATTAR DINA 2021 FFS RENDERING AGE 21+ 138 949 84 158 79 291 116 120
1902253479 LEHRER IAN S 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1902261746 KO YI J 2021 FFS RENDERING AGE 0-20 216 2,096 190 675 163 486 191 244
1902261746 KO YI J 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1902267479 ALTAMED HEALTH SERVICES 2021 PHP RENDERING AGE 0-20 429 10,022 315 3,364 410 2,640 274 620
1902267479 ALTAMED HEALTH SERVICES 2021 PHP RENDERING AGE 21+ 280 4,810 66 312 242 2,604 96 210
1902267479 ALTAMED HEALTH SERVICES CORP 2021 PHP RENDERING AGE 0-20 429 5,011 315 1,682 410 1,320 274 310
1902267479 ALTAMED HEALTH SERVICES CORP 2021 PHP RENDERING AGE 21+ 280 2,405 66 156 242 1,302 96 105
1902268600 HWANG EUNICE Y 2021 FFS RENDERING AGE 0-20 643 7,217 617 2,337 414 1,300 604 778
1902268600 HWANG EUNICE Y 2021 PHP RENDERING AGE 0-20 1 1 1 1 1 1 1 1
1902270507 DAWOUD SOLIMAN HANY M 2021 FFS RENDERING AGE 0-20 1,153 7,123 1,007 3,157 471 782 1,000 1,053
1902270507 DAWOUD SOLIMAN HANY M 2021 FFS RENDERING AGE 21+ 1,319 4,909 532 893 632 1,685 780 781
1902270507 DAWOUD SOLIMAN HANY M 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 1 1
1902286552 NASIRI AVISHAN K 2021 FFS RENDERING AGE 0-20 51 613 34 131 38 148 48 67
1902286552 NASIRI AVISHAN K 2021 FFS RENDERING AGE 21+ 194 1,859 85 163 126 811 159 162
1902288285 CHU HOWARD 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1902295900 SALIMI SIMA 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1902296395 MIRMARASHI & MAKHMALBAF 2021 PHP RENDERING AGE 0-20 15 89 13 39 1 1 14 14
1902296395 MIRMARASHI & MAKHMALBAF 2021 PHP RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1902301021 LIN KYLE S 2021 FFS RENDERING AGE 0-20 92 651 72 152 35 85 72 72
1902301021 LIN KYLE S 2021 FFS RENDERING AGE 21+ 63 222 1 2 44 85 23 23
1902306665 ADAMI DIBA 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1902319197 BLAS BLANCA 2021 FFS RENDERING AGE 21+ 41 60 17 17 24 43 0 0
1902319676 LEE JANICE S 2021 FFS RENDERING AGE 0-20 931 1,387 0 0 603 892 0 0
1902329402 CHAK ELIZABETH T 2021 FFS RENDERING AGE 0-20 178 1,843 158 431 74 205 155 155
1902329402 CHAK ELIZABETH T 2021 FFS RENDERING AGE 21+ 151 891 73 144 121 266 79 79
1902329873 GADDIS JORDAN 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 2 1 1
1902329873 GADDIS JORDAN 2021 FFS RENDERING AGE 21+ 184 2,673 95 187 157 1,500 149 149
1902336472 VO CATHY N 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1902336472 VO CATHY N 2021 GMC RENDERING AGE 0-20 1,226 15,339 1,097 5,384 894 2,190 1,098 1,487
1902336472 VO CATHY N 2021 GMC RENDERING AGE 21+ 99 658 68 140 44 85 79 80
1902349442 ZAKHAROVA EKATERINA G 2021 FFS RENDERING AGE 0-20 105 109 0 0 1 1 0 0
1902349442 ZAKHAROVA EKATERINA G 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1902381452 MAGANA SUSANA 2021 PHP RENDERING AGE 0-20 1 2 1 2 0 0 1 1
1902381452 MAGANA SUSANA 2021 PHP RENDERING AGE 21+ 1 2 1 2 1 2 0 0
1902403900 KAUR ARVIND 2021 FFS RENDERING AGE 0-20 160 697 99 234 49 103 114 114
1902403900 KAUR ARVIND 2021 FFS RENDERING AGE 21+ 318 1,030 56 108 145 351 185 185
1902403900 KAUR ARVIND 2021 PHP RENDERING AGE 0-20 15 86 13 32 1 2 1 2
1902403900 KAUR ARVIND 2021 PHP RENDERING AGE 21+ 1 2 0 0 1 1 1 1
1902412935 KHAJAVI MANA 2021 FFS RENDERING AGE 0-20 292 1,368 189 454 144 386 189 195
1902412935 KHAJAVI MANA 2021 FFS RENDERING AGE 21+ 413 1,314 96 180 252 614 208 208
1902412935 KHAJAVI MANA 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 2 0 0
1902426950 LUONG YEN HAI N 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1902463821 KIM JIN S 2021 FFS RENDERING AGE 0-20 297 2,603 268 922 202 599 271 317
1902463821 KIM JIN S 2021 FFS RENDERING AGE 21+ 348 1,969 181 338 254 941 251 253
1902463821 KIM JIN S 2021 PHP RENDERING AGE 0-20 18 217 18 101 1 2 17 23
1902463821 KIM JIN S 2021 PHP RENDERING AGE 21+ 21 198 21 76 13 77 17 18
1902468705 DAMASCO MARICHRIS V 2021 FFS RENDERING AGE 0-20 4,511 40,530 3,562 8,464 1,612 5,268 3,455 3,714
1902477979 SHENOUDA SANDRA A 2021 FFS RENDERING AGE 0-20 188 1,066 110 321 92 236 140 140
1902477979 SHENOUDA SANDRA A 2021 FFS RENDERING AGE 21+ 165 521 16 30 78 157 103 103
1902490048 WU BEIBEI 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 2 1 1
1902490048 WU BEIBEI 2021 FFS RENDERING AGE 21+ 81 452 53 101 47 197 65 65
1902493182 ZIJOUDI SAM 2021 FFS RENDERING AGE 0-20 280 1,325 152 330 142 400 152 155
1902493182 ZIJOUDI SAM 2021 FFS RENDERING AGE 21+ 843 3,007 159 297 462 1,229 448 450
1902493182 ZIJOUDI SAM 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1902824279 PETERS SCOTT S 2021 FFS RENDERING AGE 0-20 97 901 81 300 37 109 76 84
1902824279 PETERS SCOTT S 2021 FFS RENDERING AGE 21+ 619 5,044 240 450 440 2,216 399 402
1902865215 NGUYEN LIEN P 2021 FFS RENDERING AGE 0-20 1 2 1 2 0 0 1 1
1902865215 NGUYEN LIEN P 2021 FFS RENDERING AGE 21+ 11 35 1 1 1 2 1 1
1902868862 CATALAN BEAVERLY G 2021 FFS RENDERING AGE 0-20 61 566 56 186 28 96 56 66
1902868862 CATALAN BEAVERLY G 2021 FFS RENDERING AGE 21+ 161 1,337 74 126 117 595 120 120
1902884125 STUCKEN CHARLES R 2021 FFS RENDERING AGE 0-20 40 604 40 103 27 117 35 46
1902884125 STUCKEN CHARLES R 2021 FFS RENDERING AGE 21+ 53 383 41 79 31 78 48 48
1902884729 AMMAR, AWNIE DDS 2021 FFS RENDERING AGE 0-20 586 6,180 573 2,686 180 469 581 915
1902884729 AMMAR, AWNIE DDS 2021 FFS RENDERING AGE 21+ 1 1 1 1 1 1 0 0
1902903909 MOVASSAGHI ALIREZA 2021 FFS RENDERING AGE 0-20 1,509 15,364 1,140 3,189 348 746 1,190 1,426
1902903909 MOVASSAGHI ALIREZA 2021 FFS RENDERING AGE 21+ 1,851 10,387 647 653 872 1,772 1,011 1,012
1902903909 MOVASSAGHI ALIREZA 2021 PHP RENDERING AGE 0-20 23 241 20 45 1 1 22 26
1902903909 MOVASSAGHI ALIREZA 2021 PHP RENDERING AGE 21+ 34 203 16 20 13 35 22 25
1902903909 UNKNOWN 2021 FFS RENDERING AGE 0-20 1,509 15,364 1,140 3,189 348 746 1,190 1,426
1902903909 UNKNOWN 2021 FFS RENDERING AGE 21+ 1,851 10,387 647 653 872 1,772 1,011 1,012
1902903909 UNKNOWN 2021 PHP RENDERING AGE 0-20 23 241 20 45 1 1 22 26
1902903909 UNKNOWN 2021 PHP RENDERING AGE 21+ 34 203 16 20 13 35 22 25
1902905532 EDWARDS LYNN M 2021 FFS RENDERING AGE 0-20 108 604 76 110 99 326 76 78
1902905532 EDWARDS LYNN M 2021 FFS RENDERING AGE 21+ 615 3,279 189 194 564 2,067 369 369
1902923592 KAUR TIA 2021 FFS RENDERING AGE 0-20 347 2,488 247 647 197 451 254 281
1902923592 KAUR TIA 2021 GMC RENDERING AGE 0-20 986 6,235 689 1,745 827 1,919 305 314
1902928740 SAHAKIAN AIDA 2021 FFS RENDERING AGE 0-20 202 1,648 188 852 50 212 197 217
1902928740 SAHAKIAN AIDA 2021 FFS RENDERING AGE 21+ 804 6,020 521 1,002 553 3,225 638 638
1902930936 JARA JAVIER E 2021 FFS RENDERING AGE 0-20 16 169 14 27 1 2 1 2
1902930936 JARA JAVIER E 2021 FFS RENDERING AGE 21+ 16 167 13 19 1 2 11 11
1902932338 LEE RICHARD S 2021 FFS RENDERING AGE 0-20 286 2,160 243 609 156 506 264 312
1902932338 LEE RICHARD S 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1902933831 KANDKHOROV EMMANUEL B 2021 FFS RENDERING AGE 0-20 79 795 75 259 27 130 76 101
1902933831 KANDKHOROV EMMANUEL B 2021 FFS RENDERING AGE 21+ 199 1,471 138 278 134 580 158 159
1902935331 BARAKAT, NAJWA A DDS 2021 FFS RENDERING AGE 0-20 51 389 46 133 21 80 37 50
1902935331 BARAKAT, NAJWA A DDS 2021 FFS RENDERING AGE 21+ 190 1,264 132 132 139 468 128 128
1902936602 AHN SUK YOUNG 2021 FFS RENDERING AGE 0-20 97 536 80 193 56 186 45 48
1902939143 ADAMES RENATA B 2021 FFS RENDERING AGE 0-20 486 8,507 461 1,756 343 1,513 465 658
1902939143 ADAMES RENATA B 2021 FFS RENDERING AGE 21+ 199 1,797 92 179 150 689 134 140
1902941669 ONGKORAHARDJO ANDRIANI 2021 FFS RENDERING AGE 0-20 787 11,704 739 2,671 354 1,527 759 1,066
1902941669 ONGKORAHARDJO ANDRIANI 2021 FFS RENDERING AGE 21+ 30 255 20 40 17 31 21 21
1902947419 NOURIAN SHAHRAM R 2021 FFS RENDERING AGE 0-20 25 182 22 63 1 2 21 26
1902947419 NOURIAN SHAHRAM R 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1902947419 NOURIAN SHAHRAM R 2021 PHP RENDERING AGE 0-20 35 130 30 59 1 1 27 29
1902947419 NOURIAN SHAHRAM R 2021 PHP RENDERING AGE 21+ 16 53 1 1 1 2 11 11
1902951056 DAVIS, ALLEN G, DDS 2021 FFS RENDERING AGE 0-20 270 791 0 0 104 348 0 0
1902951056 DAVIS, ALLEN G, DDS 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1902951577 NGUYEN, WILLIAM, DDS MSD 2021 FFS RENDERING AGE 0-20 107 114 0 0 1 1 0 0
1902951577 NGUYEN, WILLIAM, DDS MSD 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1902951577 NGUYEN, WILLIAM, DDS MSD 2021 GMC RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1902951577 NGUYEN, WILLIAM, DDS MSD 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1902952633 AIVAZIAN, STEVE, DMD 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1902954506 RAHIMI, ALEX 2021 FFS RENDERING AGE 0-20 495 3,907 199 584 354 1,276 189 191
1902954506 RAHIMI, ALEX 2021 FFS RENDERING AGE 21+ 434 2,748 124 248 297 930 125 125
1902957145 DABIR PRIYADARSHAN A 2021 FFS RENDERING AGE 0-20 451 3,669 362 1,087 333 1,193 333 424
1902957145 DABIR PRIYADARSHAN A 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1902957608 LABIB, FARSHAD, DDS 2021 FFS RENDERING AGE 0-20 55 244 41 42 16 29 48 50
1902957608 LABIB, FARSHAD, DDS 2021 FFS RENDERING AGE 21+ 402 2,119 162 162 275 1,151 307 307
1902959083 PYLEN EUGENE 2021 FFS RENDERING AGE 0-20 2,487 27,449 2,230 8,777 1,436 3,958 2,152 2,437
1902959083 PYLEN EUGENE 2021 FFS RENDERING AGE 21+ 833 4,388 347 688 488 1,293 513 546
1902959083 PYLEN EUGENE 2021 PHP RENDERING AGE 0-20 37 257 36 123 13 24 26 29
1902959083 PYLEN EUGENE 2021 PHP RENDERING AGE 21+ 11 63 1 1 1 1 1 1
1902959091 VO SANDRA H 2021 FFS RENDERING AGE 0-20 477 7,575 462 2,201 332 1,069 470 708
1902959091 VO SANDRA H 2021 FFS RENDERING AGE 21+ 769 8,391 565 1,138 678 3,545 612 620
1902959513 HUTCHINS ELWIN R 2021 FFS RENDERING AGE 0-20 89 777 86 341 29 68 76 109
1902959513 HUTCHINS ELWIN R 2021 FFS RENDERING AGE 21+ 103 587 67 128 65 233 46 46
1902959901 MONTIEL, ALAIN ANDREA, DDS 2021 FFS RENDERING AGE 0-20 1 2 0 0 1 1 1 1
1902959901 MONTIEL, ALAIN ANDREA, DDS 2021 FFS RENDERING AGE 21+ 1,416 15,039 0 0 1,415 5,347 801 801
1902963051 KOHLI GAGANDEEP S 2021 FFS RENDERING AGE 0-20 129 1,047 106 351 45 149 111 140
1902963051 KOHLI GAGANDEEP S 2021 FFS RENDERING AGE 21+ 312 1,414 113 203 133 382 231 231
1902964059 BUI PHUONG-LY T 2021 FFS RENDERING AGE 0-20 345 3,476 240 779 219 890 213 243
1902964059 BUI PHUONG-LY T 2021 FFS RENDERING AGE 21+ 314 2,367 166 334 247 830 185 189
1902964836 BAYAT PAUL 2021 FFS RENDERING AGE 0-20 21 89 14 56 1 2 0 0
1902964836 BAYAT PAUL 2021 FFS RENDERING AGE 21+ 73 180 20 32 49 97 0 0
1902965759 GHOBASHY AYMAN M 2021 GMC RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1902967904 LUCIO, JULITA MENDOZA, DDS 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1902967904 LUCIO, JULITA MENDOZA, DDS 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1902972938 DAO TU T 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1902972938 DAO TU T 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1902973290 TRAN THE-HAO M 2021 FFS RENDERING AGE 0-20 1,966 12,190 1,941 4,336 1,868 2,820 529 629
1902973290 TRAN THE-HAO M 2021 FFS RENDERING AGE 21+ 339 2,251 204 403 218 845 267 267
1902973290 TRAN THE-HAO M 2021 PHP RENDERING AGE 0-20 51 608 49 206 41 132 44 53
1902973290 TRAN THE-HAO M 2021 PHP RENDERING AGE 21+ 80 556 43 86 63 283 61 61
1902977069 MOON, HYE WON DDS 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1902983497 TOM, RANDALL WILLIAM, DDS 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 0 0
1902989361 LOPEZ-QUIZON AMELIA 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1912004250 LEE KANG K 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 1 1 2
1912004250 LEE KANG K 2021 FFS RENDERING AGE 21+ 35 229 29 58 19 68 34 34
1912007600 MODI, TEJAS K DDS 2021 FFS RENDERING AGE 0-20 1,034 12,277 831 2,960 332 829 896 1,004
1912007600 MODI, TEJAS K DDS 2021 FFS RENDERING AGE 21+ 825 6,870 222 437 496 1,335 572 573
1912008889 ADAMIAN JOSEPH 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1912020215 BUI, THUY T, DDS., INC 2021 FFS RENDERING AGE 0-20 84 634 79 331 17 34 78 113
1912020215 BUI, THUY T, DDS., INC 2021 FFS RENDERING AGE 21+ 12 66 1 2 1 1 1 1
1912020959 ALROUSAN, SABA A, DDS 2021 FFS RENDERING AGE 0-20 73 384 51 147 21 40 63 69
1912020959 ALROUSAN, SABA A, DDS 2021 FFS RENDERING AGE 21+ 369 1,257 66 129 163 376 244 244
1912020959 ALROUSAN, SABA A, DDS 2021 GMC RENDERING AGE 0-20 181 1,077 71 222 73 171 106 106
1912020959 ALROUSAN, SABA A, DDS 2021 GMC RENDERING AGE 21+ 282 1,241 42 80 164 550 124 124
1912020959 ALROUSAN, SABA A, DDS 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1912021924 BORHANI FARDAD 2021 FFS RENDERING AGE 0-20 291 893 1 1 290 883 1 1
1912021924 BORHANI FARDAD 2021 FFS RENDERING AGE 21+ 370 1,352 0 0 370 1,352 0 0
1912028002 KHODAVERDIAN NJDEH 2021 FFS RENDERING AGE 0-20 26 271 22 50 17 73 23 25
1912028002 KHODAVERDIAN NJDEH 2021 FFS RENDERING AGE 21+ 282 3,495 195 373 233 1,587 205 205
1912028002 KHODAVERDIAN NJDEH 2021 PHP RENDERING AGE 0-20 1 2 1 2 1 2 1 1
1912028002 KHODAVERDIAN NJDEH 2021 PHP RENDERING AGE 21+ 15 99 1 2 12 48 1 1
1912033465 HSZIEH KEVIN CHIH W 2021 FFS RENDERING AGE 0-20 97 2,330 49 92 97 1,129 96 96
1912045113 TING PEGGY K 2021 FFS RENDERING AGE 0-20 226 2,054 114 279 159 534 127 133
1912045113 TING PEGGY K 2021 FFS RENDERING AGE 21+ 490 3,169 100 203 361 1,051 206 206
1912047549 HUNG, KENT, DMD 2021 FFS RENDERING AGE 0-20 90 1,075 82 341 37 109 82 96
1912047549 HUNG, KENT, DMD 2021 FFS RENDERING AGE 21+ 205 1,726 112 209 101 324 123 123
1912047549 HUNG, KENT, DMD 2021 PHP RENDERING AGE 0-20 32 382 30 132 1 2 30 35
1912047549 HUNG, KENT, DMD 2021 PHP RENDERING AGE 21+ 56 604 51 114 29 76 42 42
1912048562 CHTCHYAN, SUREN A, DDS 2021 FFS RENDERING AGE 0-20 75 637 34 96 51 276 43 43
1912048562 CHTCHYAN, SUREN A, DDS 2021 FFS RENDERING AGE 21+ 451 2,838 127 254 355 1,314 220 220
1912054271 MENDIVIL, GUY W DDS 2021 FFS RENDERING AGE 0-20 773 2,333 0 0 465 1,316 18 18
1912054271 MENDIVIL, GUY W DDS 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1912056722 SHAH, RAJUL M DDS 2021 FFS RENDERING AGE 0-20 302 3,877 258 1,046 122 440 270 320
1912056722 SHAH, RAJUL M DDS 2021 FFS RENDERING AGE 21+ 475 3,642 237 463 312 1,269 377 381
1912061417 WESTERN DENTAL SERVICES INC 2021 PHP RENDERING AGE 0-20 1 1 0 0 0 0 1 1
1912061417 WESTERN DENTAL SERVICES, INC. 2021 PHP RENDERING AGE 0-20 1 1 0 0 0 0 1 1
1912062019 WONG DENNIS DAVID 2021 GMC RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1912063546 HAN JOHNNY S 2021 FFS RENDERING AGE 0-20 30 187 18 39 20 53 18 20
1912063546 HAN JOHNNY S 2021 FFS RENDERING AGE 21+ 98 564 32 56 79 245 34 34
1912064361 SHIEH PAUL S 2021 GMC RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1912064361 SHIEH, PAUL S, DDS 2021 GMC RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1912064429 KIM, SOO Y., DDS 2021 FFS RENDERING AGE 0-20 53 384 49 152 30 134 43 53
1912064429 KIM, SOO Y., DDS 2021 FFS RENDERING AGE 21+ 153 1,033 104 200 101 559 106 106
1912064551 BOWMAN, DAVID C, DDS 2021 FFS RENDERING AGE 0-20 11 25 1 2 1 1 0 0
1912064551 BOWMAN, DAVID C, DDS 2021 FFS RENDERING AGE 21+ 65 206 25 40 54 103 1 1
1912064668 DUMALAOG-CRUZ JOSEPHINE 2021 FFS RENDERING AGE 0-20 36 370 30 119 13 40 28 32
1912064668 DUMALAOG-CRUZ JOSEPHINE 2021 FFS RENDERING AGE 21+ 34 201 1 2 28 93 13 13
1912065202 YEE, GILBERT S, DDS 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1912065202 YEE, GILBERT S, DDS 2021 FFS RENDERING AGE 21+ 260 1,333 76 76 155 355 121 121
1912066713 FADEM, BLAIR, DDS 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1912069170 NOURI SHAHRAM 2021 FFS RENDERING AGE 0-20 46 380 36 82 20 92 42 48
1912069170 NOURI SHAHRAM 2021 FFS RENDERING AGE 21+ 192 1,544 52 103 142 861 144 144
1912069899 VILLARROEL FERNANDO J 2021 FFS RENDERING AGE 0-20 128 952 78 295 70 250 97 98
1912069899 VILLARROEL FERNANDO J 2021 FFS RENDERING AGE 21+ 109 530 11 22 89 264 52 52
1912072935 DONG, BRIAN W, DDS 2021 FFS RENDERING AGE 0-20 1 2 1 1 0 0 1 1
1912072935 DONG, BRIAN W, DDS 2021 FFS RENDERING AGE 21+ 11 136 1 2 1 2 1 1
1912075094 WU XIAO F 2021 FFS RENDERING AGE 0-20 15 17 0 0 1 1 0 0
1912075094 WU XIAO F 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1912075094 WU XIAO F 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1912080409 NGHIEM VIET Q 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 1 1
1912080409 NGHIEM VIET Q 2021 FFS RENDERING AGE 21+ 14 73 11 11 1 2 11 11
1912080409 NGHIEM, VIET QUOC, DDS 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 1 1
1912080409 NGHIEM, VIET QUOC, DDS 2021 FFS RENDERING AGE 21+ 14 73 11 11 1 2 11 11
1912087164 HATT HOLLY D 2021 FFS RENDERING AGE 0-20 13 71 0 0 1 2 1 1
1912087164 HATT HOLLY D 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 2 1 1
1912096116 LOTUACO, RAYMOND, DDS INC 2021 PHP RENDERING AGE 0-20 1 2 1 2 0 0 1 1
1912096116 LOTUACO, RAYMOND, DDS INC 2021 PHP RENDERING AGE 21+ 12 79 1 2 1 2 11 11
1912103912 BUI JAMES Q 2021 FFS RENDERING AGE 0-20 47 368 40 108 24 68 41 48
1912103912 BUI JAMES Q 2021 FFS RENDERING AGE 21+ 81 524 58 115 41 123 66 66
1912108564 CHAN, SIU WAN, DDS 2021 FFS RENDERING AGE 0-20 453 5,618 421 1,131 216 680 418 503
1912108564 CHAN, SIU WAN, DDS 2021 FFS RENDERING AGE 21+ 108 695 45 90 66 196 52 52
1912112442 JANKU YVETTA 2021 FFS RENDERING AGE 0-20 40 230 31 66 1 1 40 40
1912112442 JANKU YVETTA 2021 FFS RENDERING AGE 21+ 52 239 1 1 11 38 51 51
1912112681 TOMKORIA ANITA K 2021 FFS RENDERING AGE 0-20 14 51 0 0 14 24 0 0
1912112681 TOMKORIA ANITA K 2021 FFS RENDERING AGE 21+ 140 457 0 0 139 184 0 0
1912113598 KIM BERNARD E 2021 FFS RENDERING AGE 0-20 373 2,523 326 821 94 276 316 342
1912113598 KIM BERNARD E 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1912114059 MANOUCHEHRI ALI 2021 FFS RENDERING AGE 0-20 5,896 85,334 5,731 25,101 3,900 14,198 5,773 8,767
1912114059 MANOUCHEHRI ALI 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1912114059 MANOUCHEHRI ALI 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1912116104 PARK JIM S 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1912116104 PARK JIM S 2021 GMC RENDERING AGE 0-20 188 752 188 188 188 188 0 0
1912116104 PARK JIM S 2021 GMC RENDERING AGE 21+ 1 1 1 1 1 1 0 0
1912116104 PARK JIM S 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 0 0
1912117078 RIVAS CARLOS A 2021 FFS RENDERING AGE 0-20 481 4,717 386 945 200 662 368 410
1912117078 RIVAS CARLOS A 2021 FFS RENDERING AGE 21+ 537 4,103 168 272 331 1,099 314 314
1912118480 PHAN PAULINE L 2021 FFS RENDERING AGE 0-20 62 527 59 160 24 78 58 80
1912118480 PHAN PAULINE L 2021 FFS RENDERING AGE 21+ 78 414 49 51 46 156 59 59
1912123035 DUONG THANG V 2021 FFS RENDERING AGE 0-20 186 1,929 176 616 95 316 165 214
1912123035 DUONG THANG V 2021 FFS RENDERING AGE 21+ 247 1,836 113 121 173 731 176 176
1912127093 ALHASSAN MELATH K 2021 FFS RENDERING AGE 0-20 312 1,320 196 465 24 48 288 313
1912127093 ALHASSAN MELATH K 2021 FFS RENDERING AGE 21+ 1,092 3,135 246 472 182 435 904 905
1912127093 ALHASSAN MELATH K 2021 GMC RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1912127093 ALHASSAN MELATH K 2021 PHP RENDERING AGE 0-20 34 203 26 79 22 41 27 30
1912127093 ALHASSAN MELATH K 2021 PHP RENDERING AGE 21+ 112 463 27 55 76 243 62 64
1912145871 KOUTCHEK-SPERO FARRAH 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 2 0 0
1912145871 KOUTCHEK-SPERO FARRAH 2021 FFS RENDERING AGE 21+ 78 421 1 1 76 410 1 1
1912146598 HO MICHAEL H 2021 FFS RENDERING AGE 0-20 118 1,276 82 212 84 356 95 116
1912146598 HO MICHAEL H 2021 FFS RENDERING AGE 21+ 504 4,424 221 420 416 2,161 346 348
1912153297 CORTES CLAUDIA P 2021 FFS RENDERING AGE 0-20 632 10,043 615 2,137 432 1,440 622 890
1912153297 CORTES CLAUDIA P 2021 FFS RENDERING AGE 21+ 357 1,898 278 291 176 536 348 349
1912155276 SUBIDO ANDREW S 2021 FFS RENDERING AGE 0-20 394 809 0 0 394 809 0 0
1912163692 DUONG, MICHELLE DDS 2021 FFS RENDERING AGE 0-20 331 7,158 327 2,189 264 1,404 323 506
1912163692 DUONG, MICHELLE DDS 2021 FFS RENDERING AGE 21+ 358 5,183 272 759 311 1,887 273 273
1912164468 PRATER SHAHRZAD S 2021 FFS RENDERING AGE 0-20 33 99 0 0 1 2 0 0
1912164468 PRATER SHAHRZAD S 2021 FFS RENDERING AGE 21+ 14 26 0 0 0 0 0 0
1912164609 RODRIGUEZ EFREN P 2021 FFS RENDERING AGE 0-20 50 228 42 53 14 45 29 31
1912164609 RODRIGUEZ EFREN P 2021 FFS RENDERING AGE 21+ 149 792 98 98 76 171 69 69
1912167479 GORTHI BHARATHI 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1912179904 SAHAKI IRINA M 2021 FFS RENDERING AGE 0-20 17 140 16 52 1 2 15 24
1912179904 SAHAKI IRINA M 2021 FFS RENDERING AGE 21+ 136 725 71 142 59 181 109 109
1912179904 SAHAKI IRINA M 2021 PHP RENDERING AGE 0-20 40 305 36 98 11 45 40 54
1912179904 SAHAKI IRINA M 2021 PHP RENDERING AGE 21+ 130 759 93 188 58 149 111 116
1912190992 MASSOUDIAN GITI 2021 FFS RENDERING AGE 0-20 927 11,082 814 2,849 662 2,187 803 930
1912190992 MASSOUDIAN GITI 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1912190992 MASSOUDIAN GITI 2021 PHP RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1912191073 NGUYEN STEPHANIE-T 2021 FFS RENDERING AGE 0-20 1,821 14,399 888 2,885 1,722 10,068 134 135
1912191073 NGUYEN STEPHANIE-T 2021 FFS RENDERING AGE 21+ 63 199 0 0 61 169 0 0
1912191073 NGUYEN STEPHANIE-T 2021 PHP RENDERING AGE 0-20 180 2,136 125 535 143 1,042 147 185
1912191073 NGUYEN STEPHANIE-T 2021 PHP RENDERING AGE 21+ 133 1,101 54 119 108 745 95 96
1912195280 RABANAL TERESA C 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1912195280 RABANAL TERESA C 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1912203100 ELNAGGAR MAGED M 2021 FFS RENDERING AGE 0-20 301 2,562 223 581 133 424 274 314
1912203100 ELNAGGAR MAGED M 2021 FFS RENDERING AGE 21+ 1,082 7,057 323 641 817 2,835 705 705
1912212952 CHARNG, STEVEN DDS 2021 FFS RENDERING AGE 0-20 17 72 16 34 1 2 15 15
1912212952 CHARNG, STEVEN DDS 2021 FFS RENDERING AGE 21+ 124 628 88 171 62 210 106 106
1912223439 LEQUANG MATHIEU 2021 FFS RENDERING AGE 0-20 118 391 75 160 53 127 74 79
1912223439 LEQUANG MATHIEU 2021 FFS RENDERING AGE 21+ 714 2,392 206 414 616 1,746 230 230
1912238601 ECHEVERRY CESAR A 2021 FFS RENDERING AGE 0-20 15 58 1 2 1 1 1 1
1912238601 ECHEVERRY CESAR A 2021 FFS RENDERING AGE 21+ 25 109 13 24 1 2 15 15
1912243601 ATALLA JOSEPH MINA Y 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1912243601 ATALLA JOSEPH MINA Y 2021 FFS RENDERING AGE 21+ 33 124 1 1 17 45 24 24
1912246356 PARK, JINO DDS 2021 FFS RENDERING AGE 0-20 1,080 23,927 772 2,520 1,076 13,685 1,063 1,091
1912246356 PARK, JINO DDS 2021 FFS RENDERING AGE 21+ 50 374 36 59 34 187 40 40
1912255860 RAZAVI TARANEH 2021 FFS RENDERING AGE 0-20 32 191 26 63 17 25 22 22
1912255860 RAZAVI TARANEH 2021 FFS RENDERING AGE 21+ 91 528 31 53 73 210 37 37
1912255860 RAZAVI TARANEH 2021 GMC RENDERING AGE 0-20 1 1 0 0 0 0 1 1
1912264300 KIM, JOEL, DMD INC 2021 FFS RENDERING AGE 0-20 13 70 1 2 1 2 0 0
1912281700 MUN HYO J 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1912281700 MUN HYO J 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 2 0 0
1912282203 NGUYEN THOMAS B 2021 FFS RENDERING AGE 0-20 2,656 24,382 2,326 8,382 1,634 6,752 2,268 2,678
1912282203 NGUYEN THOMAS B 2021 PHP RENDERING AGE 0-20 1 2 1 2 1 2 1 1
1912282880 CHAU FOUY K 2021 FFS RENDERING AGE 0-20 383 655 0 0 83 214 1 1
1912282880 CHAU FOUY K 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1912290412 LEUNG CHARLES C 2021 FFS RENDERING AGE 0-20 375 6,033 233 607 342 3,829 285 285
1912290412 LEUNG CHARLES C 2021 FFS RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1912290412 LEUNG CHARLES C 2021 GMC RENDERING AGE 0-20 1,739 17,774 608 1,376 1,694 6,540 41 43
1912290412 LEUNG CHARLES C 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1912291741 ERFAN ROJIN 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1912291741 ERFAN ROJIN 2021 PHP RENDERING AGE 21+ 16 112 0 0 16 112 0 0
1912297771 RYAN SUSAN L 2021 FFS RENDERING AGE 0-20 599 13,229 573 1,340 599 8,994 573 573
1912297771 RYAN SUSAN L 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1912322751 SHQAIR SARAH T 2021 FFS RENDERING AGE 0-20 5,409 52,427 4,601 11,960 1,530 3,750 4,385 5,010
1912322751 SHQAIR SARAH T 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1912322983 BAE ERICA 2021 FFS RENDERING AGE 0-20 63 457 62 165 19 63 62 83
1912322983 BAE ERICA 2021 FFS RENDERING AGE 21+ 1 2 1 1 0 0 1 1
1912346719 SPASOV STANISLAV N 2021 PHP RENDERING AGE 0-20 51 299 42 109 21 54 36 36
1912352360 CHOI HYUNJIN 2021 FFS RENDERING AGE 0-20 12 46 1 1 12 32 1 1
1912352360 CHOI HYUNJIN 2021 FFS RENDERING AGE 21+ 29 95 0 0 29 95 0 0
1912362633 MNATSAKANYAN BELLA 2021 FFS RENDERING AGE 0-20 99 783 92 276 47 242 96 136
1912362633 MNATSAKANYAN BELLA 2021 FFS RENDERING AGE 21+ 418 3,087 311 599 334 1,497 362 362
1912367012 RODEF DENTAL OFFICE OF RESED 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 0 0
1912367673 HUA SPENCER S 2021 PHP RENDERING AGE 0-20 30 135 21 55 15 52 22 22
1912367673 HUA SPENCER S 2021 PHP RENDERING AGE 21+ 48 265 15 36 41 165 29 29
1912380312 SATVAT NAZILA 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 2 1 1
1912380312 SATVAT NAZILA 2021 FFS RENDERING AGE 21+ 106 563 19 19 58 349 85 85
1912384819 HUANG SHIANG B 2021 FFS RENDERING AGE 0-20 5,005 49,144 4,134 10,819 2,786 7,393 4,006 4,450
1912384819 HUANG SHIANG B 2021 FFS RENDERING AGE 21+ 14 51 1 1 1 1 1 1
1912404146 LAI ALBERT 2021 FFS RENDERING AGE 0-20 691 4,986 514 2,020 267 935 584 655
1912404146 LAI ALBERT 2021 FFS RENDERING AGE 21+ 820 3,367 197 372 346 1,266 537 539
1912404708 KIKLIS ZOE D 2021 FFS RENDERING AGE 0-20 130 1,002 114 416 37 119 120 132
1912404708 KIKLIS ZOE D 2021 FFS RENDERING AGE 21+ 98 463 41 75 62 170 68 68
1912404708 KIKLIS ZOE D 2021 GMC RENDERING AGE 0-20 1 2 1 1 1 2 1 1
1912404708 KIKLIS ZOE D 2021 GMC RENDERING AGE 21+ 1 2 0 0 1 2 0 0
1912404708 KIKLIS ZOE D 2021 PHP RENDERING AGE 0-20 215 1,344 80 367 158 435 81 81
1912404708 KIKLIS ZOE D 2021 PHP RENDERING AGE 21+ 420 2,010 46 114 378 862 48 48
1912421736 PANDHER NAVKIRANDEEP K 2021 FFS RENDERING AGE 0-20 518 2,879 267 905 227 494 424 454
1912421736 PANDHER NAVKIRANDEEP K 2021 FFS RENDERING AGE 21+ 792 2,138 41 82 269 659 506 507
1912427766 GUPTA PRATIK V 2021 FFS RENDERING AGE 0-20 96 377 60 125 53 152 1 1
1912427766 GUPTA PRATIK V 2021 FFS RENDERING AGE 21+ 189 508 42 63 157 375 1 1
1912427766 GUPTA PRATIK V 2021 PHP RENDERING AGE 0-20 1 1 1 1 1 1 0 0
1912427766 GUPTA PRATIK V 2021 PHP RENDERING AGE 21+ 16 43 1 1 16 31 0 0
1912440546 SALIMNIA AARON 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1912440546 SALIMNIA AARON 2021 PHP RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1912445016 NICHAL KETKI 2021 FFS RENDERING AGE 0-20 25 134 18 34 1 2 16 16
1912445016 NICHAL KETKI 2021 FFS RENDERING AGE 21+ 97 403 21 31 36 112 61 63
1912455262 CHANG MATTHEW T 2021 FFS RENDERING AGE 0-20 15 105 13 36 11 31 13 13
1912455262 CHANG MATTHEW T 2021 FFS RENDERING AGE 21+ 50 241 33 66 27 80 40 40
1912461930 CALVO JEAN M 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 2 1 1
1912471400 WESTERN DENTAL SERVICES INC 2021 PHP RENDERING AGE 0-20 559 5,123 432 1,606 195 444 470 480
1912471400 WESTERN DENTAL SERVICES INC 2021 PHP RENDERING AGE 21+ 366 1,525 51 106 236 494 185 186
1912471400 WESTERN DENTAL SERVICES, INC. 2021 PHP RENDERING AGE 0-20 559 5,123 432 1,606 195 444 470 480
1912471400 WESTERN DENTAL SERVICES, INC. 2021 PHP RENDERING AGE 21+ 366 1,525 51 106 236 494 185 186
1912486846 MUGATASH IMAD T 2021 FFS RENDERING AGE 0-20 5,221 46,066 3,929 9,136 1,923 5,225 3,669 3,793
1912486846 MUGATASH IMAD T 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1912486846 MUGATASH IMAD T 2021 GMC RENDERING AGE 0-20 89 482 36 55 88 209 1 1
1912486846 MUGATASH IMAD T 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1912486846 MUGATASH IMAD T 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1912488362 WESTERN DENTAL SERVICES INC 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1912488362 WESTERN DENTAL SERVICES, INC. 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1912489394 GOLNAZARIAN TALIN 2021 FFS RENDERING AGE 0-20 1,922 11,410 1,684 4,101 960 1,651 1,665 1,684
1912489394 GOLNAZARIAN TALIN 2021 FFS RENDERING AGE 21+ 18 56 0 0 18 54 1 1
1912491481 MANN SAVERA 2021 FFS RENDERING AGE 0-20 172 759 93 200 55 110 136 137
1912491481 MANN SAVERA 2021 FFS RENDERING AGE 21+ 321 929 74 132 125 284 197 197
1912497967 CHANG YONG S 2021 FFS RENDERING AGE 0-20 24 134 19 48 1 2 19 19
1912497967 CHANG YONG S 2021 FFS RENDERING AGE 21+ 60 306 11 16 42 133 23 23
1912505538 OLMOS CESAR PEREZ 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1912511056 MOSHASHAEI SHERVIN 2021 FFS RENDERING AGE 0-20 43 350 25 55 16 43 33 33
1912511056 MOSHASHAEI SHERVIN 2021 FFS RENDERING AGE 21+ 76 565 34 67 45 106 41 41
1912517509 MODARRES CYRUS A 2021 FFS RENDERING AGE 0-20 636 4,037 456 1,743 207 497 523 580
1912517509 MODARRES CYRUS A 2021 FFS RENDERING AGE 21+ 548 1,803 130 192 216 457 331 331
1912517509 MODARRES CYRUS A 2021 PHP RENDERING AGE 0-20 22 69 15 33 1 1 17 17
1912517509 MODARRES CYRUS A 2021 PHP RENDERING AGE 21+ 32 54 1 1 1 2 22 22
1912521402 BARZEGAR AZIN 2021 FFS RENDERING AGE 0-20 260 1,638 165 368 118 433 199 222
1912521402 BARZEGAR AZIN 2021 FFS RENDERING AGE 21+ 438 2,244 103 202 267 793 251 257
1912530585 SABOKPEY SARA B 2021 FFS RENDERING AGE 0-20 122 731 96 236 56 131 90 94
1912530585 SABOKPEY SARA B 2021 FFS RENDERING AGE 21+ 89 343 36 69 59 121 39 39
1912533597 AL SAMMARRAIE MOHLAB N 2021 PHP RENDERING AGE 0-20 100 934 88 383 96 143 66 67
1912533597 AL SAMMARRAIE MOHLAB N 2021 PHP RENDERING AGE 21+ 122 704 40 106 93 203 44 44
1912535071 HWANG DENTAL CORPORATION 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1912548942 BOURAS LAUREN MARIE 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1912550021 KIM HENRY K 2021 FFS RENDERING AGE 0-20 1,834 9,792 231 624 1,784 7,362 413 420
1912579186 GIRGIS MARK E 2021 FFS RENDERING AGE 0-20 150 725 112 266 39 84 114 118
1912579186 GIRGIS MARK E 2021 FFS RENDERING AGE 21+ 250 780 62 108 118 283 115 115
1912579186 GIRGIS MARK E 2021 PHP RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1912579186 GIRGIS MARK E 2021 PHP RENDERING AGE 21+ 21 133 11 29 12 45 1 2
1912960873 DINKHA ROMMEL YOUEL 2021 FFS RENDERING AGE 21+ 138 619 74 116 95 294 130 137
1912991563 VALDEZ VALERIA 2021 FFS RENDERING AGE 0-20 67 637 62 200 25 68 58 81
1912991563 VALDEZ VALERIA 2021 FFS RENDERING AGE 21+ 287 2,118 218 436 186 691 244 244
1912997842 ALVAREZ JORGE A 2021 FFS RENDERING AGE 0-20 103 1,027 91 200 30 86 94 94
1912997842 ALVAREZ JORGE A 2021 FFS RENDERING AGE 21+ 122 661 51 101 83 195 71 71
1922010016 NAUMESCU, ION 2021 FFS RENDERING AGE 0-20 619 6,963 609 3,260 257 728 613 945
1922010016 NAUMESCU, ION 2021 FFS RENDERING AGE 21+ 544 4,295 363 730 363 1,155 453 453
1922023753 ANTOLIN, RALPH CALUAG DMD 2021 FFS RENDERING AGE 0-20 100 747 97 304 42 105 91 109
1922023753 ANTOLIN, RALPH CALUAG DMD 2021 FFS RENDERING AGE 21+ 134 1,149 86 160 92 352 88 88
1922029727 NGUYEN, PAULINE 2021 FFS RENDERING AGE 0-20 203 1,650 175 348 43 103 189 218
1922029727 NGUYEN, PAULINE 2021 FFS RENDERING AGE 21+ 410 1,807 77 115 171 533 308 316
1922029727 NGUYEN, PAULINE 2021 PHP RENDERING AGE 0-20 58 471 52 88 17 38 54 64
1922029727 NGUYEN, PAULINE 2021 PHP RENDERING AGE 21+ 59 314 11 12 28 95 46 50
1922074137 TRAN DUC M 2021 FFS RENDERING AGE 0-20 110 1,413 108 411 65 201 109 176
1922074137 TRAN DUC M 2021 FFS RENDERING AGE 21+ 128 1,566 123 243 91 359 122 122
1922084276 ACKERMAN, JACK DDS 2021 FFS RENDERING AGE 0-20 58 204 35 69 24 55 41 41
1922084276 ACKERMAN, JACK DDS 2021 FFS RENDERING AGE 21+ 130 542 43 84 102 213 66 66
1922086057 ORIOLA ADEFUNMILOLA T 2021 FFS RENDERING AGE 0-20 736 11,226 703 2,887 193 767 722 1,088
1922086057 ORIOLA ADEFUNMILOLA T 2021 FFS RENDERING AGE 21+ 1 2 1 1 0 0 1 1
1922086651 MATULIAN, GAYANE A, DDS 2021 FFS RENDERING AGE 0-20 17 101 17 47 1 2 17 19
1922086651 MATULIAN, GAYANE A, DDS 2021 FFS RENDERING AGE 21+ 110 732 68 105 97 459 79 79
1922093145 MONCADA SERGIO 2021 FFS RENDERING AGE 0-20 278 3,746 263 728 177 637 268 370
1922093145 MONCADA SERGIO 2021 FFS RENDERING AGE 21+ 245 2,320 149 298 171 611 177 177
1922097898 ASHMORE GLENN C 2021 FFS RENDERING AGE 0-20 644 4,966 520 1,522 241 532 526 542
1922097898 ASHMORE GLENN C 2021 FFS RENDERING AGE 21+ 1,453 9,381 800 1,554 709 2,223 959 982
1922104942 CHUNG TONY Y 2021 FFS RENDERING AGE 0-20 26 118 0 0 20 75 23 23
1922104942 CHUNG TONY Y 2021 FFS RENDERING AGE 21+ 82 264 0 0 69 173 68 68
1922120336 WATASE SCOT K 2021 FFS RENDERING AGE 0-20 89 956 87 308 35 138 56 84
1922120336 WATASE SCOT K 2021 FFS RENDERING AGE 21+ 12 66 1 2 1 1 1 1
1922121045 NISS, PAVEL 2021 FFS RENDERING AGE 0-20 580 6,678 567 2,537 315 1,244 571 846
1922121045 NISS, PAVEL 2021 FFS RENDERING AGE 21+ 199 1,443 163 325 131 518 167 167
1922122233 PANJRATH, NAVJYOT, DDS 2021 FFS RENDERING AGE 0-20 164 1,794 157 650 54 175 153 219
1922122233 PANJRATH, NAVJYOT, DDS 2021 FFS RENDERING AGE 21+ 26 158 23 46 1 2 19 19
1922127703 DUONG DEREK D 2021 FFS RENDERING AGE 0-20 21 128 19 43 1 2 17 17
1922127703 DUONG DEREK D 2021 FFS RENDERING AGE 21+ 64 395 43 83 23 72 56 56
1922130749 KAGALWALA AMI J 2021 FFS RENDERING AGE 0-20 57 616 54 243 21 73 55 69
1922130749 KAGALWALA AMI J 2021 FFS RENDERING AGE 21+ 11 64 1 1 1 2 1 1
1922131671 SAINI, AMARPREET SINGH DDS 2021 FFS RENDERING AGE 0-20 1 2 1 1 0 0 1 1
1922131671 SAINI, AMARPREET SINGH DDS 2021 GMC RENDERING AGE 0-20 1,214 17,756 1,195 8,312 571 952 1,192 1,816
1922131671 SAINI, AMARPREET SINGH DDS 2021 GMC RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1922131671 SAINI, AMARPREET SINGH DDS 2021 PHP RENDERING AGE 0-20 1 2 1 1 0 0 1 1
1922131671 SAINI, AMARPREET SINGH DDS 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1922132216 HADDAD, RAJI, DDS 2021 FFS RENDERING AGE 0-20 441 6,594 408 1,628 135 347 431 627
1922132216 HADDAD, RAJI, DDS 2021 FFS RENDERING AGE 21+ 219 1,378 93 169 113 277 154 154
1922139690 HAKIMI HOOMAN 2021 FFS RENDERING AGE 0-20 94 691 81 184 38 116 88 101
1922139690 HAKIMI HOOMAN 2021 FFS RENDERING AGE 21+ 198 1,042 120 122 98 377 151 151
1922140391 DUENES, JOSE DDS 2021 FFS RENDERING AGE 0-20 103 781 73 171 52 138 82 90
1922140391 DUENES, JOSE DDS 2021 FFS RENDERING AGE 21+ 168 954 34 53 138 503 82 82
1922144211 TRUONG, ANH-THU DDS 2021 FFS RENDERING AGE 21+ 36 131 0 0 36 131 0 0
1922145044 HAMDAN HADI D 2021 FFS RENDERING AGE 0-20 3,873 58,449 3,754 18,190 2,610 11,019 3,752 4,612
1922145044 HAMDAN HADI D 2021 FFS RENDERING AGE 21+ 3,773 38,758 2,851 5,668 2,914 17,246 3,183 3,183
1922146620 SCHMIERER, MICHAEL H, DDS 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1922157288 DIAZ EDUARDO 2021 FFS RENDERING AGE 0-20 27 101 12 28 17 28 1 1
1922157288 DIAZ EDUARDO 2021 FFS RENDERING AGE 21+ 76 225 20 36 55 112 16 16
1922160050 XA JENNIFER T 2021 FFS RENDERING AGE 0-20 119 1,477 111 387 37 91 115 145
1922160050 XA JENNIFER T 2021 FFS RENDERING AGE 21+ 212 1,489 118 235 81 195 67 67
1922164128 MELAMED, RAMIN F, DDS 2021 FFS RENDERING AGE 0-20 311 2,347 284 839 107 362 290 371
1922164128 MELAMED, RAMIN F, DDS 2021 FFS RENDERING AGE 21+ 389 2,338 173 173 244 914 290 290
1922174895 SCHNIEROW, BURTON, DDS INC 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1922174994 GONZALEZ RENEE L 2021 FFS RENDERING AGE 0-20 202 1,963 113 298 110 368 152 164
1922174994 GONZALEZ RENEE L 2021 FFS RENDERING AGE 21+ 894 6,723 312 617 675 2,431 395 398
1922176775 POCASANGRE OLIV VICTORIA C 2021 FFS RENDERING AGE 0-20 866 10,618 763 2,798 420 1,268 801 1,082
1922176775 POCASANGRE OLIV VICTORIA C 2021 FFS RENDERING AGE 21+ 632 5,127 341 677 466 1,741 456 457
1922178821 VASQUEZ, ISABELITA V, DDS 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1922178821 VASQUEZ, ISABELITA V, DDS 2021 FFS RENDERING AGE 21+ 45 229 28 56 31 110 25 25
1922187020 RYDER MARK I 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 2 0 0
1922188150 PODSTRELENY STJEPAN S 2021 FFS RENDERING AGE 0-20 742 5,360 0 0 586 3,977 645 645
1922188150 PODSTRELENY STJEPAN S 2021 FFS RENDERING AGE 21+ 1,475 10,882 0 0 1,046 8,051 1,223 1,223
1922193465 GALGANO PETER A 2021 FFS RENDERING AGE 0-20 706 991 0 0 149 328 0 0
1922193465 GALGANO PETER A 2021 FFS RENDERING AGE 21+ 19 19 0 0 0 0 0 0
1922193465 GALGANO PETER A 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1922200229 DO, MELINH T, DDS 2021 FFS RENDERING AGE 0-20 1,628 47,110 1,519 12,434 928 5,672 1,511 4,250
1922200229 DO, MELINH T, DDS 2021 FFS RENDERING AGE 21+ 543 12,870 303 1,216 432 3,402 310 620
1922203512 JAVAHERIAN, MEHRAN DDS 2021 FFS RENDERING AGE 0-20 959 7,118 439 1,458 662 2,025 407 431
1922203512 JAVAHERIAN, MEHRAN DDS 2021 FFS RENDERING AGE 21+ 1,157 7,331 365 679 858 2,998 464 465
1922203512 JAVAHERIAN, MEHRAN DDS 2021 PHP RENDERING AGE 0-20 59 538 48 170 29 68 57 68
1922203512 JAVAHERIAN, MEHRAN DDS 2021 PHP RENDERING AGE 21+ 80 568 36 75 48 164 66 72
1922203835 LOPEZ, MANUEL DDS 2021 FFS RENDERING AGE 0-20 12 76 1 2 1 1 1 1
1922203835 LOPEZ, MANUEL DDS 2021 FFS RENDERING AGE 21+ 104 371 27 54 85 251 30 30
1922219237 ZAKHARY, GEORGE M MD 2021 FFS RENDERING AGE 0-20 649 3,342 0 0 406 2,290 418 418
1922219237 ZAKHARY, GEORGE M MD 2021 FFS RENDERING AGE 21+ 552 2,506 0 0 337 1,659 390 390
1922241223 DELEON NELSON R 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1922241223 DELEON NELSON R 2021 FFS RENDERING AGE 21+ 48 174 38 38 14 43 43 43
1922262054 MEHTA ROSHANI P 2021 PHP RENDERING AGE 0-20 49 324 29 31 47 153 29 31
1922262054 MEHTA ROSHANI P 2021 PHP RENDERING AGE 21+ 71 340 0 0 71 243 0 0
1922275916 MACK CRUZ INGRID R 2021 FFS RENDERING AGE 0-20 122 2,039 116 378 80 278 114 160
1922275916 MACK CRUZ INGRID R 2021 FFS RENDERING AGE 21+ 131 1,277 89 178 105 323 93 93
1922282979 LE THUAN Q 2021 FFS RENDERING AGE 0-20 5,695 63,286 5,160 16,878 5,182 24,926 4,676 5,939
1922282979 LE THUAN Q 2021 FFS RENDERING AGE 21+ 16 106 12 17 16 58 1 1
1922283936 PAKRAVAN, FARID, PROFESSIONA 2021 PHP RENDERING AGE 0-20 67 195 1 2 1 2 1 1
1922283936 PAKRAVAN, FARID, PROFESSIONA 2021 PHP RENDERING AGE 21+ 76 176 1 1 19 35 1 1
1922293398 PARK BOJUN 2021 FFS RENDERING AGE 0-20 306 5,545 288 1,177 183 636 295 415
1922293398 PARK BOJUN 2021 FFS RENDERING AGE 21+ 373 4,134 162 321 294 1,424 269 269
1922293570 AL-SALTI RULA ABDEL H 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1922293570 AL-SALTI RULA ABDEL H 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1922296623 KIM JIN-YOUNG 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1922297183 TRIEU, LLOYD DDS 2021 FFS RENDERING AGE 0-20 447 3,714 311 740 189 669 346 386
1922297183 TRIEU, LLOYD DDS 2021 FFS RENDERING AGE 21+ 541 3,280 245 442 327 1,249 359 359
1922298074 HAKIMI SOHAIL S 2021 FFS RENDERING AGE 0-20 16 114 1 2 1 2 1 2
1922298074 HAKIMI SOHAIL S 2021 FFS RENDERING AGE 21+ 128 589 18 31 73 262 80 80
1922298074 HAKIMI SOHAIL S 2021 PHP RENDERING AGE 0-20 58 386 42 104 24 92 54 62
1922298074 HAKIMI SOHAIL S 2021 PHP RENDERING AGE 21+ 92 369 22 36 35 121 79 82
1922303163 VERDUGO RICHARD A 2021 PHP RENDERING AGE 0-20 1 2 1 1 0 0 1 1
1922308105 KIM KEI Y 2021 FFS RENDERING AGE 0-20 1 1 0 0 0 0 1 1
1922308105 KIM KEI Y 2021 PHP RENDERING AGE 0-20 1 1 1 1 1 1 0 0
1922309574 BARRETT ADRIENNE V 2021 FFS RENDERING AGE 0-20 4,513 36,775 3,905 11,052 2,724 6,620 3,622 3,950
1922310267 CANTON-MORAN SONIA G 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1922310267 CANTON-MORAN SONIA G 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 2 0 0
1922312529 SHAHROKH BABAK 2021 FFS RENDERING AGE 0-20 36 241 22 72 18 86 28 31
1922312529 SHAHROKH BABAK 2021 FFS RENDERING AGE 21+ 218 1,596 98 177 163 991 158 159
1922313659 GOMEZ RENE 2021 FFS RENDERING AGE 0-20 533 2,953 299 1,085 121 290 484 517
1922313659 GOMEZ RENE 2021 FFS RENDERING AGE 21+ 1,194 3,736 214 383 380 833 928 930
1922313659 GOMEZ RENE 2021 PHP RENDERING AGE 0-20 1 1 1 1 1 1 1 1
1922314855 HABLANI SANGITA 2021 FFS RENDERING AGE 0-20 212 2,023 141 522 148 383 151 183
1922314855 HABLANI SANGITA 2021 FFS RENDERING AGE 21+ 233 1,843 120 236 167 640 173 173
1922318047 OPEN DOOR COMMUNITY HEALTH 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1922319169 NUNEZ AUSTIN 2021 FFS RENDERING AGE 0-20 18 403 17 38 18 244 17 17
1922319292 FOO SUANHOW H 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1922319292 FOO SUANHOW H 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1922319292 FOO SUANHOW H 2021 PHP RENDERING AGE 21+ 23 47 0 0 16 23 17 17
1922329721 HSIEH JASON C 2021 FFS RENDERING AGE 0-20 36 255 15 39 28 70 14 14
1922329721 HSIEH JASON C 2021 FFS RENDERING AGE 21+ 42 251 1 1 35 110 1 1
1922338151 MCGRAW, ROBERT P III MD 2021 FFS RENDERING AGE 0-20 32 99 0 0 32 99 0 0
1922339688 DHILLON RAJWINDER S 2021 GMC RENDERING AGE 21+ 18 32 1 1 18 22 0 0
1922341841 TALUKDER, IEHAB N MD 2021 FFS RENDERING AGE 0-20 23 51 0 0 23 51 0 0
1922346717 MONTANO, LEONA, RDHAP 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 2 0 0
1922352269 MASSEY MYRON L 2021 FFS RENDERING AGE 0-20 283 1,904 246 535 114 339 247 279
1922352269 MASSEY MYRON L 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1922359058 HAKIMIRAD BONNY 2021 FFS RENDERING AGE 0-20 1,777 22,804 1,680 5,222 1,032 4,796 1,673 1,998
1922359058 HAKIMIRAD BONNY 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1922360866 TAJIK KATAYOUN 2021 FFS RENDERING AGE 0-20 729 4,551 551 1,475 358 1,218 498 498
1922360866 TAJIK KATAYOUN 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1922360866 TAJIK KATAYOUN 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1922369305 ALANES MICHAEL Y 2021 FFS RENDERING AGE 0-20 13 38 0 0 13 38 0 0
1922380310 DR JEFFREY A SALADIN DENTAL 2021 FFS RENDERING AGE 0-20 1 1 1 1 1 1 0 0
1922380310 DR. JEFFREY A. SALADIN, DENTAL CORPORATION 2021 FFS RENDERING AGE 0-20 1 1 1 1 1 1 0 0
1922392034 URENA FELIX E 2021 FFS RENDERING AGE 0-20 314 1,899 122 350 139 346 188 200
1922392034 URENA FELIX E 2021 FFS RENDERING AGE 21+ 361 1,706 68 139 284 834 114 116
1922392760 CHUNG HAEWON 2021 FFS RENDERING AGE 0-20 664 5,952 433 1,086 395 1,096 486 520
1922392760 CHUNG HAEWON 2021 FFS RENDERING AGE 21+ 445 2,137 34 64 298 1,025 246 248
1922404425 ZAU ELENA C 2021 FFS RENDERING AGE 0-20 61 520 50 227 20 70 48 54
1922404425 ZAU ELENA C 2021 FFS RENDERING AGE 21+ 228 1,626 91 141 156 759 170 177
1922404425 ZAU ELENA C 2021 PHP RENDERING AGE 0-20 31 155 26 48 1 2 19 19
1922404425 ZAU ELENA C 2021 PHP RENDERING AGE 21+ 96 428 25 27 44 182 72 72
1922406883 WESTERN DENTAL SERVICE, INC 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1922406883 WESTERN DENTAL SERVICES INC 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1922408202 HUNDAL-SANDHU HARPREET K 2021 FFS RENDERING AGE 0-20 1,193 8,621 1,127 3,315 568 1,924 1,068 1,070
1922408202 HUNDAL-SANDHU HARPREET K 2021 FFS RENDERING AGE 21+ 351 1,333 155 300 167 513 180 180
1922408830 SHAMSIAN SHAHRIYAR 2021 FFS RENDERING AGE 0-20 3,769 34,019 3,330 10,831 2,134 5,340 3,297 4,088
1922408830 SHAMSIAN SHAHRIYAR 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 1 1 1
1922408830 SHAMSIAN SHAHRIYAR 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1922408830 SHAMSIAN SHAHRIYAR 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1922422070 PADILLA MIGUEL A 2021 FFS RENDERING AGE 0-20 2,705 37,484 2,429 10,730 1,864 5,571 2,402 3,544
1922422070 PADILLA MIGUEL A 2021 FFS RENDERING AGE 21+ 1 2 1 1 0 0 1 1
1922455914 PARK, D, MPH DENTAL INC 2021 PHP RENDERING AGE 0-20 27 188 22 77 1 2 23 23
1922455914 PARK, D, MPH DENTAL INC 2021 PHP RENDERING AGE 21+ 17 70 1 2 1 1 11 11
1922465053 BAKER RYAN B 2021 FFS RENDERING AGE 0-20 6,944 122,221 6,587 29,797 5,083 18,152 6,684 10,876
1922465053 BAKER RYAN B 2021 FFS RENDERING AGE 21+ 1 2 1 1 0 0 1 1
1922465053 BAKER RYAN B 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1922480540 VU KATY N 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1922480540 VU KATY N 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1922484328 COMPLETO SOFIA 2021 FFS RENDERING AGE 0-20 2,261 20,557 1,240 3,138 1,935 6,412 1,129 1,162
1922484328 COMPLETO SOFIA 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1922484328 COMPLETO SOFIA 2021 PHP RENDERING AGE 0-20 1 2 0 0 1 1 0 0
1922484682 TRAMEL, TRAVIS D, RDHAP 2021 FFS RENDERING AGE 0-20 353 854 353 854 0 0 0 0
1922484682 TRAMEL, TRAVIS D, RDHAP 2021 FFS RENDERING AGE 21+ 21 41 20 40 1 1 0 0
1922485408 KIM ANDREW 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1922485408 KIM ANDREW 2021 PHP RENDERING AGE 0-20 95 523 70 196 38 42 63 76
1922485408 KIM ANDREW 2021 PHP RENDERING AGE 21+ 50 256 22 42 38 78 27 27
1922494517 MASI ADRIANA R 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 2 1 1
1922501592 PONCE, JOSE E, RDHAP 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1922501592 PONCE, JOSE E, RDHAP 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 0 0
1922518240 NGO ERIC H 2021 FFS RENDERING AGE 0-20 123 863 59 130 65 176 84 91
1922518240 NGO ERIC H 2021 FFS RENDERING AGE 21+ 295 1,729 101 198 206 511 164 164
1922543347 HYDER SYED T 2021 FFS RENDERING AGE 0-20 2,707 27,179 2,474 9,468 2,044 7,946 2,443 2,856
1922543347 HYDER SYED T 2021 FFS RENDERING AGE 21+ 787 2,346 296 449 712 1,133 432 432
1922543347 HYDER SYED T 2021 GMC RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1922543347 HYDER SYED T 2021 GMC RENDERING AGE 21+ 12 70 0 0 1 2 1 1
1922569557 SONG CATHARINE J 2021 FFS RENDERING AGE 0-20 1 1 1 1 1 1 0 0
1922586726 KIM JU MYUNG 2021 FFS RENDERING AGE 0-20 137 1,080 30 70 87 198 93 93
1922586726 KIM JU MYUNG 2021 FFS RENDERING AGE 21+ 510 4,030 26 53 308 670 372 374
1922651389 MASHHOON NIMA 2021 FFS RENDERING AGE 0-20 508 3,851 333 731 211 595 405 424
1922651389 MASHHOON NIMA 2021 FFS RENDERING AGE 21+ 1,201 6,192 382 674 632 2,056 913 914
1922678945 WAHBI HUSSAM N 2021 FFS RENDERING AGE 0-20 65 469 40 89 30 66 40 40
1922678945 WAHBI HUSSAM N 2021 FFS RENDERING AGE 21+ 102 424 11 22 74 176 30 30
1922678945 WAHBI HUSSAM N 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1922764612 KIM REBECCA Y 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 2 1 1
1922764612 KIM REBECCA Y 2021 FFS RENDERING AGE 21+ 38 105 1 2 27 50 1 1
1932101706 SULAEMAN, WIJAYA DDS MAGD 2021 FFS RENDERING AGE 0-20 1,256 10,055 1,037 3,643 629 1,211 1,105 1,207
1932101706 SULAEMAN, WIJAYA DDS MAGD 2021 FFS RENDERING AGE 21+ 1,287 6,937 684 1,370 819 2,148 544 544
1932101706 SULAEMAN, WIJAYA DDS MAGD 2021 PHP RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1932115870 PATEL MAKBULAHMED I 2021 FFS RENDERING AGE 0-20 216 1,549 149 263 105 268 161 171
1932115870 PATEL MAKBULAHMED I 2021 FFS RENDERING AGE 21+ 658 4,077 193 302 452 1,414 388 400
1932125937 VU JOSEPH T 2021 FFS RENDERING AGE 0-20 64 713 58 142 15 32 51 64
1932125937 VU JOSEPH T 2021 FFS RENDERING AGE 21+ 233 1,273 76 76 104 267 171 171
1932127156 GALLIA LOUIS 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1932127156 GALLIA LOUIS 2021 GMC RENDERING AGE 0-20 239 1,058 86 86 210 662 103 104
1932127156 GALLIA LOUIS 2021 GMC RENDERING AGE 21+ 870 4,232 283 284 478 2,555 674 680
1932127156 GALLIA LOUIS 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1932156700 SAEDI ARASH J 2021 FFS RENDERING AGE 0-20 102 1,218 94 264 39 106 90 113
1932156700 SAEDI ARASH J 2021 FFS RENDERING AGE 21+ 318 2,302 197 380 193 633 268 268
1932156700 SAEDI ARASH J 2021 PHP RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1932156700 SAEDI ARASH J 2021 PHP RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1932159019 ALEEMUDDIN PERVEEN 2021 FFS RENDERING AGE 0-20 207 2,659 190 716 97 468 193 224
1932159019 ALEEMUDDIN PERVEEN 2021 FFS RENDERING AGE 21+ 253 2,901 121 239 194 1,399 184 184
1932161684 JIN WEIMIN 2021 FFS RENDERING AGE 0-20 227 548 0 0 227 542 0 0
1932161684 JIN WEIMIN 2021 FFS RENDERING AGE 21+ 1,616 4,329 1 1 1,610 4,251 1 1
1932163847 YUEN, CURTIS C, DDS 2021 FFS RENDERING AGE 0-20 21 220 21 128 1 2 21 58
1932163847 YUEN, CURTIS C, DDS 2021 FFS RENDERING AGE 21+ 54 360 36 72 25 74 38 76
1932191830 PUTRUS, WAIEL 2021 FFS RENDERING AGE 0-20 462 4,147 447 2,216 206 419 397 496
1932191830 PUTRUS, WAIEL 2021 FFS RENDERING AGE 21+ 1,364 12,257 1,012 2,013 913 3,288 1,090 1,090
1932209723 TRAN LOC 2021 GMC RENDERING AGE 0-20 1 1 0 0 1 1 1 1
1932209723 TRAN LOC 2021 GMC RENDERING AGE 21+ 1 2 0 0 1 1 1 1
1932219979 LOPP JAY S 2021 FFS RENDERING AGE 0-20 332 2,740 272 686 126 361 295 326
1932219979 LOPP JAY S 2021 FFS RENDERING AGE 21+ 623 4,490 296 555 305 1,016 451 451
1932220464 RANGNATH, ADINARAYANAPPA D, 2021 FFS RENDERING AGE 0-20 23 163 20 49 1 2 17 19
1932220464 RANGNATH, ADINARAYANAPPA D, 2021 FFS RENDERING AGE 21+ 42 280 17 29 22 105 33 34
1932220464 RANGNATH, ADINARAYANAPPA D, 2021 PHP RENDERING AGE 0-20 49 271 42 113 13 20 49 83
1932220464 RANGNATH, ADINARAYANAPPA D, 2021 PHP RENDERING AGE 21+ 51 326 18 40 23 80 51 105
1932220522 YETURU, KRUPAKAR 2021 FFS RENDERING AGE 0-20 216 3,077 201 821 107 474 179 233
1932220522 YETURU, KRUPAKAR 2021 FFS RENDERING AGE 21+ 265 2,085 134 267 168 684 181 181
1932223518 OGA, DONALD H, DDS 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1932223518 OGA, DONALD H, DDS 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1932224706 BERNARDO, MARIA P, DDS 2021 FFS RENDERING AGE 0-20 40 383 39 160 15 56 39 56
1932224706 BERNARDO, MARIA P, DDS 2021 FFS RENDERING AGE 21+ 81 445 50 99 49 231 22 22
1932226115 GUZMAN, JOSE LUIS DDS 2021 FFS RENDERING AGE 0-20 81 808 71 178 42 187 72 87
1932226115 GUZMAN, JOSE LUIS DDS 2021 FFS RENDERING AGE 21+ 372 2,328 225 423 237 930 307 308
1932234515 LEE, HAN WOOK, DDS 2021 FFS RENDERING AGE 0-20 29 253 26 73 1 2 27 36
1932234515 LEE, HAN WOOK, DDS 2021 FFS RENDERING AGE 21+ 84 598 48 94 29 82 72 74
1932235918 CHAU, NORMAN KAM-KEUNG, DDS 2021 FFS RENDERING AGE 0-20 23 164 17 17 1 2 22 22
1932235918 CHAU, NORMAN KAM-KEUNG, DDS 2021 FFS RENDERING AGE 21+ 840 5,667 329 335 485 1,657 653 667
1932249950 CALLOWAY, VOLLIE A DDS 2021 FFS RENDERING AGE 0-20 63 380 57 219 25 43 57 70
1932249950 CALLOWAY, VOLLIE A DDS 2021 FFS RENDERING AGE 21+ 85 510 31 31 71 223 43 43
1932252517 HADDAD-HADAYA NAJAH J 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1932252517 HADDAD-HADAYA NAJAH J 2021 FFS RENDERING AGE 21+ 94 464 37 66 73 218 66 68
1932254513 FARID BASSEM 2021 FFS RENDERING AGE 0-20 20 77 0 0 20 66 1 1
1932254513 FARID BASSEM 2021 FFS RENDERING AGE 21+ 114 347 1 1 109 249 33 33
1932254513 FARID BASSEM 2021 PHP RENDERING AGE 0-20 14 88 0 0 1 2 0 0
1932254513 FARID BASSEM 2021 PHP RENDERING AGE 21+ 56 281 0 0 47 236 1 1
1932260601 COSTANZA VICTOR J 2021 FFS RENDERING AGE 0-20 1,795 10,350 1,544 4,072 1,037 2,333 1,367 1,611
1932260601 COSTANZA VICTOR J 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1932261823 HORMATI, ABBAS A, DDS 2021 FFS RENDERING AGE 0-20 23 279 23 86 17 42 20 34
1932261823 HORMATI, ABBAS A, DDS 2021 FFS RENDERING AGE 21+ 34 235 20 40 17 69 29 29
1932266277 SNOW, GILBERT H, DDS 2021 FFS RENDERING AGE 0-20 1,521 16,728 0 0 448 4,383 1 1
1932266277 SNOW, GILBERT H, DDS 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1932266277 SNOW, GILBERT H, DDS 2021 PHP RENDERING AGE 0-20 1 2 0 0 1 2 0 0
1932267614 ENG ERIC K 2021 FFS RENDERING AGE 0-20 88 664 35 116 32 231 37 37
1932267614 ENG ERIC K 2021 FFS RENDERING AGE 21+ 60 330 25 50 24 80 26 26
1932268828 TAN TSAI-HUA 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1932274271 RIANO-ASIAIN CHARITO 2021 FFS RENDERING AGE 0-20 88 437 38 107 30 113 79 90
1932274271 RIANO-ASIAIN CHARITO 2021 FFS RENDERING AGE 21+ 221 917 100 100 88 332 179 179
1932275062 SETAREH SEPEHR 2021 FFS RENDERING AGE 0-20 278 3,304 209 824 161 541 248 296
1932275062 SETAREH SEPEHR 2021 FFS RENDERING AGE 21+ 448 3,403 232 473 325 1,239 329 334
1932275062 SETAREH SEPEHR 2021 PHP RENDERING AGE 0-20 1 1 1 1 1 1 1 1
1932284775 NG EMIL SIU H 2021 FFS RENDERING AGE 21+ 19 72 1 2 12 24 13 13
1932299070 TRAN DANNY V 2021 FFS RENDERING AGE 0-20 1 2 0 0 1 2 0 0
1932299070 TRAN DANNY V 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 2 1 1
1932307329 HAYATT SAMUEL 2021 FFS RENDERING AGE 0-20 42 297 40 98 17 73 42 52
1932307329 HAYATT SAMUEL 2021 FFS RENDERING AGE 21+ 174 739 83 151 71 224 158 158
1932308236 GUESS MICHAEL B 2021 FFS RENDERING AGE 0-20 533 743 1 1 89 105 1 1
1932308236 GUESS MICHAEL B 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1932308236 GUESS MICHAEL B 2021 GMC RENDERING AGE 0-20 1 2 0 0 1 2 0 0
1932309499 KIM HENRY HYUCK K 2021 FFS RENDERING AGE 0-20 15 60 11 18 1 1 11 11
1932309499 KIM HENRY HYUCK K 2021 GMC RENDERING AGE 0-20 2,499 18,987 2,222 6,476 1,717 3,437 2,229 3,428
1932309499 KIM HENRY HYUCK K 2021 GMC RENDERING AGE 21+ 1 2 1 1 0 0 1 1
1932313970 KRAVCHUK, LYUDMILA, DDS 2021 FFS RENDERING AGE 0-20 25 179 21 49 14 45 22 25
1932313970 KRAVCHUK, LYUDMILA, DDS 2021 FFS RENDERING AGE 21+ 406 2,406 208 406 342 1,199 259 259
1932314077 AL-JANEDI MOHDSAMEER Y 2021 FFS RENDERING AGE 0-20 23 69 1 2 11 19 1 1
1932314077 AL-JANEDI MOHDSAMEER Y 2021 FFS RENDERING AGE 21+ 173 518 63 88 102 249 37 37
1932314077 AL-JANEDI MOHDSAMEER Y 2021 PHP RENDERING AGE 0-20 73 736 67 241 62 95 66 69
1932314077 AL-JANEDI MOHDSAMEER Y 2021 PHP RENDERING AGE 21+ 318 1,805 254 414 277 618 229 233
1932316270 HUNG THAI DENTAL CORP 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 0 0
1932316270 THAI, HUNG, DENTAL CORPORATI 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 0 0
1932317716 ABD ALLAH ALAA R 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1932317716 ABD ALLAH ALAA R 2021 FFS RENDERING AGE 21+ 99 291 0 0 94 282 1 1
1932317716 ABD ALLAH ALAA R 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1932317716 ABD ALLAH ALAA R 2021 PHP RENDERING AGE 0-20 1 2 0 0 1 1 0 0
1932317716 ABD ALLAH ALAA R 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 2 0 0
1932319217 ELEPANO BENEDICTO L 2021 FFS RENDERING AGE 0-20 124 712 51 106 58 137 80 86
1932319217 ELEPANO BENEDICTO L 2021 FFS RENDERING AGE 21+ 443 2,147 53 80 271 708 241 241
1932327129 QUAN, KHUE HANH, DDS 2021 FFS RENDERING AGE 0-20 15 88 14 31 1 1 14 17
1932327129 QUAN, KHUE HANH, DDS 2021 FFS RENDERING AGE 21+ 59 295 52 62 22 52 55 55
1932329356 PAEZ RONALD A 2021 FFS RENDERING AGE 0-20 531 5,268 463 1,587 179 474 465 519
1932329356 PAEZ RONALD A 2021 FFS RENDERING AGE 21+ 656 3,394 90 167 472 1,526 370 370
1932329356 PAEZ RONALD A 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1932335320 VALDEZ VIVIENE L 2021 FFS RENDERING AGE 0-20 43 345 33 101 15 132 37 40
1932335320 VALDEZ VIVIENE L 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1932340320 WONG VINCENT 2021 FFS RENDERING AGE 0-20 1,406 15,898 1,377 6,639 476 2,743 1,388 2,056
1932340320 WONG VINCENT 2021 FFS RENDERING AGE 21+ 1 2 1 2 1 1 1 1
1932340320 WONG VINCENT 2021 GMC RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1932340767 CHONG DARRYL C 2021 FFS RENDERING AGE 0-20 30 220 24 74 1 2 28 32
1932340767 CHONG DARRYL C 2021 FFS RENDERING AGE 21+ 85 639 50 50 61 213 58 58
1932343647 LEETRAKUL, TIMOTHY, DDS 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1932343647 LEETRAKUL, TIMOTHY, DDS 2021 FFS RENDERING AGE 21+ 102 465 54 54 71 149 63 63
1932355385 YOUSSEFI DAVID 2021 FFS RENDERING AGE 0-20 90 878 84 231 46 126 83 99
1932355385 YOUSSEFI DAVID 2021 FFS RENDERING AGE 21+ 330 3,433 201 394 234 922 242 242
1932365111 LY MAI T 2021 FFS RENDERING AGE 0-20 492 4,341 457 1,236 27 37 459 555
1932365111 LY MAI T 2021 FFS RENDERING AGE 21+ 1 2 1 2 1 1 1 1
1932367794 TRAN NHAN 2021 FFS RENDERING AGE 0-20 88 765 54 117 56 199 56 58
1932367794 TRAN NHAN 2021 FFS RENDERING AGE 21+ 613 4,329 244 474 445 1,752 377 381
1932375300 BOOTEHSAZ, ROBERT DMD 2021 FFS RENDERING AGE 0-20 40 585 40 173 16 46 39 65
1932375300 BOOTEHSAZ, ROBERT DMD 2021 FFS RENDERING AGE 21+ 164 1,301 112 213 109 421 130 130
1932375300 BOOTEHSAZ, ROBERT DMD 2021 PHP RENDERING AGE 0-20 1 2 1 2 1 1 1 2
1932375300 BOOTEHSAZ, ROBERT DMD 2021 PHP RENDERING AGE 21+ 21 112 19 41 12 21 14 14
1932376381 GILBERT STEVEN R 2021 FFS RENDERING AGE 0-20 18 37 0 0 18 19 18 18
1932376381 GILBERT STEVEN R 2021 FFS RENDERING AGE 21+ 1,377 3,394 76 93 1,354 2,220 1,056 1,058
1932376381 GILBERT STEVEN R 2021 PHP RENDERING AGE 21+ 16 33 1 1 16 17 15 15
1932380201 BUCHLER AMY E 2021 FFS RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1932386976 LEE BILL HO L 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1932394475 LU XIAOYU 2021 FFS RENDERING AGE 0-20 123 652 32 63 84 156 60 61
1932394475 LU XIAOYU 2021 FFS RENDERING AGE 21+ 794 3,979 99 194 634 1,401 345 345
1932394806 PATEL SHEFALI V 2021 FFS RENDERING AGE 0-20 928 11,132 865 3,479 451 983 870 1,118
1932394806 PATEL SHEFALI V 2021 FFS RENDERING AGE 21+ 914 5,518 542 1,079 582 1,489 683 683
1932395910 CHEN BENSON 2021 FFS RENDERING AGE 0-20 1,115 5,483 585 1,823 223 337 1,011 1,148
1932395910 CHEN BENSON 2021 FFS RENDERING AGE 21+ 1,068 3,661 323 609 229 617 879 880
1932395910 CHEN BENSON 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1932401783 MATIN MANI 2021 FFS RENDERING AGE 0-20 390 5,933 336 1,454 269 1,011 358 435
1932401783 MATIN MANI 2021 FFS RENDERING AGE 21+ 274 4,136 160 319 246 1,773 205 207
1932403375 OSMAN NAWAL M 2021 FFS RENDERING AGE 0-20 793 6,203 560 1,469 350 813 542 604
1932403375 OSMAN NAWAL M 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1932410842 AGATSTEIN JACOB T 2021 FFS RENDERING AGE 0-20 12 35 0 0 12 32 0 0
1932410842 AGATSTEIN JACOB T 2021 FFS RENDERING AGE 21+ 32 113 0 0 32 112 0 0
1932410842 AGATSTEIN JACOB T 2021 PHP RENDERING AGE 0-20 1 2 0 0 1 2 0 0
1932410842 AGATSTEIN JACOB T 2021 PHP RENDERING AGE 21+ 1 2 0 0 1 2 1 1
1932411022 TRUJILLO AIMEE K 2021 FFS RENDERING AGE 0-20 89 656 72 192 33 88 74 88
1932411022 TRUJILLO AIMEE K 2021 FFS RENDERING AGE 21+ 67 252 25 30 31 67 44 44
1932414091 GURM PAWANDEEP K 2021 FFS RENDERING AGE 0-20 1,261 2,314 0 0 362 914 0 0
1932414091 GURM PAWANDEEP K 2021 FFS RENDERING AGE 21+ 24 24 0 0 0 0 0 0
1932414091 GURM PAWANDEEP K 2021 GMC RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1932414091 GURM PAWANDEEP K 2021 PHP RENDERING AGE 0-20 1 2 0 0 1 2 0 0
1932418464 CHUN FREDERICK 2021 FFS RENDERING AGE 0-20 863 17,466 521 1,375 863 12,642 803 808
1932450616 PANDYA TORAL S 2021 FFS RENDERING AGE 0-20 16 60 1 2 1 2 1 1
1932450616 PANDYA TORAL S 2021 FFS RENDERING AGE 21+ 44 169 1 2 26 58 29 29
1932450616 PANDYA TORAL S 2021 GMC RENDERING AGE 0-20 302 1,834 239 677 171 363 218 220
1932450616 PANDYA TORAL S 2021 GMC RENDERING AGE 21+ 290 1,740 111 215 209 785 206 210
1932451994 JONES JENNIFER L 2021 FFS RENDERING AGE 0-20 330 2,144 0 0 254 1,523 318 318
1932451994 JONES JENNIFER L 2021 FFS RENDERING AGE 21+ 591 3,027 0 0 466 1,933 544 544
1932458684 RODRIGUEZ CATRINA F 2021 FFS RENDERING AGE 0-20 121 1,200 94 349 59 147 96 96
1932458684 RODRIGUEZ CATRINA F 2021 FFS RENDERING AGE 21+ 206 1,098 17 33 172 496 85 85
1932469137 QAYYUM SHAMOON 2021 FFS RENDERING AGE 0-20 194 449 0 0 193 446 1 1
1932469137 QAYYUM SHAMOON 2021 FFS RENDERING AGE 21+ 989 2,663 0 0 984 2,635 1 1
1932469137 QAYYUM SHAMOON 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1932469137 QAYYUM SHAMOON 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1932469137 QAYYUM SHAMOON 2021 PHP RENDERING AGE 21+ 27 99 0 0 27 99 0 0
1932486081 BOUHAIRI, KARIM, DDS 2021 FFS RENDERING AGE 0-20 104 615 93 304 38 101 98 121
1932486081 BOUHAIRI, KARIM, DDS 2021 FFS RENDERING AGE 21+ 231 1,265 155 306 146 552 183 183
1932487246 PENALBA WILBERTO I 2021 FFS RENDERING AGE 0-20 42 208 40 115 1 2 32 36
1932487246 PENALBA WILBERTO I 2021 FFS RENDERING AGE 21+ 30 90 17 19 1 2 18 18
1932487410 ONEA DOREL 2021 GMC RENDERING AGE 0-20 1 2 0 0 1 2 0 0
1932487410 ONEA DOREL 2021 GMC RENDERING AGE 21+ 16 58 0 0 15 45 1 1
1932496700 SONBOLIAN FERESHTEH A 2021 FFS RENDERING AGE 0-20 3,750 35,511 3,471 11,532 2,247 5,945 3,462 3,820
1932496700 SONBOLIAN FERESHTEH A 2021 FFS RENDERING AGE 21+ 24 172 1 2 13 27 16 16
1932498706 HARDYK BENJAMIN J 2021 FFS RENDERING AGE 0-20 96 274 0 0 1 2 0 0
1932498706 HARDYK BENJAMIN J 2021 FFS RENDERING AGE 21+ 14 28 0 0 0 0 0 0
1932501996 VALLEY COMMUNITY HEALTHCARE 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1932501996 VALLEY COMMUNITY HEALTHCARE 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1932503083 KALDAWI ISABELLE J 2021 FFS RENDERING AGE 0-20 1,680 13,574 1,243 3,370 887 1,895 1,219 1,238
1932504503 PARSA SHAHAB 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1932508942 SHUGAN LYNNETTE 2021 FFS RENDERING AGE 0-20 605 4,470 470 1,015 163 465 427 427
1932508942 SHUGAN LYNNETTE 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1932518107 MIRZAIANS ARA A 2021 FFS RENDERING AGE 0-20 29 128 0 0 29 128 0 0
1932518107 MIRZAIANS ARA A 2021 FFS RENDERING AGE 21+ 29 120 0 0 29 120 0 0
1932531803 PONUGOTI SWATHI 2021 FFS RENDERING AGE 0-20 886 4,508 558 1,731 92 172 828 910
1932531803 PONUGOTI SWATHI 2021 FFS RENDERING AGE 21+ 1,171 3,086 157 304 355 559 845 845
1932531803 PONUGOTI SWATHI 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1932553633 KERI KM DENTAL GROUP APC 2021 FFS RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1932559713 LEE WONJOON 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1932559713 LEE WONJOON 2021 FFS RENDERING AGE 21+ 54 121 1 1 1 1 50 50
1932568144 PALMER MARTIN K 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1932568144 PALMER MARTIN K 2021 FFS RENDERING AGE 21+ 1 1 1 1 1 1 0 0
1932607678 LE VALERIE B 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1932611035 CHANG SOO J 2021 FFS RENDERING AGE 0-20 28 118 14 21 1 1 1 1
1932611035 CHANG SOO J 2021 FFS RENDERING AGE 21+ 88 210 19 19 58 78 12 12
1932622917 LOPEZ MATTHEW 2021 PHP RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1932640786 WESTERN DENTAL SERVICES INC 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1932640786 WESTERN DENTAL SERVICES, INC. 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1932648300 LIU CHANG 2021 FFS RENDERING AGE 0-20 12 106 12 29 1 2 0 0
1932648300 LIU CHANG 2021 FFS RENDERING AGE 21+ 1 1 1 1 1 1 0 0
1932667367 GURJAR DHRUVA A 2021 FFS RENDERING AGE 0-20 280 1,317 151 372 184 506 62 62
1932667367 GURJAR DHRUVA A 2021 FFS RENDERING AGE 21+ 443 1,779 125 215 329 1,043 101 101
1932693199 JABAITI TARIQ 2021 FFS RENDERING AGE 0-20 149 1,441 111 270 82 384 135 159
1932693199 JABAITI TARIQ 2021 FFS RENDERING AGE 21+ 555 4,926 207 411 413 2,273 404 404
1932703790 ABRAHAM, DR AZADEH, DENTAL I 2021 PHP RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1932703790 ABRAHAM, DR AZADEH, DENTAL I 2021 PHP RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1932705381 FAILAEV ITZHAK 2021 FFS RENDERING AGE 0-20 66 470 41 150 17 34 57 59
1932705381 FAILAEV ITZHAK 2021 FFS RENDERING AGE 21+ 36 166 1 2 15 39 26 26
1932719036 SANGHVI APEKSHA 2021 GMC RENDERING AGE 0-20 76 437 47 106 20 26 55 55
1932719036 SANGHVI APEKSHA 2021 GMC RENDERING AGE 21+ 121 418 30 60 67 92 50 50
1932761871 PATWARI HARSH R 2021 FFS RENDERING AGE 0-20 2,427 34,961 2,278 9,714 1,473 4,960 2,277 3,074
1932761871 PATWARI HARSH R 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1932792652 ZAW MAUNG M 2021 FFS RENDERING AGE 0-20 209 1,019 143 417 152 508 31 31
1932792652 ZAW MAUNG M 2021 FFS RENDERING AGE 21+ 626 2,149 314 579 454 1,467 34 34
1932860426 TRAN KEVIN M 2021 FFS RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1942202742 DEBBANEH GEORGE 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1942202742 DEBBANEH GEORGE 2021 FFS RENDERING AGE 21+ 25 64 15 15 1 1 25 25
1942209770 BOEN KYUNG L 2021 FFS RENDERING AGE 0-20 205 1,646 153 387 76 189 163 171
1942209770 BOEN KYUNG L 2021 FFS RENDERING AGE 21+ 282 1,357 39 77 195 595 139 139
1942211073 MEHTA, DIPA, DDS 2021 FFS RENDERING AGE 21+ 21 55 0 0 21 40 15 15
1942213418 OH, JOON HWAN DDS 2021 FFS RENDERING AGE 0-20 110 1,591 98 338 53 161 100 125
1942213418 OH, JOON HWAN DDS 2021 FFS RENDERING AGE 21+ 252 2,779 182 361 154 503 209 209
1942216809 PATEL, SANJAY VASANGEE 2021 FFS RENDERING AGE 0-20 66 304 43 114 27 63 53 53
1942216809 PATEL, SANJAY VASANGEE 2021 FFS RENDERING AGE 21+ 454 2,279 85 85 403 1,647 186 186
1942218045 ADLI CAMILLE Q 2021 FFS RENDERING AGE 0-20 84 1,123 77 266 38 177 64 79
1942224118 LEE JULIA H 2021 FFS RENDERING AGE 0-20 150 1,446 150 471 53 171 150 237
1942224118 LEE JULIA H 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1942227590 RAJABALLY FAREEDA 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1942228036 BANG, ROBERT DDS 2021 FFS RENDERING AGE 0-20 1,310 18,238 1,178 4,735 528 1,936 1,272 1,682
1942228036 BANG, ROBERT DDS 2021 FFS RENDERING AGE 21+ 12 102 1 2 1 1 1 1
1942229273 WOO DONNA J 2021 FFS RENDERING AGE 0-20 79 676 68 163 41 140 68 70
1942229273 WOO DONNA J 2021 FFS RENDERING AGE 21+ 145 826 74 153 110 406 98 100
1942247184 YANG KATHERINE H 2021 FFS RENDERING AGE 0-20 1,031 7,604 868 2,421 651 1,676 789 813
1942264403 COX DARREN P 2021 GMC RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1942264403 COX DARREN P 2021 GMC RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1942281746 DUDAR, BRIAN WESLEY, DDS 2021 GMC RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1942330469 NGUYEN QUOC T 2021 FFS RENDERING AGE 0-20 122 1,260 112 550 28 60 51 58
1942331673 CHONG ROBYN E 2021 PHP RENDERING AGE 0-20 34 213 23 76 1 2 19 26
1942331673 CHONG ROBYN E 2021 PHP RENDERING AGE 21+ 36 148 1 2 22 67 15 17
1942332556 AIVAZ JOHN 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1942332556 AIVAZ JOHN 2021 PHP RENDERING AGE 21+ 1 2 0 0 1 1 1 1
1942335526 LOW, WILLARD H, DDS 2021 FFS RENDERING AGE 0-20 21 102 19 41 1 1 19 29
1942335526 LOW, WILLARD H, DDS 2021 FFS RENDERING AGE 21+ 68 229 44 44 37 69 41 41
1942340633 KURUVADI SANJAY 2021 FFS RENDERING AGE 0-20 388 683 0 0 167 375 0 0
1942348560 PAWLAK JOHN C 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1942350558 TON THAT, CUONG, DDS 2021 FFS RENDERING AGE 0-20 164 1,119 156 205 52 129 154 191
1942350558 TON THAT, CUONG, DDS 2021 FFS RENDERING AGE 21+ 494 2,927 336 336 286 598 353 353
1942356415 VU THAI Q 2021 FFS RENDERING AGE 0-20 472 4,970 375 904 179 546 393 468
1942356415 VU THAI Q 2021 FFS RENDERING AGE 21+ 223 1,976 107 213 131 452 135 135
1942361175 ALHAOUASLI, HASSAN DDS 2021 FFS RENDERING AGE 0-20 42 439 38 169 14 27 41 47
1942361175 ALHAOUASLI, HASSAN DDS 2021 FFS RENDERING AGE 21+ 73 783 61 120 45 229 66 66
1942368121 NEYDLIN, BORIS 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1942368121 NEYDLIN, BORIS 2021 FFS RENDERING AGE 21+ 278 2,506 148 280 256 1,526 190 190
1942376975 VO HANH N 2021 FFS RENDERING AGE 0-20 581 2,844 284 1,016 165 244 535 566
1942376975 VO HANH N 2021 FFS RENDERING AGE 21+ 892 2,573 66 120 367 704 617 619
1942376975 VO HANH N 2021 GMC RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1942376975 VO HANH N 2021 PHP RENDERING AGE 0-20 44 219 19 53 14 50 33 35
1942376975 VO HANH N 2021 PHP RENDERING AGE 21+ 70 252 1 1 48 162 30 31
1942377312 TRUONG JENNIFER H 2021 FFS RENDERING AGE 0-20 629 6,991 589 2,044 286 788 584 802
1942377312 TRUONG JENNIFER H 2021 FFS RENDERING AGE 21+ 283 1,646 85 165 165 573 210 210
1942377445 CABALINAN JANETTE S 2021 FFS RENDERING AGE 0-20 85 1,157 79 346 82 376 76 103
1942377445 CABALINAN JANETTE S 2021 FFS RENDERING AGE 21+ 149 1,669 110 219 144 872 110 110
1942392485 ZAREH NEGEENDOKHT 2021 FFS RENDERING AGE 0-20 259 3,106 219 826 127 455 234 335
1942392485 ZAREH NEGEENDOKHT 2021 FFS RENDERING AGE 21+ 255 1,588 65 98 184 667 173 173
1942396361 GILL RICHARD J 2021 FFS RENDERING AGE 0-20 82 594 77 269 42 116 78 83
1942396361 GILL RICHARD J 2021 FFS RENDERING AGE 21+ 381 2,746 282 487 290 1,493 327 329
1942396817 PATINO STELLA P 2021 FFS RENDERING AGE 0-20 31 190 17 40 13 41 28 30
1942396817 PATINO STELLA P 2021 FFS RENDERING AGE 21+ 97 789 44 71 75 394 75 75
1942406145 PAK-SUH, YOUNG HEE DMD 2021 FFS RENDERING AGE 0-20 618 7,319 551 1,656 445 1,449 538 543
1942410501 PARK, DAVID S DDS, MPH 2021 FFS RENDERING AGE 0-20 564 3,316 338 981 327 696 370 403
1942410501 PARK, DAVID S DDS, MPH 2021 FFS RENDERING AGE 21+ 1,562 6,244 437 852 1,089 2,641 756 764
1942410501 PARK, DAVID S DDS, MPH 2021 GMC RENDERING AGE 0-20 245 1,008 234 270 233 242 12 12
1942410501 PARK, DAVID S DDS, MPH 2021 GMC RENDERING AGE 21+ 84 188 17 30 66 94 14 14
1942410501 PARK, DAVID S DDS, MPH 2021 PHP RENDERING AGE 0-20 528 3,706 363 1,258 353 732 344 366
1942410501 PARK, DAVID S DDS, MPH 2021 PHP RENDERING AGE 21+ 583 2,744 306 654 418 1,069 283 284
1942412374 WALICKI RICHARD J 2021 FFS RENDERING AGE 21+ 357 921 17 18 356 629 274 274
1942412374 WALICKI RICHARD J 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1942415906 YAM CHAP H 2021 FFS RENDERING AGE 0-20 188 1,745 157 567 88 326 156 180
1942415906 YAM CHAP H 2021 FFS RENDERING AGE 21+ 338 2,201 169 332 180 774 229 231
1942418264 DONG QUANLI 2021 FFS RENDERING AGE 0-20 593 6,240 555 1,804 230 805 568 701
1942418264 DONG QUANLI 2021 FFS RENDERING AGE 21+ 946 6,825 743 1,471 463 2,132 881 881
1942419080 STEWART, CARINA G, DDS 2021 FFS RENDERING AGE 0-20 1 2 1 1 0 0 0 0
1942419080 STEWART, CARINA G, DDS 2021 FFS RENDERING AGE 21+ 34 251 27 27 29 106 21 21
1942423546 RABIZADEH DAVID S 2021 FFS RENDERING AGE 0-20 746 5,451 608 2,080 382 1,116 594 673
1942423546 RABIZADEH DAVID S 2021 FFS RENDERING AGE 21+ 1,123 5,465 236 301 799 2,847 677 692
1942423546 RABIZADEH DAVID S 2021 PHP RENDERING AGE 0-20 51 345 43 148 14 32 44 52
1942423546 RABIZADEH DAVID S 2021 PHP RENDERING AGE 21+ 77 353 18 20 46 159 60 62
1942435656 TAKALE MADHURI S 2021 FFS RENDERING AGE 0-20 174 1,504 168 503 56 128 167 221
1942435656 TAKALE MADHURI S 2021 FFS RENDERING AGE 21+ 173 988 105 109 116 358 129 129
1942437322 FARUKHI NAILA R 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1942442827 MARTEL ALEX 2021 PHP RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1942454673 JAMAH HANI S 2021 FFS RENDERING AGE 0-20 142 675 82 190 82 162 75 93
1942454673 JAMAH HANI S 2021 FFS RENDERING AGE 21+ 356 1,358 156 163 235 538 168 170
1942457106 LOURENCO AURY A 2021 FFS RENDERING AGE 0-20 46 411 43 136 19 75 45 58
1942457106 LOURENCO AURY A 2021 FFS RENDERING AGE 21+ 66 473 45 86 34 177 54 54
1942464656 AHUJA HARKISHAN C 2021 FFS RENDERING AGE 0-20 689 1,957 0 0 364 1,231 0 0
1942469689 HAKIMZADEH PASHA 2021 PHP RENDERING AGE 0-20 1 1 0 0 0 0 1 1
1942469689 HAKIMZADEH PASHA 2021 PHP RENDERING AGE 21+ 1 2 0 0 1 2 1 1
1942479639 MURALIDHARAN ASHA 2021 FFS RENDERING AGE 0-20 469 2,992 349 1,158 152 357 433 485
1942479639 MURALIDHARAN ASHA 2021 FFS RENDERING AGE 21+ 635 2,589 193 354 300 901 477 477
1942480603 AZARIAN JACKLYN 2021 FFS RENDERING AGE 0-20 59 367 46 125 30 80 54 63
1942480603 AZARIAN JACKLYN 2021 FFS RENDERING AGE 21+ 337 2,420 220 427 244 882 269 269
1942491758 CORTES OSCAR H 2021 FFS RENDERING AGE 0-20 57 568 53 134 15 29 51 65
1942491758 CORTES OSCAR H 2021 FFS RENDERING AGE 21+ 55 305 28 55 30 68 41 41
1942495510 KOO KAYLA 2021 FFS RENDERING AGE 0-20 334 3,442 293 1,160 150 449 309 398
1942495510 KOO KAYLA 2021 FFS RENDERING AGE 21+ 230 1,518 139 278 143 399 167 167
1942502596 RIVERO CARLOS A 2021 FFS RENDERING AGE 0-20 14 36 0 0 14 36 0 0
1942502596 RIVERO CARLOS A 2021 FFS RENDERING AGE 21+ 42 162 0 0 42 159 0 0
1942502596 RIVERO CARLOS A 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1942536628 AGUIRRE ALVARO A 2021 FFS RENDERING AGE 0-20 115 1,115 87 311 70 220 89 99
1942536628 AGUIRRE ALVARO A 2021 FFS RENDERING AGE 21+ 260 1,890 36 67 229 892 104 104
1942538160 ATHANASIUS PAUL 2021 FFS RENDERING AGE 0-20 29 249 23 61 14 48 26 35
1942538160 ATHANASIUS PAUL 2021 FFS RENDERING AGE 21+ 84 538 45 76 51 134 70 70
1942550835 SOULEMA ALBERT L 2021 FFS RENDERING AGE 0-20 219 448 0 0 16 28 0 0
1942550835 SOULEMA ALBERT L 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1942551726 ZHU LING 2021 FFS RENDERING AGE 21+ 13 68 1 2 1 2 1 1
1942553748 LEE MIN H 2021 FFS RENDERING AGE 0-20 3,460 28,450 2,529 8,243 2,687 9,211 2,237 2,556
1942553748 LEE MIN H 2021 FFS RENDERING AGE 21+ 456 1,880 53 77 301 905 166 166
1942553748 LEE MIN H 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 2 1 1
1942554654 GREENE ADRIANA N 2021 FFS RENDERING AGE 0-20 283 2,059 273 756 90 345 275 360
1942554654 GREENE ADRIANA N 2021 FFS RENDERING AGE 21+ 25 151 16 32 14 45 19 19
1942556410 BEHNAM KRISTINA Y 2021 FFS RENDERING AGE 0-20 1,415 12,814 1,322 4,376 590 1,159 1,309 1,827
1942556410 BEHNAM KRISTINA Y 2021 FFS RENDERING AGE 21+ 37 213 24 48 21 36 24 24
1942558614 HSIEH, CHRISTINA DDS 2021 FFS RENDERING AGE 0-20 683 7,100 446 1,291 544 2,623 286 329
1942558614 HSIEH, CHRISTINA DDS 2021 PHP RENDERING AGE 0-20 33 427 11 30 32 294 1 1
1942565148 ZUNIGA FAUSTINO 2021 FFS RENDERING AGE 0-20 1,024 10,792 863 2,169 504 2,189 959 1,146
1942568928 WU YUEN R 2021 FFS RENDERING AGE 0-20 44 106 0 0 44 106 0 0
1942579313 SALEM SYLVIA A 2021 FFS RENDERING AGE 0-20 25 222 24 108 1 2 23 31
1942579313 SALEM SYLVIA A 2021 FFS RENDERING AGE 21+ 101 854 64 123 76 407 80 80
1942580923 LAO VIVIEN 2021 FFS RENDERING AGE 0-20 4,438 36,695 3,541 11,463 2,747 7,316 3,329 3,735
1942580923 LAO VIVIEN 2021 FFS RENDERING AGE 21+ 28 137 14 28 13 21 15 15
1942582937 YARBER LENISE N 2021 FFS RENDERING AGE 0-20 2,470 44,119 2,371 9,884 1,775 8,150 2,327 3,454
1942582937 YARBER LENISE N 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1942582937 YARBER LENISE N 2021 PHP RENDERING AGE 0-20 21 292 1 2 19 150 12 12
1942598552 LAM LUCILLE 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1942598552 LAM LUCILLE 2021 FFS RENDERING AGE 21+ 1 1 1 1 1 1 0 0
1942598552 LAM LUCILLE 2021 GMC RENDERING AGE 0-20 327 2,893 315 1,005 99 279 316 350
1942598552 LAM LUCILLE 2021 GMC RENDERING AGE 21+ 258 1,839 182 394 182 620 171 171
1942598552 LAM LUCILLE 2021 PHP RENDERING AGE 0-20 1 2 1 1 0 0 1 1
1942598552 LAM LUCILLE 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1942611074 ALETOMEH MORVARID 2021 FFS RENDERING AGE 0-20 1,536 21,958 1,411 5,539 958 3,703 1,431 2,004
1942611074 ALETOMEH MORVARID 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1942625330 CAMPOS GLADYS ADELI M 2021 PHP RENDERING AGE 0-20 1 1 1 1 1 1 1 1
1942681069 WILLIS AVI 2021 FFS RENDERING AGE 0-20 5,144 40,984 3,966 12,137 3,124 6,967 3,753 3,963
1942681069 WILLIS AVI 2021 FFS RENDERING AGE 21+ 20 103 13 24 1 1 15 15
1942682711 LIN YUNQI R 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 1 0 0
1942682711 LIN YUNQI R 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 1 1 1
1942699160 KIM YOUNGSAM 2021 FFS RENDERING AGE 0-20 18 98 14 28 1 2 16 16
1942699160 KIM YOUNGSAM 2021 FFS RENDERING AGE 21+ 58 286 44 88 12 40 46 46
1942717343 BAKRAMIAN, JILBERT, DDS 2021 FFS RENDERING AGE 0-20 80 2,072 68 556 79 1,106 73 150
1942717343 BAKRAMIAN, JILBERT, DDS 2021 FFS RENDERING AGE 21+ 344 11,118 210 840 336 9,174 227 458
1942721410 CROWDEN, CANDACE LYNN, RDHAP 2021 FFS RENDERING AGE 0-20 78 337 78 337 0 0 0 0
1942721410 CROWDEN, CANDACE LYNN, RDHAP 2021 FFS RENDERING AGE 21+ 286 1,051 263 471 130 580 0 0
1942725205 MUJUMDAR AADITI J 2021 FFS RENDERING AGE 0-20 61 638 56 116 24 64 56 59
1942725205 MUJUMDAR AADITI J 2021 FFS RENDERING AGE 21+ 118 948 61 62 67 177 74 74
1942729405 MEHTA JUHI U 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1942729405 MEHTA JUHI U 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 1 1 1
1942741798 WESTERN DENTAL SERVICES INC 2021 PHP RENDERING AGE 0-20 14 119 1 2 1 1 13 13
1942741798 WESTERN DENTAL SERVICES INC 2021 PHP RENDERING AGE 21+ 21 93 1 2 14 28 17 17
1942741798 WESTERN DENTAL SERVICES, INC. 2021 PHP RENDERING AGE 0-20 14 119 1 2 1 1 13 13
1942741798 WESTERN DENTAL SERVICES, INC. 2021 PHP RENDERING AGE 21+ 21 93 1 2 14 28 17 17
1942743182 DEHGHAN SARANG 2021 FFS RENDERING AGE 0-20 37 203 26 73 18 35 27 28
1942743182 DEHGHAN SARANG 2021 FFS RENDERING AGE 21+ 73 241 22 42 58 109 30 30
1942743182 DEHGHAN SARANG 2021 PHP RENDERING AGE 0-20 18 82 14 27 1 2 16 16
1942743182 DEHGHAN SARANG 2021 PHP RENDERING AGE 21+ 30 96 1 1 15 36 1 1
1942754080 NADIPALLY SWETHA 2021 FFS RENDERING AGE 0-20 75 489 46 113 34 83 50 50
1942754080 NADIPALLY SWETHA 2021 FFS RENDERING AGE 21+ 164 612 12 23 84 224 94 94
1942755673 LUTHER JOHN R 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1942770490 MORCOS JULIA 2021 FFS RENDERING AGE 0-20 2,288 27,593 2,139 6,304 760 1,793 2,151 2,744
1942770490 MORCOS JULIA 2021 FFS RENDERING AGE 21+ 14 123 11 22 1 1 11 11
1942781224 SIDHU ARSHPREET K 2021 FFS RENDERING AGE 0-20 253 1,117 174 361 59 120 213 222
1942781224 SIDHU ARSHPREET K 2021 FFS RENDERING AGE 21+ 406 1,262 131 223 166 370 195 195
1942781224 SIDHU ARSHPREET K 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1942781224 SIDHU ARSHPREET K 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1942795703 JABERI SAMIRA 2021 FFS RENDERING AGE 0-20 428 2,334 316 718 168 372 319 350
1942795703 JABERI SAMIRA 2021 FFS RENDERING AGE 21+ 641 2,430 176 282 425 1,269 346 346
1942815402 STONE JENNIFER NICOLE 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1942832308 PARK TIMOTHY C 2021 FFS RENDERING AGE 0-20 65 434 55 141 43 153 56 61
1942832308 PARK TIMOTHY C 2021 FFS RENDERING AGE 21+ 256 1,953 112 208 217 1,315 165 167
1942847033 SALMAN YVONNE M 2021 FFS RENDERING AGE 0-20 4,659 41,202 3,377 9,013 3,150 10,063 3,386 3,697
1942847033 SALMAN YVONNE M 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1942859145 STEFAN RAGY A 2021 FFS RENDERING AGE 0-20 3,169 30,556 2,612 8,267 1,759 4,367 2,565 2,912
1942859145 STEFAN RAGY A 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1942859145 STEFAN RAGY A 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1942862735 IRAWAN BRYANT A 2021 FFS RENDERING AGE 0-20 293 1,331 107 452 44 67 268 293
1942862735 IRAWAN BRYANT A 2021 FFS RENDERING AGE 21+ 1,043 3,165 187 355 293 705 809 809
1942863477 BASTAR TINA 2021 FFS RENDERING AGE 0-20 33 253 20 55 19 54 15 15
1952308199 KHAN IFTIKHAR A 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1952308199 KHAN IFTIKHAR A 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1952311276 NGUYEN, DE G, DDS 2021 FFS RENDERING AGE 0-20 47 200 41 94 1 2 42 43
1952311276 NGUYEN, DE G, DDS 2021 FFS RENDERING AGE 21+ 738 3,233 115 229 427 1,190 562 562
1952313702 STOMEL, THEODORE, DMD 2021 FFS RENDERING AGE 21+ 1 1 1 1 1 1 0 0
1952314445 SLAVEN JOEL 2021 FFS RENDERING AGE 0-20 155 1,091 129 468 51 127 126 141
1952314445 SLAVEN JOEL 2021 FFS RENDERING AGE 21+ 218 906 58 102 142 443 116 117
1952314445 SLAVEN JOEL 2021 PHP RENDERING AGE 0-20 31 159 23 57 1 2 26 27
1952314445 SLAVEN JOEL 2021 PHP RENDERING AGE 21+ 75 259 21 35 32 86 50 50
1952327652 NGUYEN TRACY T 2021 FFS RENDERING AGE 0-20 56 526 54 150 1 1 56 85
1952327652 NGUYEN TRACY T 2021 FFS RENDERING AGE 21+ 67 353 52 52 11 27 58 58
1952328502 RAJABALLY, MOHAMAD I, DDS 2021 FFS RENDERING AGE 0-20 90 757 78 301 25 84 74 80
1952328502 RAJABALLY, MOHAMAD I, DDS 2021 FFS RENDERING AGE 21+ 232 1,720 124 243 131 366 153 153
1952364747 CENTRO DE SALUD DE LA COMMUN 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 2 0 0
1952364747 CENTRO DE SALUD DE LA COMUNI 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 2 0 0
1952399248 LEE, TREVA D, DDS 2021 FFS RENDERING AGE 0-20 13 75 12 22 1 1 1 1
1952399248 LEE, TREVA D, DDS 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1952409211 SABET, JOSEPH, DDS 2021 FFS RENDERING AGE 0-20 82 706 65 187 51 237 62 63
1952409211 SABET, JOSEPH, DDS 2021 FFS RENDERING AGE 21+ 361 3,547 248 249 338 1,972 225 226
1952409211 SABET, JOSEPH, DDS 2021 GMC RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1952409211 SABET, JOSEPH, DDS 2021 PHP RENDERING AGE 0-20 101 656 83 164 43 159 87 90
1952409211 SABET, JOSEPH, DDS 2021 PHP RENDERING AGE 21+ 410 2,891 245 317 269 1,289 288 324
1952413353 HOU ROBERT C 2021 FFS RENDERING AGE 0-20 13 60 0 0 13 60 0 0
1952413353 HOU ROBERT C 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 2 0 0
1952417719 NG FRANK L 2021 FFS RENDERING AGE 21+ 1 1 1 1 1 1 0 0
1952420762 SAMANIEGO SONYA A 2021 FFS RENDERING AGE 0-20 68 346 31 51 46 115 31 33
1952420762 SAMANIEGO SONYA A 2021 FFS RENDERING AGE 21+ 30 181 16 16 24 78 16 16
1952421919 NGO TRACY 2021 FFS RENDERING AGE 0-20 112 1,848 104 379 55 283 101 130
1952421919 NGO TRACY 2021 FFS RENDERING AGE 21+ 99 1,245 57 114 69 568 84 84
1952421919 NGO TRACY 2021 PHP RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1952426066 CHEN, HOWARD Y, DDS 2021 FFS RENDERING AGE 0-20 106 246 0 0 93 124 0 0
1952426066 CHEN, HOWARD Y, DDS 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1952428054 AYE MAUNG M 2021 FFS RENDERING AGE 0-20 19 137 17 64 1 1 19 22
1952428054 AYE MAUNG M 2021 FFS RENDERING AGE 21+ 66 327 55 110 15 37 62 62
1952431256 LARIN, LILIA DDS 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1952438731 LOW LAWRENCE G 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1952438731 LOW LAWRENCE G 2021 FFS RENDERING AGE 21+ 12 69 1 1 1 2 1 1
1952442089 POUYAN MEHRA 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1952442337 ISSUED IN ERROR 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1952442337 ZINATI, BEHROOZ, DDS INC 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1952448078 ILLICH VANJA I 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1952448078 ILLICH VANJA I 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1952448078 ILLICH VANJA I 2021 GMC RENDERING AGE 0-20 80 488 40 113 54 198 53 54
1952448078 ILLICH VANJA I 2021 GMC RENDERING AGE 21+ 102 653 26 44 74 422 77 77
1952448078 ILLICH VANJA I 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1952448078 ILLICH VANJA I 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1952449795 LE STEVEN T 2021 FFS RENDERING AGE 0-20 1,821 13,694 1,606 4,809 1,038 3,174 1,557 1,619
1952449795 LE STEVEN T 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1952450611 SALAMI DARVISH A 2021 FFS RENDERING AGE 0-20 358 5,305 310 1,282 173 546 316 398
1952450611 SALAMI DARVISH A 2021 FFS RENDERING AGE 21+ 235 1,394 79 157 130 327 98 98
1952451106 SATUITO, MARY C P, DMD INC 2021 FFS RENDERING AGE 0-20 31 120 1 1 31 118 0 0
1952453391 BEHROOZAN YOSI P 2021 FFS RENDERING AGE 0-20 73 698 69 314 17 27 70 108
1952453391 BEHROOZAN YOSI P 2021 FFS RENDERING AGE 21+ 55 369 42 77 35 124 44 44
1952454019 AMBROSIO BERNABE BARR U 2021 FFS RENDERING AGE 0-20 97 735 91 217 35 128 87 101
1952454019 AMBROSIO BERNABE BARR U 2021 FFS RENDERING AGE 21+ 134 732 100 196 60 165 100 100
1952459257 ZEROUNIAN, LENA, DDS 2021 FFS RENDERING AGE 0-20 139 1,284 124 162 40 97 131 166
1952459257 ZEROUNIAN, LENA, DDS 2021 FFS RENDERING AGE 21+ 198 1,186 78 78 127 452 151 151
1952459257 ZEROUNIAN, LENA, DDS 2021 PHP RENDERING AGE 0-20 67 258 51 54 16 29 61 65
1952459257 ZEROUNIAN, LENA, DDS 2021 PHP RENDERING AGE 21+ 156 639 54 56 74 202 132 134
1952468217 ZHANG JIN 2021 FFS RENDERING AGE 0-20 40 432 37 88 22 88 38 40
1952468217 ZHANG JIN 2021 FFS RENDERING AGE 21+ 221 1,740 168 337 156 510 186 186
1952471930 PIPKIN MARIFI M 2021 FFS RENDERING AGE 0-20 622 9,129 570 1,986 388 1,487 579 795
1952471930 PIPKIN MARIFI M 2021 FFS RENDERING AGE 21+ 716 5,593 333 659 539 2,346 491 491
1952474132 LEE ANDY W. 2021 GMC RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1952478604 ALVAREZ ALAN M 2021 FFS RENDERING AGE 0-20 636 4,763 553 1,599 291 479 543 570
1952478604 ALVAREZ ALAN M 2021 FFS RENDERING AGE 21+ 1 1 1 1 1 1 0 0
1952483117 JINJUWADIA KAMLESH R 2021 FFS RENDERING AGE 0-20 131 1,296 125 457 36 118 126 181
1952483117 JINJUWADIA KAMLESH R 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1952484925 SANTOS, JOEL M, DDS 2021 FFS RENDERING AGE 0-20 12 61 12 15 1 1 12 15
1952484925 SANTOS, JOEL M, DDS 2021 FFS RENDERING AGE 21+ 98 410 51 51 63 141 39 39
1952494437 TRAN LISA T 2021 FFS RENDERING AGE 0-20 275 2,170 172 525 107 157 177 179
1952494437 TRAN LISA T 2021 FFS RENDERING AGE 21+ 399 1,426 89 170 251 344 171 171
1952497448 MURILLO MARIELENA 2021 FFS RENDERING AGE 0-20 6,677 45,131 6,088 19,950 3,842 6,410 5,924 6,629
1952497448 MURILLO MARIELENA 2021 FFS RENDERING AGE 21+ 1 2 1 1 0 0 1 1
1952505802 BANGALAN RINGO V 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1952505802 BANGALAN RINGO V 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1952506818 MIRHOSSEINI SEYED H 2021 FFS RENDERING AGE 0-20 93 495 81 223 24 48 91 108
1952506818 MIRHOSSEINI SEYED H 2021 FFS RENDERING AGE 21+ 110 702 60 62 65 192 79 81
1952509754 YAZDI MEHRAN H 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1952509754 YAZDI MEHRAN H 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1952509754 YAZDI MEHRAN H 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1952509754 YAZDI MEHRAN H 2021 PHP RENDERING AGE 21+ 28 55 0 0 20 38 16 16
1952513269 TRIVEDI, KIRAN S DDS 2021 FFS RENDERING AGE 0-20 186 2,692 176 554 71 218 171 234
1952513269 TRIVEDI, KIRAN S DDS 2021 FFS RENDERING AGE 21+ 254 2,448 157 179 128 456 219 219
1952514713 LIM WALTER T 2021 FFS RENDERING AGE 0-20 337 1,691 239 505 156 388 251 254
1952514713 LIM WALTER T 2021 FFS RENDERING AGE 21+ 329 1,165 127 254 213 416 142 142
1952519241 DELOS REYES IRMA R 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1952533655 HAN SU I 2021 FFS RENDERING AGE 0-20 405 1,854 265 663 105 139 363 404
1952533655 HAN SU I 2021 FFS RENDERING AGE 21+ 811 2,095 120 231 182 431 615 615
1952533655 HAN SU I 2021 PHP RENDERING AGE 21+ 1 1 1 1 1 1 0 0
1952539637 BORNA MAHSHID 2021 FFS RENDERING AGE 0-20 584 5,889 494 1,330 286 830 392 420
1952539637 BORNA MAHSHID 2021 FFS RENDERING AGE 21+ 386 3,258 88 164 276 1,098 180 180
1952539637 BORNA MAHSHID 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 2 0 0
1952551814 PASCUAL ALBERT L 2021 FFS RENDERING AGE 0-20 407 893 1 1 41 134 1 1
1952551814 PASCUAL ALBERT L 2021 FFS RENDERING AGE 21+ 73 82 0 0 0 0 0 0
1952558454 PHAM LANCHI N 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1952558454 PHAM LANCHI N 2021 PHP RENDERING AGE 0-20 64 544 64 153 63 155 59 77
1952566564 MOHAJERANI KATAYOUN 2021 FFS RENDERING AGE 0-20 44 321 23 68 26 69 24 24
1952566564 MOHAJERANI KATAYOUN 2021 FFS RENDERING AGE 21+ 1 2 1 1 0 0 1 1
1952568040 AWAD ANGEL M 2021 FFS RENDERING AGE 0-20 22 111 15 55 11 12 16 16
1952568040 AWAD ANGEL M 2021 FFS RENDERING AGE 21+ 95 281 1 2 42 68 55 56
1952568040 AWAD ANGEL M 2021 GMC RENDERING AGE 0-20 2,030 15,827 1,207 5,838 1,232 4,880 1,238 1,423
1952568040 AWAD ANGEL M 2021 GMC RENDERING AGE 21+ 1,754 10,115 459 849 1,215 5,733 879 885
1952568040 AWAD ANGEL M 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1952568040 AWAD ANGEL M 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1952575029 BARZALLO, EDWIN O DDS 2021 FFS RENDERING AGE 0-20 86 961 80 178 40 125 83 93
1952575029 BARZALLO, EDWIN O DDS 2021 FFS RENDERING AGE 21+ 166 1,343 96 182 119 454 135 139
1952582868 KARAPETIAN, HAMLET, DMD INC 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1952591869 LOPEZ PATRICIA Y 2021 FFS RENDERING AGE 0-20 130 934 109 245 62 161 103 126
1952591869 LOPEZ PATRICIA Y 2021 FFS RENDERING AGE 21+ 113 630 80 98 73 220 81 83
1952594103 MURO EMILIO 2021 FFS RENDERING AGE 0-20 384 3,207 343 1,267 137 381 353 425
1952594103 MURO EMILIO 2021 FFS RENDERING AGE 21+ 752 4,455 365 727 440 1,384 588 588
1952594293 PLAMENAC JOVAN D 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1952594293 PLAMENAC JOVAN D 2021 FFS RENDERING AGE 21+ 50 267 13 13 32 75 38 38
1952598765 CRUZ ELEANORE S 2021 FFS RENDERING AGE 0-20 407 5,456 382 1,416 196 492 393 553
1952598765 CRUZ ELEANORE S 2021 FFS RENDERING AGE 21+ 418 2,680 203 204 173 540 364 365
1952607483 SIMPSON, MARIA ELENA RANGEL, 2021 FFS RENDERING AGE 21+ 385 4,020 375 1,115 385 2,531 0 0
1952618175 PAQUIN, BRENDA JUNE, RDHAP 2021 FFS RENDERING AGE 21+ 67 314 66 168 66 146 0 0
1952631418 MAJD, MICHELLE M, DDS 2021 FFS RENDERING AGE 0-20 60 635 52 209 35 151 54 74
1952631418 MAJD, MICHELLE M, DDS 2021 FFS RENDERING AGE 21+ 271 2,170 185 363 205 979 219 219
1952652166 SHAYGAN FARZAD 2021 FFS RENDERING AGE 0-20 25 131 22 44 1 2 22 28
1952652166 SHAYGAN FARZAD 2021 FFS RENDERING AGE 21+ 63 187 27 27 15 24 50 50
1952656621 HUYNH ANDREW V 2021 FFS RENDERING AGE 0-20 421 3,111 341 873 163 569 326 368
1952663080 NOH WILLIAM H 2021 FFS RENDERING AGE 0-20 232 654 0 0 230 629 1 1
1952663080 NOH WILLIAM H 2021 FFS RENDERING AGE 21+ 454 1,409 0 0 448 1,344 1 1
1952663080 NOH WILLIAM H 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1952663080 NOH WILLIAM H 2021 PHP RENDERING AGE 21+ 45 138 0 0 41 113 15 15
1952683864 JOESTING MICHAEL D 2021 GMC RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1952696486 VAN HOUTEN TERA L 2021 FFS RENDERING AGE 0-20 45 236 33 70 27 64 30 30
1952696486 VAN HOUTEN TERA L 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1952698474 SHOREIBAH NOURELDIN H 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1952698474 SHOREIBAH NOURELDIN H 2021 PHP RENDERING AGE 21+ 1 2 0 0 1 1 1 1
1952700346 BIGDELI, FARIBA 2021 FFS RENDERING AGE 0-20 101 1,022 92 360 58 182 96 135
1952700346 BIGDELI, FARIBA 2021 FFS RENDERING AGE 21+ 229 1,667 158 299 147 560 183 185
1952717381 GABRIEL SAMUEL NABIL DMD 2021 FFS RENDERING AGE 0-20 91 1,031 75 237 45 172 85 101
1952717381 GABRIEL SAMUEL NABIL DMD 2021 FFS RENDERING AGE 21+ 243 1,807 113 224 170 678 207 207
1952717381 GABRIEL SAMUEL NABIL DMD 2021 PHP RENDERING AGE 0-20 18 196 18 63 1 2 18 21
1952717381 GABRIEL SAMUEL NABIL DMD 2021 PHP RENDERING AGE 21+ 60 405 40 78 32 107 48 49
1952718702 BANNER, WADE DMD 2021 FFS RENDERING AGE 0-20 113 791 43 116 53 165 92 98
1952718702 BANNER, WADE DMD 2021 FFS RENDERING AGE 21+ 658 3,872 143 253 465 1,366 550 556
1952718702 BANNER, WADE DMD 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1952727281 WESTERN DENTAL SERVICES INC 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1952727281 WESTERN DENTAL SERVICES, INC 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1952750382 MISTRY SHREENA C 2021 FFS RENDERING AGE 0-20 178 982 116 241 58 155 114 114
1952750861 NGUYEN LINH M 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1952750861 NGUYEN LINH M 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1952750861 NGUYEN LINH M 2021 PHP RENDERING AGE 0-20 83 605 63 249 69 93 43 43
1952750861 NGUYEN LINH M 2021 PHP RENDERING AGE 21+ 138 425 21 53 100 149 28 28
1952753683 NGO NICOLE 2021 GMC RENDERING AGE 0-20 1 2 0 0 1 1 0 0
1952753683 NGO NICOLE 2021 GMC RENDERING AGE 21+ 20 40 0 0 20 20 0 0
1952753683 NGO NICOLE 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1952753683 NGO NICOLE 2021 PHP RENDERING AGE 21+ 1 2 0 0 1 1 0 0
1952766297 MAHDI AMAR M 2021 FFS RENDERING AGE 0-20 179 588 52 183 23 32 138 138
1952766297 MAHDI AMAR M 2021 FFS RENDERING AGE 21+ 547 1,671 28 49 304 902 307 307
1952766297 MAHDI AMAR M 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1952766297 MAHDI AMAR M 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1952769465 VAN LAURA V 2021 FFS RENDERING AGE 0-20 438 3,117 269 755 302 988 168 169
1952769465 VAN LAURA V 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1952777377 DINH ANDREW T 2021 FFS RENDERING AGE 0-20 912 1,483 0 0 190 540 0 0
1952777377 DINH ANDREW T 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1952777377 DINH ANDREW T 2021 PHP RENDERING AGE 0-20 1 2 0 0 1 1 0 0
1952781205 JAIN GINEE 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1952781205 JAIN GINEE 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1952782070 DOUGLAS KIM DDS INC 2021 FFS RENDERING AGE 21+ 1 1 1 1 1 1 0 0
1952783136 PATEL ROSHNI R 2021 FFS RENDERING AGE 0-20 207 1,176 68 220 125 377 131 134
1952783136 PATEL ROSHNI R 2021 FFS RENDERING AGE 21+ 366 1,190 28 54 185 480 203 203
1952787285 FABIYI SIMIADE I 2021 FFS RENDERING AGE 0-20 20 40 0 0 20 21 1 1
1952787285 FABIYI SIMIADE I 2021 FFS RENDERING AGE 21+ 228 638 15 15 193 288 43 43
1952808339 SOTO SONIA 2021 FFS RENDERING AGE 0-20 182 822 114 257 46 109 143 143
1952808339 SOTO SONIA 2021 FFS RENDERING AGE 21+ 486 1,710 160 298 252 625 229 229
1952808339 SOTO SONIA 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1952808339 SOTO SONIA 2021 PHP RENDERING AGE 21+ 15 58 1 1 1 2 1 1
1952810095 SMALL JOCELYN 2021 PHP RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1952817264 KHALIL FADY A 2021 FFS RENDERING AGE 0-20 707 5,408 478 1,080 263 560 475 476
1952817264 KHALIL FADY A 2021 FFS RENDERING AGE 21+ 140 366 18 24 38 85 91 91
1952817264 KHALIL FADY A 2021 GMC RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1952817264 KHALIL FADY A 2021 GMC RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1952824880 JEIROUDI MOHAMMED T 2021 FFS RENDERING AGE 0-20 382 409 0 0 27 43 0 0
1952824880 JEIROUDI MOHAMMED T 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1952827032 SANDHU KAMAL PREET K 2021 FFS RENDERING AGE 0-20 125 485 48 179 77 191 34 34
1952827032 SANDHU KAMAL PREET K 2021 FFS RENDERING AGE 21+ 350 1,089 48 92 220 587 111 112
1952838773 MARABEH ABDELRAZEQ J 2021 FFS RENDERING AGE 0-20 219 1,677 127 293 120 348 145 150
1952838773 MARABEH ABDELRAZEQ J 2021 FFS RENDERING AGE 21+ 942 5,876 305 573 706 2,386 388 390
1952841389 VILLALTA JENNIFER Y 2021 FFS RENDERING AGE 0-20 735 6,345 647 1,995 500 1,429 577 629
1952841793 KIM SAMUEL S 2021 FFS RENDERING AGE 0-20 976 7,792 819 2,902 589 1,327 720 776
1952841793 KIM SAMUEL S 2021 FFS RENDERING AGE 21+ 159 881 61 97 79 177 96 96
1952841793 KIM SAMUEL S 2021 PHP RENDERING AGE 0-20 52 433 42 115 16 34 43 46
1952841793 KIM SAMUEL S 2021 PHP RENDERING AGE 21+ 94 449 31 49 43 104 64 64
1952854176 ABBASSI, SUMMY A, DDS 2021 FFS RENDERING AGE 0-20 16 84 14 31 1 2 14 16
1952854176 ABBASSI, SUMMY A, DDS 2021 FFS RENDERING AGE 21+ 145 673 107 207 82 179 119 119
1952857237 ABADESCO AUTUMN 2021 PHP RENDERING AGE 0-20 130 1,015 130 466 47 73 117 134
1952857237 ABADESCO AUTUMN 2021 PHP RENDERING AGE 21+ 56 456 56 166 38 121 35 37
1952859043 DANGARIA SMIT J 2021 FFS RENDERING AGE 0-20 4,520 61,403 4,459 20,218 3,598 18,565 4,489 6,358
1952859043 DANGARIA SMIT J 2021 PHP RENDERING AGE 0-20 1 1 1 1 1 1 1 1
1952881302 ATTAR ANAS 2021 FFS RENDERING AGE 0-20 288 793 0 0 288 769 0 0
1952881302 ATTAR ANAS 2021 FFS RENDERING AGE 21+ 1,441 4,081 0 0 1,440 4,016 1 1
1952881302 ATTAR ANAS 2021 PHP RENDERING AGE 0-20 1 1 1 1 1 1 1 1
1952881302 ATTAR ANAS 2021 PHP RENDERING AGE 21+ 30 113 0 0 30 112 1 1
1952898959 SHERGILL AMARPREET S 2021 FFS RENDERING AGE 0-20 489 4,023 444 1,271 174 356 456 517
1952898959 SHERGILL AMARPREET S 2021 FFS RENDERING AGE 21+ 304 1,876 169 331 175 452 254 254
1952909087 ELSHERIF AHMED I 2021 FFS RENDERING AGE 0-20 1 2 0 0 1 2 0 0
1952909087 ELSHERIF AHMED I 2021 FFS RENDERING AGE 21+ 58 103 0 0 58 103 0 0
1952911158 DARAS NOOR A 2021 FFS RENDERING AGE 0-20 418 1,805 181 525 237 414 201 202
1952911158 DARAS NOOR A 2021 FFS RENDERING AGE 21+ 386 861 37 75 274 414 92 92
1952958258 HOURANY JOSEPH 2021 FFS RENDERING AGE 0-20 771 1,342 0 0 191 477 0 0
1952958258 HOURANY JOSEPH 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1952958258 HOURANY JOSEPH 2021 PHP RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1952971970 RUDRARAJU HEMANTH 2021 GMC RENDERING AGE 21+ 1 2 0 0 1 1 1 1
1952990350 ZADA LOUND 2021 FFS RENDERING AGE 0-20 100 456 44 134 51 134 50 50
1952990350 ZADA LOUND 2021 FFS RENDERING AGE 21+ 211 754 22 38 148 439 82 82
1952993263 KHAN ASGHAR H 2021 FFS RENDERING AGE 0-20 312 1,468 183 625 164 337 133 133
1952993263 KHAN ASGHAR H 2021 FFS RENDERING AGE 21+ 652 2,278 196 379 404 980 210 210
1962010983 KAPIL AMRIT P 2021 FFS RENDERING AGE 0-20 3,511 29,520 2,874 6,710 1,055 2,549 2,681 2,681
1962010983 KAPIL AMRIT P 2021 FFS RENDERING AGE 21+ 1 2 1 1 0 0 1 1
1962014282 PENA GEOFFREY G 2021 FFS RENDERING AGE 0-20 193 1,409 176 685 82 167 174 174
1962014282 PENA GEOFFREY G 2021 FFS RENDERING AGE 21+ 12 41 1 2 1 1 1 1
1962014282 PENA GEOFFREY G 2021 GMC RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1962048033 NGUYEN MARTIN D 2021 FFS RENDERING AGE 0-20 18 58 0 0 11 16 17 17
1962048033 NGUYEN MARTIN D 2021 FFS RENDERING AGE 21+ 362 1,537 11 22 296 632 302 310
1962048033 NGUYEN MARTIN D 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1962054700 BENDAS JASON A 2021 FFS RENDERING AGE 0-20 110 339 45 112 61 99 23 23
1962054700 BENDAS JASON A 2021 FFS RENDERING AGE 21+ 132 378 42 82 96 197 16 16
1962058313 FULL SEAN M 2021 FFS RENDERING AGE 0-20 219 1,269 115 230 53 141 184 199
1962058313 FULL SEAN M 2021 FFS RENDERING AGE 21+ 238 1,155 40 53 133 396 145 150
1962058313 FULL SEAN M 2021 PHP RENDERING AGE 0-20 38 207 23 52 1 2 28 31
1962058313 FULL SEAN M 2021 PHP RENDERING AGE 21+ 32 109 1 1 20 53 13 13
1962060194 YOUNG DANIEL J 2021 FFS RENDERING AGE 0-20 1,372 22,072 1,273 5,169 1,089 4,481 1,283 1,719
1962064675 KIM KYUWAN 2021 FFS RENDERING AGE 0-20 4,227 35,828 2,729 7,501 3,037 11,721 2,679 2,850
1962171561 WU ALLAN R 2021 FFS RENDERING AGE 0-20 30 114 20 40 11 17 17 17
1962171561 WU ALLAN R 2021 FFS RENDERING AGE 21+ 104 248 17 25 49 103 42 42
1962171561 WU ALLAN R 2021 PHP RENDERING AGE 21+ 12 31 1 1 1 2 1 1
1962411579 YABAR WILMER 2021 FFS RENDERING AGE 0-20 644 5,495 418 1,332 405 1,169 429 472
1962411579 YABAR WILMER 2021 FFS RENDERING AGE 21+ 739 3,395 210 383 570 1,656 349 349
1962414276 BERKEY, MARGARET M, DDS 2021 FFS RENDERING AGE 21+ 11 27 1 1 1 1 1 1
1962416859 TAYLOR DAVID M 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 2 1 1
1962416859 TAYLOR DAVID M 2021 FFS RENDERING AGE 21+ 1 2 1 2 1 1 1 1
1962490029 LIN, MICHAEL P, DDS 2021 FFS RENDERING AGE 0-20 15 100 14 48 1 1 15 18
1962490029 LIN, MICHAEL P, DDS 2021 FFS RENDERING AGE 21+ 88 538 56 110 71 222 66 66
1962500926 WIN, MYO, DDS 2021 FFS RENDERING AGE 0-20 145 1,258 128 462 87 340 131 142
1962500926 WIN, MYO, DDS 2021 FFS RENDERING AGE 21+ 286 1,896 161 322 248 975 199 199
1962506972 PHARAR, VIJAY 2021 FFS RENDERING AGE 0-20 282 4,895 276 1,333 125 417 276 423
1962506972 PHARAR, VIJAY 2021 FFS RENDERING AGE 21+ 127 1,304 64 128 111 527 75 75
1962506972 PHARAR, VIJAY 2021 PHP RENDERING AGE 0-20 109 966 99 362 58 114 98 122
1962506972 PHARAR, VIJAY 2021 PHP RENDERING AGE 21+ 124 1,123 81 163 64 201 93 93
1962514695 SON JEONG H 2021 FFS RENDERING AGE 0-20 384 3,080 334 1,382 145 385 355 431
1962514695 SON JEONG H 2021 FFS RENDERING AGE 21+ 468 2,550 335 335 318 918 352 352
1962514828 GEORGESCU, IONEL, DDS 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1962514828 GEORGESCU, IONEL, DDS 2021 FFS RENDERING AGE 21+ 219 528 54 81 219 296 151 151
1962514828 GEORGESCU, IONEL, DDS 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1962515015 HUANG DONALD C 2021 FFS RENDERING AGE 0-20 1,246 11,316 1,213 3,227 328 725 1,219 1,792
1962515015 HUANG DONALD C 2021 FFS RENDERING AGE 21+ 165 977 107 107 76 151 124 124
1962515601 NAZERI FERRIS 2021 GMC RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1962515601 NAZERI FERRIS 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1962519801 CABRERA, ERIK DDS 2021 FFS RENDERING AGE 0-20 151 1,609 150 551 49 135 148 186
1962519801 CABRERA, ERIK DDS 2021 FFS RENDERING AGE 21+ 176 1,102 103 183 115 384 141 142
1962520452 PLATON ANA 2021 FFS RENDERING AGE 0-20 132 842 99 317 45 140 119 132
1962520452 PLATON ANA 2021 FFS RENDERING AGE 21+ 169 643 40 70 77 277 130 130
1962520734 SORAYA KRISTIN A 2021 FFS RENDERING AGE 0-20 112 1,942 104 458 56 148 99 144
1962520734 SORAYA KRISTIN A 2021 FFS RENDERING AGE 21+ 278 3,022 185 361 157 409 211 211
1962522151 TEBBI DANIEL F 2021 FFS RENDERING AGE 0-20 13 69 1 1 1 2 1 1
1962522151 TEBBI DANIEL F 2021 FFS RENDERING AGE 21+ 55 276 19 19 27 114 35 35
1962522185 TRUONG, VY T, DDS 2021 FFS RENDERING AGE 0-20 286 3,088 271 1,191 156 507 272 378
1962522185 TRUONG, VY T, DDS 2021 FFS RENDERING AGE 21+ 652 6,226 517 1,035 451 1,530 551 553
1962529057 ZBROJIK, SERGEI, DDS 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 2 1 1
1962529057 ZBROJIK, SERGEI, DDS 2021 FFS RENDERING AGE 21+ 204 2,018 126 126 201 1,401 132 132
1962529479 LIN JAMES K 2021 FFS RENDERING AGE 0-20 558 8,584 537 1,421 255 1,117 547 726
1962529479 LIN JAMES K 2021 FFS RENDERING AGE 21+ 632 7,938 407 414 419 1,599 508 510
1962532267 WIREDJA HERU 2021 FFS RENDERING AGE 0-20 143 1,332 133 280 76 267 137 153
1962532267 WIREDJA HERU 2021 FFS RENDERING AGE 21+ 282 1,930 220 222 193 729 238 238
1962541292 KHACHATRIAN ARTOUR 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 2 1 1
1962541292 KHACHATRIAN ARTOUR 2021 FFS RENDERING AGE 21+ 120 943 80 155 81 519 101 101
1962543694 BARRY JENNIFER E 2021 FFS RENDERING AGE 0-20 1 1 1 1 1 1 0 0
1962545673 PHAM, REGINA T, DDS 2021 FFS RENDERING AGE 0-20 131 1,434 120 501 69 230 121 154
1962545673 PHAM, REGINA T, DDS 2021 FFS RENDERING AGE 21+ 376 2,903 277 279 252 1,028 296 296
1962550137 AQUINO LOURDES S 2021 FFS RENDERING AGE 0-20 20 113 17 44 1 2 16 19
1962550137 AQUINO LOURDES S 2021 FFS RENDERING AGE 21+ 60 293 36 36 39 125 36 36
1962550178 ISHIDA, PHYLLIS M, DDS 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1962550178 ISHIDA, PHYLLIS M, DDS 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1962556506 BORNA IRAJ 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1962556506 BORNA IRAJ 2021 FFS RENDERING AGE 21+ 362 2,465 135 136 313 1,248 282 284
1962557850 CHAO, ALICE H Y, DDS 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 2 1 1
1962557850 CHAO, ALICE H Y, DDS 2021 FFS RENDERING AGE 21+ 87 472 51 53 86 239 56 58
1962558221 HO LILLIAN HIEN T 2021 FFS RENDERING AGE 0-20 41 71 0 0 1 2 0 0
1962560722 REGALA, ADONIS 2021 FFS RENDERING AGE 0-20 38 350 18 40 18 57 34 34
1962560722 REGALA, ADONIS 2021 FFS RENDERING AGE 21+ 145 1,047 48 97 80 293 93 97
1962561910 ROTHSTEIN RICHARD H 2021 FFS RENDERING AGE 0-20 17 88 15 27 1 1 1 1
1962561910 ROTHSTEIN RICHARD H 2021 FFS RENDERING AGE 21+ 111 495 73 73 59 170 28 28
1962564013 GAD MONA 2021 FFS RENDERING AGE 0-20 700 8,703 583 2,153 485 2,249 598 683
1962564013 GAD MONA 2021 FFS RENDERING AGE 21+ 446 2,342 100 187 339 1,361 191 193
1962565119 ZARRINNEGAR GHOLAM-REZA J 2021 FFS RENDERING AGE 0-20 61 676 54 246 23 38 49 69
1962565119 ZARRINNEGAR GHOLAM-REZA J 2021 FFS RENDERING AGE 21+ 49 270 17 27 31 101 32 32
1962570689 SALEM MAHMOUD M 2021 FFS RENDERING AGE 0-20 1,279 7,422 546 2,055 250 396 1,195 1,334
1962570689 SALEM MAHMOUD M 2021 FFS RENDERING AGE 21+ 1,421 4,232 176 328 433 1,186 1,052 1,054
1962571034 QUIZON NICOLAS PEDR L 2021 FFS RENDERING AGE 0-20 55 431 48 114 19 73 37 46
1962571034 QUIZON NICOLAS PEDR L 2021 FFS RENDERING AGE 21+ 203 1,227 118 118 136 493 132 132
1962572214 MANESH, BABAK, DDS 2021 FFS RENDERING AGE 0-20 26 181 26 60 1 2 20 21
1962572214 MANESH, BABAK, DDS 2021 FFS RENDERING AGE 21+ 126 924 67 67 100 349 88 88
1962572453 SOBERO, ANA M, DDS 2021 FFS RENDERING AGE 0-20 652 7,840 607 2,072 251 670 628 859
1962572453 SOBERO, ANA M, DDS 2021 FFS RENDERING AGE 21+ 561 3,226 380 382 334 968 438 438
1962599233 LEE STEVE S 2021 FFS RENDERING AGE 0-20 17 169 16 30 1 2 15 17
1962599233 LEE STEVE S 2021 FFS RENDERING AGE 21+ 44 341 31 31 23 72 23 23
1962604033 SHAYE MICHAEL A 2021 FFS RENDERING AGE 0-20 54 449 42 163 17 73 51 70
1962604033 SHAYE MICHAEL A 2021 FFS RENDERING AGE 21+ 210 1,385 58 115 148 674 141 141
1962605568 PAUL STEVEN F 2021 FFS RENDERING AGE 0-20 50 303 0 0 50 303 0 0
1962605568 PAUL STEVEN F 2021 FFS RENDERING AGE 21+ 89 535 0 0 88 531 1 1
1962606301 LAI JAMES 2021 FFS RENDERING AGE 0-20 1,344 9,590 623 1,987 1,175 3,374 454 475
1962610436 SNAPIR IDAN 2021 FFS RENDERING AGE 0-20 16 84 1 2 1 1 15 15
1962610436 SNAPIR IDAN 2021 FFS RENDERING AGE 21+ 61 172 1 1 1 2 57 57
1962616052 DUONG BICH-HAI T 2021 FFS RENDERING AGE 0-20 13 109 13 27 1 2 13 20
1962616052 DUONG BICH-HAI T 2021 FFS RENDERING AGE 21+ 156 682 118 120 76 244 61 61
1962616540 ENG JR WELLINGTON R 2021 FFS RENDERING AGE 0-20 54 416 35 91 14 43 45 45
1962616540 ENG JR WELLINGTON R 2021 FFS RENDERING AGE 21+ 83 334 1 2 56 125 44 44
1962619064 JAMAL DENTAL CORPORATION 2021 PHP RENDERING AGE 0-20 17 92 11 21 1 1 13 13
1962619064 JAMAL DENTAL CORPORATION 2021 PHP RENDERING AGE 21+ 18 76 1 1 11 21 13 13
1962619403 CARDENAS JOSE L 2021 FFS RENDERING AGE 0-20 760 7,390 608 2,127 262 1,081 703 821
1962619403 CARDENAS JOSE L 2021 FFS RENDERING AGE 21+ 747 4,590 236 333 419 1,620 556 567
1962619692 MAHMOUDIAN MEHRAN R 2021 FFS RENDERING AGE 0-20 73 708 53 168 33 76 54 60
1962619692 MAHMOUDIAN MEHRAN R 2021 FFS RENDERING AGE 21+ 269 1,977 117 235 194 599 171 171
1962624759 REDER TERESA G 2021 FFS RENDERING AGE 0-20 127 989 122 418 55 146 117 125
1962624759 REDER TERESA G 2021 FFS RENDERING AGE 21+ 146 875 61 62 103 483 92 94
1962625418 MANAVI, FARHAD, DDS INC 2021 PHP RENDERING AGE 0-20 30 105 11 30 1 1 11 11
1962625418 MANAVI, FARHAD, DDS INC 2021 PHP RENDERING AGE 21+ 19 73 1 1 1 2 1 1
1962627315 KATTADIYIL MATHEW T 2021 FFS RENDERING AGE 0-20 1 1 0 0 0 0 1 1
1962627315 KATTADIYIL MATHEW T 2021 FFS RENDERING AGE 21+ 122 351 1 1 46 195 64 64
1962658955 ABDELHADI HATEM B 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 1 1
1962658955 ABDELHADI HATEM B 2021 FFS RENDERING AGE 21+ 26 56 0 0 20 46 1 1
1962661611 NICOLAS EPIFANIA V 2021 FFS RENDERING AGE 0-20 362 2,754 275 599 217 867 230 245
1962661611 NICOLAS EPIFANIA V 2021 FFS RENDERING AGE 21+ 630 3,409 261 460 425 1,736 402 403
1962661611 NICOLAS, EPIFANIA V, DDS INC 2021 FFS RENDERING AGE 0-20 362 2,754 275 599 217 867 230 245
1962661611 NICOLAS, EPIFANIA V, DDS INC 2021 FFS RENDERING AGE 21+ 630 3,409 261 460 425 1,736 402 403
1962664862 KIM YOUNG B 2021 FFS RENDERING AGE 0-20 75 433 71 171 22 47 75 99
1962664862 KIM YOUNG B 2021 FFS RENDERING AGE 21+ 277 1,087 205 352 126 226 115 115
1962673681 NADELLA DEEPIKA 2021 FFS RENDERING AGE 0-20 448 2,066 289 656 143 387 305 311
1962673681 NADELLA DEEPIKA 2021 FFS RENDERING AGE 21+ 586 1,869 122 229 317 844 284 286
1962687715 MACIAS FRANCISCO J 2021 FFS RENDERING AGE 0-20 28 169 24 53 19 68 16 17
1962687715 MACIAS FRANCISCO J 2021 FFS RENDERING AGE 21+ 46 259 33 36 37 134 31 31
1962709881 BOSCO, MAY H, RDHAP 2021 FFS RENDERING AGE 21+ 86 266 85 177 68 89 0 0
1962717637 KIMURA JENNIFER K 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1962717637 KIMURA JENNIFER K 2021 FFS RENDERING AGE 21+ 12 38 1 1 1 2 0 0
1962717637 KIMURA JENNIFER K 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1962718395 BOPARAI MANVEEN 2021 FFS RENDERING AGE 0-20 11 98 1 2 1 2 11 11
1962718395 BOPARAI MANVEEN 2021 FFS RENDERING AGE 21+ 19 60 1 1 11 27 12 12
1962719120 TRAN KHOI D 2021 FFS RENDERING AGE 0-20 38 74 0 0 38 74 0 0
1962719120 TRAN KHOI D 2021 FFS RENDERING AGE 21+ 823 3,123 0 0 822 3,095 1 1
1962719120 TRAN KHOI D 2021 GMC RENDERING AGE 0-20 252 562 0 0 252 562 0 0
1962719120 TRAN KHOI D 2021 GMC RENDERING AGE 21+ 1,379 4,726 0 0 1,379 4,721 0 0
1962719120 TRAN KHOI D 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1962762716 MADRID FINA Y 2021 FFS RENDERING AGE 0-20 67 590 62 173 67 138 64 78
1962762716 MADRID FINA Y 2021 FFS RENDERING AGE 21+ 192 1,273 103 202 191 551 162 162
1962776237 FORNEY RYAN D 2021 FFS RENDERING AGE 0-20 181 1,175 0 0 176 1,129 11 11
1962776237 FORNEY RYAN D 2021 FFS RENDERING AGE 21+ 293 1,701 1 1 272 1,563 29 29
1962776237 FORNEY RYAN D 2021 GMC RENDERING AGE 0-20 30 88 1 1 30 62 0 0
1962776237 FORNEY RYAN D 2021 GMC RENDERING AGE 21+ 188 672 21 22 148 439 74 76
1962790592 DEMISSIE ELIAS 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1962790592 DEMISSIE ELIAS 2021 GMC RENDERING AGE 0-20 399 2,410 268 581 158 334 342 365
1962790592 DEMISSIE ELIAS 2021 GMC RENDERING AGE 21+ 755 4,089 333 664 503 1,387 485 487
1962801886 NGO QUYNH NHI P 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1962801886 NGO QUYNH NHI P 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1962804195 K KANG J LEE & P KANG DDS IN 2021 PHP RENDERING AGE 0-20 14 116 13 41 1 1 14 15
1962804195 K KANG J LEE & P KANG DDS IN 2021 PHP RENDERING AGE 21+ 18 119 1 2 1 2 14 14
1962823260 ESPINO ELIZABETH A 2021 FFS RENDERING AGE 0-20 232 2,720 194 690 114 371 195 227
1962823260 ESPINO ELIZABETH A 2021 FFS RENDERING AGE 21+ 379 2,405 159 316 272 980 201 201
1962823906 CHU ALVIN 2021 PHP RENDERING AGE 0-20 18 140 12 39 1 2 15 20
1962823906 CHU ALVIN 2021 PHP RENDERING AGE 21+ 58 248 13 13 41 142 33 33
1962826487 BARRERA JACLYN R 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 0 0
1962836650 SHOUHED, JONATHAN DDS 2021 FFS RENDERING AGE 0-20 12 63 1 2 1 1 1 1
1962836650 SHOUHED, JONATHAN DDS 2021 FFS RENDERING AGE 21+ 1 2 1 1 0 0 1 1
1962840546 PAGE ESSENCE K 2021 FFS RENDERING AGE 0-20 106 819 99 253 38 97 103 103
1962840546 PAGE ESSENCE K 2021 GMC RENDERING AGE 0-20 93 93 0 0 93 93 0 0
1962840546 PAGE ESSENCE K 2021 GMC RENDERING AGE 21+ 87 87 0 0 87 87 0 0
1962840546 PAGE ESSENCE K 2021 PHP RENDERING AGE 0-20 60 222 22 59 48 53 22 23
1962840546 PAGE ESSENCE K 2021 PHP RENDERING AGE 21+ 61 61 0 0 61 61 0 0
1962842575 LIM RICHARD S 2021 FFS RENDERING AGE 0-20 256 3,837 239 1,134 97 370 251 369
1962842575 LIM RICHARD S 2021 FFS RENDERING AGE 21+ 402 3,451 246 487 256 1,072 360 360
1962848796 RAY COURTNEY G 2021 FFS RENDERING AGE 0-20 1 2 0 0 1 2 0 0
1962858423 LIU HUI 2021 FFS RENDERING AGE 0-20 94 864 80 178 36 96 78 78
1962858423 LIU HUI 2021 FFS RENDERING AGE 21+ 129 739 65 123 78 203 79 79
1962876714 TSAO ARIEL 2021 FFS RENDERING AGE 0-20 170 1,390 136 369 56 186 151 161
1962882167 LEUNG, CHERISH K, DMD 2021 FFS RENDERING AGE 0-20 349 3,605 316 1,201 260 1,107 318 446
1962882167 LEUNG, CHERISH K, DMD 2021 FFS RENDERING AGE 21+ 1 2 1 1 0 0 1 1
1962883843 LEUNG CHRISTINE P 2021 PHP RENDERING AGE 0-20 75 704 63 354 32 55 57 75
1962883843 LEUNG CHRISTINE P 2021 PHP RENDERING AGE 21+ 176 973 88 217 134 389 101 103
1962889006 SRIKUREJA SUTHEEP D 2021 FFS RENDERING AGE 0-20 87 591 76 181 29 72 70 70
1962889006 SRIKUREJA SUTHEEP D 2021 FFS RENDERING AGE 21+ 52 288 30 60 22 74 39 39
1962940874 BOTROUS, MATTA, DDS INC 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 0 0
1962946004 WEST JONATHAN R 2021 FFS RENDERING AGE 0-20 1,258 2,596 0 0 663 1,404 0 0
1962957233 KONOVALENKO ZHANNA 2021 FFS RENDERING AGE 0-20 80 242 0 0 26 59 0 0
1962957233 KONOVALENKO ZHANNA 2021 FFS RENDERING AGE 21+ 1 2 0 0 0 0 0 0
1962993824 LIU GARY G 2021 FFS RENDERING AGE 0-20 141 876 115 293 86 132 111 111
1972047538 GUPTA BHAWNA 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1972047538 GUPTA BHAWNA 2021 FFS RENDERING AGE 21+ 24 57 1 1 15 34 1 1
1972050201 BOKHOOR, ASHLEY DMD 2021 FFS RENDERING AGE 0-20 1,517 13,442 856 2,469 1,341 4,638 720 813
1972050201 BOKHOOR, ASHLEY DMD 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1972050847 LEE YOONJUNG 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1972050847 LEE YOONJUNG 2021 FFS RENDERING AGE 21+ 33 105 0 0 32 104 1 1
1972050847 LEE YOONJUNG 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1972050847 LEE YOONJUNG 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1972098259 LEFKOF MONICA N 2021 FFS RENDERING AGE 0-20 261 1,431 201 607 72 137 211 236
1972098259 LEFKOF MONICA N 2021 FFS RENDERING AGE 21+ 410 1,496 56 63 204 638 226 226
1972098259 LEFKOF MONICA N 2021 PHP RENDERING AGE 0-20 78 435 63 186 19 28 72 79
1972098259 LEFKOF MONICA N 2021 PHP RENDERING AGE 21+ 132 506 29 37 51 176 104 112
1972129427 HEINZ MATTHEW J 2021 FFS RENDERING AGE 0-20 39 109 0 0 36 102 1 1
1972129427 HEINZ MATTHEW J 2021 FFS RENDERING AGE 21+ 181 508 0 0 170 477 12 12
1972142040 AHMADI MOSHTAGH FARNAM 2021 FFS RENDERING AGE 0-20 856 5,030 750 2,001 141 480 797 947
1972142040 AHMADI MOSHTAGH FARNAM 2021 FFS RENDERING AGE 21+ 1,654 9,674 494 977 1,001 5,016 1,199 1,201
1972142040 AHMADI MOSHTAGH FARNAM 2021 PHP RENDERING AGE 0-20 1 2 1 2 0 0 1 1
1972145233 SUNG YUN 2021 FFS RENDERING AGE 0-20 34 244 29 89 16 55 32 32
1972145233 SUNG YUN 2021 FFS RENDERING AGE 21+ 173 1,012 111 220 88 356 130 130
1972147940 CUACO BEGAZO CATHERINE M 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1972147940 CUACO BEGAZO CATHERINE M 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 2 0 0
1972155398 CHOI DOOYONG 2021 FFS RENDERING AGE 0-20 483 1,964 188 498 120 235 409 409
1972155398 CHOI DOOYONG 2021 FFS RENDERING AGE 21+ 696 2,112 110 186 275 666 446 446
1972155398 CHOI DOOYONG 2021 PHP RENDERING AGE 0-20 23 109 1 2 1 2 16 16
1972155398 CHOI DOOYONG 2021 PHP RENDERING AGE 21+ 29 82 1 1 17 36 17 18
1972156420 YANG JESSICA R 2021 FFS RENDERING AGE 0-20 383 2,547 269 655 238 420 253 258
1972165736 SON JEEMIN 2021 FFS RENDERING AGE 0-20 227 1,100 150 381 92 191 152 166
1972165736 SON JEEMIN 2021 FFS RENDERING AGE 21+ 349 1,204 80 91 186 523 223 223
1972165736 SON JEEMIN 2021 GMC RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1972165736 SON JEEMIN 2021 PHP RENDERING AGE 0-20 236 1,482 123 395 116 253 154 154
1972165736 SON JEEMIN 2021 PHP RENDERING AGE 21+ 316 1,296 28 35 162 510 188 193
1972199883 LE STEVEN 2021 FFS RENDERING AGE 0-20 3,302 58,103 3,243 13,581 2,255 8,586 3,263 4,649
1972199883 LE STEVEN 2021 FFS RENDERING AGE 21+ 338 3,586 256 536 192 766 293 293
1972514669 LEE SOO N 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1972521573 SEJPAL, MAHESH A, DDS 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 2 1 1
1972521573 SEJPAL, MAHESH A, DDS 2021 FFS RENDERING AGE 21+ 39 214 23 23 25 64 21 21
1972521680 ZANDERS III CHARLES 2021 PHP RENDERING AGE 21+ 38 138 1 1 28 58 15 18
1972525855 BEZIMYANSKY NELLY 2021 FFS RENDERING AGE 0-20 16 227 15 60 1 2 13 14
1972525855 BEZIMYANSKY NELLY 2021 FFS RENDERING AGE 21+ 15 85 11 22 11 28 1 1
1972531754 PATEL VIMAL M 2021 FFS RENDERING AGE 0-20 798 11,394 711 2,878 240 863 754 995
1972531754 PATEL VIMAL M 2021 FFS RENDERING AGE 21+ 578 4,518 342 678 301 1,130 478 478
1972531754 PATEL VIMAL M 2021 PHP RENDERING AGE 0-20 1 1 0 0 0 0 1 1
1972540318 GOLYAD AFSHIN 2021 FFS RENDERING AGE 0-20 28 213 27 108 1 1 28 38
1972540318 GOLYAD AFSHIN 2021 FFS RENDERING AGE 21+ 181 1,137 140 270 93 234 146 146
1972541654 KOUSHAKJIAN HOURY 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1972541654 KOUSHAKJIAN HOURY 2021 PHP RENDERING AGE 0-20 34 193 25 41 16 16 25 25
1972541654 KOUSHAKJIAN HOURY 2021 PHP RENDERING AGE 21+ 173 742 38 40 80 276 100 100
1972561603 MARCINKOWSKI, LIDIA 2021 FFS RENDERING AGE 0-20 109 1,479 101 342 51 145 101 130
1972561603 MARCINKOWSKI, LIDIA 2021 FFS RENDERING AGE 21+ 183 1,650 110 220 131 460 138 138
1972561900 TARIGHATI MICHAEL M 2021 FFS RENDERING AGE 0-20 1 2 1 1 0 0 1 1
1972561900 TARIGHATI MICHAEL M 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1972576130 ESPARZA, OSCAR DDS 2021 FFS RENDERING AGE 0-20 74 472 36 73 15 31 56 59
1972576130 ESPARZA, OSCAR DDS 2021 FFS RENDERING AGE 21+ 80 346 1 1 36 52 50 50
1972576866 KWON OH J 2021 FFS RENDERING AGE 0-20 517 4,486 431 1,230 253 552 442 452
1972576866 KWON OH J 2021 FFS RENDERING AGE 21+ 429 2,091 137 269 279 765 248 248
1972601110 GHIASSI NADER D 2021 FFS RENDERING AGE 0-20 126 996 120 337 32 136 111 158
1972601110 GHIASSI NADER D 2021 FFS RENDERING AGE 21+ 1 1 1 1 1 1 1 1
1972608123 MANSOURI PARNAZ B 2021 FFS RENDERING AGE 0-20 339 2,839 296 887 113 565 281 351
1972608123 MANSOURI PARNAZ B 2021 PHP RENDERING AGE 0-20 1 2 0 0 1 2 0 0
1972614527 MAZZA, DANIEL G, DDS 2021 FFS RENDERING AGE 0-20 44 226 33 82 17 47 33 39
1972614527 MAZZA, DANIEL G, DDS 2021 FFS RENDERING AGE 21+ 73 358 28 56 59 153 30 30
1972623486 EPPERSON GEORGE E 2021 FFS RENDERING AGE 21+ 45 269 26 38 27 107 27 28
1972628196 CRAWFORD SR, MICHAEL D DDS 2021 FFS RENDERING AGE 0-20 61 434 46 102 39 129 52 56
1972628196 CRAWFORD SR, MICHAEL D DDS 2021 FFS RENDERING AGE 21+ 371 2,581 134 134 326 1,494 225 225
1972628576 LOPEZ, EDWARD 2021 FFS RENDERING AGE 0-20 40 171 38 77 1 1 37 37
1972628576 LOPEZ, EDWARD 2021 FFS RENDERING AGE 21+ 214 1,069 97 101 142 553 139 139
1972628576 LOPEZ, EDWARD 2021 PHP RENDERING AGE 0-20 33 232 32 104 1 1 33 43
1972628576 LOPEZ, EDWARD 2021 PHP RENDERING AGE 21+ 67 333 38 39 25 71 54 55
1972628576 LOPEZ, EDWARD, DDS 2021 FFS RENDERING AGE 0-20 40 171 38 77 1 1 37 37
1972628576 LOPEZ, EDWARD, DDS 2021 FFS RENDERING AGE 21+ 214 1,069 97 101 142 553 139 139
1972628576 LOPEZ, EDWARD, DDS 2021 PHP RENDERING AGE 0-20 33 232 32 104 1 1 33 43
1972628576 LOPEZ, EDWARD, DDS 2021 PHP RENDERING AGE 21+ 67 333 38 39 25 71 54 55
1972630374 JANG WEONSUK 2021 FFS RENDERING AGE 0-20 28 221 22 91 18 52 22 28
1972630374 JANG WEONSUK 2021 FFS RENDERING AGE 21+ 207 1,508 106 211 168 805 130 130
1972632073 CHOE, HAN KYOUNG, DDS 2021 FFS RENDERING AGE 0-20 149 1,386 129 565 61 237 129 144
1972632073 CHOE, HAN KYOUNG, DDS 2021 FFS RENDERING AGE 21+ 252 1,720 71 111 183 867 189 190
1972634277 WALTER DANIEL JAMES 2021 GMC RENDERING AGE 21+ 1 1 1 1 1 1 0 0
1972638641 DEMPSEY, MELISSA A 2021 FFS RENDERING AGE 0-20 1,501 3,818 0 0 757 2,236 0 0
1972643260 GRAY, NINA M DMD 2021 FFS RENDERING AGE 0-20 2,466 44,550 2,318 8,662 1,941 9,715 2,297 2,986
1972643260 GRAY, NINA M DMD 2021 FFS RENDERING AGE 21+ 26 180 1 2 19 43 1 1
1972643500 MURTHY NAGARAJA P 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1972643799 ORONCE, MARIA THERESA D, DMD 2021 FFS RENDERING AGE 0-20 333 3,726 313 1,106 305 1,239 283 342
1972643799 ORONCE, MARIA THERESA D, DMD 2021 FFS RENDERING AGE 21+ 485 3,735 383 744 401 1,440 373 375
1972643856 LEE, SUNG YOUNG, DMD 2021 FFS RENDERING AGE 0-20 110 984 101 339 72 252 101 128
1972643856 LEE, SUNG YOUNG, DMD 2021 FFS RENDERING AGE 21+ 183 1,182 108 227 130 508 128 134
1972644052 TRIEU, MY HANH 2021 FFS RENDERING AGE 0-20 18 311 18 83 1 2 18 27
1972644052 TRIEU, MY HANH 2021 FFS RENDERING AGE 21+ 91 1,045 65 122 62 227 69 70
1972644524 RAMIREZ, WILLIAM A DDS 2021 FFS RENDERING AGE 0-20 155 1,337 103 288 58 117 102 104
1972644524 RAMIREZ, WILLIAM A DDS 2021 FFS RENDERING AGE 21+ 276 1,437 67 67 174 480 98 98
1972648061 HANNA, HANNA SALIB DDS 2021 FFS RENDERING AGE 0-20 65 536 54 190 28 75 61 82
1972648061 HANNA, HANNA SALIB DDS 2021 FFS RENDERING AGE 21+ 121 1,272 39 78 95 368 86 86
1972648061 HANNA, HANNA SALIB DDS 2021 PHP RENDERING AGE 0-20 20 98 17 40 1 1 18 19
1972648061 HANNA, HANNA SALIB DDS 2021 PHP RENDERING AGE 21+ 18 92 0 0 1 2 1 1
1972655009 SALMASSIAN REZA 2021 FFS RENDERING AGE 0-20 281 547 0 0 96 232 0 0
1972655009 SALMASSIAN REZA 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1972656320 KOUNANG, YVONNE P, DDS 2021 FFS RENDERING AGE 0-20 180 2,182 154 461 100 350 165 189
1972656320 KOUNANG, YVONNE P, DDS 2021 FFS RENDERING AGE 21+ 378 3,391 124 215 280 1,415 304 304
1972659548 SABOUNJIAN JACK H 2021 FFS RENDERING AGE 0-20 51 365 44 152 25 85 43 56
1972659548 SABOUNJIAN JACK H 2021 FFS RENDERING AGE 21+ 303 1,814 144 282 261 1,078 170 170
1972659860 TIN HAN 2021 FFS RENDERING AGE 0-20 65 683 63 233 31 85 63 105
1972659860 TIN HAN 2021 FFS RENDERING AGE 21+ 323 3,903 271 543 247 1,179 277 277
1972660694 CHENARD TORIN L 2021 FFS RENDERING AGE 0-20 55 93 0 0 50 60 0 0
1972664985 AZIZ MANAL M 2021 FFS RENDERING AGE 0-20 94 848 89 399 19 29 91 122
1972664985 AZIZ MANAL M 2021 FFS RENDERING AGE 21+ 342 2,738 235 466 243 1,029 272 272
1972667863 KOLCHANSKY MARK 2021 FFS RENDERING AGE 0-20 11 110 11 24 1 1 11 12
1972667863 KOLCHANSKY MARK 2021 FFS RENDERING AGE 21+ 38 319 26 50 27 92 30 30
1972668499 GONZALEZ JOSE R 2021 FFS RENDERING AGE 0-20 859 7,449 590 1,593 342 997 739 830
1972668499 GONZALEZ JOSE R 2021 FFS RENDERING AGE 21+ 1,341 7,395 364 690 773 2,498 995 995
1972671014 AMRO, ABDULGHANI DDS 2021 FFS RENDERING AGE 0-20 654 6,404 426 1,614 369 1,222 422 575
1972671014 AMRO, ABDULGHANI DDS 2021 FFS RENDERING AGE 21+ 392 2,038 19 20 311 888 131 131
1972672319 LOW, TED T, DDS 2021 FFS RENDERING AGE 0-20 27 173 23 27 1 2 25 30
1972672319 LOW, TED T, DDS 2021 FFS RENDERING AGE 21+ 176 1,265 145 145 105 244 147 147
1972676740 ZUMAETA GINETTE O 2021 FFS RENDERING AGE 0-20 64 292 43 78 30 91 46 46
1972676740 ZUMAETA GINETTE O 2021 FFS RENDERING AGE 21+ 144 508 37 52 119 288 45 45
1972679603 MERCADO-ULIT, MARILOU S, DDS 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 2 1 1
1972679603 MERCADO-ULIT, MARILOU S, DDS 2021 FFS RENDERING AGE 21+ 39 118 32 32 12 32 24 24
1972679603 MERCADO-ULIT, MARILOU S, DDS 2021 GMC RENDERING AGE 0-20 1 1 1 1 1 1 0 0
1972679603 MERCADO-ULIT, MARILOU S, DDS 2021 PHP RENDERING AGE 0-20 127 828 100 369 93 139 62 64
1972679603 MERCADO-ULIT, MARILOU S, DDS 2021 PHP RENDERING AGE 21+ 235 1,121 124 309 205 369 90 91
1972679884 SACHDEV, DEEPAK K DDS 2021 FFS RENDERING AGE 0-20 1,004 10,532 870 3,115 381 1,281 927 1,301
1972679884 SACHDEV, DEEPAK K DDS 2021 FFS RENDERING AGE 21+ 1,173 11,760 415 827 853 3,725 772 775
1972679884 SACHDEV, DEEPAK K DDS 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1972696383 GUEVARA, DORIS A, DDS 2021 FFS RENDERING AGE 0-20 145 1,257 135 431 70 273 141 180
1972696383 GUEVARA, DORIS A, DDS 2021 FFS RENDERING AGE 21+ 246 1,766 112 220 182 845 203 204
1972700029 LALUZ JOSE A 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 1 1 1
1972703122 PINTO ANGEL J 2021 FFS RENDERING AGE 0-20 32 104 1 2 22 35 13 13
1972703122 PINTO ANGEL J 2021 FFS RENDERING AGE 21+ 97 205 1 2 50 76 43 43
1972703122 PINTO ANGEL J 2021 GMC RENDERING AGE 0-20 642 3,450 277 953 357 700 343 369
1972703122 PINTO ANGEL J 2021 GMC RENDERING AGE 21+ 503 1,572 81 142 243 565 143 144
1972703122 PINTO ANGEL J 2021 PHP RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1972703122 PINTO ANGEL J 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1972703775 ALUNING, MARIA CECILIA DDS 2021 FFS RENDERING AGE 0-20 74 833 61 178 28 66 70 91
1972703775 ALUNING, MARIA CECILIA DDS 2021 FFS RENDERING AGE 21+ 334 3,089 145 241 246 1,147 272 272
1972723849 EYVAZI ALEXI 2021 FFS RENDERING AGE 0-20 20 156 18 38 1 1 17 18
1972723849 EYVAZI ALEXI 2021 FFS RENDERING AGE 21+ 58 334 21 38 39 84 35 35
1972723849 EYVAZI ALEXI 2021 PHP RENDERING AGE 0-20 22 139 20 49 22 26 14 14
1972723849 EYVAZI ALEXI 2021 PHP RENDERING AGE 21+ 42 382 38 85 37 55 32 34
1972725844 KIM PETER M 2021 FFS RENDERING AGE 0-20 170 1,889 154 375 63 185 154 184
1972725844 KIM PETER M 2021 FFS RENDERING AGE 21+ 587 4,600 309 625 415 1,290 397 397
1972727279 MIN, AUNG MYO DDS 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1972727279 MIN, AUNG MYO DDS 2021 FFS RENDERING AGE 21+ 83 857 69 76 70 310 75 75
1972739696 BEDROSIAN, ARAX, RDHAP 2021 FFS RENDERING AGE 21+ 31 148 0 0 31 128 0 0
1972742468 VILLADA, ALEJANDRA, DDS CORP 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1972742922 AUJLA NINA K 2021 FFS RENDERING AGE 0-20 295 1,291 175 616 166 428 93 93
1972742922 AUJLA NINA K 2021 FFS RENDERING AGE 21+ 1,055 3,625 121 200 794 2,517 365 367
1972751378 HENDRICKSON RACHEL L 2021 FFS RENDERING AGE 0-20 24 136 18 39 1 2 17 19
1972751378 HENDRICKSON RACHEL L 2021 FFS RENDERING AGE 21+ 49 174 12 13 33 79 19 19
1972754406 CHU BRIAN S 2021 FFS RENDERING AGE 0-20 904 7,958 749 2,384 647 1,874 722 792
1972754406 CHU BRIAN S 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1972755304 ALBERT ROBERT D 2021 PHP RENDERING AGE 0-20 193 1,611 167 617 150 280 80 86
1972755304 ALBERT ROBERT D 2021 PHP RENDERING AGE 21+ 258 1,296 155 293 218 389 89 93
1972760338 MON MORALES DEISY 2021 FFS RENDERING AGE 0-20 89 821 69 150 39 109 77 82
1972760338 MON MORALES DEISY 2021 FFS RENDERING AGE 21+ 263 2,147 67 134 154 532 206 206
1972772457 MIRMARASHI BABAK 2021 FFS RENDERING AGE 0-20 1 2 1 1 0 0 1 1
1972772457 MIRMARASHI BABAK 2021 FFS RENDERING AGE 21+ 24 91 1 1 1 2 20 20
1972772457 MIRMARASHI BABAK 2021 PHP RENDERING AGE 0-20 20 119 17 52 1 1 18 20
1972772457 MIRMARASHI BABAK 2021 PHP RENDERING AGE 21+ 90 347 71 118 16 50 62 63
1972780328 MOTAMED SHAHRIAR 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1972783066 GU YIXIONG 2021 FFS RENDERING AGE 0-20 33 227 23 53 16 40 27 30
1972783066 GU YIXIONG 2021 FFS RENDERING AGE 21+ 43 178 18 18 32 63 21 21
1972783868 SANDERSON, VANESSA A DDS 2021 FFS RENDERING AGE 0-20 1,685 18,248 1,335 4,455 999 3,979 1,226 1,319
1972783868 SANDERSON, VANESSA A DDS 2021 FFS RENDERING AGE 21+ 524 2,910 156 300 249 686 306 308
1972783868 SANDERSON, VANESSA A DDS 2021 GMC RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1972783868 SANDERSON, VANESSA A DDS 2021 PHP RENDERING AGE 0-20 61 565 53 194 39 162 41 49
1972783868 SANDERSON, VANESSA A DDS 2021 PHP RENDERING AGE 21+ 47 174 15 29 24 63 32 32
1972793651 KANG HYO S 2021 FFS RENDERING AGE 0-20 26 312 19 36 18 242 17 17
1972793651 KANG HYO S 2021 FFS RENDERING AGE 21+ 124 1,206 30 36 96 1,031 67 67
1972795813 NGUYEN CLARA V 2021 FFS RENDERING AGE 0-20 44 374 41 128 13 55 39 46
1972795813 NGUYEN CLARA V 2021 FFS RENDERING AGE 21+ 88 508 58 77 52 203 66 66
1972795953 MASSOUMI SAYEH E 2021 FFS RENDERING AGE 0-20 508 6,930 440 1,657 329 1,317 461 603
1972795953 MASSOUMI SAYEH E 2021 FFS RENDERING AGE 21+ 504 3,691 217 420 337 1,455 388 388
1972840296 WEBB BRANDON J 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1972840296 WEBB BRANDON J 2021 GMC RENDERING AGE 0-20 70 319 0 0 63 107 1 1
1972840296 WEBB BRANDON J 2021 GMC RENDERING AGE 21+ 211 871 0 0 103 147 180 183
1972845113 ST JOHN'S WELL CHILD & FAMIL 2021 PHP RENDERING AGE 0-20 1 2 1 2 1 2 0 0
1972845113 ST JOHNS WELL CHILD AND 2021 PHP RENDERING AGE 0-20 1 2 1 2 1 2 0 0
1972851798 KWON SOON R 2021 FFS RENDERING AGE 0-20 214 1,030 154 459 125 335 42 44
1972851798 KWON SOON R 2021 FFS RENDERING AGE 21+ 419 1,517 108 182 312 955 110 110
1972855658 NAFISI NIKZAD 2021 FFS RENDERING AGE 0-20 16 93 11 21 1 2 14 14
1972855658 NAFISI NIKZAD 2021 FFS RENDERING AGE 21+ 55 305 17 30 19 29 35 35
1972855658 NAFISI NIKZAD 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1972855658 NAFISI NIKZAD 2021 PHP RENDERING AGE 21+ 18 95 11 21 1 2 13 13
1972863413 KARIMYAN, ALTINA, DDS A DENT 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1972868982 GALLAGHER DESMOND P 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1972881068 SVIATOCHA VALENTINE 2021 GMC RENDERING AGE 0-20 50 86 14 15 49 68 1 1
1972881068 SVIATOCHA VALENTINE 2021 GMC RENDERING AGE 21+ 321 535 91 95 263 330 105 107
1972881738 NGUYEN THAO M 2021 FFS RENDERING AGE 0-20 767 7,186 701 2,333 497 1,453 716 974
1972881738 NGUYEN THAO M 2021 FFS RENDERING AGE 21+ 369 2,378 258 509 239 752 271 271
1972884328 ELLENBERGER, JAMES D, DDS 2021 FFS RENDERING AGE 0-20 134 1,560 115 444 55 204 117 146
1972884328 ELLENBERGER, JAMES D, DDS 2021 FFS RENDERING AGE 21+ 114 845 90 180 57 139 98 98
1972891760 YANG SAMSON 2021 FFS RENDERING AGE 0-20 39 327 36 109 13 63 33 42
1972891760 YANG SAMSON 2021 FFS RENDERING AGE 21+ 211 1,452 155 304 138 597 166 166
1972894673 ABRAHAM MINA T 2021 FFS RENDERING AGE 0-20 99 459 65 129 33 100 80 81
1972894673 ABRAHAM MINA T 2021 FFS RENDERING AGE 21+ 306 1,442 51 54 140 724 243 246
1972894673 ABRAHAM MINA T 2021 PHP RENDERING AGE 0-20 25 134 21 42 1 2 25 28
1972894673 ABRAHAM MINA T 2021 PHP RENDERING AGE 21+ 147 608 36 38 58 216 126 134
1972919215 GHANOONI, GOLNAZ 2021 FFS RENDERING AGE 0-20 518 3,164 304 854 151 165 473 475
1972919215 GHANOONI, GOLNAZ 2021 FFS RENDERING AGE 21+ 13 32 0 0 11 27 1 1
1972926632 LALEHZARI, ELSA SARAH 2021 FFS RENDERING AGE 0-20 391 1,374 75 111 324 638 105 109
1972926632 LALEHZARI, ELSA SARAH 2021 FFS RENDERING AGE 21+ 600 1,832 36 36 556 1,031 94 94
1972926632 LALEHZARI, ELSA SARAH 2021 PHP RENDERING AGE 0-20 1 1 1 1 1 1 1 1
1972926632 LALEHZARI, ELSA SARAH 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1972930873 CHRISTINE SHAHGALDIAN DDS 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1972936961 TURI, VERONIKA DDS 2021 PHP RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1972941292 LI TONY TIAN L 2021 FFS RENDERING AGE 0-20 603 3,279 0 0 599 3,219 1 1
1972941292 LI TONY TIAN L 2021 FFS RENDERING AGE 21+ 896 4,516 0 0 889 4,451 0 0
1972941292 LI TONY TIAN L 2021 PHP RENDERING AGE 0-20 28 191 0 0 27 187 1 1
1972941292 LI TONY TIAN L 2021 PHP RENDERING AGE 21+ 32 200 0 0 31 195 1 1
1972942514 VU, ANDREW DMD 2021 FFS RENDERING AGE 0-20 621 6,085 494 1,903 457 1,647 484 591
1972942514 VU, ANDREW DMD 2021 FFS RENDERING AGE 21+ 373 2,743 154 306 328 1,381 193 193
1972949246 KASHANI, KOUROSH A, DDS 2021 FFS RENDERING AGE 0-20 70 553 62 156 24 48 63 78
1972949246 KASHANI, KOUROSH A, DDS 2021 FFS RENDERING AGE 21+ 225 1,223 136 271 104 250 193 193
1972954071 COMPREHENSIVE COMMUNITY 2021 PHP RENDERING AGE 0-20 1 2 1 2 0 0 1 1
1972955524 CHU SUSAN H 2021 FFS RENDERING AGE 0-20 33 211 27 89 23 56 26 26
1972955524 CHU SUSAN H 2021 FFS RENDERING AGE 21+ 12 31 1 1 1 2 1 1
1972955524 CHU SUSAN H 2021 GMC RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1972955524 CHU SUSAN H 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1972955524 CHU SUSAN H 2021 PHP RENDERING AGE 0-20 415 5,180 334 2,923 253 1,066 346 452
1972955524 CHU SUSAN H 2021 PHP RENDERING AGE 21+ 700 5,875 306 730 571 3,824 493 534
1972964260 KIM SEUNG H 2021 FFS RENDERING AGE 0-20 134 1,318 119 365 42 136 110 148
1972964260 KIM SEUNG H 2021 FFS RENDERING AGE 21+ 336 3,056 199 377 216 1,112 242 245
1972964559 HAMZEH RAZAN 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1972989887 SIMHAIRY LUAY B 2021 FFS RENDERING AGE 0-20 278 3,965 221 774 199 1,162 240 294
1972989887 SIMHAIRY LUAY B 2021 FFS RENDERING AGE 21+ 839 10,321 466 911 669 4,650 648 651
1972991503 HAN MIN SOO 2021 FFS RENDERING AGE 0-20 81 734 49 99 44 216 79 86
1972991503 HAN MIN SOO 2021 FFS RENDERING AGE 21+ 161 1,269 38 45 123 650 123 123
1972993673 HUYNH TRANG T 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1972993673 HUYNH TRANG T 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1982000923 HAWATMEH DENTAL PC 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1982000923 UNKNOWN 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1982001152 JUNG SUNGKUK 2021 FFS RENDERING AGE 0-20 157 1,118 138 387 74 181 135 151
1982001152 JUNG SUNGKUK 2021 FFS RENDERING AGE 21+ 197 1,646 126 249 122 612 165 165
1982002531 KIM PAUL T 2021 FFS RENDERING AGE 0-20 1 1 1 1 1 1 1 1
1982002531 KIM PAUL T 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1982010401 YOON HEE J 2021 FFS RENDERING AGE 0-20 1,229 9,151 1,035 2,917 645 1,195 998 1,079
1982010401 YOON HEE J 2021 FFS RENDERING AGE 21+ 172 659 1 1 170 648 1 1
1982010427 WU TIFFANY C 2021 FFS RENDERING AGE 0-20 1,522 12,685 1,277 3,392 819 2,202 1,243 1,286
1982010427 WU TIFFANY C 2021 FFS RENDERING AGE 21+ 17 68 1 1 12 24 1 1
1982010427 WU TIFFANY C 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 2 1 1
1982013074 ALARCON DANIELLE C 2021 PHP RENDERING AGE 0-20 193 2,263 166 862 182 501 134 148
1982013074 ALARCON DANIELLE C 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1982018909 RYU HAE R 2021 FFS RENDERING AGE 0-20 417 3,710 366 910 183 485 374 413
1982018909 RYU HAE R 2021 FFS RENDERING AGE 21+ 729 5,415 384 725 424 1,115 507 507
1982029583 ANGELES CESARIO A 2021 FFS RENDERING AGE 0-20 34 132 32 34 13 36 32 35
1982029583 ANGELES CESARIO A 2021 FFS RENDERING AGE 21+ 113 422 75 75 44 88 89 89
1982031589 KIM JUNG M 2021 FFS RENDERING AGE 0-20 235 290 0 0 26 47 0 0
1982031589 KIM JUNG M 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1982031589 KIM JUNG M 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1982031589 KIM JUNG M 2021 PHP RENDERING AGE 0-20 13 38 0 0 13 35 0 0
1982053161 KOH YOUNGSEONG 2021 FFS RENDERING AGE 0-20 94 941 75 231 49 205 89 113
1982053161 KOH YOUNGSEONG 2021 FFS RENDERING AGE 21+ 201 1,590 128 241 128 649 165 165
1982058632 SHIN JENNIFER HAE S 2021 FFS RENDERING AGE 0-20 1,759 22,643 1,698 7,222 1,477 8,317 1,679 1,993
1982058632 SHIN JENNIFER HAE S 2021 FFS RENDERING AGE 21+ 123 718 26 49 89 419 104 104
1982058632 SHIN JENNIFER HAE S 2021 PHP RENDERING AGE 0-20 1 2 1 1 0 0 1 1
1982058855 MARDIROSIAN, ARMEN, DDS INC 2021 PHP RENDERING AGE 0-20 14 74 11 29 1 1 12 13
1982058855 MARDIROSIAN, ARMEN, DDS INC 2021 PHP RENDERING AGE 21+ 21 106 1 2 16 39 17 18
1982061743 SAYEEDI SYED Z 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1982061743 SAYEEDI SYED Z 2021 FFS RENDERING AGE 21+ 70 200 1 2 56 160 1 1
1982061743 SAYEEDI SYED Z 2021 GMC RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1982061743 SAYEEDI SYED Z 2021 GMC RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1982061743 SAYEEDI SYED Z 2021 PHP RENDERING AGE 0-20 1 2 0 0 0 0 0 0
1982062410 FARAHANI NILOOFAR J 2021 FFS RENDERING AGE 0-20 206 1,004 185 449 39 96 188 197
1982062410 FARAHANI NILOOFAR J 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1982070207 MOON, LOUIS DDS 2021 FFS RENDERING AGE 0-20 951 11,188 851 2,589 486 1,470 871 1,014
1982070207 MOON, LOUIS DDS 2021 FFS RENDERING AGE 21+ 570 3,201 159 297 428 1,155 261 264
1982085650 MUSSER, JAMES DDS 2021 FFS RENDERING AGE 0-20 429 5,878 331 812 397 3,509 273 284
1982085650 MUSSER, JAMES DDS 2021 GMC RENDERING AGE 0-20 95 1,096 76 143 91 618 37 37
1982088589 ZARKESH NASIM 2021 FFS RENDERING AGE 0-20 771 6,409 598 1,800 531 1,552 565 590
1982088589 ZARKESH NASIM 2021 PHP RENDERING AGE 0-20 12 74 1 1 1 2 1 1
1982091393 HANDOG CORALINDA M 2021 FFS RENDERING AGE 0-20 59 423 51 143 29 134 51 64
1982091393 HANDOG CORALINDA M 2021 FFS RENDERING AGE 21+ 226 1,267 126 247 139 517 186 186
1982101663 BUNCH JR BRUCE A 2021 FFS RENDERING AGE 0-20 516 3,741 283 719 405 1,371 218 218
1982107868 LA NOIRE BORIS 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1982107868 LA NOIRE BORIS 2021 FFS RENDERING AGE 21+ 46 222 26 43 24 55 38 38
1982115168 EBRAMI DANIEL J 2021 FFS RENDERING AGE 0-20 66 745 52 151 30 70 50 51
1982115168 EBRAMI DANIEL J 2021 FFS RENDERING AGE 21+ 103 692 36 72 62 145 48 48
1982122099 LE KEVIN D 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 2 1 1
1982122099 LE KEVIN D 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 2 1 1
1982122099 LE KEVIN D 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1982122099 LE KEVIN D 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1982129599 CHAN CLAYTON J 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1982130472 BAHMANYAR ATIYA 2021 FFS RENDERING AGE 0-20 3,302 61,245 3,027 14,423 2,220 8,097 3,115 5,199
1982130472 BAHMANYAR ATIYA 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1982145611 WESTERN DENTAL SERVICES INC 2021 PHP RENDERING AGE 0-20 18 105 1 2 1 1 14 14
1982145611 WESTERN DENTAL SERVICES INC 2021 PHP RENDERING AGE 21+ 31 131 1 2 1 1 27 28
1982145611 WESTERN DENTAL SERVICES, INC. 2021 PHP RENDERING AGE 0-20 18 105 1 2 1 1 14 14
1982145611 WESTERN DENTAL SERVICES, INC. 2021 PHP RENDERING AGE 21+ 31 131 1 2 1 1 27 28
1982161188 HAYASHI-WELLS RIE 2021 FFS RENDERING AGE 0-20 17 75 1 2 1 2 13 13
1982161188 HAYASHI-WELLS RIE 2021 FFS RENDERING AGE 21+ 68 319 37 66 44 143 44 44
1982178828 HYUNG-JU JOHN KIM DDS INC 2021 FFS RENDERING AGE 0-20 1 1 1 1 1 1 0 0
1982178828 HYUNG-JU JOHN KIM DDS INC 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1982178828 KIM, HYUNG-JU JOHN, DDS INC 2021 FFS RENDERING AGE 0-20 1 1 1 1 1 1 0 0
1982178828 KIM, HYUNG-JU JOHN, DDS INC 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1982184024 HOOSHMAND PAYAM 2021 FFS RENDERING AGE 0-20 386 2,143 302 851 117 347 348 351
1982184024 HOOSHMAND PAYAM 2021 FFS RENDERING AGE 21+ 775 2,488 115 207 293 872 621 621
1982184024 HOOSHMAND PAYAM 2021 PHP RENDERING AGE 0-20 49 228 29 78 17 31 38 38
1982184024 HOOSHMAND PAYAM 2021 PHP RENDERING AGE 21+ 62 267 1 2 39 146 44 45
1982187555 KHOO EMERALD 2021 FFS RENDERING AGE 0-20 189 606 72 185 139 333 77 77
1982187555 KHOO EMERALD 2021 FFS RENDERING AGE 21+ 249 795 55 56 195 658 81 81
1982188207 DUBUNI RASHA 2021 FFS RENDERING AGE 21+ 363 872 1 1 363 713 154 154
1982188207 DUBUNI RASHA 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1982194205 ZOMA ODY 2021 FFS RENDERING AGE 0-20 936 4,758 678 1,714 308 455 772 835
1982194205 ZOMA ODY 2021 FFS RENDERING AGE 21+ 1,277 4,222 240 403 695 1,703 727 727
1982194205 ZOMA ODY 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1982248944 AOYAGI NOZOMI 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1982248944 AOYAGI NOZOMI 2021 FFS RENDERING AGE 21+ 13 54 1 1 1 2 1 1
1982296612 NIU CHRISTOPHER 2021 FFS RENDERING AGE 0-20 1,270 9,991 1,161 3,372 852 1,983 1,156 1,225
1982296612 NIU CHRISTOPHER 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1982296612 NIU CHRISTOPHER 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1982603551 GONZALEZ-MENDEZ DAVID 2021 FFS RENDERING AGE 0-20 44 173 19 28 20 70 28 28
1982603551 GONZALEZ-MENDEZ DAVID 2021 FFS RENDERING AGE 21+ 74 218 1 1 38 117 46 46
1982611646 HAMADA DAVID Z 2021 FFS RENDERING AGE 0-20 24 55 0 0 24 54 0 0
1982611646 HAMADA DAVID Z 2021 FFS RENDERING AGE 21+ 1 2 0 0 1 2 0 0
1982611810 BUI, HIEN QUANG DMD 2021 FFS RENDERING AGE 0-20 43 459 39 137 14 27 39 57
1982611810 BUI, HIEN QUANG DMD 2021 FFS RENDERING AGE 21+ 189 1,675 127 239 96 392 155 155
1982614095 NARULA GURDIP S 2021 FFS RENDERING AGE 0-20 93 1,259 75 193 55 147 72 82
1982614095 NARULA GURDIP S 2021 FFS RENDERING AGE 21+ 344 3,351 124 214 279 983 133 135
1982615910 MEHTA MAHENDRAKUMA 2021 FFS RENDERING AGE 0-20 50 589 34 100 25 70 47 62
1982615910 MEHTA MAHENDRAKUMA 2021 FFS RENDERING AGE 21+ 134 775 27 27 98 428 80 80
1982615910 MEHTA MAHENDRAKUMA 2021 PHP RENDERING AGE 0-20 48 427 33 63 15 44 45 48
1982615910 MEHTA MAHENDRAKUMA 2021 PHP RENDERING AGE 21+ 54 388 1 1 27 108 45 46
1982625141 CLIBON GREGORY D 2021 FFS RENDERING AGE 0-20 35 181 28 63 11 20 23 23
1982625141 CLIBON GREGORY D 2021 FFS RENDERING AGE 21+ 122 659 28 28 79 316 95 95
1982625711 LEE SUNGHO 2021 FFS RENDERING AGE 0-20 234 1,853 217 768 105 363 219 272
1982625711 LEE SUNGHO 2021 FFS RENDERING AGE 21+ 494 3,658 312 621 373 1,830 381 381
1982643110 KIM JONE 2021 PHP RENDERING AGE 0-20 1 1 0 0 0 0 0 0
1982662490 CHEUNG, MATTHEW C, DDS 2021 FFS RENDERING AGE 0-20 38 311 35 76 33 104 36 41
1982662490 CHEUNG, MATTHEW C, DDS 2021 FFS RENDERING AGE 21+ 173 1,532 119 119 171 826 137 137
1982667234 MENDOZA, LIDIA A, DDS 2021 FFS RENDERING AGE 0-20 772 9,490 523 1,267 559 2,858 514 547
1982674529 KAPLAN GREGORY D 2021 FFS RENDERING AGE 0-20 180 764 131 204 73 156 111 111
1982674529 KAPLAN GREGORY D 2021 FFS RENDERING AGE 21+ 726 2,895 345 345 341 727 479 479
1982674529 KAPLAN GREGORY D 2021 PHP RENDERING AGE 0-20 184 1,025 170 321 61 160 108 108
1982674529 KAPLAN GREGORY D 2021 PHP RENDERING AGE 21+ 340 2,286 253 432 182 499 246 247
1982675963 TRAN VINH N 2021 FFS RENDERING AGE 0-20 295 2,496 247 603 90 201 248 278
1982675963 TRAN VINH N 2021 FFS RENDERING AGE 21+ 232 1,118 113 220 89 215 158 159
1982689998 KULLAR AMRIT P 2021 FFS RENDERING AGE 21+ 1 2 0 0 0 0 0 0
1982704524 BARSAM RAFFI 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1982705133 ORTIZ ANA R 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1982707907 DEZA, ROCIO DE JESUS, DDS 2021 FFS RENDERING AGE 0-20 484 13,533 350 3,975 277 1,764 313 978
1982707907 DEZA, ROCIO DE JESUS, DDS 2021 FFS RENDERING AGE 21+ 331 6,444 105 621 236 1,965 124 372
1982712741 KRUPP JEFFREY D. 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1982713137 PATEL, KETAN C, DDS 2021 FFS RENDERING AGE 0-20 35 485 32 136 13 47 34 39
1982713137 PATEL, KETAN C, DDS 2021 FFS RENDERING AGE 21+ 137 843 81 159 64 238 126 126
1982723631 QUACH, ANH-THU THI DDS 2021 FFS RENDERING AGE 0-20 103 860 100 233 24 74 91 108
1982723631 QUACH, ANH-THU THI DDS 2021 FFS RENDERING AGE 21+ 220 1,539 157 187 147 707 124 125
1982726196 SARMICANIC, MARIAM, DMD 2021 FFS RENDERING AGE 0-20 33 238 28 35 11 24 28 35
1982726196 SARMICANIC, MARIAM, DMD 2021 FFS RENDERING AGE 21+ 307 1,798 155 155 219 599 132 132
1982729778 KOLODNER TATYANA 2021 FFS RENDERING AGE 0-20 22 114 18 50 1 2 18 19
1982729778 KOLODNER TATYANA 2021 FFS RENDERING AGE 21+ 76 300 54 54 47 135 47 47
1982733200 LI CATHERINE C 2021 FFS RENDERING AGE 0-20 183 1,321 164 501 63 135 165 183
1982733200 LI CATHERINE C 2021 FFS RENDERING AGE 21+ 252 1,436 171 344 145 445 184 186
1982734364 LEE, JAE JIN, DDS 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1982734364 LEE, JAE JIN, DDS 2021 FFS RENDERING AGE 21+ 26 70 0 0 26 70 0 0
1982735940 COHEN GIANNI G 2021 FFS RENDERING AGE 0-20 156 1,013 101 250 81 194 101 105
1982735940 COHEN GIANNI G 2021 FFS RENDERING AGE 21+ 49 351 37 74 24 60 39 39
1982736567 RAMOS, MARJORIE 2021 FFS RENDERING AGE 0-20 148 1,203 128 354 71 310 108 112
1982736567 RAMOS, MARJORIE 2021 FFS RENDERING AGE 21+ 190 1,031 46 68 108 444 122 123
1982740296 ALVISSE CARLO S 2021 FFS RENDERING AGE 0-20 91 594 76 213 36 116 77 88
1982740296 ALVISSE CARLO S 2021 FFS RENDERING AGE 21+ 228 1,251 122 122 162 569 140 142
1982740940 IBARRA LILIANA 2021 FFS RENDERING AGE 0-20 35 390 30 127 1 2 32 39
1982740940 IBARRA LILIANA 2021 FFS RENDERING AGE 21+ 124 826 58 107 90 212 55 55
1982742466 FAISON, ALPONSO 2021 FFS RENDERING AGE 0-20 52 305 29 88 25 58 23 23
1982742466 FAISON, ALPONSO 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1982742466 FAISON, ALPONSO 2021 PHP RENDERING AGE 0-20 21 73 1 2 15 15 1 1
1982742466 FAISON, ALPONSO 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1982747671 FAMILY HEALTH CENTERS 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1982749297 PHAM, DUNG Q, DDS 2021 FFS RENDERING AGE 0-20 256 1,781 240 686 71 223 240 312
1982749297 PHAM, DUNG Q, DDS 2021 FFS RENDERING AGE 21+ 435 2,480 343 670 147 337 384 387
1982750741 BOOSTANFAR, SIMA, DMD 2021 FFS RENDERING AGE 0-20 19 65 17 37 1 1 14 14
1982750741 BOOSTANFAR, SIMA, DMD 2021 FFS RENDERING AGE 21+ 66 218 21 23 24 55 35 35
1982750741 BOOSTANFAR, SIMA, DMD 2021 PHP RENDERING AGE 0-20 24 99 19 50 1 1 24 27
1982750741 BOOSTANFAR, SIMA, DMD 2021 PHP RENDERING AGE 21+ 46 143 29 32 1 2 45 49
1982751541 VILLARAMA, EMERITO Y, DDS 2021 FFS RENDERING AGE 0-20 1 2 1 1 0 0 1 1
1982751541 VILLARAMA, EMERITO Y, DDS 2021 FFS RENDERING AGE 21+ 1 2 1 1 0 0 1 1
1982754016 KANEMARU, KURTIS S, DDS 2021 FFS RENDERING AGE 0-20 12 90 11 39 1 2 11 11
1982754016 KANEMARU, KURTIS S, DDS 2021 FFS RENDERING AGE 21+ 12 62 11 11 1 2 1 1
1982754180 KINERET STEPHEN E 2021 FFS RENDERING AGE 0-20 79 129 0 0 14 55 0 0
1982755419 HERFORD, ALAN S MD 2021 FFS RENDERING AGE 0-20 395 1,529 0 0 322 1,216 77 77
1982755419 HERFORD, ALAN S MD 2021 FFS RENDERING AGE 21+ 614 2,272 0 0 490 1,901 65 65
1982755591 LE, MAI T, DDS 2021 FFS RENDERING AGE 0-20 611 6,051 488 1,158 293 897 560 612
1982755591 LE, MAI T, DDS 2021 FFS RENDERING AGE 21+ 339 2,502 195 384 232 916 282 282
1982755591 LE, MAI T, DDS 2021 PHP RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1982755591 LE, MAI T, DDS 2021 PHP RENDERING AGE 21+ 1 1 1 1 0 0 0 0
1982759163 NGUYEN MINHTHU T 2021 FFS RENDERING AGE 0-20 1,081 11,869 842 2,601 750 2,962 749 813
1982759163 NGUYEN MINHTHU T 2021 FFS RENDERING AGE 21+ 163 754 41 81 119 285 59 59
1982759163 NGUYEN MINHTHU T 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1982759866 RAYGADA JAVIER 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1982762985 NIKNAFS KOUROSH 2021 FFS RENDERING AGE 0-20 177 847 133 411 71 142 91 92
1982762985 NIKNAFS KOUROSH 2021 FFS RENDERING AGE 21+ 304 1,139 61 106 226 841 70 70
1982762985 NIKNAFS KOUROSH 2021 PHP RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1982762985 NIKNAFS KOUROSH 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1982763223 GO STEVEN F 2021 FFS RENDERING AGE 0-20 17 112 1 2 12 64 12 13
1982763223 GO STEVEN F 2021 FFS RENDERING AGE 21+ 40 181 25 26 20 81 31 31
1982765194 BARAKAT, ROBERT 2021 FFS RENDERING AGE 0-20 198 1,066 160 364 74 168 166 187
1982765194 BARAKAT, ROBERT 2021 FFS RENDERING AGE 21+ 625 3,148 309 624 400 1,071 407 407
1982765194 BARAKAT, ROBERT 2021 GMC RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1982765194 BARAKAT, ROBERT H, DDS 2021 FFS RENDERING AGE 0-20 198 1,066 160 364 74 168 166 187
1982765194 BARAKAT, ROBERT H, DDS 2021 FFS RENDERING AGE 21+ 625 3,148 309 624 400 1,071 407 407
1982765194 BARAKAT, ROBERT H, DDS 2021 GMC RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1982772240 BAE PETER H 2021 FFS RENDERING AGE 0-20 175 1,854 154 427 101 237 159 159
1982772240 BAE PETER H 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1982772737 FAGIN-HUTCHINGS MARK 2021 FFS RENDERING AGE 0-20 492 946 0 0 149 427 0 0
1982772737 FAGIN-HUTCHINGS MARK 2021 FFS RENDERING AGE 21+ 13 13 0 0 0 0 0 0
1982772737 FAGIN-HUTCHINGS MARK 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1982777058 RAMBHATLA SAROJINI K 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1982777058 RAMBHATLA SAROJINI K 2021 FFS RENDERING AGE 21+ 109 251 0 0 106 237 14 14
1982777918 KIM, JOHN 2021 FFS RENDERING AGE 0-20 749 8,542 643 1,882 439 1,451 644 659
1982777918 KIM, JOHN 2021 FFS RENDERING AGE 21+ 81 629 44 87 45 136 53 53
1982777918 KIM, JOHN 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1982778981 LEE HYUN YONG 2021 FFS RENDERING AGE 0-20 268 2,925 249 1,098 104 261 252 379
1982778981 LEE HYUN YONG 2021 FFS RENDERING AGE 21+ 111 809 79 150 68 185 87 87
1982788626 COLBERT EARL J 2021 FFS RENDERING AGE 0-20 1 2 0 0 1 2 0 0
1982791786 TRAN KEN N 2021 FFS RENDERING AGE 0-20 934 4,825 685 1,583 417 976 679 741
1982791786 TRAN KEN N 2021 FFS RENDERING AGE 21+ 1,413 5,839 553 1,105 1,009 2,450 597 597
1982792115 AGHA, MAISSA RSTOUM DDS 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1982793204 HAMEED ZAINAB M 2021 FFS RENDERING AGE 0-20 294 2,170 215 643 77 221 227 238
1982793204 HAMEED ZAINAB M 2021 FFS RENDERING AGE 21+ 423 1,560 110 190 149 438 299 306
1982799276 NARGIZYAN HOVSEP 2021 FFS RENDERING AGE 0-20 806 6,094 364 868 410 989 559 588
1982799276 NARGIZYAN HOVSEP 2021 FFS RENDERING AGE 21+ 2,152 11,152 493 496 1,319 3,881 1,327 1,327
1982814745 ALTAMED COMM HEALTH CLIN 2021 PHP RENDERING AGE 0-20 241 11,128 225 4,696 231 1,612 186 756
1982814745 ALTAMED COMM HEALTH CLIN 2021 PHP RENDERING AGE 21+ 119 3,840 68 984 77 1,132 66 268
1982821666 KIM JAMES M 2021 FFS RENDERING AGE 0-20 1,061 13,181 975 2,695 705 2,518 949 982
1982821666 KIM JAMES M 2021 FFS RENDERING AGE 21+ 53 442 31 62 27 95 37 37
1982823134 TRAN-VIET THUC 2021 FFS RENDERING AGE 0-20 136 1,275 109 398 86 190 105 124
1982823134 TRAN-VIET THUC 2021 FFS RENDERING AGE 21+ 321 1,899 134 203 272 759 169 169
1982823134 TRAN-VIET THUC 2021 PHP RENDERING AGE 0-20 57 522 55 141 57 92 55 71
1982823134 TRAN-VIET THUC 2021 PHP RENDERING AGE 21+ 83 652 57 88 82 200 58 62
1982823274 CHU WAI CHEUNG 2021 FFS RENDERING AGE 0-20 190 2,149 125 511 144 446 150 179
1982823274 CHU WAI CHEUNG 2021 FFS RENDERING AGE 21+ 632 5,278 391 767 487 1,397 469 469
1982827572 NGUYEN, NHUNG NANCY DR 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 2 1 1
1982827572 NGUYEN, NHUNG NANCY DR 2021 FFS RENDERING AGE 21+ 71 383 45 45 56 187 46 46
1982827762 TING, M M, DDS 2021 FFS RENDERING AGE 0-20 138 697 106 137 69 190 121 137
1982827762 TING, M M, DDS 2021 FFS RENDERING AGE 21+ 811 5,484 575 579 500 2,169 670 674
1982849477 DEER JR EDWIN W 2021 FFS RENDERING AGE 0-20 1 1 0 0 0 0 1 1
1982852059 KARUNAKARAN PAULINE M 2021 GMC RENDERING AGE 0-20 14 37 13 31 1 1 1 1
1982852059 KARUNAKARAN PAULINE M 2021 GMC RENDERING AGE 21+ 33 91 19 29 19 49 1 1
1982859914 BAHRAMI, NAVID, DDS 2021 FFS RENDERING AGE 0-20 11 104 1 2 1 1 1 1
1982859914 BAHRAMI, NAVID, DDS 2021 FFS RENDERING AGE 21+ 25 188 19 19 15 67 16 16
1982861894 PAK JONGSON 2021 FFS RENDERING AGE 0-20 14 90 12 30 1 1 12 14
1982861894 PAK JONGSON 2021 FFS RENDERING AGE 21+ 76 333 42 74 36 85 58 58
1982867271 HAJARIAN, HAMID CYRUS, DDS 2021 FFS RENDERING AGE 0-20 127 771 0 0 88 548 110 110
1982867271 HAJARIAN, HAMID CYRUS, DDS 2021 FFS RENDERING AGE 21+ 258 1,225 0 0 119 755 226 226
1982883575 PETROPOULOS VICKI C 2021 FFS RENDERING AGE 21+ 259 939 50 86 187 389 102 104
1982886875 BAY JR MANOJ S 2021 FFS RENDERING AGE 0-20 81 445 57 158 33 96 54 56
1982886875 BAY JR MANOJ S 2021 FFS RENDERING AGE 21+ 170 541 56 70 86 227 94 94
1982886875 BAY JR MANOJ S 2021 PHP RENDERING AGE 0-20 18 126 14 47 1 2 14 14
1982886875 BAY JR MANOJ S 2021 PHP RENDERING AGE 21+ 68 245 40 43 22 62 56 58
1982894804 BLANCO NUBIA A 2021 FFS RENDERING AGE 0-20 89 885 67 179 49 159 72 82
1982894804 BLANCO NUBIA A 2021 FFS RENDERING AGE 21+ 167 1,110 51 65 99 286 112 112
1982894804 BLANCO NUBIA A 2021 PHP RENDERING AGE 0-20 18 64 1 2 1 1 1 1
1982894804 BLANCO NUBIA A 2021 PHP RENDERING AGE 21+ 40 138 12 15 15 28 21 22
1982897534 VONGPHOE MICHAEL O 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1982897872 TAVAKOL NILOO 2021 FFS RENDERING AGE 0-20 91 1,263 87 271 31 100 90 128
1982897872 TAVAKOL NILOO 2021 FFS RENDERING AGE 21+ 96 661 69 129 36 73 73 73
1982903084 ARJMANDI MOJGAN 2021 FFS RENDERING AGE 0-20 30 203 27 78 23 56 1 1
1982903084 ARJMANDI MOJGAN 2021 FFS RENDERING AGE 21+ 120 640 95 179 52 151 103 104
1982915799 XU SHAUN XUN 2021 FFS RENDERING AGE 0-20 55 455 46 144 26 79 52 61
1982915799 XU SHAUN XUN 2021 FFS RENDERING AGE 21+ 132 901 83 166 100 420 100 100
1982922373 SAADIA A RANA, DDS, INC 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1982922993 ISSUED IN ERROR 2021 FFS RENDERING AGE 0-20 31 94 19 46 12 22 1 1
1982922993 ISSUED IN ERROR 2021 FFS RENDERING AGE 21+ 91 292 35 53 58 103 27 27
1982937322 DR JEFFREY A SALADIN DENTAL 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1982943510 REAMS DOUGLAS H 2021 FFS RENDERING AGE 0-20 19 96 1 2 12 17 14 20
1982943510 REAMS DOUGLAS H 2021 FFS RENDERING AGE 21+ 128 743 45 45 97 213 80 80
1982952198 PARK OLIVIA J 2021 FFS RENDERING AGE 0-20 450 5,799 418 1,245 307 1,148 360 474
1982952198 PARK OLIVIA J 2021 FFS RENDERING AGE 21+ 333 2,842 207 401 249 1,112 251 251
1982958039 MAHESHWARI MUKESH K 2021 FFS RENDERING AGE 0-20 1,535 6,824 745 1,770 193 472 1,433 1,683
1982958039 MAHESHWARI MUKESH K 2021 FFS RENDERING AGE 21+ 2,337 6,200 213 420 253 616 1,841 1,843
1982958930 NAYYAR NAMRATA 2021 FFS RENDERING AGE 0-20 95 468 64 81 88 268 61 62
1982958930 NAYYAR NAMRATA 2021 FFS RENDERING AGE 21+ 571 2,899 190 200 525 1,784 322 322
1982962023 MESHKINFAM, BENJAMIN DDS 2021 FFS RENDERING AGE 0-20 401 4,389 364 1,312 194 718 388 537
1982962023 MESHKINFAM, BENJAMIN DDS 2021 FFS RENDERING AGE 21+ 667 5,186 298 558 529 2,537 449 452
1982962023 MESHKINFAM, BENJAMIN DDS 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 2 1 1
1982964797 SEYEDEIN FARSHAD 2021 FFS RENDERING AGE 0-20 140 482 0 0 97 181 131 131
1982964797 SEYEDEIN FARSHAD 2021 FFS RENDERING AGE 21+ 909 3,478 0 0 585 1,297 795 797
1982964797 SEYEDEIN FARSHAD 2021 PHP RENDERING AGE 0-20 1 2 0 0 1 2 0 0
1982964797 SEYEDEIN FARSHAD 2021 PHP RENDERING AGE 21+ 31 81 0 0 17 24 26 26
1982981957 RAZI MIRIAM N 2021 FFS RENDERING AGE 0-20 90 526 38 104 75 229 17 17
1982986022 MARSHALL MELANIE D 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 2 1 1
1982986022 MARSHALL MELANIE D 2021 FFS RENDERING AGE 21+ 211 644 34 34 199 426 118 118
1982986022 MARSHALL MELANIE D 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1992007512 KAMBOJ ANEIL P 2021 FFS RENDERING AGE 0-20 68 1,037 40 95 66 775 1 1
1992008080 MORGAN JASON H 2021 FFS RENDERING AGE 0-20 196 1,469 147 417 105 318 142 161
1992008080 MORGAN JASON H 2021 FFS RENDERING AGE 21+ 499 2,586 98 109 347 1,120 294 294
1992009963 LEE, WOO YONG DDS 2021 FFS RENDERING AGE 0-20 1,059 14,653 983 3,572 588 1,950 986 1,114
1992009963 LEE, WOO YONG DDS 2021 FFS RENDERING AGE 21+ 574 5,621 262 528 390 1,542 425 426
1992012074 AWASTHI MOHANA 2021 FFS RENDERING AGE 0-20 61 456 53 173 32 111 56 57
1992012074 AWASTHI MOHANA 2021 FFS RENDERING AGE 21+ 215 1,013 154 302 105 282 184 184
1992013080 SHIN SANG G 2021 FFS RENDERING AGE 0-20 703 13,120 599 1,977 352 1,208 676 891
1992013080 SHIN SANG G 2021 FFS RENDERING AGE 21+ 697 7,556 220 427 479 1,861 559 559
1992019319 PATEL, JALPA DMD 2021 FFS RENDERING AGE 0-20 1,170 14,027 1,069 3,777 693 2,156 1,068 1,384
1992019319 PATEL, JALPA DMD 2021 FFS RENDERING AGE 21+ 399 2,718 220 418 280 1,136 330 331
1992020978 NELSON VERNE WILLIS B 2021 FFS RENDERING AGE 0-20 23 456 16 44 23 323 0 0
1992030209 NGUYEN HUY JUSTIN D 2021 FFS RENDERING AGE 21+ 19 65 1 1 18 60 1 1
1992030415 KARTOUNIAN ANI A 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1992030415 KARTOUNIAN ANI A 2021 PHP RENDERING AGE 0-20 68 571 57 254 40 86 51 56
1992030415 KARTOUNIAN ANI A 2021 PHP RENDERING AGE 21+ 148 955 105 255 101 324 97 99
1992057202 NOH GRACE 2021 FFS RENDERING AGE 0-20 37 66 0 0 20 38 1 1
1992057202 NOH GRACE 2021 FFS RENDERING AGE 21+ 100 299 0 0 95 286 1 1
1992057202 NOH GRACE 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1992059729 TAHERI MARJAN 2021 FFS RENDERING AGE 0-20 163 1,174 121 391 102 180 120 126
1992059729 TAHERI MARJAN 2021 FFS RENDERING AGE 21+ 349 1,673 114 226 238 677 178 179
1992059729 TAHERI MARJAN 2021 PHP RENDERING AGE 0-20 358 3,286 300 1,309 236 489 288 331
1992059729 TAHERI MARJAN 2021 PHP RENDERING AGE 21+ 314 1,971 204 486 194 638 199 201
1992066435 HYUNG-JU JOHN KIM DDS INC 2021 FFS RENDERING AGE 0-20 13 51 1 2 11 29 0 0
1992066435 KIM, HYUNG-JU JOHN, DDS INC 2021 FFS RENDERING AGE 0-20 13 51 1 2 11 29 0 0
1992072060 FUENTES COLASSE JESSICA V 2021 FFS RENDERING AGE 0-20 162 738 148 365 21 35 139 154
1992072060 FUENTES COLASSE JESSICA V 2021 FFS RENDERING AGE 21+ 183 516 93 170 88 117 99 99
1992079081 WHITLEY JOHN C 2021 FFS RENDERING AGE 0-20 507 4,389 401 1,211 226 702 435 544
1992079081 WHITLEY JOHN C 2021 FFS RENDERING AGE 21+ 731 4,162 172 204 497 1,854 499 500
1992079081 WHITLEY JOHN C 2021 PHP RENDERING AGE 0-20 1 2 1 2 0 0 1 1
1992079081 WHITLEY JOHN C 2021 PHP RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1992079586 VALDEZ VIVIAN M 2021 FFS RENDERING AGE 0-20 17 86 11 23 1 2 1 1
1992079594 VALDEZ VANESSA M 2021 FFS RENDERING AGE 0-20 17 79 14 23 1 2 1 1
1992090856 DHARMA KANCHAN H 2021 FFS RENDERING AGE 0-20 125 1,072 107 294 75 172 108 130
1992090856 DHARMA KANCHAN H 2021 FFS RENDERING AGE 21+ 153 846 62 123 89 285 86 86
1992103642 KIM PEACE P 2021 FFS RENDERING AGE 0-20 27 120 25 55 1 2 25 30
1992103642 KIM PEACE P 2021 FFS RENDERING AGE 21+ 152 698 107 131 96 260 118 119
1992111223 KALAI RONEN 2021 FFS RENDERING AGE 0-20 2,940 36,584 2,581 8,936 1,643 6,186 2,658 3,403
1992111223 KALAI RONEN 2021 FFS RENDERING AGE 21+ 16 88 1 1 1 1 11 11
1992111223 KALAI RONEN 2021 PHP RENDERING AGE 0-20 1 2 1 1 1 2 0 0
1992111637 KIM JANE G 2021 FFS RENDERING AGE 0-20 1,695 13,184 1,468 3,710 1,000 2,615 1,454 1,529
1992112940 ALKASEER MAAMON K 2021 FFS RENDERING AGE 0-20 188 1,002 1 1 129 302 120 120
1992112940 ALKASEER MAAMON K 2021 FFS RENDERING AGE 21+ 866 3,848 1 2 650 1,658 428 428
1992121966 ISMATT FARYAL Z 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1992121966 ISMATT FARYAL Z 2021 FFS RENDERING AGE 21+ 25 106 1 2 13 46 13 13
1992127005 ROH GRACE S 2021 PHP RENDERING AGE 0-20 20 99 11 41 16 25 1 1
1992127005 ROH GRACE S 2021 PHP RENDERING AGE 21+ 33 102 1 2 29 45 1 1
1992143663 BLECH STEVE M 2021 FFS RENDERING AGE 0-20 15 147 14 61 1 2 15 17
1992143663 BLECH STEVE M 2021 FFS RENDERING AGE 21+ 73 560 51 102 49 205 63 63
1992157572 KWON TAE W 2021 FFS RENDERING AGE 0-20 2,009 5,533 0 0 984 2,488 0 0
1992179006 MIRZOYAN, YEGHISHEH, DDS INC 2021 FFS RENDERING AGE 0-20 1 1 0 0 0 0 1 1
1992192058 COHEN, JOHN, DDS DENTAL CORP 2021 FFS RENDERING AGE 0-20 11 33 0 0 11 33 0 0
1992192058 JOHN COHEN D D S DENTAL CORPORATION 2021 FFS RENDERING AGE 0-20 11 33 0 0 11 33 0 0
1992193726 BODMAN RONA A 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1992193726 BODMAN RONA A 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1992193726 BODMAN RONA A 2021 PHP RENDERING AGE 0-20 147 1,048 97 342 132 173 78 78
1992193726 BODMAN RONA A 2021 PHP RENDERING AGE 21+ 211 712 48 137 127 195 61 61
1992213623 LO LEE 2021 FFS RENDERING AGE 0-20 21 65 1 2 1 1 12 12
1992213623 LO LEE 2021 FFS RENDERING AGE 21+ 128 312 1 2 30 65 79 79
1992213623 LO LEE 2021 GMC RENDERING AGE 0-20 234 1,483 145 558 134 390 175 189
1992213623 LO LEE 2021 GMC RENDERING AGE 21+ 434 2,594 99 140 311 1,617 307 319
1992213623 LO LEE 2021 PHP RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1992223440 MACHADO JESSICA P 2021 FFS RENDERING AGE 0-20 1,369 8,976 1,149 2,976 779 1,227 1,078 1,100
1992223440 MACHADO JESSICA P 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1992242275 TADOKORO MIZUKI C 2021 FFS RENDERING AGE 0-20 68 578 32 103 35 85 52 53
1992242275 TADOKORO MIZUKI C 2021 FFS RENDERING AGE 21+ 81 531 1 2 62 216 56 56
1992242275 TADOKORO MIZUKI C 2021 PHP RENDERING AGE 0-20 25 121 24 43 1 2 22 23
1992242275 TADOKORO MIZUKI C 2021 PHP RENDERING AGE 21+ 25 135 17 24 19 66 16 16
1992250773 LUONG ELIZABETH 2021 FFS RENDERING AGE 0-20 84 623 71 215 23 57 73 91
1992250773 LUONG ELIZABETH 2021 FFS RENDERING AGE 21+ 352 2,559 107 156 271 1,415 222 222
1992250773 LUONG ELIZABETH 2021 GMC RENDERING AGE 0-20 388 3,662 361 1,265 165 301 360 477
1992250773 LUONG ELIZABETH 2021 GMC RENDERING AGE 21+ 430 3,542 200 324 317 1,453 318 327
1992279525 WESTERN DENTAL SERVICES INC 2021 FFS RENDERING AGE 0-20 1 2 1 1 0 0 1 1
1992279525 WESTERN DENTAL SERVICES INC 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1992279525 WESTERN DENTAL SERVICES INC 2021 GMC RENDERING AGE 0-20 865 5,851 524 1,675 75 103 648 665
1992279525 WESTERN DENTAL SERVICES INC 2021 GMC RENDERING AGE 21+ 968 2,453 174 332 105 232 339 340
1992279525 WESTERN DENTAL SERVICES, INC. 2021 FFS RENDERING AGE 0-20 1 2 1 1 0 0 1 1
1992279525 WESTERN DENTAL SERVICES, INC. 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1992279525 WESTERN DENTAL SERVICES, INC. 2021 GMC RENDERING AGE 0-20 865 5,851 524 1,675 75 103 648 665
1992279525 WESTERN DENTAL SERVICES, INC. 2021 GMC RENDERING AGE 21+ 968 2,453 174 332 105 232 339 340
1992280127 ADAMES, RENATA, DDS PROF DEN 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1992289581 OBID RAHIJ 2021 FFS RENDERING AGE 0-20 36 255 22 71 26 89 31 31
1992289581 OBID RAHIJ 2021 FFS RENDERING AGE 21+ 47 321 16 16 39 213 40 40
1992292007 EBRAHIMI NAHRIN V 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1992300628 SINGH SURDEEP 2021 FFS RENDERING AGE 0-20 1 2 0 0 1 1 1 1
1992303119 YOUNG NICHOLAS G 2021 FFS RENDERING AGE 0-20 17 76 1 2 12 21 1 1
1992303119 YOUNG NICHOLAS G 2021 FFS RENDERING AGE 21+ 83 261 1 1 78 232 1 1
1992315998 PROSOLUPOVA TATYANA 2021 FFS RENDERING AGE 0-20 51 218 35 81 14 26 39 39
1992315998 PROSOLUPOVA TATYANA 2021 FFS RENDERING AGE 21+ 98 282 1 2 45 97 53 55
1992315998 PROSOLUPOVA TATYANA 2021 PHP RENDERING AGE 0-20 31 85 22 35 1 2 23 25
1992315998 PROSOLUPOVA TATYANA 2021 PHP RENDERING AGE 21+ 48 80 1 1 19 36 28 28
1992354237 QATTAN MAISSOUN Y 2021 FFS RENDERING AGE 0-20 17 78 16 38 1 1 12 17
1992354237 QATTAN MAISSOUN Y 2021 FFS RENDERING AGE 21+ 43 171 23 37 29 112 11 11
1992367411 DESAI ROSHNI S 2021 FFS RENDERING AGE 0-20 541 3,799 137 288 537 2,345 30 31
1992367411 DESAI ROSHNI S 2021 FFS RENDERING AGE 21+ 47 236 0 0 47 132 0 0
1992398432 GABRO RAGHEED A 2021 FFS RENDERING AGE 0-20 233 1,359 133 436 139 419 99 100
1992398432 GABRO RAGHEED A 2021 FFS RENDERING AGE 21+ 614 2,244 111 213 399 1,132 240 240
1992398432 GABRO RAGHEED A 2021 GMC RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1992478267 MIKHAIL CHRISTINA M 2021 FFS RENDERING AGE 0-20 52 211 24 73 32 87 1 1
1992478267 MIKHAIL CHRISTINA M 2021 FFS RENDERING AGE 21+ 135 404 29 51 104 263 18 18
1992478267 MIKHAIL CHRISTINA M 2021 PHP RENDERING AGE 0-20 1 1 1 1 1 1 0 0
1992478267 MIKHAIL CHRISTINA M 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1992703763 CAMPBELL, F.E. 2021 FFS RENDERING AGE 0-20 272 2,208 230 534 120 373 236 293
1992703763 CAMPBELL, F.E. 2021 FFS RENDERING AGE 21+ 475 3,118 230 237 391 1,448 149 149
1992714273 KLEINSASSER, RICK J DDS 2021 FFS RENDERING AGE 0-20 3,332 26,674 3,085 8,713 1,779 3,486 2,903 3,114
1992714273 KLEINSASSER, RICK J DDS 2021 FFS RENDERING AGE 21+ 1 1 1 1 0 0 1 1
1992723258 LIN KUEI-HUANG 2021 FFS RENDERING AGE 0-20 1 2 1 1 0 0 1 1
1992723258 LIN KUEI-HUANG 2021 FFS RENDERING AGE 21+ 84 498 40 77 73 267 41 41
1992781611 SINGH HARJINDER 2021 FFS RENDERING AGE 0-20 397 1,353 1 1 229 628 351 354
1992781611 SINGH HARJINDER 2021 FFS RENDERING AGE 21+ 1,674 6,686 0 0 1,215 3,496 1,492 1,500
1992797583 MACAOAY MARK C 2021 FFS RENDERING AGE 0-20 67 658 50 143 49 332 33 36
1992799613 CLAYMAN, LEWIS DDS MD 2021 FFS RENDERING AGE 0-20 300 1,922 0 0 282 1,840 42 42
1992799613 CLAYMAN, LEWIS DDS MD 2021 FFS RENDERING AGE 21+ 665 4,300 0 0 503 3,597 348 356
1992801328 ANDRES-JAVIER MA LOURDES S 2021 FFS RENDERING AGE 0-20 106 722 85 250 52 164 98 105
1992801328 ANDRES-JAVIER MA LOURDES S 2021 FFS RENDERING AGE 21+ 300 1,686 161 324 194 611 197 200
1992819593 TAYLOR AYONNA N 2021 FFS RENDERING AGE 0-20 11 73 1 2 1 1 11 11
1992819593 TAYLOR AYONNA N 2021 FFS RENDERING AGE 21+ 83 641 49 75 65 315 54 54
1992820203 GRIGORIAN JACK H 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1992823801 VU, TED KHOI, DDS 2021 FFS RENDERING AGE 0-20 106 876 70 165 50 162 70 72
1992823801 VU, TED KHOI, DDS 2021 FFS RENDERING AGE 21+ 92 519 54 83 44 114 57 57
1992827828 AHN, MICHAEL M, DDS INC 2021 FFS RENDERING AGE 21+ 15 31 0 0 13 14 1 1
1992828347 AKHAMZADEH SHERVIN 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1992828347 AKHAMZADEH SHERVIN 2021 FFS RENDERING AGE 21+ 74 244 0 0 74 244 0 0
1992828446 YU KYUNG S 2021 FFS RENDERING AGE 0-20 214 1,531 185 562 72 149 180 211
1992828446 YU KYUNG S 2021 FFS RENDERING AGE 21+ 129 700 94 188 70 142 91 91
1992828446 YU KYUNG S 2021 PHP RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1992828446 YU KYUNG S 2021 PHP RENDERING AGE 21+ 13 82 1 2 1 2 11 14
1992830665 AU CLARENCE K 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 2 1 1
1992830665 AU CLARENCE K 2021 FFS RENDERING AGE 21+ 79 424 22 44 56 168 25 25
1992831408 DIAZ, ARCELI PEREZ 2021 FFS RENDERING AGE 0-20 339 3,787 327 1,325 137 481 325 432
1992831408 DIAZ, ARCELI PEREZ 2021 FFS RENDERING AGE 21+ 511 4,088 334 670 366 1,417 339 343
1992831408 DIAZ, ARCELI PEREZ 2021 PHP RENDERING AGE 0-20 1 2 0 0 1 2 0 0
1992834840 PAUL TAHIR R 2021 FFS RENDERING AGE 0-20 5,083 90,171 4,653 21,589 2,947 14,320 4,749 7,533
1992834840 PAUL TAHIR R 2021 FFS RENDERING AGE 21+ 1 2 1 1 0 0 1 1
1992835235 PHAM, JACKLINE ANH-DAO, DDS 2021 FFS RENDERING AGE 0-20 40 406 39 180 1 1 39 62
1992835235 PHAM, JACKLINE ANH-DAO, DDS 2021 FFS RENDERING AGE 21+ 42 299 35 66 22 85 33 33
1992836217 HUANG SHIH-YUAN 2021 FFS RENDERING AGE 0-20 702 5,789 683 2,656 327 822 600 676
1992836217 HUANG SHIH-YUAN 2021 FFS RENDERING AGE 21+ 222 1,014 103 206 161 323 110 110
1992836217 HUANG SHIH-YUAN 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1992837652 RODRIGUEZ CRUZ, ALBERTO, DDS 2021 FFS RENDERING AGE 0-20 342 4,697 317 1,141 190 673 321 419
1992837652 RODRIGUEZ CRUZ, ALBERTO, DDS 2021 FFS RENDERING AGE 21+ 417 4,550 288 609 322 1,517 288 294
1992837652 RODRIGUEZ, ALBERTO C 2021 FFS RENDERING AGE 0-20 342 4,697 317 1,141 190 673 321 419
1992837652 RODRIGUEZ, ALBERTO C 2021 FFS RENDERING AGE 21+ 417 4,550 288 609 322 1,517 288 294
1992837652 UNKNOWN 2021 FFS RENDERING AGE 0-20 342 4,697 317 1,141 190 673 321 419
1992837652 UNKNOWN 2021 FFS RENDERING AGE 21+ 417 4,550 288 609 322 1,517 288 294
1992840565 HUANG DANIEL C 2021 FFS RENDERING AGE 0-20 14 76 11 21 1 1 1 1
1992840565 HUANG DANIEL C 2021 FFS RENDERING AGE 21+ 32 160 15 15 18 34 18 18
1992840920 ALEXANDER, LEONARDA DDS 2021 FFS RENDERING AGE 0-20 40 298 28 67 21 55 40 47
1992840920 ALEXANDER, LEONARDA DDS 2021 FFS RENDERING AGE 21+ 185 1,641 117 203 139 860 147 149
1992840920 ALEXANDER, LEONARDA S, DDS 2021 FFS RENDERING AGE 0-20 40 298 28 67 21 55 40 47
1992840920 ALEXANDER, LEONARDA S, DDS 2021 FFS RENDERING AGE 21+ 185 1,641 117 203 139 860 147 149
1992842421 NGUYEN, LY MAI, DDS 2021 FFS RENDERING AGE 0-20 71 904 71 252 16 42 71 90
1992842421 NGUYEN, LY MAI, DDS 2021 FFS RENDERING AGE 21+ 26 167 26 26 1 2 26 26
1992843643 SADEGHI AMINOLLAH 2021 FFS RENDERING AGE 0-20 127 1,726 118 530 68 154 119 164
1992843643 SADEGHI AMINOLLAH 2021 FFS RENDERING AGE 21+ 200 1,747 126 239 143 543 139 139
1992852206 FAELDAN, PARALUMAN V, DMD 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1992852206 FAELDAN, PARALUMAN V, DMD 2021 FFS RENDERING AGE 21+ 43 185 21 22 34 82 19 19
1992856827 KO SUE E 2021 FFS RENDERING AGE 0-20 642 7,543 624 1,931 21 48 37 41
1992856827 KO SUE E 2021 FFS RENDERING AGE 21+ 417 2,010 299 596 59 112 29 29
1992864011 ARCHIE THADDOUS L 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1992864011 ARCHIE THADDOUS L 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1992864011 ARCHIE THADDOUS L 2021 GMC RENDERING AGE 0-20 201 1,158 191 535 47 95 189 193
1992864011 ARCHIE THADDOUS L 2021 GMC RENDERING AGE 21+ 168 863 109 207 129 290 64 64
1992865711 GEORGIAN SONA 2021 FFS RENDERING AGE 0-20 20 94 15 20 1 2 18 19
1992865711 GEORGIAN SONA 2021 FFS RENDERING AGE 21+ 36 171 21 21 16 51 29 29
1992868038 ESHAGHIAN, ROGER, DDS INC 2021 FFS RENDERING AGE 0-20 199 1,428 153 346 87 295 167 184
1992868038 ESHAGHIAN, ROGER, DDS INC 2021 FFS RENDERING AGE 21+ 297 1,783 121 197 148 538 225 227
1992870356 CHOO, CHRISTOPHER C, DDS 2021 FFS RENDERING AGE 0-20 883 13,137 807 2,695 492 1,514 839 1,182
1992870356 CHOO, CHRISTOPHER C, DDS 2021 FFS RENDERING AGE 21+ 89 629 44 75 46 104 42 42
1992873806 DONG KHAI VU D 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1992873806 DONG KHAI VU D 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1992875603 KIM LOUIS MIN K 2021 FFS RENDERING AGE 0-20 1 1 1 1 1 1 1 1
1992875603 KIM LOUIS MIN K 2021 FFS RENDERING AGE 21+ 27 84 1 1 17 21 14 14
1992875603 KIM LOUIS MIN K 2021 GMC RENDERING AGE 0-20 908 7,109 818 3,004 489 820 803 1,026
1992875603 KIM LOUIS MIN K 2021 GMC RENDERING AGE 21+ 882 4,871 543 1,190 553 1,438 520 530
1992880108 WITHAM BEVERLY ANN M 2021 FFS RENDERING AGE 0-20 22 133 19 60 1 2 21 23
1992880108 WITHAM BEVERLY ANN M 2021 FFS RENDERING AGE 21+ 37 201 32 64 18 42 32 32
1992884431 CAMONES VICTOR R 2021 FFS RENDERING AGE 0-20 504 9,152 488 2,006 292 1,094 498 725
1992884431 CAMONES VICTOR R 2021 FFS RENDERING AGE 21+ 427 4,250 359 720 265 885 388 390
1992886147 SEIN PETER T 2021 FFS RENDERING AGE 0-20 174 512 0 0 74 259 0 0
1992886147 SEIN PETER T 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1992886279 AZAD, MORRIS 2021 FFS RENDERING AGE 0-20 409 5,501 360 1,030 243 1,050 384 467
1992886279 AZAD, MORRIS 2021 FFS RENDERING AGE 21+ 430 5,125 214 258 348 1,485 292 292
1992889448 GRIEVE, BRANDON L, DMD 2021 FFS RENDERING AGE 0-20 776 5,898 592 1,605 549 2,140 531 562
1992891790 PRABHU VIJAYA K 2021 FFS RENDERING AGE 0-20 86 530 71 197 33 104 74 84
1992891790 PRABHU VIJAYA K 2021 FFS RENDERING AGE 21+ 305 1,655 117 146 208 746 220 220
1992892616 FARIBORZ RODEF DDS INC 2021 FFS RENDERING AGE 0-20 1 2 1 1 1 1 1 1
1992892616 FARIBORZ RODEF DDS INC 2021 PHP RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1992894919 DAYANI, NADER, DDS 2021 FFS RENDERING AGE 0-20 16 32 0 0 0 0 0 0
1992898498 BUTAY NELSON S 2021 FFS RENDERING AGE 0-20 430 4,614 412 1,655 176 715 411 596
1992898498 BUTAY NELSON S 2021 FFS RENDERING AGE 21+ 269 1,365 83 166 144 619 206 206
1992898621 LE TIFFANI T 2021 FFS RENDERING AGE 0-20 216 2,084 210 609 82 205 206 285
1992898621 LE TIFFANI T 2021 FFS RENDERING AGE 21+ 157 810 117 117 72 153 46 46
1992900104 NGUYEN TAN Q 2021 FFS RENDERING AGE 0-20 18 76 1 2 13 32 1 1
1992900104 NGUYEN TAN Q 2021 FFS RENDERING AGE 21+ 106 517 32 32 83 210 52 52
1992903553 BARDAKJIAN, KRIKOR, DDS 2021 FFS RENDERING AGE 0-20 97 902 77 181 54 266 85 91
1992903553 BARDAKJIAN, KRIKOR, DDS 2021 FFS RENDERING AGE 21+ 532 4,844 318 608 398 2,744 395 395
1992905061 URREA JORGE A 2021 FFS RENDERING AGE 0-20 114 774 83 243 61 162 91 101
1992905061 URREA JORGE A 2021 FFS RENDERING AGE 21+ 613 3,609 338 632 424 1,256 430 430
1992905806 HOANG, ANNIE-CRYSTALLINE A, 2021 FFS RENDERING AGE 0-20 180 2,756 173 996 74 590 169 434
1992906242 BIMBLI NIKOLIN S 2021 FFS RENDERING AGE 0-20 37 278 30 75 22 83 28 29
1992906242 BIMBLI NIKOLIN S 2021 FFS RENDERING AGE 21+ 113 630 47 47 73 286 84 84
1992907265 DALAL ALPA A 2021 FFS RENDERING AGE 0-20 406 3,568 378 1,349 122 264 380 542
1992907265 DALAL ALPA A 2021 FFS RENDERING AGE 21+ 514 3,085 348 687 278 743 404 404
1992907547 IDO-BACHOUR HOUDA 2021 FFS RENDERING AGE 0-20 1,211 12,500 1,195 4,623 495 985 1,194 1,813
1992907547 IDO-BACHOUR HOUDA 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1992907737 ESHAGH ZADEH BIJAN 2021 FFS RENDERING AGE 0-20 149 1,576 138 385 110 411 138 187
1992907737 ESHAGH ZADEH BIJAN 2021 FFS RENDERING AGE 21+ 230 1,729 174 328 163 676 186 186
1992908156 SAYED MARK K M 2021 FFS RENDERING AGE 0-20 27 65 0 0 1 2 0 0
1992908800 JAMAL DENTAL CORPORATION 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1992911143 LEGGITT VARNER L 2021 FFS RENDERING AGE 0-20 102 241 0 0 36 67 0 0
1992914675 KOHANBASH, FARZAD, DDS 2021 FFS RENDERING AGE 0-20 187 2,292 167 381 99 270 168 188
1992914675 KOHANBASH, FARZAD, DDS 2021 FFS RENDERING AGE 21+ 424 4,190 156 157 282 1,022 306 308
1992916852 PHAM LOC B 2021 FFS RENDERING AGE 0-20 121 1,065 104 268 39 82 104 128
1992916852 PHAM LOC B 2021 FFS RENDERING AGE 21+ 1 2 1 1 1 1 1 1
1992917389 OUMNOV, SERGEY L, DDS 2021 FFS RENDERING AGE 0-20 1 2 1 2 1 1 1 1
1992917389 OUMNOV, SERGEY L, DDS 2021 FFS RENDERING AGE 21+ 68 411 53 53 49 183 23 23
1992917645 CHING JASON S 2021 FFS RENDERING AGE 0-20 945 10,426 918 3,428 477 1,428 889 1,130
1992918890 SWADIPURA, ELLY, DDS 2021 FFS RENDERING AGE 0-20 33 309 32 158 11 21 27 32
1992918890 SWADIPURA, ELLY, DDS 2021 FFS RENDERING AGE 21+ 31 198 18 36 20 60 22 22
1992919815 ROJAS LUZ M 2021 FFS RENDERING AGE 0-20 321 4,280 290 806 161 532 307 358
1992919815 ROJAS LUZ M 2021 FFS RENDERING AGE 21+ 317 2,773 82 83 227 921 236 236
1992919815 ROJAS LUZ M 2021 PHP RENDERING AGE 21+ 1 1 0 0 0 0 1 1
1992922868 DELA FUENTE-LEWIS, RIZA, DMD 2021 FFS RENDERING AGE 0-20 21 74 16 19 12 36 16 16
1992922868 DELA FUENTE-LEWIS, RIZA, DMD 2021 FFS RENDERING AGE 21+ 55 155 33 33 31 61 34 34
1992927032 IRANI MEHRNAZ 2021 FFS RENDERING AGE 0-20 30 106 1 2 1 1 24 24
1992927032 IRANI MEHRNAZ 2021 FFS RENDERING AGE 21+ 30 87 1 2 17 28 1 1
1992928642 OBANDO MARIA V 2021 FFS RENDERING AGE 0-20 49 530 46 145 32 115 47 50
1992928642 OBANDO MARIA V 2021 FFS RENDERING AGE 21+ 54 581 31 62 49 251 35 35
1992933915 MIYAMASU PATRICK K 2021 FFS RENDERING AGE 0-20 238 1,257 190 411 97 146 197 197
1992933915 MIYAMASU PATRICK K 2021 FFS RENDERING AGE 21+ 345 1,176 106 205 218 404 165 165
1992944219 LI, JINGJING DDS 2021 FFS RENDERING AGE 0-20 128 1,849 99 507 54 180 105 115
1992944219 LI, JINGJING DDS 2021 FFS RENDERING AGE 21+ 387 9,133 203 405 314 4,306 267 267
1992944219 LI, JINGJING DDS 2021 PHP RENDERING AGE 0-20 1 1 0 0 0 0 1 1
1992944219 LI, JINGJING DDS 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1992945349 AVINASH AVINASH 2021 FFS RENDERING AGE 0-20 419 2,656 270 747 189 566 355 390
1992945349 AVINASH AVINASH 2021 FFS RENDERING AGE 21+ 758 3,201 174 318 402 1,206 529 533
1992945349 AVINASH AVINASH 2021 GMC RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1992945349 AVINASH AVINASH 2021 GMC RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1992945349 AVINASH AVINASH 2021 PHP RENDERING AGE 0-20 1 2 0 0 1 2 0 0
1992945349 AVINASH AVINASH 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 1 1
1992946743 GEORGEI RANIA M 2021 FFS RENDERING AGE 0-20 151 1,532 137 822 38 88 141 165
1992946743 GEORGEI RANIA M 2021 FFS RENDERING AGE 21+ 348 1,737 185 364 175 561 270 270
1992951941 OH, SAEKYU, DMD DENTAL CORP 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1992951941 SAEKYU OH DMD DENTAL CORP 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 0 0
1992954275 TUNG NATALIE N 2021 FFS RENDERING AGE 0-20 1 1 0 0 1 1 0 0
1992954275 TUNG NATALIE N 2021 FFS RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1992955082 RAMOS BLANCA S 2021 FFS RENDERING AGE 0-20 18 82 1 2 1 1 12 13
1992955082 RAMOS BLANCA S 2021 FFS RENDERING AGE 21+ 38 76 0 0 1 2 18 18
1992956650 CHEN MIKE M 2021 FFS RENDERING AGE 0-20 1 2 0 0 1 1 1 1
1992956650 CHEN MIKE M 2021 FFS RENDERING AGE 21+ 23 78 1 1 20 72 0 0
1992957864 BERNSTEIN RAEL I 2021 FFS RENDERING AGE 0-20 241 872 0 0 231 727 0 0
1992974240 FRIEDRICHSEN STEVEN W 2021 FFS RENDERING AGE 0-20 788 7,340 575 1,856 513 1,409 593 713
1992974240 FRIEDRICHSEN STEVEN W 2021 FFS RENDERING AGE 21+ 2,040 12,391 646 893 1,676 5,765 1,119 1,119
1992976484 SAFARIAN ARMINE K 2021 FFS RENDERING AGE 0-20 282 384 0 0 66 124 0 0
1992976484 SAFARIAN ARMINE K 2021 FFS RENDERING AGE 21+ 1 1 0 0 0 0 0 0
1992976484 SAFARIAN ARMINE K 2021 PHP RENDERING AGE 0-20 14 32 0 0 12 20 0 0
1992976484 SAFARIAN ARMINE K 2021 PHP RENDERING AGE 21+ 1 1 0 0 1 1 0 0
1992979165 CHO ERIC H 2021 FFS RENDERING AGE 0-20 58 569 56 248 27 107 57 70
1992979165 CHO ERIC H 2021 FFS RENDERING AGE 21+ 167 1,291 121 239 126 649 135 135
1992987168 VYSOTSKY VLADIMIR 2021 FFS RENDERING AGE 0-20 1 1 1 1 0 0 1 1
1992987168 VYSOTSKY VLADIMIR 2021 FFS RENDERING AGE 21+ 43 179 23 28 26 76 28 28
1992988315 NICHOLS RUBIN 2021 FFS RENDERING AGE 0-20 41 442 36 90 19 76 36 41
1992988315 NICHOLS RUBIN 2021 FFS RENDERING AGE 21+ 169 1,216 85 170 113 333 132 132
1992996045 TAMAYO CARLOS A 2021 FFS RENDERING AGE 0-20 78 771 74 205 29 126 78 109
1992996045 TAMAYO CARLOS A 2021 FFS RENDERING AGE 21+ 78 501 64 65 34 126 68 68
1992997928 BAGHDASARIAN, LILIT E, DDS 2021 FFS RENDERING AGE 0-20 28 326 20 70 23 112 28 33
1992997928 BAGHDASARIAN, LILIT E, DDS 2021 FFS RENDERING AGE 21+ 333 2,700 147 285 281 1,660 237 239
1992998371 ORENDAIN ALEJANDRO 2021 FFS RENDERING AGE 0-20 205 1,995 178 471 100 297 188 240
1992998371 ORENDAIN ALEJANDRO 2021 FFS RENDERING AGE 21+ 330 1,879 192 387 186 461 240 242
1992998496 ZIESE SIRI K 2021 FFS RENDERING AGE 0-20 57 286 15 45 45 84 1 1
1992998496 ZIESE SIRI K 2021 FFS RENDERING AGE 21+ 162 967 1 1 157 554 1 1
1003046848 THOMAS LOWELL G 2021 FFS RENDERING SNC AGE 0-20 191 549 191 549 0 0 191 549
1003046848 THOMAS LOWELL G 2021 FFS RENDERING SNC AGE 21+ 279 761 279 761 0 0 279 761
1003065988 MEDINNUS MARK G 2021 FFS RENDERING SNC AGE 0-20 130 342 115 213 67 155 102 140
1003065988 MEDINNUS MARK G 2021 FFS RENDERING SNC AGE 21+ 138 641 59 72 133 563 78 148
1003136649 MANSON MARIAN I 2021 FFS RENDERING SNC AGE 0-20 141 347 123 258 88 192 119 252
1003136649 MANSON MARIAN I 2021 PHP RENDERING SNC AGE 0-20 1 1 1 1 0 0 1 1
1003161969 JOHNSON, MALIEKA T, DDS 2021 FFS RENDERING SNC AGE 0-20 133 262 107 154 38 73 78 89
1003161969 JOHNSON, MALIEKA T, DDS 2021 FFS RENDERING SNC AGE 21+ 719 1,832 532 789 310 702 427 692
1003174467 YUE XUAN 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 1 1 1 1
1003212549 JO DANIEL J 2021 FFS RENDERING SNC AGE 21+ 294 1,181 294 1,179 1 1 294 1,179
1003236886 COMBS JORDAN D 2021 FFS RENDERING SNC AGE 0-20 409 649 353 413 138 194 353 415
1003236886 COMBS JORDAN D 2021 FFS RENDERING SNC AGE 21+ 1,345 2,381 1,087 1,275 733 966 1,093 1,290
1003254137 YANG, JOSEPH MD 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 1 1 0 0
1003264870 CHO EUNKYO 2021 FFS RENDERING SNC AGE 0-20 565 685 425 497 140 166 261 293
1003264870 CHO EUNKYO 2021 FFS RENDERING SNC AGE 21+ 71 95 28 35 23 31 26 33
1003310251 ARSHADI AVA CRYSTAL 2021 FFS RENDERING SNC AGE 0-20 821 1,130 727 953 93 104 615 793
1003310251 ARSHADI AVA CRYSTAL 2021 FFS RENDERING SNC AGE 21+ 240 299 170 194 88 106 153 167
1003343708 MOORE YOUNAN ARLENE TEANA ZAKIA 2021 FFS RENDERING SNC AGE 0-20 533 2,397 476 1,507 199 819 485 1,267
1003343708 MOORE YOUNAN ARLENE TEANA ZAKIA 2021 FFS RENDERING SNC AGE 21+ 422 2,229 250 643 207 858 373 1,358
1003369075 SHAHHAL SAMI I 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 1 1 1 1
1003369075 SHAHHAL SAMI I 2021 FFS RENDERING SNC AGE 21+ 34 87 11 13 27 66 13 16
1003394511 GOLANI RAHUL D 2021 FFS RENDERING SNC AGE 0-20 280 531 254 367 138 243 214 246
1003394511 GOLANI RAHUL D 2021 FFS RENDERING SNC AGE 21+ 331 768 236 343 218 471 193 253
1003396128 SHYN STEPHANIE JER 2021 FFS RENDERING SNC AGE 0-20 1,018 1,357 883 1,097 162 204 620 701
1003396128 SHYN STEPHANIE JER 2021 FFS RENDERING SNC AGE 21+ 499 731 258 294 264 380 209 236
1003415951 PHAM TAMMY L 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 0 0 0 0
1003415951 PHAM TAMMY L 2021 FFS RENDERING SNC AGE 21+ 1 2 0 0 0 0 0 0
1003478587 GROVER ELIZABETH 2021 FFS RENDERING SNC AGE 0-20 135 439 82 174 95 335 86 179
1003478587 GROVER ELIZABETH 2021 FFS RENDERING SNC AGE 21+ 360 1,557 202 429 317 1,278 224 597
1003498346 CHU ALLEN 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 0 0 1 1
1003820895 LEW EDWARD W 2021 FFS RENDERING SNC AGE 0-20 61 96 61 96 0 0 61 96
1003820895 LEW EDWARD W 2021 FFS RENDERING SNC AGE 21+ 612 1,386 612 1,386 0 0 612 1,386
1003826009 CONSOLIDATED TRIBAL HEALTH P 2021 FFS RENDERING SNC AGE 0-20 19 32 17 30 1 1 17 30
1003826009 CONSOLIDATED TRIBAL HEALTH P 2021 FFS RENDERING SNC AGE 21+ 19 31 18 30 1 1 18 30
1003879685 TRAN, TINH V MD 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 0 0 1 1
1003919127 SADEGHI FAEZEH 2021 FFS RENDERING SNC AGE 0-20 776 1,011 679 812 177 217 584 670
1003919127 SADEGHI FAEZEH 2021 FFS RENDERING SNC AGE 21+ 500 822 421 591 251 353 399 553
1003975566 TURNER KARLA M 2021 FFS RENDERING SNC AGE 0-20 52 103 52 101 1 1 52 101
1003975566 TURNER KARLA M 2021 FFS RENDERING SNC AGE 21+ 156 522 156 520 81 236 156 520
1013043314 KELLEY, LEAH M MD 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 1 1 0 0
1013043777 PARK DAVID Y 2021 FFS RENDERING SNC AGE 0-20 149 276 28 41 65 107 15 21
1013043777 PARK DAVID Y 2021 FFS RENDERING SNC AGE 21+ 293 589 1 1 191 320 58 108
1013069996 CHACKO RENY 2021 FFS RENDERING SNC AGE 0-20 296 1,064 257 450 120 280 251 396
1013069996 CHACKO RENY 2021 FFS RENDERING SNC AGE 21+ 248 1,016 133 177 158 551 117 148
1013085638 LA PLANT JR LLOYD P 2021 FFS RENDERING SNC AGE 0-20 925 1,293 867 1,144 224 299 823 992
1013085638 LA PLANT JR LLOYD P 2021 FFS RENDERING SNC AGE 21+ 409 488 291 310 200 234 306 325
1013126622 JHAWAR VIBHA 2021 FFS RENDERING SNC AGE 0-20 141 166 117 133 57 66 88 97
1013126622 JHAWAR VIBHA 2021 GMC RENDERING SNC AGE 0-20 1 1 1 1 1 1 0 0
1013168426 MARZAN MARIA ANITA ALMARIA 2021 FFS RENDERING SNC AGE 0-20 145 209 123 153 47 65 39 39
1013168426 MARZAN MARIA ANITA ALMARIA 2021 FFS RENDERING SNC AGE 21+ 271 511 106 118 230 421 73 73
1013185636 LIBAO MARIA JUVY R 2021 FFS RENDERING SNC AGE 0-20 1,047 3,794 1,047 3,794 0 0 1,047 3,794
1013185636 LIBAO MARIA JUVY R 2021 FFS RENDERING SNC AGE 21+ 492 1,956 492 1,956 0 0 492 1,956
1013225143 PARVIN NILOFAR 2021 FFS RENDERING SNC AGE 0-20 116 167 97 127 23 33 85 96
1013225143 PARVIN NILOFAR 2021 FFS RENDERING SNC AGE 21+ 198 449 104 145 139 303 140 151
1013240381 MAXWELL FRANDSEN D 2021 FFS RENDERING SNC AGE 0-20 649 962 646 954 11 11 645 951
1013240381 MAXWELL FRANDSEN D 2021 FFS RENDERING SNC AGE 21+ 516 791 510 771 24 27 509 764
1013257831 CELERI KIMBERLY JILL 2021 FFS RENDERING SNC AGE 0-20 266 437 266 437 1 1 0 0
1013257831 CELERI KIMBERLY JILL 2021 FFS RENDERING SNC AGE 21+ 518 1,014 482 888 332 596 0 0
1013287440 SAYOC MA KRISELDA N 2021 FFS RENDERING SNC AGE 0-20 55 179 24 55 20 66 0 0
1013287440 SAYOC MA KRISELDA N 2021 FFS RENDERING SNC AGE 21+ 279 2,023 71 148 187 905 97 712
1013342872 SMITH GREGORY M 2021 FFS RENDERING SNC AGE 0-20 477 878 448 680 255 446 429 551
1013342872 SMITH GREGORY M 2021 FFS RENDERING SNC AGE 21+ 491 1,059 434 670 380 706 430 564
1013376029 OLOYE GABRIELLA 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 0 0 1 1
1013392083 PHIPPS DON 2021 FFS RENDERING SNC AGE 0-20 278 531 204 299 85 171 233 358
1013392083 PHIPPS DON 2021 FFS RENDERING SNC AGE 21+ 735 2,221 320 488 361 818 524 1,285
1013396811 KEIKHAN EBRAHIM KATHY 2021 FFS RENDERING SNC AGE 0-20 13 26 1 2 0 0 11 18
1013396811 KEIKHAN EBRAHIM KATHY 2021 FFS RENDERING SNC AGE 21+ 144 218 22 26 42 53 79 98
1013474501 TYREE KENNA ROSE 2021 FFS RENDERING SNC AGE 0-20 155 446 155 442 1 1 139 400
1013474501 TYREE KENNA ROSE 2021 FFS RENDERING SNC AGE 21+ 239 799 238 797 92 396 155 377
1013482231 HINES MORGAN DANIELLE 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 0 0 0 0
1023001674 CHOI GABRIEL C 2021 FFS RENDERING SNC AGE 0-20 274 368 78 87 74 105 63 73
1023001674 CHOI GABRIEL C 2021 FFS RENDERING SNC AGE 21+ 299 595 30 41 235 435 38 56
1023108578 SIT HOI Y 2021 FFS RENDERING SNC AGE 0-20 903 1,652 687 945 349 612 654 817
1023108578 SIT HOI Y 2021 FFS RENDERING SNC AGE 21+ 964 2,927 489 589 683 1,695 119 413
1023131455 USUDE, TEDERHI TEDDY, DDS 2021 FFS RENDERING SNC AGE 0-20 450 620 386 491 98 129 334 383
1023131455 USUDE, TEDERHI TEDDY, DDS 2021 FFS RENDERING SNC AGE 21+ 555 986 371 420 306 506 392 469
1023271053 CHEONG JANET 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 0 0 1 1
1023338670 RITTENBACH KIRSTEN J 2021 FFS RENDERING SNC AGE 0-20 15 25 1 1 1 2 14 20
1023338670 RITTENBACH KIRSTEN J 2021 FFS RENDERING SNC AGE 21+ 59 71 0 0 43 50 25 31
1023347614 JACOBSON SHABNAM 2021 FFS RENDERING SNC AGE 0-20 1,008 1,215 1,007 1,211 37 55 1,007 1,211
1023347614 JACOBSON SHABNAM 2021 FFS RENDERING SNC AGE 21+ 326 670 323 646 194 357 323 645
1023405099 SABER SAGHAR 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 1 1 1 1
1023405099 SABER SAGHAR 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 0 0 1 1
1023425204 HURLEY TIMOTHY 2021 FFS RENDERING SNC AGE 0-20 871 1,330 635 776 460 643 626 723
1023425204 HURLEY TIMOTHY 2021 FFS RENDERING SNC AGE 21+ 299 460 57 62 241 332 111 159
1023440955 BUSTOS JOSE L 2021 FFS RENDERING SNC AGE 0-20 297 453 199 242 97 159 214 308
1023440955 BUSTOS JOSE L 2021 FFS RENDERING SNC AGE 21+ 846 2,180 434 570 661 1,512 645 1,524
1023480647 MCDONALD CHANETTE A 2021 FFS RENDERING SNC AGE 0-20 275 884 249 613 98 274 222 444
1023480647 MCDONALD CHANETTE A 2021 FFS RENDERING SNC AGE 21+ 179 404 67 125 98 229 100 187
1023485125 SAFARIAN OSHIN 2021 FFS RENDERING SNC AGE 0-20 617 841 534 563 156 229 512 536
1023485125 SAFARIAN OSHIN 2021 FFS RENDERING SNC AGE 21+ 230 449 105 121 148 256 126 154
1023494556 SINGH GURMEET 2021 FFS RENDERING SNC AGE 0-20 553 952 486 588 166 293 421 484
1023494556 SINGH GURMEET 2021 FFS RENDERING SNC AGE 21+ 375 678 296 337 136 228 304 375
1023540994 MADRIGAL GUADALUPE 2021 FFS RENDERING SNC AGE 0-20 509 619 347 372 187 234 315 336
1023540994 MADRIGAL GUADALUPE 2021 FFS RENDERING SNC AGE 21+ 855 1,317 617 780 398 569 612 773
1023540994 MADRIGAL GUADALUPE 2021 GMC RENDERING SNC AGE 21+ 1 1 1 1 0 0 1 1
1023654381 REYES SIGHINOLF DANIEL F 2021 FFS RENDERING SNC AGE 0-20 229 462 229 462 0 0 229 462
1023654381 REYES SIGHINOLF DANIEL F 2021 FFS RENDERING SNC AGE 21+ 210 462 210 462 0 0 210 462
1023662608 CARRARA ROBERT P 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 1 1 0 0
1033115894 CHEN KIM CHIN P 2021 FFS RENDERING SNC AGE 0-20 88 94 18 18 13 14 15 15
1033115894 CHEN KIM CHIN P 2021 FFS RENDERING SNC AGE 21+ 79 80 27 27 32 32 40 40
1033122296 HUOT JAMES M 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 0 0 0 0
1033140249 JORDAN SHANA 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 0 0 0 0
1033254792 NICA ANCA R 2021 FFS RENDERING SNC AGE 0-20 302 430 271 354 67 84 262 336
1033254792 NICA ANCA R 2021 FFS RENDERING SNC AGE 21+ 254 374 160 202 101 143 155 194
1033272406 WELLMAN SUSAN M 2021 FFS RENDERING SNC AGE 0-20 210 316 0 0 1 1 0 0
1033272406 WELLMAN SUSAN M 2021 FFS RENDERING SNC AGE 21+ 152 270 0 0 1 1 0 0
1033275029 REZAI, NESHAT, DDS 2021 FFS RENDERING SNC AGE 0-20 29 29 23 23 1 1 15 15
1033275029 REZAI, NESHAT, DDS 2021 FFS RENDERING SNC AGE 21+ 28 28 1 1 17 17 1 1
1033285051 LE VINH M 2021 FFS RENDERING SNC AGE 0-20 1,271 2,191 740 854 569 983 716 821
1033285051 LE VINH M 2021 FFS RENDERING SNC AGE 21+ 136 174 34 37 112 144 15 16
1033310727 ESCUTIN, PETER, DDS 2021 FFS RENDERING SNC AGE 0-20 148 347 148 347 0 0 148 347
1033310727 ESCUTIN, PETER, DDS 2021 FFS RENDERING SNC AGE 21+ 139 420 139 420 0 0 139 420
1033357892 DIZON EUNICE 2021 FFS RENDERING SNC AGE 0-20 1,188 1,451 988 1,141 524 644 221 253
1033357892 DIZON EUNICE 2021 FFS RENDERING SNC AGE 21+ 258 372 43 47 218 282 72 108
1033390091 DONRAD NICOLE 2021 FFS RENDERING SNC AGE 0-20 679 1,489 571 987 385 663 405 534
1033390091 DONRAD NICOLE 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 0 0 0 0
1033499249 DORNBUSH, CAROLINE C, RDHAP 2021 FFS RENDERING SNC AGE 0-20 146 160 133 140 17 20 1 1
1033499249 DORNBUSH, CAROLINE C, RDHAP 2021 FFS RENDERING SNC AGE 21+ 344 407 157 164 225 270 1 1
1033509799 TWILLING KIM 2021 FFS RENDERING SNC AGE 0-20 63 99 62 97 1 1 58 91
1033509799 TWILLING KIM 2021 FFS RENDERING SNC AGE 21+ 257 519 221 446 43 72 192 386
1033509799 TWILLING KIM 2021 GMC RENDERING SNC AGE 21+ 1 1 1 1 0 0 1 1
1033527825 VENTRESCA DOMINICK E 2021 FFS RENDERING SNC AGE 0-20 226 381 199 305 62 85 162 205
1033527825 VENTRESCA DOMINICK E 2021 FFS RENDERING SNC AGE 21+ 299 608 217 333 174 287 180 249
1033527825 VENTRESCA DOMINICK E 2021 GMC RENDERING SNC AGE 0-20 1 1 1 1 0 0 1 1
1033536800 WISEMAN CHARLES L 2021 FFS RENDERING SNC AGE 0-20 115 193 115 193 0 0 115 193
1033536800 WISEMAN CHARLES L 2021 FFS RENDERING SNC AGE 21+ 588 1,135 586 1,132 1 1 586 1,132
1033559331 GOLCHOOBIAN TABASSOM P 2021 FFS RENDERING SNC AGE 0-20 234 480 163 276 66 130 132 158
1033559331 GOLCHOOBIAN TABASSOM P 2021 FFS RENDERING SNC AGE 21+ 323 1,163 268 514 156 422 236 359
1033559398 CHIUEH WILLIAM L 2021 FFS RENDERING SNC AGE 0-20 168 316 141 173 71 117 134 156
1033559398 CHIUEH WILLIAM L 2021 FFS RENDERING SNC AGE 21+ 527 1,556 259 357 411 1,128 232 270
1033583349 JOO KYUNG W 2021 FFS RENDERING SNC AGE 0-20 101 141 93 115 35 41 72 82
1033583349 JOO KYUNG W 2021 GMC RENDERING SNC AGE 0-20 1 1 1 1 0 0 1 1
1033590948 OGTONG KATHERINE G 2021 FFS RENDERING SNC AGE 0-20 169 379 30 38 36 77 1 2
1033590948 OGTONG KATHERINE G 2021 FFS RENDERING SNC AGE 21+ 178 606 40 79 78 229 1 1
1033671177 PALACIOS CARLOS 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 0 0 0 0
1033674098 PRIETO HILDA 2021 FFS RENDERING SNC AGE 0-20 336 815 219 316 176 368 100 100
1033674098 PRIETO HILDA 2021 FFS RENDERING SNC AGE 21+ 493 1,468 192 259 399 1,094 88 104
1033674817 KIM YEON H 2021 FFS RENDERING SNC AGE 0-20 261 719 261 719 0 0 261 719
1033674817 KIM YEON H 2021 FFS RENDERING SNC AGE 21+ 376 1,460 370 1,432 0 0 370 1,434
1033680186 CARDENAS MAURICIO A 2021 FFS RENDERING SNC AGE 0-20 68 178 39 46 41 94 39 46
1033680186 CARDENAS MAURICIO A 2021 FFS RENDERING SNC AGE 21+ 271 1,191 156 175 226 822 164 200
1033681077 KNORR SHAFFER HYON 2021 FFS RENDERING SNC AGE 0-20 57 136 56 134 0 0 1 1
1033681077 KNORR SHAFFER HYON 2021 FFS RENDERING SNC AGE 21+ 148 611 148 607 87 414 1 1
1033695085 GEHLOT ROSHNI 2021 FFS RENDERING SNC AGE 0-20 38 94 31 64 12 32 28 54
1033695085 GEHLOT ROSHNI 2021 FFS RENDERING SNC AGE 21+ 23 59 1 2 15 42 1 2
1033781851 JI CHENQI 2021 FFS RENDERING SNC AGE 0-20 121 351 89 176 50 113 57 73
1033781851 JI CHENQI 2021 FFS RENDERING SNC AGE 21+ 176 687 140 332 115 318 105 258
1043201726 TSO, VINCENT J, DMD 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 0 0 0 0
1043201726 TSO, VINCENT J, DMD 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 0 0 1 1
1043213036 GELLE GERALD G 2021 FFS RENDERING SNC AGE 0-20 196 211 61 65 35 41 55 58
1043213036 GELLE GERALD G 2021 FFS RENDERING SNC AGE 21+ 232 264 26 26 152 175 89 91
1043233067 REID LAURA K 2021 FFS RENDERING SNC AGE 0-20 56 62 18 19 38 41 12 13
1043365679 MIRZAEIAN LOVIK 2021 FFS RENDERING SNC AGE 0-20 46 67 42 60 1 1 33 33
1043365679 MIRZAEIAN LOVIK 2021 FFS RENDERING SNC AGE 21+ 89 147 65 92 29 39 57 59
1043388952 MODJESKI CATHERINE P 2021 FFS RENDERING SNC AGE 0-20 999 2,019 999 2,019 0 0 999 2,019
1043388952 MODJESKI CATHERINE P 2021 FFS RENDERING SNC AGE 21+ 1,293 3,752 1,288 3,740 0 0 1,288 3,740
1043403611 SHTROM OLGA 2021 FFS RENDERING SNC AGE 0-20 1,590 3,064 1,497 2,157 324 495 1,491 2,187
1043403611 SHTROM OLGA 2021 FFS RENDERING SNC AGE 21+ 1 2 1 1 0 0 1 1
1043422520 DUONG KATIE V 2021 FFS RENDERING SNC AGE 0-20 573 794 511 637 253 371 395 480
1043422520 DUONG KATIE V 2021 FFS RENDERING SNC AGE 21+ 523 746 440 575 371 522 405 522
1043430374 MURAKAWA MARY MASAKO 2021 FFS RENDERING SNC AGE 0-20 24 30 14 16 1 1 1 1
1043430374 MURAKAWA MARY MASAKO 2021 FFS RENDERING SNC AGE 21+ 339 503 141 158 131 176 118 158
1043435530 CARLSON LARSON RUBY C 2021 FFS RENDERING SNC AGE 0-20 66 140 40 56 0 0 40 56
1043435530 CARLSON LARSON RUBY C 2021 FFS RENDERING SNC AGE 21+ 79 153 66 122 0 0 66 122
1043453988 BRAVO CUSHING GHISELA E 2021 FFS RENDERING SNC AGE 0-20 548 607 427 455 402 447 347 366
1043453988 BRAVO CUSHING GHISELA E 2021 FFS RENDERING SNC AGE 21+ 302 357 182 200 249 293 164 179
1043467202 LIU JASON K 2021 FFS RENDERING SNC AGE 0-20 13 19 1 2 1 1 1 2
1043467202 LIU JASON K 2021 FFS RENDERING SNC AGE 21+ 249 503 168 257 141 222 190 335
1043468457 LUNA EUGENE P 2021 FFS RENDERING SNC AGE 0-20 802 1,110 585 720 311 381 435 533
1043468457 LUNA EUGENE P 2021 FFS RENDERING SNC AGE 21+ 447 801 344 466 251 371 352 525
1043479777 HADAYA MONA T 2021 FFS RENDERING SNC AGE 0-20 422 827 418 801 67 114 412 787
1043479777 HADAYA MONA T 2021 FFS RENDERING SNC AGE 21+ 142 264 139 251 64 120 138 251
1043541121 LIAO PHILIP 2021 FFS RENDERING SNC AGE 0-20 404 494 121 128 119 151 115 124
1043541121 LIAO PHILIP 2021 FFS RENDERING SNC AGE 21+ 756 1,161 245 275 470 675 374 417
1043543051 LEE LAWRENCE 2021 FFS RENDERING SNC AGE 0-20 161 427 161 427 149 392 161 427
1043543051 LEE LAWRENCE 2021 FFS RENDERING SNC AGE 21+ 200 524 200 524 195 504 200 524
1043578180 KUO BRIAN Y 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 1 1 1 1
1043578180 KUO BRIAN Y 2021 FFS RENDERING SNC AGE 21+ 68 146 18 24 36 67 35 55
1043581200 TOCA ALAIN 2021 FFS RENDERING SNC AGE 0-20 212 241 124 134 170 183 121 129
1043581200 TOCA ALAIN 2021 FFS RENDERING SNC AGE 21+ 474 818 223 267 409 661 262 306
1043581200 TOCA ALAIN 2021 PHP RENDERING SNC AGE 21+ 1 1 0 0 1 1 0 0
1043585391 CRESPIN BERTA LILIAN 2021 FFS RENDERING SNC AGE 0-20 791 1,204 665 952 715 989 289 348
1043585391 CRESPIN BERTA LILIAN 2021 FFS RENDERING SNC AGE 21+ 626 1,308 426 700 492 952 294 341
1043627417 UCH SAKYA 2021 FFS RENDERING SNC AGE 0-20 757 1,695 677 1,211 192 324 602 781
1043627417 UCH SAKYA 2021 FFS RENDERING SNC AGE 21+ 538 1,394 484 822 236 543 470 655
1043637010 HALL JOSHWIN R 2021 FFS RENDERING SNC AGE 0-20 204 292 168 217 42 56 156 166
1043637010 HALL JOSHWIN R 2021 FFS RENDERING SNC AGE 21+ 202 313 59 62 80 132 65 76
1043640667 TURNER DEANDRA N 2021 FFS RENDERING SNC AGE 0-20 328 715 309 551 186 326 274 385
1043643513 EZZY ZAHRA H 2021 FFS RENDERING SNC AGE 0-20 223 333 160 192 85 127 171 193
1043643513 EZZY ZAHRA H 2021 FFS RENDERING SNC AGE 21+ 317 595 59 72 217 358 43 57
1043661457 CHAABO, HANI MD 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 0 0 1 1
1043665219 AGARI KIMIKO 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 1 1 1 1
1043680697 CHEN CONNIE F 2021 FFS RENDERING SNC AGE 0-20 21 25 21 25 0 0 21 25
1043680697 CHEN CONNIE F 2021 FFS RENDERING SNC AGE 21+ 315 386 313 384 0 0 313 384
1043682370 SANDHU SUMEET K 2021 FFS RENDERING SNC AGE 0-20 1 2 1 1 1 2 1 1
1043682370 SANDHU SUMEET K 2021 FFS RENDERING SNC AGE 21+ 12 28 1 1 1 2 1 1
1043686140 CAI JENNIFER 2021 FFS RENDERING SNC AGE 0-20 275 903 226 599 111 410 230 518
1043686140 CAI JENNIFER 2021 FFS RENDERING SNC AGE 21+ 556 2,142 325 878 436 1,547 275 642
1043687007 NGO TINA T 2021 FFS RENDERING SNC AGE 0-20 654 981 424 492 510 773 66 81
1043687007 NGO TINA T 2021 FFS RENDERING SNC AGE 21+ 13 14 1 1 1 2 1 1
1043690696 LIEN KELLY 2021 FFS RENDERING SNC AGE 0-20 71 130 71 130 0 0 71 130
1043690696 LIEN KELLY 2021 FFS RENDERING SNC AGE 21+ 667 1,698 667 1,698 0 0 667 1,698
1043773427 CANNON DARRIEL JOSEPH 2021 FFS RENDERING SNC AGE 0-20 17 27 0 0 1 1 1 2
1043773427 CANNON DARRIEL JOSEPH 2021 FFS RENDERING SNC AGE 21+ 72 94 1 1 26 31 38 45
1043810617 JAIN ASHNA A 2021 FFS RENDERING SNC AGE 0-20 423 790 296 403 156 255 144 153
1043810617 JAIN ASHNA A 2021 FFS RENDERING SNC AGE 21+ 637 1,680 374 569 407 919 245 337
1053085712 LOPEZ-ALVAREZ SANDY 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 0 0 1 1
1053085712 LOPEZ-ALVAREZ SANDY 2021 FFS RENDERING SNC AGE 21+ 23 29 12 14 14 17 13 16
1053305037 CHINH CYNTHIA 2021 FFS RENDERING SNC AGE 0-20 549 971 460 638 281 528 90 99
1053305037 CHINH CYNTHIA 2021 FFS RENDERING SNC AGE 21+ 755 1,410 408 496 443 816 184 335
1053329128 NELSON MICHAEL J 2021 FFS RENDERING SNC AGE 0-20 615 681 450 491 284 313 397 433
1053329128 NELSON MICHAEL J 2021 FFS RENDERING SNC AGE 21+ 468 530 354 399 372 416 340 385
1053483339 MITCHELL CECILIA R 2021 FFS RENDERING SNC AGE 0-20 37 72 37 72 1 2 37 72
1053483339 MITCHELL CECILIA R 2021 FFS RENDERING SNC AGE 21+ 194 583 194 581 89 172 194 581
1053485789 DE LA O II ABRAN 2021 FFS RENDERING SNC AGE 0-20 361 1,067 354 719 101 257 337 485
1053485789 DE LA O II ABRAN 2021 FFS RENDERING SNC AGE 21+ 440 1,735 402 785 254 855 412 801
1053535328 HORCHIN RADD 2021 FFS RENDERING SNC AGE 0-20 616 1,270 607 1,103 118 191 582 709
1053535328 HORCHIN RADD 2021 FFS RENDERING SNC AGE 21+ 426 1,032 397 652 210 408 382 488
1053544239 DELACERNA FELICE 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 1 1 0 0
1053570036 TRAN HUONGLAN 2021 FFS RENDERING SNC AGE 0-20 24 32 23 27 1 1 21 24
1053570036 TRAN HUONGLAN 2021 FFS RENDERING SNC AGE 21+ 170 249 130 152 95 122 129 152
1053583781 XIBILLE LILIA 2021 FFS RENDERING SNC AGE 0-20 592 991 481 685 159 243 188 213
1053583781 XIBILLE LILIA 2021 FFS RENDERING SNC AGE 21+ 738 1,625 480 619 393 802 417 464
1053628461 HAN PIL 2021 FFS RENDERING SNC AGE 0-20 33 39 33 39 0 0 27 27
1053628461 HAN PIL 2021 FFS RENDERING SNC AGE 21+ 16 16 1 1 1 1 1 1
1053635813 NGUYEN TIN TRI 2021 FFS RENDERING SNC AGE 0-20 19 27 1 1 1 1 11 12
1053635813 NGUYEN TIN TRI 2021 FFS RENDERING SNC AGE 21+ 476 958 134 177 286 485 167 261
1053678870 LEE MARCUS 2021 FFS RENDERING SNC AGE 0-20 688 905 563 675 139 182 519 590
1053678870 LEE MARCUS 2021 FFS RENDERING SNC AGE 21+ 483 776 378 497 177 258 365 480
1053706283 RAHBAR GELAREH 2021 FFS RENDERING SNC AGE 0-20 436 1,662 321 760 225 731 82 102
1053706283 RAHBAR GELAREH 2021 FFS RENDERING SNC AGE 21+ 296 998 123 186 189 559 84 116
1053754473 SEIN, SAW MD 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 1 1 0 0
1053771402 CHU SHU-YU 2021 FFS RENDERING SNC AGE 0-20 92 149 92 149 0 0 92 149
1053771402 CHU SHU-YU 2021 FFS RENDERING SNC AGE 21+ 866 1,431 866 1,431 0 0 866 1,431
1053775064 AGUINALDO-WETTERHOLM SAMANTHA 2021 FFS RENDERING SNC AGE 0-20 523 624 442 509 80 87 408 462
1053775064 AGUINALDO-WETTERHOLM SAMANTHA 2021 FFS RENDERING SNC AGE 21+ 259 393 156 185 149 197 154 225
1053780874 AUNG WAI H 2021 FFS RENDERING SNC AGE 0-20 2,206 2,971 2,177 2,887 65 91 2,147 2,818
1053780874 AUNG WAI H 2021 FFS RENDERING SNC AGE 21+ 325 534 309 463 118 193 304 460
1053780874 AUNG WAI H 2021 PHP RENDERING SNC AGE 0-20 1 1 1 1 0 0 1 1
1053791046 COSTANDI DIANE 2021 FFS RENDERING SNC AGE 0-20 32 62 1 1 23 52 0 0
1053791046 COSTANDI DIANE 2021 FFS RENDERING SNC AGE 21+ 359 709 33 42 312 602 14 16
1053794990 TURLA JUSTINE A 2021 FFS RENDERING SNC AGE 0-20 17 22 11 12 0 0 1 1
1053794990 TURLA JUSTINE A 2021 FFS RENDERING SNC AGE 21+ 42 67 24 29 14 17 18 19
1053807446 HAMIDI GYVE L 2021 FFS RENDERING SNC AGE 0-20 158 295 157 291 0 0 157 291
1053807446 HAMIDI GYVE L 2021 FFS RENDERING SNC AGE 21+ 129 371 126 359 0 0 126 359
1053836189 NGUYEN JONATHAN H 2021 FFS RENDERING SNC AGE 0-20 454 866 426 656 135 222 356 412
1053836189 NGUYEN JONATHAN H 2021 FFS RENDERING SNC AGE 21+ 399 1,158 366 676 234 605 340 487
1053845644 TEGARDEN MARISA M 2021 FFS RENDERING SNC AGE 0-20 153 369 153 369 1 1 0 0
1053845644 TEGARDEN MARISA M 2021 FFS RENDERING SNC AGE 21+ 416 1,178 402 1,128 146 544 1 1
1053851345 MORRIS RENETTRA A 2021 FFS RENDERING SNC AGE 0-20 33 35 30 32 1 1 30 32
1053851345 MORRIS RENETTRA A 2021 FFS RENDERING SNC AGE 21+ 61 95 56 89 1 1 55 88
1053970285 HA CAITLIN X 2021 FFS RENDERING SNC AGE 0-20 391 995 271 460 236 498 55 68
1053970285 HA CAITLIN X 2021 FFS RENDERING SNC AGE 21+ 474 1,760 253 385 401 1,272 131 183
1063023703 KHAN MUHAMMAD SHERYAR 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 1 1 0 0
1063023703 KHAN MUHAMMAD SHERYAR 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 1 1 1 1
1063056810 NEWTON NANCY LEE 2021 FFS RENDERING SNC AGE 0-20 60 120 60 120 0 0 1 1
1063056810 NEWTON NANCY LEE 2021 FFS RENDERING SNC AGE 21+ 45 94 45 94 31 66 1 1
1063476307 KIDO REX Y 2021 FFS RENDERING SNC AGE 0-20 12 12 1 1 1 1 1 1
1063476307 KIDO REX Y 2021 FFS RENDERING SNC AGE 21+ 1 2 0 0 1 2 1 1
1063525947 PARVEEN, SHAISTA MD 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 0 0 1 1
1063531481 PETERSON BRUCE MICHAEL 2021 FFS RENDERING SNC AGE 0-20 60 116 60 116 0 0 60 116
1063531481 PETERSON BRUCE MICHAEL 2021 FFS RENDERING SNC AGE 21+ 104 362 104 362 0 0 104 362
1063549228 WILLIAMS LESA R 2021 FFS RENDERING SNC AGE 0-20 257 398 253 390 0 0 253 390
1063549228 WILLIAMS LESA R 2021 FFS RENDERING SNC AGE 21+ 229 374 226 366 0 0 226 366
1063553022 PARK JUN 2021 FFS RENDERING SNC AGE 0-20 458 550 396 467 101 108 312 350
1063553022 PARK JUN 2021 FFS RENDERING SNC AGE 21+ 824 1,233 627 809 363 466 612 824
1063587483 PANATCH KIRANDEEP 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 1 1 1 1
1063587483 PANATCH KIRANDEEP 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 1 1 0 0
1063605483 HUANG RYAN Z 2021 FFS RENDERING SNC AGE 0-20 90 155 50 64 37 48 31 38
1063605483 HUANG RYAN Z 2021 FFS RENDERING SNC AGE 21+ 271 807 81 112 166 382 87 129
1063605780 LEE KYUNG E 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 1 1 0 0
1063633790 BANH AMY Q 2021 FFS RENDERING SNC AGE 0-20 591 1,119 550 885 187 264 514 751
1063633790 BANH AMY Q 2021 FFS RENDERING SNC AGE 21+ 668 1,437 406 598 503 1,028 214 256
1063675999 TRANG THIEN H 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 0 0 1 1
1063682268 NGUYEN BICH-NGOC 2021 FFS RENDERING SNC AGE 0-20 1,734 2,169 1,551 1,862 198 237 1,000 1,134
1063682268 NGUYEN BICH-NGOC 2021 FFS RENDERING SNC AGE 21+ 848 1,084 235 261 587 723 220 241
1063697183 MILERA SHELLY A 2021 FFS RENDERING SNC AGE 0-20 181 310 171 241 71 109 150 167
1063697183 MILERA SHELLY A 2021 GMC RENDERING SNC AGE 0-20 1 1 1 1 0 0 1 1
1063757185 MANESH SAMAN K 2021 FFS RENDERING SNC AGE 0-20 347 1,208 347 1,208 0 0 347 1,208
1063757185 MANESH SAMAN K 2021 FFS RENDERING SNC AGE 21+ 464 1,966 464 1,966 0 0 464 1,966
1063757185 MANESH SAMAN K 2021 GMC RENDERING SNC AGE 0-20 1 2 1 2 0 0 1 2
1063757185 MANESH SAMAN K 2021 GMC RENDERING SNC AGE 21+ 1 2 1 2 0 0 1 2
1063782746 BERAL KOUROSH M 2021 FFS RENDERING SNC AGE 0-20 481 520 437 464 73 82 430 456
1063782746 BERAL KOUROSH M 2021 FFS RENDERING SNC AGE 21+ 490 563 452 509 68 74 440 494
1063790855 JOSHI TRIPTI T 2021 FFS RENDERING SNC AGE 0-20 392 740 369 501 133 276 306 356
1063790855 JOSHI TRIPTI T 2021 FFS RENDERING SNC AGE 21+ 200 583 149 168 116 292 167 330
1063819928 POMEROY WILLIAM I 2021 FFS RENDERING SNC AGE 0-20 90 155 90 155 0 0 90 155
1063819928 POMEROY WILLIAM I 2021 FFS RENDERING SNC AGE 21+ 731 1,843 731 1,843 0 0 731 1,843
1063836393 CHUNG PETER D 2021 FFS RENDERING SNC AGE 0-20 284 1,115 284 1,112 0 0 284 1,112
1063836393 CHUNG PETER D 2021 FFS RENDERING SNC AGE 21+ 357 1,585 357 1,584 0 0 357 1,584
1063891513 NAJIBI ROD 2021 FFS RENDERING SNC AGE 0-20 382 500 324 362 41 59 325 352
1063891513 NAJIBI ROD 2021 FFS RENDERING SNC AGE 21+ 268 622 176 184 134 309 207 256
1063938751 GARFINKEL DAVID 2021 FFS RENDERING SNC AGE 0-20 12 35 12 24 1 2 11 20
1063938751 GARFINKEL DAVID 2021 FFS RENDERING SNC AGE 21+ 71 289 35 78 52 147 42 132
1063962975 SI SOO Y 2021 FFS RENDERING SNC AGE 0-20 944 3,037 944 3,037 0 0 944 3,037
1063962975 SI SOO Y 2021 FFS RENDERING SNC AGE 21+ 305 1,595 305 1,595 1 1 305 1,595
1063984656 ABHISHEK FNU 2021 FFS RENDERING SNC AGE 0-20 842 1,747 297 443 253 504 298 435
1063984656 ABHISHEK FNU 2021 FFS RENDERING SNC AGE 21+ 521 1,210 79 118 371 798 122 174
1073027991 DAVIS BRANDON 2021 FFS RENDERING SNC AGE 0-20 1 2 1 1 1 1 1 1
1073027991 DAVIS BRANDON 2021 FFS RENDERING SNC AGE 21+ 155 533 1 2 127 334 45 91
1073097176 KESARIA JEEL MURJIBHAI 2021 FFS RENDERING SNC AGE 0-20 627 1,543 598 1,221 173 331 585 822
1073097176 KESARIA JEEL MURJIBHAI 2021 FFS RENDERING SNC AGE 21+ 611 1,752 579 1,025 278 689 567 901
1073169066 NGUYEN THOMAS T 2021 FFS RENDERING SNC AGE 21+ 15 29 13 25 1 1 13 25
1073193348 WANG MARISSA 2021 FFS RENDERING SNC AGE 0-20 458 504 375 403 79 85 200 208
1073193348 WANG MARISSA 2021 FFS RENDERING SNC AGE 21+ 59 61 19 19 27 28 15 15
1073540621 KIM SAM YONG H 2021 FFS RENDERING SNC AGE 0-20 156 421 123 169 97 302 122 168
1073540621 KIM SAM YONG H 2021 FFS RENDERING SNC AGE 21+ 629 1,793 375 484 477 1,197 370 427
1073559464 YOUNAN, SELMA YOUSIF DDS 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 1 1 0 0
1073559464 YOUNAN, SELMA YOUSIF DDS 2021 FFS RENDERING SNC AGE 21+ 29 134 0 0 29 94 1 2
1073572426 CHANG TERESA J. 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 0 0 0 0
1073581856 RAO, CHERUKUPALLI SRINIVAS, 2021 FFS RENDERING SNC AGE 0-20 24 31 1 1 12 15 1 1
1073581856 RAO, CHERUKUPALLI SRINIVAS, 2021 FFS RENDERING SNC AGE 21+ 390 513 22 23 331 415 24 25
1073596185 DE LEON MELANIE R 2021 FFS RENDERING SNC AGE 0-20 818 1,641 767 1,221 223 405 745 927
1073596185 DE LEON MELANIE R 2021 FFS RENDERING SNC AGE 21+ 431 892 400 542 134 314 393 496
1073619052 LIU CHEINGLI C 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 0 0 0 0
1073619052 LIU CHEINGLI C 2021 FFS RENDERING SNC AGE 21+ 180 437 110 146 111 186 124 219
1073619862 SOHL, BERTRAM E MD 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 1 1 1 1
1073650552 INNES SNEHA 2021 FFS RENDERING SNC AGE 0-20 116 127 86 91 18 22 1 1
1073650552 INNES SNEHA 2021 FFS RENDERING SNC AGE 21+ 536 616 413 438 91 103 52 59
1073705455 RODRIGUEZ FERNANDO 2021 FFS RENDERING SNC AGE 0-20 18 28 13 14 1 2 12 15
1073705455 RODRIGUEZ FERNANDO 2021 FFS RENDERING SNC AGE 21+ 309 606 284 429 179 298 282 421
1073707733 GIBSON CHRISTINE M 2021 FFS RENDERING SNC AGE 0-20 255 563 255 563 0 0 255 563
1073707733 GIBSON CHRISTINE M 2021 FFS RENDERING SNC AGE 21+ 342 896 342 896 0 0 342 896
1073727236 LEE, HENRY H, DDS 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 0 0 1 1
1073730289 TERLET ARIANE R. 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 0 0 1 1
1073730289 TERLET ARIANE R. 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 0 0 1 1
1073745584 LEUNG HERMAN 2021 FFS RENDERING SNC AGE 0-20 108 310 51 76 74 192 26 39
1073745584 LEUNG HERMAN 2021 FFS RENDERING SNC AGE 21+ 337 1,056 123 149 278 835 62 69
1073786166 LIAO CHRISTINA SUE 2021 FFS RENDERING SNC AGE 0-20 82 85 24 24 21 22 25 25
1073786166 LIAO CHRISTINA SUE 2021 FFS RENDERING SNC AGE 21+ 58 59 26 26 23 23 23 23
1073796298 LIN STEPHANIE S 2021 FFS RENDERING SNC AGE 0-20 277 433 242 304 66 101 211 250
1073796298 LIN STEPHANIE S 2021 FFS RENDERING SNC AGE 21+ 380 923 251 320 266 600 256 360
1073807426 CROSS RANDOLPH R 2021 FFS RENDERING SNC AGE 0-20 14 20 1 1 1 1 1 2
1073807426 CROSS RANDOLPH R 2021 FFS RENDERING SNC AGE 21+ 41 52 0 0 28 34 13 15
1073907176 SUNRISE EYEWEAR AND 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 0 0 0 0
1073907978 TA KAREN 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 1 1 0 0
1073927935 GHEIDARPOUR PARISA 2021 FFS RENDERING SNC AGE 0-20 304 837 261 502 120 317 240 422
1073927935 GHEIDARPOUR PARISA 2021 FFS RENDERING SNC AGE 21+ 587 2,529 292 583 362 1,209 441 1,177
1073971461 MUROLO DANIEL 2021 FFS RENDERING SNC AGE 0-20 71 134 52 98 30 57 51 96
1073971461 MUROLO DANIEL 2021 FFS RENDERING SNC AGE 21+ 14 25 1 2 1 2 1 2
1073980090 LIANG DIANE 2021 FFS RENDERING SNC AGE 0-20 114 248 91 174 27 58 95 166
1073980090 LIANG DIANE 2021 FFS RENDERING SNC AGE 21+ 304 777 190 339 163 405 197 355
1083005508 LEE DANNY K 2021 FFS RENDERING SNC AGE 0-20 1 2 1 2 1 1 1 2
1083005508 LEE DANNY K 2021 FFS RENDERING SNC AGE 21+ 230 517 220 435 57 95 218 396
1083012520 DHALIWAL SATVIR K 2021 FFS RENDERING SNC AGE 0-20 12 18 1 1 1 1 1 1
1083012520 DHALIWAL SATVIR K 2021 FFS RENDERING SNC AGE 21+ 66 132 27 28 29 52 31 36
1083021323 DHILLON MANINDER K 2021 FFS RENDERING SNC AGE 0-20 159 335 134 207 71 123 115 123
1083021323 DHILLON MANINDER K 2021 FFS RENDERING SNC AGE 21+ 188 396 142 177 105 199 140 157
1083051981 MARAVILLAS MARY ANN 2021 FFS RENDERING SNC AGE 0-20 436 591 330 379 129 184 291 325
1083051981 MARAVILLAS MARY ANN 2021 FFS RENDERING SNC AGE 21+ 124 166 80 88 54 78 80 86
1083107817 CASTELLANOS JENNIFER 2021 FFS RENDERING SNC AGE 0-20 220 232 78 81 83 88 59 63
1083107817 CASTELLANOS JENNIFER 2021 FFS RENDERING SNC AGE 21+ 169 183 33 37 120 129 1 2
1083145544 MAYORGA STEPHANIE G 2021 FFS RENDERING SNC AGE 0-20 107 256 76 127 65 158 40 63
1083145544 MAYORGA STEPHANIE G 2021 FFS RENDERING SNC AGE 21+ 251 792 52 81 213 604 84 159
1083155840 SPOONER NICOLE SUSAN 2021 FFS RENDERING SNC AGE 0-20 35 44 35 44 0 0 35 44
1083155840 SPOONER NICOLE SUSAN 2021 FFS RENDERING SNC AGE 21+ 78 97 78 97 0 0 78 97
1083248942 DEVIRIAN CARLY ROSE 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 0 0 1 1
1083252464 MACIAS DENISSE P 2021 FFS RENDERING SNC AGE 0-20 112 224 112 224 0 0 112 224
1083252464 MACIAS DENISSE P 2021 FFS RENDERING SNC AGE 21+ 85 229 85 229 0 0 85 229
1083621213 HUANG CHEN-WEN 2021 FFS RENDERING SNC AGE 0-20 286 338 233 267 78 90 186 210
1083621213 HUANG CHEN-WEN 2021 FFS RENDERING SNC AGE 21+ 502 762 331 455 263 316 305 449
1083632368 WISTROM DAVID W 2021 FFS RENDERING SNC AGE 0-20 294 372 294 372 0 0 294 372
1083632368 WISTROM DAVID W 2021 FFS RENDERING SNC AGE 21+ 1,932 3,333 1,918 3,312 0 0 1,918 3,312
1083632806 ISAEFF, DALE M MD 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 1 1 0 0
1083732010 SUDQI OMAR H 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 0 0 1 1
1083732010 SUDQI OMAR H 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 0 0 1 1
1083750657 PUZIN THOMAS W S 2021 FFS RENDERING SNC AGE 0-20 105 125 105 125 0 0 105 125
1083750657 PUZIN THOMAS W S 2021 FFS RENDERING SNC AGE 21+ 1,596 2,577 1,588 2,567 0 0 1,588 2,567
1083782130 MATSUNAGA, ANDREW K, DDS 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 0 0 1 1
1083782130 MATSUNAGA, ANDREW K, DDS 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 0 0 1 1
1083816292 HAKIMI FARIDEH 2021 FFS RENDERING SNC AGE 0-20 1,034 1,176 908 1,015 127 131 414 425
1083816292 HAKIMI FARIDEH 2021 FFS RENDERING SNC AGE 21+ 473 531 194 199 207 236 107 110
1083850481 BURKLUND JODENE LOREE 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 1 1 1 1
1083850481 BURKLUND JODENE LOREE 2021 FFS RENDERING SNC AGE 21+ 11 11 1 1 1 1 1 1
1083928287 YANG MAGNUS K 2021 FFS RENDERING SNC AGE 0-20 199 565 174 369 73 207 150 306
1083928287 YANG MAGNUS K 2021 FFS RENDERING SNC AGE 21+ 534 2,881 357 1,057 413 1,969 370 1,154
1083945372 CHILSON JAY BENNETT 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 0 0 1 1
1083945372 CHILSON JAY BENNETT 2021 FFS RENDERING SNC AGE 21+ 1 2 1 2 0 0 1 2
1083978365 CHONG MICHAEL L 2021 FFS RENDERING SNC AGE 0-20 357 688 338 547 96 138 218 269
1083978365 CHONG MICHAEL L 2021 FFS RENDERING SNC AGE 21+ 1,023 2,268 886 1,419 492 892 760 1,035
1093074791 ALVARENGA KAREN V 2021 FFS RENDERING SNC AGE 0-20 295 308 295 305 1 1 295 295
1093116634 MIYAZATO KEN H 2021 FFS RENDERING SNC AGE 0-20 83 135 39 60 43 68 22 25
1093116634 MIYAZATO KEN H 2021 FFS RENDERING SNC AGE 21+ 454 960 84 128 357 668 114 150
1093120313 NGUYEN-CHUNG ANN 2021 FFS RENDERING SNC AGE 0-20 461 877 306 420 103 150 171 221
1093120313 NGUYEN-CHUNG ANN 2021 FFS RENDERING SNC AGE 21+ 272 651 207 388 187 360 72 128
1093143703 ANTHONY NISHA 2021 FFS RENDERING SNC AGE 0-20 590 977 519 691 178 287 388 437
1093143703 ANTHONY NISHA 2021 FFS RENDERING SNC AGE 21+ 552 1,354 447 721 320 755 413 605
1093144891 HOA STEPHANIE TRAN 2021 FFS RENDERING SNC AGE 0-20 743 914 576 673 178 201 364 404
1093144891 HOA STEPHANIE TRAN 2021 FFS RENDERING SNC AGE 21+ 25 28 1 1 1 2 1 1
1093150054 KIM, REBEKAH J H DO 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 0 0 0 0
1093186652 ANYANWU LINDA C 2021 FFS RENDERING SNC AGE 0-20 28 28 26 26 1 1 26 26
1093186652 ANYANWU LINDA C 2021 FFS RENDERING SNC AGE 21+ 39 47 38 45 1 1 38 45
1093281156 BALOY CZARINA A 2021 FFS RENDERING SNC AGE 0-20 199 705 192 444 100 290 179 354
1093281156 BALOY CZARINA A 2021 FFS RENDERING SNC AGE 21+ 428 2,464 405 1,295 352 1,631 392 975
1093281156 BALOY CZARINA A 2021 PHP RENDERING SNC AGE 21+ 1 1 1 1 1 1 0 0
1093296972 MEJIA JOSE Z 2021 FFS RENDERING SNC AGE 0-20 101 216 52 80 54 95 33 52
1093296972 MEJIA JOSE Z 2021 FFS RENDERING SNC AGE 21+ 308 770 124 214 178 438 131 261
1093371056 PARK HOJUN 2021 FFS RENDERING SNC AGE 0-20 1 2 0 0 0 0 0 0
1093371056 PARK HOJUN 2021 FFS RENDERING SNC AGE 21+ 14 15 0 0 0 0 0 0
1093372591 POELMAN THOMAS S 2021 FFS RENDERING SNC AGE 0-20 1,301 2,148 1,025 1,316 435 688 982 1,196
1093372591 POELMAN THOMAS S 2021 FFS RENDERING SNC AGE 21+ 180 390 85 167 109 217 84 169
1093485815 JEONG JINWOO 2021 FFS RENDERING SNC AGE 0-20 45 55 18 18 14 22 17 17
1093485815 JEONG JINWOO 2021 FFS RENDERING SNC AGE 21+ 56 67 1 1 41 48 1 1
1093759987 GHODDUSI-TABARS FARIDEH 2021 FFS RENDERING SNC AGE 0-20 14 20 1 2 1 1 1 1
1093759987 GHODDUSI-TABARS FARIDEH 2021 FFS RENDERING SNC AGE 21+ 38 64 12 14 15 18 14 33
1093772139 FOROUTAN AUDREY A 2021 FFS RENDERING SNC AGE 0-20 373 710 343 494 187 354 256 321
1093772139 FOROUTAN AUDREY A 2021 FFS RENDERING SNC AGE 21+ 406 988 277 418 315 673 233 359
1093803520 CHEN, TSUH-YIN MD 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 1 1 0 0
1093809931 MONTELL ALICIA 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 1 1 0 0
1093809931 MONTELL ALICIA 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 1 1 1 1
1093828691 GRIMALDI, LARRY, DDS 2021 FFS RENDERING SNC AGE 21+ 20 58 1 1 17 47 1 2
1093844417 MOYA, MARY R MD 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 0 0 0 0
1093847386 CHENG YI T 2021 FFS RENDERING SNC AGE 0-20 86 233 82 129 47 124 72 92
1093847386 CHENG YI T 2021 FFS RENDERING SNC AGE 21+ 624 1,558 544 796 442 956 498 764
1093847386 CHENG YI T 2021 PHP RENDERING SNC AGE 21+ 1 1 1 1 0 0 0 0
1093878258 JAVDAN RON 2021 FFS RENDERING SNC AGE 0-20 207 451 201 328 50 111 187 248
1093878258 JAVDAN RON 2021 FFS RENDERING SNC AGE 21+ 874 2,984 797 1,628 388 1,101 771 1,255
1093878258 JAVDAN RON 2021 PHP RENDERING SNC AGE 21+ 1 1 0 0 1 1 1 1
1093919466 FUNG EDMOND KAR S 2021 FFS RENDERING SNC AGE 0-20 1 2 1 1 1 2 1 1
1093919466 FUNG EDMOND KAR S 2021 FFS RENDERING SNC AGE 21+ 182 533 91 162 171 455 99 117
1093919466 FUNG EDMOND KAR S 2021 GMC RENDERING SNC AGE 0-20 1 1 0 0 1 1 1 1
1093919466 FUNG EDMOND KAR S 2021 GMC RENDERING SNC AGE 21+ 1 1 1 1 1 1 1 1
1104005123 SUMMERS EDDIE LEE 2021 FFS RENDERING SNC AGE 0-20 51 72 47 61 0 0 47 61
1104005123 SUMMERS EDDIE LEE 2021 FFS RENDERING SNC AGE 21+ 46 79 43 67 0 0 43 67
1104043868 ABEL ERIN D 2021 FFS RENDERING SNC AGE 0-20 714 1,274 199 243 160 254 200 242
1104043868 ABEL ERIN D 2021 FFS RENDERING SNC AGE 21+ 679 1,444 84 127 420 779 163 218
1104045814 LAURENTE REX S 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 0 0 1 1
1104073121 MARK, ELLEN, DDS 2021 FFS RENDERING SNC AGE 0-20 1,423 4,940 1,423 4,940 0 0 1,423 4,940
1104073121 MARK, ELLEN, DDS 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 0 0 1 1
1104073121 MARK, ELLEN, DDS 2021 GMC RENDERING SNC AGE 0-20 1 1 1 1 0 0 1 1
1104080522 MUNAGALA VIJAY 2021 FFS RENDERING SNC AGE 0-20 22 22 17 17 1 1 17 17
1104080522 MUNAGALA VIJAY 2021 FFS RENDERING SNC AGE 21+ 30 30 14 14 17 17 14 14
1104087246 SINGH PRIYANKA 2021 FFS RENDERING SNC AGE 0-20 191 223 116 123 69 83 106 112
1104087246 SINGH PRIYANKA 2021 FFS RENDERING SNC AGE 21+ 126 153 62 72 73 84 22 22
1104126200 KOUROMENOS IRAMIS 2021 FFS RENDERING SNC AGE 0-20 151 169 144 160 1 1 1 1
1104126200 KOUROMENOS IRAMIS 2021 FFS RENDERING SNC AGE 21+ 150 207 68 75 83 130 1 1
1104151653 LEUNG WILSON K 2021 FFS RENDERING SNC AGE 0-20 1,492 2,163 902 1,133 711 1,025 752 892
1104151653 LEUNG WILSON K 2021 FFS RENDERING SNC AGE 21+ 521 1,046 149 181 368 684 92 107
1104201094 WENG JONATHAN 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 1 1 1 1
1104201094 WENG JONATHAN 2021 FFS RENDERING SNC AGE 21+ 79 151 1 1 68 125 67 77
1104202498 FITZGERALD LELAND JOSEPH 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 0 0 1 1
1104229616 ATHAR AQEELA 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 0 0 1 1
1104229616 ATHAR AQEELA 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 1 1 1 1
1104311935 KWONG SARA 2021 FFS RENDERING SNC AGE 0-20 205 401 184 304 59 130 179 295
1104311935 KWONG SARA 2021 FFS RENDERING SNC AGE 21+ 314 930 219 405 231 628 216 381
1104350594 VOHRA SHIVANI 2021 FFS RENDERING SNC AGE 0-20 1 2 0 0 0 0 0 0
1104350594 VOHRA SHIVANI 2021 FFS RENDERING SNC AGE 21+ 39 109 0 0 0 0 1 1
1104359835 KIM YOO J 2021 FFS RENDERING SNC AGE 0-20 151 192 151 192 0 0 151 192
1104359835 KIM YOO J 2021 FFS RENDERING SNC AGE 21+ 1,817 3,051 1,802 3,030 0 0 1,802 3,030
1104360189 NGHIEM PETER M 2021 FFS RENDERING SNC AGE 0-20 901 1,238 744 900 227 300 28 31
1104360189 NGHIEM PETER M 2021 FFS RENDERING SNC AGE 21+ 452 722 146 167 316 449 50 115
1104406123 OSBORNE MAILE S 2021 FFS RENDERING SNC AGE 0-20 35 39 22 23 25 28 24 25
1104406123 OSBORNE MAILE S 2021 FFS RENDERING SNC AGE 21+ 80 92 49 51 50 54 55 60
1104423672 MAURICE SHELBY D 2021 FFS RENDERING SNC AGE 0-20 499 2,831 474 1,841 186 968 461 1,093
1104423672 MAURICE SHELBY D 2021 FFS RENDERING SNC AGE 21+ 632 3,495 587 1,731 277 1,449 586 1,696
1104425248 MEHNDIRATTA ADITI 2021 FFS RENDERING SNC AGE 0-20 81 167 64 117 44 75 61 91
1104425248 MEHNDIRATTA ADITI 2021 FFS RENDERING SNC AGE 21+ 95 279 72 152 81 210 63 99
1104447812 CUNNINGHAM CAMBRIA N 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 1 1 0 0
1104447812 CUNNINGHAM CAMBRIA N 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 1 1 0 0
1104468057 BABAIAN ARMEN Y 2021 FFS RENDERING SNC AGE 0-20 29 57 20 22 1 2 18 20
1104468057 BABAIAN ARMEN Y 2021 FFS RENDERING SNC AGE 21+ 121 244 68 79 42 87 69 80
1104493899 OIFOH ROSELINE E 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 0 0 0 0
1104499706 SIN JESSICA G 2021 FFS RENDERING SNC AGE 0-20 194 339 155 220 82 119 137 184
1104499706 SIN JESSICA G 2021 FFS RENDERING SNC AGE 21+ 169 325 130 171 79 149 128 168
1104594126 PEREZ DAVID L 2021 FFS RENDERING SNC AGE 0-20 88 380 87 316 19 60 86 292
1104594126 PEREZ DAVID L 2021 FFS RENDERING SNC AGE 21+ 154 751 147 466 60 232 151 523
1104876614 MOCEGA JUAN A MD JR 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 0 0 1 1
1104917293 LEE STEWART R 2021 FFS RENDERING SNC AGE 0-20 359 504 321 380 40 53 324 361
1104917293 LEE STEWART R 2021 FFS RENDERING SNC AGE 21+ 366 705 232 254 165 332 305 409
1104963313 KAUR HARPREET 2021 FFS RENDERING SNC AGE 0-20 338 839 209 307 120 346 204 291
1104963313 KAUR HARPREET 2021 FFS RENDERING SNC AGE 21+ 629 1,596 368 466 420 1,039 368 452
1104970110 GOULD ROXANNE 2021 FFS RENDERING SNC AGE 0-20 120 216 109 183 15 20 54 58
1104973346 THOMPSON-MARVEL MERRIES N. 2021 FFS RENDERING SNC AGE 0-20 84 125 84 125 1 1 84 125
1104973346 THOMPSON-MARVEL MERRIES N. 2021 FFS RENDERING SNC AGE 21+ 253 439 253 439 31 53 253 439
1114006871 LUNA AILEEN C 2021 FFS RENDERING SNC AGE 0-20 1,645 2,217 29 30 184 193 47 48
1114006871 LUNA AILEEN C 2021 FFS RENDERING SNC AGE 21+ 332 338 19 19 298 302 33 33
1114006889 LUNA CELLINI N 2021 FFS RENDERING SNC AGE 0-20 717 966 549 625 200 277 510 555
1114006889 LUNA CELLINI N 2021 FFS RENDERING SNC AGE 21+ 463 840 208 278 290 476 169 181
1114019478 CLAUDIUS, ILENE A MD 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 0 0 0 0
1114080199 SAMPAGA SHARON C 2021 FFS RENDERING SNC AGE 0-20 886 983 480 507 306 330 395 411
1114080199 SAMPAGA SHARON C 2021 FFS RENDERING SNC AGE 21+ 1,035 1,203 428 452 639 715 310 318
1114097144 JENKINS JOHN G 2021 FFS RENDERING SNC AGE 0-20 459 724 385 444 311 516 166 196
1114097144 JENKINS JOHN G 2021 FFS RENDERING SNC AGE 21+ 495 1,396 175 196 370 839 329 784
1114130267 KURIMOTO, CHRISTOPHER J, DDS 2021 FFS RENDERING SNC AGE 0-20 233 415 199 272 88 154 163 189
1114130267 KURIMOTO, CHRISTOPHER J, DDS 2021 FFS RENDERING SNC AGE 21+ 426 939 309 394 240 519 295 391
1114130358 HASHOUSH MARIAM K 2021 FFS RENDERING SNC AGE 0-20 137 182 97 109 67 89 92 98
1114130358 HASHOUSH MARIAM K 2021 FFS RENDERING SNC AGE 21+ 41 44 11 11 25 28 20 21
1114136231 CHARLTON GREGORY S 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 0 0 1 1
1114136231 CHARLTON GREGORY S 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 0 0 1 1
1114145265 MONTANA EFRAIN A 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 0 0 0 0
1114157252 HORST ORAPIN V 2021 FFS RENDERING SNC AGE 0-20 49 68 49 68 0 0 49 68
1114157252 HORST ORAPIN V 2021 FFS RENDERING SNC AGE 21+ 47 65 46 64 0 0 46 64
1114218153 CHENG JOYCE YI-TZY 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 0 0 1 1
1114218153 CHENG JOYCE YI-TZY 2021 FFS RENDERING SNC AGE 21+ 24 35 1 1 12 16 20 27
1114255569 MEIKLE WALLACE B 2021 FFS RENDERING SNC AGE 0-20 350 473 286 355 240 296 47 51
1114255569 MEIKLE WALLACE B 2021 FFS RENDERING SNC AGE 21+ 518 1,126 294 426 422 739 114 258
1114303344 DAYRIT NICOLE M 2021 FFS RENDERING SNC AGE 0-20 433 526 203 228 202 268 34 40
1114303344 DAYRIT NICOLE M 2021 FFS RENDERING SNC AGE 21+ 350 468 157 184 295 396 127 146
1114318383 KIM DAVID TAE HUN 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 1 1 0 0
1114318383 KIM DAVID TAE HUN 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 1 1 1 1
1114327764 MADRID YOLANDA 2021 FFS RENDERING SNC AGE 0-20 61 98 11 11 55 86 0 0
1114327764 MADRID YOLANDA 2021 FFS RENDERING SNC AGE 21+ 558 981 119 125 512 861 1 1
1114392669 ISMAIL HABIBA 2021 FFS RENDERING SNC AGE 0-20 990 1,128 986 1,120 1 1 984 1,117
1114392669 ISMAIL HABIBA 2021 FFS RENDERING SNC AGE 21+ 394 445 391 441 1 1 389 439
1114475845 ABALOS TIGON 2021 FFS RENDERING SNC AGE 0-20 156 363 81 125 98 175 35 40
1114475845 ABALOS TIGON 2021 FFS RENDERING SNC AGE 21+ 375 1,245 117 162 343 1,027 82 102
1114493343 AL DAHAN MAIS A 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 0 0 1 1
1114493343 AL DAHAN MAIS A 2021 FFS RENDERING SNC AGE 21+ 44 49 1 1 14 15 21 22
1124000534 SMITH ERIC D 2021 FFS RENDERING SNC AGE 0-20 1,009 1,525 633 762 500 784 65 83
1124038757 TAM ANITA SHUK WAI 2021 FFS RENDERING SNC AGE 0-20 43 66 20 24 1 2 22 29
1124039136 SERPAS, SHAILA MD 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 0 0 0 0
1124053301 WUESTHOFF THOMAS F 2021 FFS RENDERING SNC AGE 0-20 156 353 156 353 0 0 156 353
1124053301 WUESTHOFF THOMAS F 2021 FFS RENDERING SNC AGE 21+ 411 1,476 411 1,476 0 0 411 1,476
1124053483 ADELMAN MARA 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 1 1 0 0
1124070180 HSU MIKE 2021 FFS RENDERING SNC AGE 0-20 18 35 18 35 0 0 18 35
1124070180 HSU MIKE 2021 FFS RENDERING SNC AGE 21+ 35 103 35 103 0 0 35 103
1124173794 RIVERA, JORGE A R MD 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 0 0 1 1
1124200902 YANG GRACE K 2021 FFS RENDERING SNC AGE 0-20 87 162 51 68 52 76 21 22
1124200902 YANG GRACE K 2021 FFS RENDERING SNC AGE 21+ 251 673 70 77 221 544 65 71
1124205455 LI MIKE Y 2021 FFS RENDERING SNC AGE 0-20 296 455 247 395 22 26 238 383
1124205455 LI MIKE Y 2021 FFS RENDERING SNC AGE 21+ 327 560 231 399 96 152 241 418
1124209549 EVANS JUSTIN R 2021 FFS RENDERING SNC AGE 0-20 1 2 1 2 0 0 1 2
1124209549 EVANS JUSTIN R 2021 FFS RENDERING SNC AGE 21+ 195 643 195 643 0 0 195 643
1124227434 VU DON Q 2021 FFS RENDERING SNC AGE 0-20 53 59 45 48 24 26 29 29
1124227434 VU DON Q 2021 FFS RENDERING SNC AGE 21+ 80 107 57 65 56 74 51 56
1124241930 VIRENDER S KALEKA 2021 FFS RENDERING SNC AGE 0-20 47 158 0 0 47 158 0 0
1124241930 VIRENDER S KALEKA 2021 FFS RENDERING SNC AGE 21+ 35 104 0 0 35 104 0 0
1124286885 TUOLUMNE ME-WUK INDIAN 2021 FFS RENDERING SNC AGE 0-20 12 72 12 72 0 0 12 72
1124286885 TUOLUMNE ME-WUK INDIAN 2021 FFS RENDERING SNC AGE 21+ 1 2 1 2 0 0 1 2
1124302815 HAROIAN NAIRI 2021 FFS RENDERING SNC AGE 0-20 264 748 62 85 46 88 17 19
1124302815 HAROIAN NAIRI 2021 FFS RENDERING SNC AGE 21+ 307 1,272 130 315 122 299 17 21
1124350012 GABA PUJA 2021 FFS RENDERING SNC AGE 0-20 182 209 148 164 46 53 25 25
1124350012 GABA PUJA 2021 FFS RENDERING SNC AGE 21+ 42 47 1 1 34 38 1 1
1124376660 LONG GREGORY G 2021 FFS RENDERING SNC AGE 0-20 87 212 83 150 29 65 80 139
1124376660 LONG GREGORY G 2021 FFS RENDERING SNC AGE 21+ 79 260 61 100 51 160 61 102
1124380886 CRABTREE DAVID G 2021 FFS RENDERING SNC AGE 0-20 108 259 1 1 1 1 1 1
1124380886 CRABTREE DAVID G 2021 FFS RENDERING SNC AGE 21+ 98 309 1 1 0 0 0 0
1124403423 LOUIE KURTIS J 2021 FFS RENDERING SNC AGE 0-20 742 2,399 662 1,700 148 490 637 1,625
1124403423 LOUIE KURTIS J 2021 FFS RENDERING SNC AGE 21+ 1,358 6,572 538 1,379 985 4,032 246 1,142
1124419288 RAFAY MUHAMMAD 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 0 0 1 1
1124550835 KING, KEVIN MD 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 0 0 1 1
1124568175 HONDA BRENT TAKASHI 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 1 1 0 0
1124568175 HONDA BRENT TAKASHI 2021 FFS RENDERING SNC AGE 21+ 40 130 1 1 31 68 17 56
1124671854 KIM KAHYUN 2021 FFS RENDERING SNC AGE 0-20 28 55 23 34 11 18 11 12
1124671854 KIM KAHYUN 2021 FFS RENDERING SNC AGE 21+ 72 130 44 56 36 71 43 50
1134106362 HSU CHRISTENSEN S 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 0 0 1 1
1134144165 BORREGO COMMUNITY HEALTH 2021 FFS RENDERING SNC AGE 0-20 1 2 1 2 1 2 1 2
1134144165 BORREGO COMMUNITY HEALTH 2021 FFS RENDERING SNC AGE 21+ 22 196 1 2 1 2 1 2
1134248701 DANG THAI Q 2021 FFS RENDERING SNC AGE 21+ 12 23 1 1 12 19 1 1
1134261001 CROS, DR RAYMOND DMD 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 0 0 1 1
1134261001 CROS, DR RAYMOND DMD 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 0 0 1 1
1134262322 LII DER-SHSUAN 2021 FFS RENDERING SNC AGE 0-20 612 891 612 890 1 1 611 888
1134262322 LII DER-SHSUAN 2021 FFS RENDERING SNC AGE 21+ 375 647 375 642 1 1 373 639
1134289655 BLEUEL OLGA L 2021 FFS RENDERING SNC AGE 0-20 274 541 256 358 92 197 213 256
1134289655 BLEUEL OLGA L 2021 FFS RENDERING SNC AGE 21+ 417 1,018 359 472 235 593 332 424
1134294820 HURSH KEVIN D 2021 FFS RENDERING SNC AGE 0-20 669 1,350 638 978 219 433 637 984
1134294820 HURSH KEVIN D 2021 FFS RENDERING SNC AGE 21+ 246 786 167 291 180 472 166 287
1134339963 VITERO STEVEN J 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 1 1 0 0
1134339963 VITERO STEVEN J 2021 FFS RENDERING SNC AGE 21+ 337 1,142 142 248 282 851 132 358
1134355969 D'ALESSANDRO MA DEL CONSU 2021 FFS RENDERING SNC AGE 0-20 1,679 2,362 1,652 2,281 44 80 1,635 2,246
1134355969 D'ALESSANDRO MA DEL CONSU 2021 FFS RENDERING SNC AGE 21+ 358 769 322 555 140 298 319 551
1134363286 MINYE HELENA M 2021 FFS RENDERING SNC AGE 0-20 51 54 25 25 45 48 13 13
1134363286 MINYE HELENA M 2021 FFS RENDERING SNC AGE 21+ 80 102 1 1 75 90 42 49
1134388325 PASIN ERIK A 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 1 1 1 1
1134410244 CHAN WAI-YIN 2021 FFS RENDERING SNC AGE 0-20 1,617 2,196 1,169 1,394 360 433 880 1,028
1134420698 SEHGAL SHIBANI 2021 FFS RENDERING SNC AGE 0-20 163 282 77 104 58 107 108 169
1134420698 SEHGAL SHIBANI 2021 FFS RENDERING SNC AGE 21+ 364 863 141 201 173 325 198 422
1134420698 SEHGAL SHIBANI 2021 GMC RENDERING SNC AGE 21+ 1 1 1 1 1 1 1 1
1134421340 HANDLERS KATHLEEN T 2021 FFS RENDERING SNC AGE 0-20 305 535 275 383 93 167 217 253
1134421340 HANDLERS KATHLEEN T 2021 FFS RENDERING SNC AGE 21+ 437 1,349 390 673 270 705 343 571
1134462971 NGUYEN ELLEN B 2021 FFS RENDERING SNC AGE 0-20 916 1,208 768 916 278 361 281 318
1134462971 NGUYEN ELLEN B 2021 FFS RENDERING SNC AGE 21+ 134 195 29 31 97 135 20 28
1134492911 CHIN ALLISON G 2021 FFS RENDERING SNC AGE 0-20 226 474 210 284 99 195 204 243
1134492911 CHIN ALLISON G 2021 FFS RENDERING SNC AGE 21+ 217 692 186 251 152 377 189 356
1134503238 CHUA ROMI 2021 FFS RENDERING SNC AGE 0-20 88 119 79 95 34 47 77 86
1134503238 CHUA ROMI 2021 FFS RENDERING SNC AGE 21+ 205 342 145 170 158 258 149 167
1134515695 PHAN TIFFANI 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 0 0 0 0
1134535073 GILL MANBIR SINGH 2021 FFS RENDERING SNC AGE 0-20 517 1,647 335 609 299 740 238 318
1134535073 GILL MANBIR SINGH 2021 FFS RENDERING SNC AGE 21+ 542 2,366 235 364 408 1,470 164 232
1134546534 SIGNORELLI CARLY T 2021 FFS RENDERING SNC AGE 0-20 700 1,231 616 858 270 499 556 706
1134546534 SIGNORELLI CARLY T 2021 FFS RENDERING SNC AGE 21+ 461 1,054 231 299 333 729 277 375
1134557499 SY-SIONG JEROME V 2021 FFS RENDERING SNC AGE 0-20 326 954 297 583 174 336 259 352
1134557499 SY-SIONG JEROME V 2021 FFS RENDERING SNC AGE 21+ 557 2,018 394 566 374 1,094 373 622
1134573462 ISORDIA BERNES MARYAM 2021 FFS RENDERING SNC AGE 0-20 254 285 1 1 1 1 19 19
1134573462 ISORDIA BERNES MARYAM 2021 FFS RENDERING SNC AGE 21+ 38 41 1 1 17 19 25 27
1134632565 ELIZONDO PRISCILLA KAREN 2021 FFS RENDERING SNC AGE 0-20 76 205 51 86 30 74 12 18
1134632565 ELIZONDO PRISCILLA KAREN 2021 FFS RENDERING SNC AGE 21+ 217 718 82 121 123 302 50 125
1134636962 JUPITER RAQUEL 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 0 0 0 0
1134651342 FONTAINE WILLIAM 2021 FFS RENDERING SNC AGE 0-20 240 527 240 527 1 1 238 522
1134651342 FONTAINE WILLIAM 2021 FFS RENDERING SNC AGE 21+ 344 876 341 871 1 1 341 871
1134742026 CHANG TIFFANY W 2021 FFS RENDERING SNC AGE 0-20 43 58 37 40 17 22 35 38
1134742026 CHANG TIFFANY W 2021 FFS RENDERING SNC AGE 21+ 151 295 91 104 119 231 87 96
1144222084 WONG PERRY S 2021 FFS RENDERING SNC AGE 0-20 85 199 68 115 17 37 82 146
1144222084 WONG PERRY S 2021 FFS RENDERING SNC AGE 21+ 221 852 110 141 112 303 215 648
1144248527 LOREDO, ABEL, DDS 2021 FFS RENDERING SNC AGE 0-20 221 439 0 0 0 0 0 0
1144248527 LOREDO, ABEL, DDS 2021 FFS RENDERING SNC AGE 21+ 606 1,438 0 0 0 0 0 0
1144248527 LOREDO, ABEL, DDS 2021 GMC RENDERING SNC AGE 0-20 1 1 0 0 0 0 0 0
1144325036 KESHMIRI, MOHAMMAD A, DDS 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 0 0 1 1
1144338674 ODISHOO, VILARD, DDS 2021 FFS RENDERING SNC AGE 0-20 23 47 1 1 18 33 1 1
1144338674 ODISHOO, VILARD, DDS 2021 FFS RENDERING SNC AGE 21+ 79 170 1 2 61 121 23 46
1144354119 SCOTT JAMES R 2021 FFS RENDERING SNC AGE 0-20 166 504 130 225 78 216 89 122
1144354119 SCOTT JAMES R 2021 FFS RENDERING SNC AGE 21+ 350 1,255 253 527 249 597 246 496
1144426479 CHAPPELL BRADLEY PAUL 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 0 0 1 1
1144434127 MCLACHLAN KIMBERLY K 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 1 1 0 0
1144486598 JORDAN JOSEPH D 2021 FFS RENDERING SNC AGE 0-20 650 853 586 730 195 239 407 489
1144486598 JORDAN JOSEPH D 2021 FFS RENDERING SNC AGE 21+ 408 540 150 168 296 388 56 65
1144487679 SADDUK ALI A 2021 FFS RENDERING SNC AGE 0-20 114 286 81 91 81 212 61 62
1144487679 SADDUK ALI A 2021 FFS RENDERING SNC AGE 21+ 879 2,505 443 470 795 2,098 361 443
1144532672 NAMAVAR VIDA 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 1 1 1 1
1144532672 NAMAVAR VIDA 2021 FFS RENDERING SNC AGE 21+ 29 41 1 1 27 39 1 1
1144538596 LORENZO MARY LEAH T 2021 FFS RENDERING SNC AGE 0-20 85 168 79 98 29 56 76 83
1144538596 LORENZO MARY LEAH T 2021 FFS RENDERING SNC AGE 21+ 404 1,224 363 631 238 655 326 364
1144567447 SAMUEL P SMITH MD . INC 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 0 0 0 0
1144626268 PRESSMAN, JOSHUA S, DDS INC 2021 FFS RENDERING SNC AGE 0-20 29 29 29 29 0 0 29 29
1144626268 PRESSMAN, JOSHUA S, DDS INC 2021 FFS RENDERING SNC AGE 21+ 45 45 45 45 0 0 45 45
1144679184 EL-LAHAM MOHAMED 2021 FFS RENDERING SNC AGE 0-20 422 1,882 361 1,030 222 900 346 948
1144679184 EL-LAHAM MOHAMED 2021 FFS RENDERING SNC AGE 21+ 671 4,421 485 1,440 447 2,274 541 2,071
1144697723 HUH DANIEL J 2021 FFS RENDERING SNC AGE 0-20 100 231 68 101 51 96 69 88
1144697723 HUH DANIEL J 2021 FFS RENDERING SNC AGE 21+ 443 1,324 258 502 227 478 293 506
1144755976 COLLINS ATIJAH J 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 1 1 1 1
1144755976 COLLINS ATIJAH J 2021 FFS RENDERING SNC AGE 21+ 24 28 0 0 1 1 12 13
1144849829 VAN LEIR KATELYN N 2021 FFS RENDERING SNC AGE 0-20 148 314 133 228 37 72 113 150
1144849829 VAN LEIR KATELYN N 2021 FFS RENDERING SNC AGE 21+ 272 742 223 452 137 278 202 370
1144867631 BECERRA JULIA ANGELICA QUEZADA 2021 FFS RENDERING SNC AGE 0-20 194 551 166 433 40 98 148 335
1144867631 BECERRA JULIA ANGELICA QUEZADA 2021 FFS RENDERING SNC AGE 21+ 156 631 127 343 57 254 106 270
1154307494 LEE WHINGMING 2021 FFS RENDERING SNC AGE 0-20 190 585 190 585 0 0 190 585
1154307494 LEE WHINGMING 2021 FFS RENDERING SNC AGE 21+ 232 876 232 876 0 0 232 876
1154308146 JASO JOHN G 2021 FFS RENDERING SNC AGE 0-20 58 93 0 0 0 0 0 0
1154308146 JASO JOHN G 2021 FFS RENDERING SNC AGE 21+ 117 169 0 0 0 0 0 0
1154313658 ENGLISH IOANA R 2021 FFS RENDERING SNC AGE 0-20 245 516 240 468 35 70 232 451
1154313658 ENGLISH IOANA R 2021 FFS RENDERING SNC AGE 21+ 22 66 21 48 1 2 21 40
1154410207 SHIELDS ROBYN RITCHIE 2021 FFS RENDERING SNC AGE 0-20 215 397 136 188 114 222 172 276
1154410207 SHIELDS ROBYN RITCHIE 2021 FFS RENDERING SNC AGE 21+ 289 714 114 158 225 468 218 512
1154453124 CALHOUN COLONYA CHAROLYNN 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 0 0 1 1
1154453124 CALHOUN COLONYA CHAROLYNN 2021 FFS RENDERING SNC AGE 21+ 45 54 1 1 1 1 22 26
1154492494 FUNG WENDY W 2021 FFS RENDERING SNC AGE 0-20 111 150 92 100 35 46 80 84
1154492494 FUNG WENDY W 2021 FFS RENDERING SNC AGE 21+ 90 207 50 59 43 57 61 128
1154494201 SHAMSA RASHEL 2021 FFS RENDERING SNC AGE 0-20 2,054 2,669 1,995 2,595 37 42 1,988 2,584
1154494201 SHAMSA RASHEL 2021 FFS RENDERING SNC AGE 21+ 235 282 145 178 92 105 136 169
1154509677 LARSON LAURA LEE 2021 FFS RENDERING SNC AGE 0-20 160 468 160 466 1 1 31 58
1154509677 LARSON LAURA LEE 2021 FFS RENDERING SNC AGE 21+ 244 808 235 758 73 218 88 190
1154524429 ROKES RAAFAT S 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 0 0 1 1
1154578813 HATCHER JENIKA NICOLE 2021 FFS RENDERING SNC AGE 0-20 107 201 102 168 38 61 98 101
1154578813 HATCHER JENIKA NICOLE 2021 FFS RENDERING SNC AGE 21+ 274 716 150 239 221 449 165 330
1154600138 STROING LEAH MARIE 2021 FFS RENDERING SNC AGE 0-20 120 299 120 299 0 0 120 299
1154600138 STROING LEAH MARIE 2021 FFS RENDERING SNC AGE 21+ 67 202 67 202 0 0 67 202
1154609840 BEKMEZIAN SONA 2021 FFS RENDERING SNC AGE 0-20 558 1,165 161 198 1 1 437 743
1154629970 MENDOZA MARIO 2021 FFS RENDERING SNC AGE 0-20 381 747 381 747 0 0 381 747
1154629970 MENDOZA MARIO 2021 FFS RENDERING SNC AGE 21+ 625 1,690 625 1,690 0 0 625 1,690
1154635126 MCCANN DAVID S 2021 FFS RENDERING SNC AGE 0-20 389 800 382 708 43 73 330 418
1154635126 MCCANN DAVID S 2021 FFS RENDERING SNC AGE 21+ 331 719 311 466 135 246 304 421
1154699726 APARECE ARVIN R 2021 FFS RENDERING SNC AGE 0-20 190 727 190 727 0 0 190 727
1154699726 APARECE ARVIN R 2021 FFS RENDERING SNC AGE 21+ 209 669 209 669 0 0 209 669
1154699726 APARECE ARVIN R 2021 GMC RENDERING SNC AGE 0-20 1 2 1 2 0 0 1 2
1154699726 APARECE ARVIN R 2021 PHP RENDERING SNC AGE 21+ 1 1 1 1 0 0 1 1
1154724284 SULAIMAN ANTHONIA ATINUKE 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 0 0 1 1
1154733020 NGUYEN TU ANH 2021 FFS RENDERING SNC AGE 0-20 395 434 350 367 45 51 214 219
1154733020 NGUYEN TU ANH 2021 FFS RENDERING SNC AGE 21+ 144 167 85 89 61 67 50 53
1154801439 ZHOU TAO 2021 FFS RENDERING SNC AGE 0-20 85 88 67 68 71 73 21 21
1154801439 ZHOU TAO 2021 FFS RENDERING SNC AGE 21+ 254 306 115 118 201 247 49 49
1154838746 ISKAROUS MONIQUE 2021 FFS RENDERING SNC AGE 0-20 1,266 1,897 754 840 471 694 701 724
1154838746 ISKAROUS MONIQUE 2021 FFS RENDERING SNC AGE 21+ 444 562 176 197 278 345 101 103
1154858082 GARCIA JENNY A 2021 FFS RENDERING SNC AGE 0-20 212 240 133 133 72 82 141 145
1154871184 PANIS ALEXANDER 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 0 0 0 0
1154882892 WU GRACE 2021 FFS RENDERING SNC AGE 0-20 124 150 73 87 41 48 1 1
1154882892 WU GRACE 2021 FFS RENDERING SNC AGE 21+ 367 502 105 122 267 342 45 69
1164034625 RAFFO MINA 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 1 1 1 1
1164034625 RAFFO MINA 2021 FFS RENDERING SNC AGE 21+ 31 39 1 1 23 28 11 11
1164036984 VARIMEZOVA TANYA I 2021 FFS RENDERING SNC AGE 0-20 335 711 335 711 98 225 335 711
1164036984 VARIMEZOVA TANYA I 2021 FFS RENDERING SNC AGE 21+ 395 1,081 395 1,081 160 437 395 1,081
1164073847 CHEN TERENCE J 2021 FFS RENDERING SNC AGE 0-20 657 2,361 603 1,716 218 579 605 1,783
1164073847 CHEN TERENCE J 2021 FFS RENDERING SNC AGE 21+ 576 2,444 515 1,346 258 944 527 1,501
1164077038 SHARMA NEHA 2021 FFS RENDERING SNC AGE 0-20 723 1,034 582 691 436 670 108 126
1164077038 SHARMA NEHA 2021 FFS RENDERING SNC AGE 21+ 368 615 37 37 320 490 235 337
1164082483 KIM DONGHWAN 2021 FFS RENDERING SNC AGE 0-20 517 1,325 357 581 295 619 185 224
1164082483 KIM DONGHWAN 2021 FFS RENDERING SNC AGE 21+ 727 2,484 412 639 566 1,684 307 402
1164472528 PANIAGUA ARTHUR A 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 0 0 0 0
1164497319 LEE JAI GOO 2021 FFS RENDERING SNC AGE 0-20 1,396 4,688 1,179 3,123 429 1,199 1,013 2,462
1164497319 LEE JAI GOO 2021 FFS RENDERING SNC AGE 21+ 1,781 8,214 1,263 3,136 995 3,739 1,302 4,281
1164497319 LEE JAI GOO 2021 GMC RENDERING SNC AGE 0-20 1 1 1 1 0 0 1 1
1164501193 DOUGLASS THOMAS W 2021 FFS RENDERING SNC AGE 0-20 66 78 61 71 1 1 55 64
1164501193 DOUGLASS THOMAS W 2021 FFS RENDERING SNC AGE 21+ 63 83 45 58 33 47 47 61
1164514188 SARABIA JR, NICASIO, DDS 2021 FFS RENDERING SNC AGE 0-20 119 233 92 134 43 79 1 1
1164514188 SARABIA JR, NICASIO, DDS 2021 FFS RENDERING SNC AGE 21+ 370 1,582 208 372 246 946 1 1
1164524773 REMPEL DAVID P 2021 FFS RENDERING SNC AGE 0-20 57 84 35 40 26 37 32 36
1164524773 REMPEL DAVID P 2021 FFS RENDERING SNC AGE 21+ 102 242 64 73 74 146 67 84
1164531976 FARD SHAROUZ 2021 FFS RENDERING SNC AGE 0-20 570 868 540 647 245 386 530 601
1164531976 FARD SHAROUZ 2021 FFS RENDERING SNC AGE 21+ 205 381 122 129 157 272 140 186
1164543922 GEE JOHN A 2021 FFS RENDERING SNC AGE 0-20 451 807 421 666 142 255 386 593
1164543922 GEE JOHN A 2021 FFS RENDERING SNC AGE 21+ 272 732 166 288 186 495 159 284
1164552246 PARK JIN H 2021 FFS RENDERING SNC AGE 0-20 56 62 44 48 27 30 34 35
1164552246 PARK JIN H 2021 FFS RENDERING SNC AGE 21+ 37 50 25 29 32 42 25 30
1164566469 COIL, CLINTON J MD 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 0 0 0 0
1164569646 TAN MARISTELA GR D 2021 FFS RENDERING SNC AGE 0-20 570 1,301 436 763 85 159 100 110
1164569646 TAN MARISTELA GR D 2021 FFS RENDERING SNC AGE 21+ 809 1,820 221 244 336 764 38 38
1164573879 HERRERA LISE 2021 FFS RENDERING SNC AGE 0-20 282 326 205 220 42 52 183 192
1164573879 HERRERA LISE 2021 FFS RENDERING SNC AGE 21+ 676 819 376 421 162 192 253 281
1164586368 WHANG NATALIE M 2021 FFS RENDERING SNC AGE 0-20 1,360 1,827 1,090 1,333 198 262 1,082 1,215
1164586368 WHANG NATALIE M 2021 FFS RENDERING SNC AGE 21+ 236 369 121 154 114 160 122 135
1164604377 LUTHRA, SHEETAL DO 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 0 0 1 1
1164628558 OLAH DIAN M 2021 FFS RENDERING SNC AGE 0-20 319 682 187 288 86 143 12 13
1164628558 OLAH DIAN M 2021 FFS RENDERING SNC AGE 21+ 645 1,960 276 478 353 881 105 160
1164639555 ATANI SOBHA R 2021 FFS RENDERING SNC AGE 0-20 706 1,952 695 1,618 155 321 657 895
1164639555 ATANI SOBHA R 2021 FFS RENDERING SNC AGE 21+ 694 2,008 652 1,143 262 774 639 946
1164639555 CLINICA DE SALUD 2021 FFS RENDERING SNC AGE 0-20 706 1,952 695 1,618 155 321 657 895
1164639555 CLINICA DE SALUD 2021 FFS RENDERING SNC AGE 21+ 694 2,008 652 1,143 262 774 639 946
1164643227 SANCHEZ JR MANUEL G 2021 FFS RENDERING SNC AGE 0-20 217 312 217 312 0 0 217 312
1164643227 SANCHEZ JR MANUEL G 2021 FFS RENDERING SNC AGE 21+ 293 487 293 487 0 0 293 487
1164732350 SUH CATHERINE 2021 FFS RENDERING SNC AGE 0-20 453 574 345 403 208 279 35 44
1164732350 SUH CATHERINE 2021 FFS RENDERING SNC AGE 21+ 72 92 22 26 51 66 1 1
1164741443 OAKLEY, ELEANOR R MD 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 0 0 1 1
1164748455 RUGAMA FRANCISCO O 2021 FFS RENDERING SNC AGE 0-20 642 1,293 572 966 147 267 504 600
1164748455 RUGAMA FRANCISCO O 2021 FFS RENDERING SNC AGE 21+ 710 1,730 572 867 291 668 616 813
1164807384 HA CINDY 2021 FFS RENDERING SNC AGE 0-20 65 71 37 40 15 16 21 22
1164807384 HA CINDY 2021 FFS RENDERING SNC AGE 21+ 78 93 12 12 20 22 16 17
1164807384 HA CINDY 2021 GMC RENDERING SNC AGE 0-20 1 1 1 1 0 0 0 0
1164807384 HA CINDY 2021 GMC RENDERING SNC AGE 21+ 1 1 0 0 0 0 0 0
1164827721 SHAHEDI SHIRIN 2021 FFS RENDERING SNC AGE 0-20 42 77 37 46 15 27 35 38
1164827721 SHAHEDI SHIRIN 2021 FFS RENDERING SNC AGE 21+ 60 89 41 41 21 34 45 53
1174024244 WITT DANIELLE SUMMER 2021 FFS RENDERING SNC AGE 0-20 74 202 74 200 0 0 71 190
1174024244 WITT DANIELLE SUMMER 2021 FFS RENDERING SNC AGE 21+ 109 431 109 431 0 0 109 429
1174029326 HUI BRIAN K 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 0 0 1 1
1174029326 HUI BRIAN K 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 1 1 1 1
1174037212 SHARRAK NOOR A 2021 FFS RENDERING SNC AGE 0-20 20 20 13 13 1 1 1 1
1174037212 SHARRAK NOOR A 2021 FFS RENDERING SNC AGE 21+ 121 132 66 73 32 35 43 49
1174128052 NGUYEN NGHIA H 2021 FFS RENDERING SNC AGE 0-20 153 170 84 87 43 43 71 74
1174128052 NGUYEN NGHIA H 2021 FFS RENDERING SNC AGE 21+ 97 131 22 22 67 88 20 21
1174512339 GONAVARUM PRASAD B 2021 FFS RENDERING SNC AGE 0-20 1 2 1 1 1 2 1 1
1174512339 GONAVARUM PRASAD B 2021 FFS RENDERING SNC AGE 21+ 69 232 27 31 63 213 31 34
1174620348 MECHAEL SHATHA F 2021 FFS RENDERING SNC AGE 0-20 1 2 1 1 1 2 1 1
1174620348 MECHAEL SHATHA F 2021 FFS RENDERING SNC AGE 21+ 36 106 12 13 31 82 14 16
1174623706 HARRIS EFFUAH A 2021 FFS RENDERING SNC AGE 0-20 33 41 29 33 1 1 21 23
1174623706 HARRIS EFFUAH A 2021 FFS RENDERING SNC AGE 21+ 34 40 26 28 13 16 25 26
1174693642 LE HUONG NGUYEN 2021 FFS RENDERING SNC AGE 0-20 206 224 142 143 28 33 18 21
1174693642 LE HUONG NGUYEN 2021 FFS RENDERING SNC AGE 21+ 165 201 29 30 110 131 52 58
1174736144 SHAH KAVITA A 2021 FFS RENDERING SNC AGE 0-20 62 142 56 77 26 46 56 65
1174736144 SHAH KAVITA A 2021 FFS RENDERING SNC AGE 21+ 404 1,163 362 627 204 488 343 385
1174747968 FERRER GEMMA MAGLEO 2021 FFS RENDERING SNC AGE 0-20 18 35 18 35 0 0 18 35
1174747968 FERRER GEMMA MAGLEO 2021 FFS RENDERING SNC AGE 21+ 191 766 191 766 0 0 191 766
1174749634 BARGHOUTH GEORGE B 2021 FFS RENDERING SNC AGE 0-20 3,167 8,591 1,480 2,671 1,504 3,297 2,798 4,754
1174749634 BARGHOUTH GEORGE B 2021 FFS RENDERING SNC AGE 21+ 2,410 8,758 812 1,320 1,880 5,261 1,840 3,670
1174772040 NGUYEN THOMAS J 2021 FFS RENDERING SNC AGE 21+ 19 39 1 1 19 36 1 1
1174803803 COLBY SHIRLEY A 2021 FFS RENDERING SNC AGE 0-20 244 367 195 302 11 12 236 356
1174803803 COLBY SHIRLEY A 2021 FFS RENDERING SNC AGE 21+ 622 942 252 404 176 247 479 664
1174872428 SHAHRIARI AHMAD GHAZALEH 2021 FFS RENDERING SNC AGE 0-20 1,072 1,324 1,067 1,317 25 33 1,067 1,315
1174872428 SHAHRIARI AHMAD GHAZALEH 2021 FFS RENDERING SNC AGE 21+ 66 90 66 89 15 22 66 89
1174872428 SHAHRIARI AHMAD GHAZALEH 2021 PHP RENDERING SNC AGE 0-20 1 1 1 1 0 0 1 1
1174918031 HAN RU-MEE 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 0 0 1 1
1174918031 HAN RU-MEE 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 1 1 0 0
1174938906 WHARTON-LAKE DJAVAN 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 1 1 1 1
1174938906 WHARTON-LAKE DJAVAN 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 1 1 1 1
1174956064 NIELSEN RIZA GRACE 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 0 0 0 0
1174960884 LEE GERALD J 2021 FFS RENDERING SNC AGE 0-20 1,090 2,297 993 1,465 383 656 1,004 1,525
1174960884 LEE GERALD J 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 1 1 1 1
1174975593 LIU VIENNA C 2021 FFS RENDERING SNC AGE 0-20 230 756 215 548 55 198 184 437
1174975593 LIU VIENNA C 2021 FFS RENDERING SNC AGE 21+ 486 2,345 375 1,234 244 865 394 1,361
1174998322 REYES MARIGOLD ROS A 2021 FFS RENDERING SNC AGE 0-20 680 754 663 734 23 25 649 713
1174998322 REYES MARIGOLD ROS A 2021 FFS RENDERING SNC AGE 21+ 250 348 225 299 150 199 221 290
1174998322 REYES MARIGOLD ROS A 2021 PHP RENDERING SNC AGE 0-20 1 1 1 1 0 0 1 1
1174998595 BELEW TIRSIT G 2021 FFS RENDERING SNC AGE 0-20 32 36 32 36 0 0 0 0
1174998595 BELEW TIRSIT G 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 0 0 0 0
1184024085 ASBAGHI MAMAGHA NAGHMEH 2021 FFS RENDERING SNC AGE 0-20 12 21 1 1 1 1 1 1
1184024085 ASBAGHI MAMAGHA NAGHMEH 2021 FFS RENDERING SNC AGE 21+ 88 137 37 42 24 40 24 28
1184024085 ASBAGHI MAMAGHA NAGHMEH 2021 GMC RENDERING SNC AGE 0-20 1 1 1 1 0 0 0 0
1184034811 YUSIFOVA NIGAR 2021 FFS RENDERING SNC AGE 0-20 122 230 113 180 27 48 112 136
1184034811 YUSIFOVA NIGAR 2021 FFS RENDERING SNC AGE 21+ 201 411 190 281 63 129 190 249
1184043432 HOM JENNIFER J 2021 FFS RENDERING SNC AGE 0-20 30 42 1 1 24 32 1 1
1184043432 HOM JENNIFER J 2021 FFS RENDERING SNC AGE 21+ 61 112 1 1 57 103 1 1
1184061251 SCOPAZZI MARGARET J 2021 FFS RENDERING SNC AGE 0-20 401 534 354 428 78 96 318 382
1184061251 SCOPAZZI MARGARET J 2021 FFS RENDERING SNC AGE 21+ 248 460 180 303 93 135 186 316
1184080699 CAMANO, AIMEE D 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 1 1 1 1
1184090235 ROMERO ROWENA L 2021 FFS RENDERING SNC AGE 0-20 509 672 410 484 207 266 373 413
1184090235 ROMERO ROWENA L 2021 FFS RENDERING SNC AGE 21+ 265 312 140 144 166 187 161 169
1184120487 KOZYRYEV MARYNA 2021 FFS RENDERING SNC AGE 0-20 98 166 54 72 36 69 80 112
1184120487 KOZYRYEV MARYNA 2021 FFS RENDERING SNC AGE 21+ 191 428 84 122 99 203 116 213
1184250342 KHAN ZEENAT 2021 FFS RENDERING SNC AGE 0-20 952 2,700 905 1,908 325 679 891 1,141
1184250342 KHAN ZEENAT 2021 FFS RENDERING SNC AGE 21+ 475 1,581 436 713 257 680 437 644
1184251092 KITASOE KYLE 2021 FFS RENDERING SNC AGE 0-20 123 142 65 70 46 56 59 64
1184251092 KITASOE KYLE 2021 FFS RENDERING SNC AGE 21+ 40 48 13 16 27 32 1 2
1184275786 RILEY KRISTEN DANNIELLE 2021 FFS RENDERING SNC AGE 0-20 138 143 135 138 1 2 0 0
1184275786 RILEY KRISTEN DANNIELLE 2021 FFS RENDERING SNC AGE 21+ 483 631 385 428 320 460 1 1
1184276255 GRAHAM JYMIE 2021 FFS RENDERING SNC AGE 0-20 21 21 1 1 1 1 12 12
1184276255 GRAHAM JYMIE 2021 FFS RENDERING SNC AGE 21+ 148 169 1 1 131 145 17 22
1184644262 WARD, KATHERINE T MD 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 0 0 0 0
1184709487 SU DENNIS 2021 FFS RENDERING SNC AGE 0-20 347 648 319 442 131 198 289 321
1184709487 SU DENNIS 2021 FFS RENDERING SNC AGE 21+ 857 1,761 672 994 350 547 667 896
1184749798 TAKANO ROBERT Y 2021 FFS RENDERING SNC AGE 0-20 53 91 44 52 18 25 33 45
1184749798 TAKANO ROBERT Y 2021 FFS RENDERING SNC AGE 21+ 53 95 35 46 29 54 28 33
1184759326 LIU KAI 2021 FFS RENDERING SNC AGE 0-20 574 1,583 541 1,269 104 179 451 627
1184759326 LIU KAI 2021 FFS RENDERING SNC AGE 21+ 343 845 208 413 115 241 240 287
1184792145 TRAN TIEN M 2021 FFS RENDERING SNC AGE 0-20 219 312 125 148 119 181 31 39
1184792145 TRAN TIEN M 2021 FFS RENDERING SNC AGE 21+ 381 738 93 133 295 556 85 104
1184812984 LOTWALA RAJ BHUPENDRA 2021 FFS RENDERING SNC AGE 0-20 291 298 208 210 72 75 203 205
1184842262 MOORE REGINALD I 2021 FFS RENDERING SNC AGE 0-20 33 33 12 12 25 25 13 13
1184842262 MOORE REGINALD I 2021 FFS RENDERING SNC AGE 21+ 21 21 16 16 13 13 13 13
1184844920 SHAKESPEARE BRENT E 2021 FFS RENDERING SNC AGE 0-20 61 138 61 138 1 1 61 138
1184844920 SHAKESPEARE BRENT E 2021 FFS RENDERING SNC AGE 21+ 535 1,618 535 1,617 18 21 535 1,617
1184885279 HAINING, JEANE 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 1 1 0 0
1184889404 PATEL MAULIBEN 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 0 0 1 1
1184939118 NUNEZ JENNIFER B 2021 FFS RENDERING SNC AGE 0-20 466 824 393 565 159 261 140 181
1184939118 NUNEZ JENNIFER B 2021 FFS RENDERING SNC AGE 21+ 372 726 194 260 183 326 191 286
1194007773 TAHMAS HOSSAI AMIR 2021 FFS RENDERING SNC AGE 0-20 36 44 35 36 1 2 1 1
1194007773 TAHMAS HOSSAI AMIR 2021 FFS RENDERING SNC AGE 21+ 274 358 201 208 126 197 1 1
1194008417 MARQUEZ MOLINA MARIELY 2021 FFS RENDERING SNC AGE 0-20 44 44 30 30 12 12 30 30
1194008417 MARQUEZ MOLINA MARIELY 2021 FFS RENDERING SNC AGE 21+ 51 51 35 35 1 1 22 22
1194060046 WAHBY CAROLYN R 2021 FFS RENDERING SNC AGE 0-20 714 1,362 616 892 265 407 526 576
1194060046 WAHBY CAROLYN R 2021 FFS RENDERING SNC AGE 21+ 292 723 205 279 181 458 203 235
1194070110 ANDERSON JAY R 2021 FFS RENDERING SNC AGE 0-20 1 2 1 1 1 1 1 2
1194070110 ANDERSON JAY R 2021 FFS RENDERING SNC AGE 21+ 80 365 32 82 55 217 52 161
1194070110 ANDERSON JAY R 2021 GMC RENDERING SNC AGE 21+ 1 1 0 0 1 1 1 1
1194075614 ADACHI ALISON M 2021 FFS RENDERING SNC AGE 0-20 384 566 261 304 241 351 282 313
1194075614 ADACHI ALISON M 2021 FFS RENDERING SNC AGE 21+ 439 831 64 74 315 584 107 119
1194108191 NAMOO SAMER R 2021 FFS RENDERING SNC AGE 0-20 36 130 13 14 33 108 13 15
1194108191 NAMOO SAMER R 2021 FFS RENDERING SNC AGE 21+ 257 977 90 94 235 786 93 96
1194204172 MEHER AISHWARYA S 2021 FFS RENDERING SNC AGE 0-20 49 64 35 37 24 31 25 26
1194204172 MEHER AISHWARYA S 2021 FFS RENDERING SNC AGE 21+ 108 223 77 89 70 144 63 71
1194250316 BANSAL SARAJINDER KAUR 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 0 0 1 1
1194269993 UDEH, NDIDIAMAKA M NP 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 0 0 1 1
1194279083 PATEL RAVI P 2021 FFS RENDERING SNC AGE 0-20 436 1,014 383 749 140 232 319 404
1194279083 PATEL RAVI P 2021 FFS RENDERING SNC AGE 21+ 540 1,561 339 518 406 1,009 314 413
1194347740 CHONG ORAPIN 2021 FFS RENDERING SNC AGE 0-20 15 15 14 14 1 1 0 0
1194347740 CHONG ORAPIN 2021 FFS RENDERING SNC AGE 21+ 43 55 31 31 17 26 1 1
1194804781 TEE PETER A 2021 FFS RENDERING SNC AGE 0-20 656 928 318 361 252 350 305 336
1194804781 TEE PETER A 2021 FFS RENDERING SNC AGE 21+ 630 1,654 311 400 495 1,221 277 299
1194816496 FAYYAD AYMAN 2021 FFS RENDERING SNC AGE 0-20 472 499 439 455 36 38 43 43
1194816496 FAYYAD AYMAN 2021 FFS RENDERING SNC AGE 21+ 96 119 42 49 50 57 1 1
1194902767 ROBLES ARMINDA V 2021 FFS RENDERING SNC AGE 0-20 300 954 300 954 0 0 300 954
1194902767 ROBLES ARMINDA V 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 0 0 1 1
1194909788 MANISCALCO BRIDGET A 2021 FFS RENDERING SNC AGE 0-20 740 1,035 689 971 243 336 692 972
1194909788 MANISCALCO BRIDGET A 2021 FFS RENDERING SNC AGE 21+ 617 805 580 748 398 523 594 764
1194934695 TONG ANDREW Y 2021 FFS RENDERING SNC AGE 0-20 1,546 3,047 1,466 2,064 485 777 1,370 1,696
1194934695 TONG ANDREW Y 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 1 1 1 1
1205015716 SCHWARTZ MARTHA M 2021 FFS RENDERING SNC AGE 0-20 435 824 373 536 158 267 105 148
1205015716 SCHWARTZ MARTHA M 2021 FFS RENDERING SNC AGE 21+ 500 1,156 264 399 263 492 240 425
1205099637 SINGH RANBIR 2021 FFS RENDERING SNC AGE 0-20 793 1,145 793 1,142 82 109 787 1,132
1205099637 SINGH RANBIR 2021 FFS RENDERING SNC AGE 21+ 350 617 342 602 175 290 341 601
1205140522 MINKNER, RICHARD D MD 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 0 0 0 0
1205149176 CALIGIURI PEARL A 2021 FFS RENDERING SNC AGE 0-20 886 1,572 845 1,450 114 194 823 1,397
1205149176 CALIGIURI PEARL A 2021 FFS RENDERING SNC AGE 21+ 339 688 311 571 182 334 308 559
1205149176 CALIGIURI PEARL A 2021 PHP RENDERING SNC AGE 21+ 1 1 1 1 1 1 1 1
1205156122 DAOUD HASAN A 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 1 1 0 0
1205156122 DAOUD HASAN A 2021 FFS RENDERING SNC AGE 21+ 28 46 1 1 24 39 1 1
1205164530 HERNANDEZ OSVALDO R 2021 FFS RENDERING SNC AGE 0-20 60 146 39 59 33 75 48 91
1205164530 HERNANDEZ OSVALDO R 2021 FFS RENDERING SNC AGE 21+ 99 331 48 98 74 210 78 168
1205189693 TRAN HUONG HOAI T 2021 FFS RENDERING SNC AGE 0-20 44 55 38 39 1 2 36 37
1205189693 TRAN HUONG HOAI T 2021 FFS RENDERING SNC AGE 21+ 11 12 1 1 1 1 1 1
1205226263 YAMASHIRO RYAN K 2021 FFS RENDERING SNC AGE 21+ 264 1,172 264 1,171 0 0 264 1,172
1205241668 TUCKER BRENT A 2021 FFS RENDERING SNC AGE 0-20 56 97 26 33 22 36 35 49
1205241668 TUCKER BRENT A 2021 FFS RENDERING SNC AGE 21+ 11 11 0 0 1 1 1 1
1205250081 SUH MICHAEL 2021 FFS RENDERING SNC AGE 0-20 1,296 1,536 918 1,018 397 454 866 961
1205250081 SUH MICHAEL 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 0 0 1 1
1205255817 RELINGO SONIA F 2021 FFS RENDERING SNC AGE 0-20 116 219 68 96 36 70 19 25
1205255817 RELINGO SONIA F 2021 FFS RENDERING SNC AGE 21+ 170 393 67 97 127 260 33 41
1205278587 SLADE SUSAN ELIZABETH 2021 FFS RENDERING SNC AGE 0-20 35 50 27 31 1 2 0 0
1205278587 SLADE SUSAN ELIZABETH 2021 FFS RENDERING SNC AGE 21+ 579 979 177 206 471 835 1 1
1205295862 BATEMAN GABRIELLA MA O 2021 FFS RENDERING SNC AGE 21+ 13 18 1 1 12 17 1 1
1205310182 LEE DANIEL 2021 FFS RENDERING SNC AGE 0-20 1,105 1,823 1,063 1,522 262 450 1,006 1,372
1205310182 LEE DANIEL 2021 FFS RENDERING SNC AGE 21+ 541 1,015 363 503 261 540 344 427
1205314648 MANNIX SEAMUS R 2021 FFS RENDERING SNC AGE 0-20 435 1,375 265 363 146 324 187 225
1205314648 MANNIX SEAMUS R 2021 FFS RENDERING SNC AGE 21+ 223 856 105 194 154 403 53 109
1205369881 SALCEDO-PRADO MARICELA 2021 FFS RENDERING SNC AGE 0-20 468 575 403 478 62 75 227 259
1205369881 SALCEDO-PRADO MARICELA 2021 FFS RENDERING SNC AGE 21+ 282 395 143 178 138 189 77 95
1205370673 TRAN ELIZABETH 2021 FFS RENDERING SNC AGE 0-20 356 578 314 420 93 119 17 17
1205370673 TRAN ELIZABETH 2021 FFS RENDERING SNC AGE 21+ 551 1,385 388 640 269 477 16 21
1205396983 BARATTA RUTH A 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 0 0 0 0
1205423803 CEBALLOS MARISOL D 2021 FFS RENDERING SNC AGE 0-20 12 12 1 1 1 1 1 1
1205423803 CEBALLOS MARISOL D 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 1 1 0 0
1205427275 NICHOLAOU LUCAS J 2021 FFS RENDERING SNC AGE 0-20 94 129 93 114 19 28 92 111
1205427275 NICHOLAOU LUCAS J 2021 FFS RENDERING SNC AGE 21+ 27 33 24 29 1 1 1 1
1205503513 YANG CARI 2021 FFS RENDERING SNC AGE 0-20 48 68 45 53 1 2 42 50
1205503513 YANG CARI 2021 FFS RENDERING SNC AGE 21+ 206 377 184 244 67 98 191 278
1205868494 CANFIELD STEVEN C 2021 FFS RENDERING SNC AGE 0-20 1 2 1 1 1 1 1 1
1205868494 CANFIELD STEVEN C 2021 FFS RENDERING SNC AGE 21+ 28 30 17 18 16 17 16 16
1205871415 AVULA SHILPA 2021 FFS RENDERING SNC AGE 0-20 501 540 396 421 95 100 360 380
1205879343 LOUNSBERRY, DAVID V MD 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 0 0 0 0
1205912342 LEUNG TANIA 2021 FFS RENDERING SNC AGE 0-20 62 177 58 141 24 78 58 121
1205912342 LEUNG TANIA 2021 FFS RENDERING SNC AGE 21+ 180 588 146 382 143 426 144 314
1205933926 BAUMGARTNER, KENNETH, DDS 2021 FFS RENDERING SNC AGE 0-20 1 2 1 1 1 1 0 0
1205933926 BAUMGARTNER, KENNETH, DDS 2021 FFS RENDERING SNC AGE 21+ 60 218 0 0 42 115 13 37
1205960200 NGUYEN TRANG M 2021 FFS RENDERING SNC AGE 0-20 205 518 152 298 61 110 109 171
1205960200 NGUYEN TRANG M 2021 FFS RENDERING SNC AGE 21+ 129 378 60 142 60 110 61 102
1215068150 ISKANDAR MONA F 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 0 0 1 1
1215068150 ISKANDAR MONA F 2021 FFS RENDERING SNC AGE 21+ 14 14 14 14 0 0 14 14
1215079801 SANTOS JENNIFER V 2021 FFS RENDERING SNC AGE 0-20 1,107 1,365 1,100 1,342 35 47 1,087 1,313
1215079801 SANTOS JENNIFER V 2021 FFS RENDERING SNC AGE 21+ 90 153 82 124 51 91 81 123
1215085386 FELIPE YVETTE E 2021 FFS RENDERING SNC AGE 0-20 324 807 324 807 0 0 324 807
1215085386 FELIPE YVETTE E 2021 FFS RENDERING SNC AGE 21+ 493 2,257 493 2,257 1 1 493 2,257
1215131164 ARZU ROSA E 2021 FFS RENDERING SNC AGE 0-20 114 114 1 1 20 20 1 1
1215131164 ARZU ROSA E 2021 FFS RENDERING SNC AGE 21+ 73 73 1 1 58 58 14 14
1215151618 PRISBREY LORRAINE 2021 FFS RENDERING SNC AGE 0-20 71 107 63 77 15 22 29 29
1215151618 PRISBREY LORRAINE 2021 FFS RENDERING SNC AGE 21+ 328 671 81 85 287 541 100 119
1215188552 RASULOVA NARMINA 2021 FFS RENDERING SNC AGE 0-20 159 269 128 168 61 101 104 117
1215188552 RASULOVA NARMINA 2021 FFS RENDERING SNC AGE 21+ 243 523 192 244 142 307 165 197
1215200357 RAHIMI LEYLA 2021 FFS RENDERING SNC AGE 0-20 437 477 380 411 58 61 205 217
1215200357 RAHIMI LEYLA 2021 FFS RENDERING SNC AGE 21+ 159 166 65 65 85 88 48 48
1215227244 ADACHI, KATYA A MD 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 0 0 0 0
1215227244 ADACHI, KATYA A MD 2021 FFS RENDERING SNC AGE 21+ 1 2 1 1 1 2 0 0
1215356688 LACROIX STEPHANIE DIANE 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 0 0 1 1
1215356688 LACROIX STEPHANIE DIANE 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 0 0 1 1
1215419098 GEORGE ERIC M 2021 FFS RENDERING SNC AGE 0-20 224 556 202 384 63 119 194 327
1215419098 GEORGE ERIC M 2021 FFS RENDERING SNC AGE 21+ 141 493 118 248 87 266 113 228
1215424130 KROSHNA OKSANA 2021 FFS RENDERING SNC AGE 0-20 759 1,213 683 917 265 418 628 692
1215424130 KROSHNA OKSANA 2021 FFS RENDERING SNC AGE 21+ 485 1,003 228 258 377 721 275 356
1215435235 GUERRERO ONTIVEROS MANUEL 2021 FFS RENDERING SNC AGE 0-20 112 121 112 121 0 0 0 0
1215435235 GUERRERO ONTIVEROS MANUEL 2021 FFS RENDERING SNC AGE 21+ 871 1,337 863 1,313 0 0 1 1
1215450770 NANDAGOPAL MUGUNTH N 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 1 1 0 0
1215450770 NANDAGOPAL MUGUNTH N 2021 FFS RENDERING SNC AGE 21+ 122 849 13 29 97 600 40 230
1215485172 ALROSHAIDAN MOHAMMED 2021 FFS RENDERING SNC AGE 0-20 622 1,176 581 945 213 317 525 603
1215485172 ALROSHAIDAN MOHAMMED 2021 FFS RENDERING SNC AGE 21+ 377 813 329 476 176 357 299 347
1215509039 YIN JUNYA 2021 FFS RENDERING SNC AGE 0-20 164 714 141 429 38 155 114 237
1215509039 YIN JUNYA 2021 FFS RENDERING SNC AGE 21+ 167 818 120 363 99 366 118 317
1215951892 BACZEK WILLIAM W 2021 FFS RENDERING SNC AGE 0-20 137 172 124 147 34 38 84 85
1215951892 BACZEK WILLIAM W 2021 FFS RENDERING SNC AGE 21+ 223 365 187 219 94 135 179 219
1225015258 NGUYEN HUYEN L 2021 FFS RENDERING SNC AGE 0-20 435 887 364 536 213 354 418 549
1225015258 NGUYEN HUYEN L 2021 FFS RENDERING SNC AGE 21+ 647 1,028 234 322 166 246 606 779
1225056856 WU MICHAEL H 2021 FFS RENDERING SNC AGE 0-20 494 1,074 264 408 289 564 263 406
1225056856 WU MICHAEL H 2021 FFS RENDERING SNC AGE 21+ 1,964 4,535 1,127 1,861 1,129 2,225 1,128 1,863
1225080641 TRAM, ANH THU DDS 2021 FFS RENDERING SNC AGE 0-20 400 434 377 402 30 30 378 404
1225080641 TRAM, ANH THU DDS 2021 FFS RENDERING SNC AGE 21+ 173 195 136 147 31 32 138 150
1225131790 SHIROMA GUILLERMO R 2021 FFS RENDERING SNC AGE 0-20 183 362 133 161 67 145 114 127
1225131790 SHIROMA GUILLERMO R 2021 FFS RENDERING SNC AGE 21+ 815 2,104 591 850 355 721 583 860
1225131840 HANNA SAMIA S 2021 FFS RENDERING SNC AGE 0-20 11 15 1 2 1 1 1 1
1225131840 HANNA SAMIA S 2021 FFS RENDERING SNC AGE 21+ 76 177 45 63 65 135 29 35
1225150543 HUANG MICHAEL 2021 FFS RENDERING SNC AGE 0-20 11 21 11 17 1 1 11 17
1225150543 HUANG MICHAEL 2021 FFS RENDERING SNC AGE 21+ 146 343 140 290 33 63 136 259
1225176506 ANTHONY GIHAN G 2021 FFS RENDERING SNC AGE 0-20 407 1,069 327 506 253 476 277 407
1225176506 ANTHONY GIHAN G 2021 FFS RENDERING SNC AGE 21+ 987 2,757 479 559 688 1,386 622 1,095
1225182355 NUNEZ-OUJI, MARIA LUISA, DDS 2021 FFS RENDERING SNC AGE 0-20 129 272 111 200 30 59 47 90
1225182355 NUNEZ-OUJI, MARIA LUISA, DDS 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 1 1 0 0
1225182355 NUNEZ-OUJI, MARIA LUISA, DDS 2021 GMC RENDERING SNC AGE 0-20 1 1 1 1 1 1 1 1
1225186190 MERRILL, WAYMAN D 2021 FFS RENDERING SNC AGE 21+ 1 2 1 1 1 1 1 1
1225188162 BAGHA, DALJIT MD 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 0 0 1 1
1225188162 BAGHA, DALJIT MD 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 1 1 0 0
1225196082 ANSARI FAIZ A 2021 FFS RENDERING SNC AGE 0-20 190 222 151 160 47 57 118 124
1225196082 ANSARI FAIZ A 2021 FFS RENDERING SNC AGE 21+ 72 81 52 54 23 27 38 40
1225238165 SARVI, TINA 2021 FFS RENDERING SNC AGE 0-20 243 345 218 280 38 46 225 275
1225238165 SARVI, TINA 2021 FFS RENDERING SNC AGE 21+ 295 691 166 263 180 382 182 209
1225260623 TATH PHAN T 2021 FFS RENDERING SNC AGE 0-20 38 67 32 47 11 13 27 34
1225260623 TATH PHAN T 2021 FFS RENDERING SNC AGE 21+ 46 86 26 31 23 41 19 29
1225279862 CHOPRA PREETI M 2021 FFS RENDERING SNC AGE 0-20 53 77 25 29 21 26 35 51
1225279862 CHOPRA PREETI M 2021 FFS RENDERING SNC AGE 21+ 486 861 243 377 397 612 260 427
1225447949 NGO HANH N 2021 FFS RENDERING SNC AGE 0-20 69 224 54 105 38 108 47 94
1225447949 NGO HANH N 2021 FFS RENDERING SNC AGE 21+ 577 2,184 351 725 405 1,445 355 766
1225462781 YUEN WILLIS C 2021 FFS RENDERING SNC AGE 0-20 207 317 40 54 168 239 48 65
1225462781 YUEN WILLIS C 2021 FFS RENDERING SNC AGE 21+ 786 1,944 128 157 701 1,668 152 201
1225496763 CHAN WING H 2021 FFS RENDERING SNC AGE 0-20 51 64 51 64 0 0 51 64
1225496763 CHAN WING H 2021 FFS RENDERING SNC AGE 21+ 427 622 427 622 0 0 427 622
1225534472 NEWLAND ANNIESATU 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 0 0 1 1
1235157405 MERCARDANTE JR JOSEPH R 2021 FFS RENDERING SNC AGE 0-20 47 74 45 63 1 1 45 47
1235157405 MERCARDANTE JR JOSEPH R 2021 FFS RENDERING SNC AGE 21+ 18 24 17 22 1 1 17 19
1235168576 HSIEH, SUSAN MD 2021 FFS RENDERING SNC AGE 21+ 1 2 0 0 1 1 1 1
1235214149 CHIU LISABETH S 2021 FFS RENDERING SNC AGE 0-20 40 43 19 19 1 1 30 32
1235214149 CHIU LISABETH S 2021 FFS RENDERING SNC AGE 21+ 88 152 24 26 38 71 57 72
1235242231 ABEDINZADEH LILA 2021 FFS RENDERING SNC AGE 0-20 421 693 380 559 144 215 263 325
1235242231 ABEDINZADEH LILA 2021 FFS RENDERING SNC AGE 21+ 369 912 332 660 276 566 254 419
1235267980 DYAB OMAR 2021 FFS RENDERING SNC AGE 0-20 551 837 551 837 1 1 551 837
1235267980 DYAB OMAR 2021 FFS RENDERING SNC AGE 21+ 452 733 451 732 1 2 452 733
1235280777 MENDOZA ANNA 2021 FFS RENDERING SNC AGE 21+ 1 2 0 0 1 2 0 0
1235296898 SHUE BRIAN 2021 FFS RENDERING SNC AGE 0-20 363 1,493 318 965 152 617 283 807
1235296898 SHUE BRIAN 2021 FFS RENDERING SNC AGE 21+ 458 2,533 370 1,356 317 1,715 328 982
1235313925 PARK, CHRISTINE 2021 FFS RENDERING SNC AGE 0-20 290 537 237 385 76 117 133 157
1235313925 PARK, CHRISTINE 2021 FFS RENDERING SNC AGE 21+ 405 830 214 288 233 451 177 202
1235333451 MELO MONICA A 2021 FFS RENDERING SNC AGE 0-20 682 1,069 162 202 194 287 11 15
1235333451 MELO MONICA A 2021 FFS RENDERING SNC AGE 21+ 388 910 165 210 217 485 16 21
1235366584 OMIDVAR, YASAMAN MD 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 0 0 0 0
1235448036 PARIKH SHREYASI 2021 FFS RENDERING SNC AGE 0-20 44 46 41 43 1 1 41 43
1235448036 PARIKH SHREYASI 2021 FFS RENDERING SNC AGE 21+ 48 54 32 35 26 29 31 33
1235452368 LIN-BURNS CHRISTAIN C 2021 FFS RENDERING SNC AGE 0-20 72 86 59 73 1 1 54 68
1235470519 LAU JENNA Y 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 0 0 1 1
1235494980 GALVEZ STEPHANIE A 2021 FFS RENDERING SNC AGE 0-20 216 394 204 294 123 227 201 267
1235494980 GALVEZ STEPHANIE A 2021 FFS RENDERING SNC AGE 21+ 323 963 229 339 263 710 263 428
1235548033 MISMAR DINA 2021 FFS RENDERING SNC AGE 0-20 600 898 584 788 62 98 548 613
1235548033 MISMAR DINA 2021 FFS RENDERING SNC AGE 21+ 264 490 230 288 107 194 227 272
1235635418 NGUYEN KELLY KIM 2021 FFS RENDERING SNC AGE 0-20 901 1,233 787 986 154 195 756 929
1235635418 NGUYEN KELLY KIM 2021 FFS RENDERING SNC AGE 21+ 609 884 463 577 239 322 464 583
1235697400 SOK JOSHUA 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 1 1 1 1
1235697400 SOK JOSHUA 2021 FFS RENDERING SNC AGE 21+ 101 125 98 111 58 66 83 84
1235746587 CHONG BEUM H 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 0 0 0 0
1235746587 CHONG BEUM H 2021 FFS RENDERING SNC AGE 21+ 13 26 0 0 0 0 1 1
1235782913 KING GALEN L 2021 FFS RENDERING SNC AGE 0-20 19 30 1 1 1 2 1 1
1235782913 KING GALEN L 2021 FFS RENDERING SNC AGE 21+ 160 460 83 189 86 170 73 208
1245201201 BALLAGH, SUSAN A MD 2021 FFS RENDERING SNC AGE 0-20 51 65 40 43 17 23 36 38
1245201201 BALLAGH, SUSAN A MD 2021 FFS RENDERING SNC AGE 21+ 68 94 41 44 34 48 40 43
1245240282 MOSHAKE RANA 2021 FFS RENDERING SNC AGE 0-20 242 260 242 260 0 0 235 251
1245240282 MOSHAKE RANA 2021 FFS RENDERING SNC AGE 21+ 166 188 166 188 0 0 165 187
1245240845 ENG TSUI WAI CHRISTINE 2021 FFS RENDERING SNC AGE 0-20 485 615 405 469 100 123 313 348
1245240845 ENG TSUI WAI CHRISTINE 2021 FFS RENDERING SNC AGE 21+ 296 369 235 274 80 97 208 239
1245356674 SHINGLE SPRINGS RANCHERIA 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 1 1 0 0
1245356674 SHINGLE SPRINGS RANCHERIA 2021 FFS RENDERING SNC AGE 21+ 1 2 0 0 0 0 0 0
1245358472 GALANG, JANE S, DDS 2021 FFS RENDERING SNC AGE 0-20 1 2 0 0 1 2 0 0
1245358472 GALANG, JANE S, DDS 2021 FFS RENDERING SNC AGE 21+ 60 244 13 14 54 172 27 58
1245368349 LIN CHRISTOPHER Y 2021 FFS RENDERING SNC AGE 0-20 204 260 125 139 64 84 1 2
1245368349 LIN CHRISTOPHER Y 2021 FFS RENDERING SNC AGE 21+ 435 732 138 158 308 435 66 162
1245372507 BAEZ BEATRICE ELENA 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 0 0 0 0
1245382894 MILOS MICHAEL F 2021 FFS RENDERING SNC AGE 0-20 139 263 134 220 33 52 132 200
1245382894 MILOS MICHAEL F 2021 FFS RENDERING SNC AGE 21+ 349 965 331 560 187 483 327 545
1245398411 LANE ANDREW S 2021 FFS RENDERING SNC AGE 0-20 657 1,247 594 952 212 374 219 338
1245398411 LANE ANDREW S 2021 FFS RENDERING SNC AGE 21+ 713 1,550 407 543 413 797 253 432
1245403054 DO CATHERINE H 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 1 1 1 1
1245403054 DO CATHERINE H 2021 FFS RENDERING SNC AGE 21+ 242 585 196 247 43 73 235 524
1245448661 VOZNYUK INESSA 2021 FFS RENDERING SNC AGE 0-20 151 432 143 202 74 207 139 193
1245448661 VOZNYUK INESSA 2021 FFS RENDERING SNC AGE 21+ 235 1,019 195 327 198 777 195 249
1245450576 TURNER RODNEY L 2021 FFS RENDERING SNC AGE 21+ 270 1,638 270 1,636 1 1 270 1,636
1245453372 JORDAN SHAUN MICHELLE 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 0 0 1 1
1245493105 HOANG CHRISTINE T 2021 FFS RENDERING SNC AGE 0-20 161 485 160 479 20 29 160 479
1245493105 HOANG CHRISTINE T 2021 FFS RENDERING SNC AGE 21+ 258 1,235 258 1,203 1 1 256 1,198
1245511096 VANG, KHAM, DDS 2021 FFS RENDERING SNC AGE 0-20 27 51 19 28 1 2 15 18
1245511096 VANG, KHAM, DDS 2021 FFS RENDERING SNC AGE 21+ 184 656 98 117 129 311 121 299
1245545839 TAGHVAEI SEPIDEH 2021 FFS RENDERING SNC AGE 0-20 110 133 110 133 0 0 110 133
1245545839 TAGHVAEI SEPIDEH 2021 FFS RENDERING SNC AGE 21+ 1,432 2,665 1,426 2,658 0 0 1,426 2,658
1245578483 KIM HYONG J 2021 FFS RENDERING SNC AGE 0-20 101 147 98 126 41 49 90 114
1245578483 KIM HYONG J 2021 GMC RENDERING SNC AGE 0-20 1 1 0 0 1 1 0 0
1245606060 ANDERSON MARK S 2021 FFS RENDERING SNC AGE 0-20 82 171 82 171 0 0 82 171
1245606060 ANDERSON MARK S 2021 FFS RENDERING SNC AGE 21+ 80 184 80 184 0 0 80 184
1245615327 SAMPLE ANGELA 2021 FFS RENDERING SNC AGE 0-20 22 27 12 12 12 17 14 17
1245615327 SAMPLE ANGELA 2021 FFS RENDERING SNC AGE 21+ 339 631 70 71 317 600 244 463
1245672716 MEHANZEL HAILU S 2021 FFS RENDERING SNC AGE 0-20 561 939 501 603 174 280 455 519
1245672716 MEHANZEL HAILU S 2021 FFS RENDERING SNC AGE 21+ 423 847 326 384 216 351 329 429
1245680040 CHAU LONG GIANG N 2021 FFS RENDERING SNC AGE 0-20 565 1,643 352 626 366 800 104 142
1245680040 CHAU LONG GIANG N 2021 FFS RENDERING SNC AGE 21+ 460 1,319 189 263 390 1,004 87 117
1245716950 BALINGHASAY ERIK P 2021 FFS RENDERING SNC AGE 21+ 1 2 0 0 1 2 0 0
1245766542 CHIU VICTORIA 2021 FFS RENDERING SNC AGE 0-20 1 2 1 2 1 1 1 2
1245766542 CHIU VICTORIA 2021 FFS RENDERING SNC AGE 21+ 341 893 326 773 95 154 324 715
1245772607 YUN JACQUELINE U 2021 FFS RENDERING SNC AGE 0-20 568 1,006 549 837 103 195 545 840
1245772607 YUN JACQUELINE U 2021 FFS RENDERING SNC AGE 21+ 214 469 173 310 83 165 172 231
1245802842 MEHTA AJAY 2021 FFS RENDERING SNC AGE 0-20 12 19 1 1 1 1 1 1
1245802842 MEHTA AJAY 2021 FFS RENDERING SNC AGE 21+ 206 348 89 95 114 170 134 165
1245848332 TSOI HOWARD C 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 0 0 0 0
1245848332 TSOI HOWARD C 2021 FFS RENDERING SNC AGE 21+ 32 69 0 0 0 0 1 1
1245883495 BOYD BRENT C 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 0 0 0 0
1245883495 BOYD BRENT C 2021 FFS RENDERING SNC AGE 21+ 28 54 1 1 24 49 1 1
1255302022 LY BLONG ROGER 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 1 1 0 0
1255432191 JACOB, HARI, DDS 2021 FFS RENDERING SNC AGE 0-20 85 300 85 300 0 0 85 300
1255432191 JACOB, HARI, DDS 2021 FFS RENDERING SNC AGE 21+ 140 420 139 418 0 0 139 418
1255433553 LIN, ALBERT S, DDS 2021 FFS RENDERING SNC AGE 0-20 199 233 174 196 25 32 132 149
1255433553 LIN, ALBERT S, DDS 2021 FFS RENDERING SNC AGE 21+ 102 127 74 85 35 46 52 55
1255480406 RICHARDSON, JOHN V D, DDS 2021 FFS RENDERING SNC AGE 0-20 356 926 239 359 212 488 73 76
1255480406 RICHARDSON, JOHN V D, DDS 2021 FFS RENDERING SNC AGE 21+ 503 1,669 296 644 392 1,014 225 509
1255491973 QURESHI AZEEM H 2021 FFS RENDERING SNC AGE 0-20 12 13 11 12 1 1 1 1
1255491973 QURESHI AZEEM H 2021 FFS RENDERING SNC AGE 21+ 14 15 1 1 1 1 1 1
1255517009 PENG YAWEN 2021 FFS RENDERING SNC AGE 0-20 29 47 16 25 1 2 19 26
1255517009 PENG YAWEN 2021 FFS RENDERING SNC AGE 21+ 126 266 69 89 61 100 82 112
1255583241 LEHNHOF MONICA C 2021 FFS RENDERING SNC AGE 21+ 14 25 1 1 14 25 1 1
1255588638 EL RAHEB ROSETTE M 2021 FFS RENDERING SNC AGE 0-20 681 964 577 671 140 204 570 643
1255588638 EL RAHEB ROSETTE M 2021 FFS RENDERING SNC AGE 21+ 488 971 255 331 305 552 234 268
1255603007 MORFORD CYNTHIA KAY 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 1 1 1 1
1255603007 MORFORD CYNTHIA KAY 2021 FFS RENDERING SNC AGE 21+ 162 399 133 176 19 34 157 367
1255657524 DALMA CATHERINE G 2021 FFS RENDERING SNC AGE 0-20 1,645 2,908 1,604 2,512 335 432 1,544 1,981
1255657524 DALMA CATHERINE G 2021 FFS RENDERING SNC AGE 21+ 404 682 342 462 142 210 311 382
1255712865 LOE JESSICA R 2021 FFS RENDERING SNC AGE 0-20 402 697 375 543 103 161 310 356
1255712865 LOE JESSICA R 2021 FFS RENDERING SNC AGE 21+ 529 1,526 480 802 316 748 455 773
1255755443 DARNELL REBECCA DONYNE 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 0 0 1 1
1255764742 HOLMAN CHARLANNE 2021 FFS RENDERING SNC AGE 0-20 220 561 220 561 0 0 220 561
1255764742 HOLMAN CHARLANNE 2021 FFS RENDERING SNC AGE 21+ 469 1,817 469 1,817 0 0 469 1,817
1255784161 CHAN LATISHA 2021 FFS RENDERING SNC AGE 0-20 167 378 156 230 49 148 156 230
1255784161 CHAN LATISHA 2021 FFS RENDERING SNC AGE 21+ 29 82 22 34 13 38 22 38
1255786646 EWUDO IZUNNA VINCENT 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 0 0 1 1
1255818597 LEIS KYLE B 2021 FFS RENDERING SNC AGE 0-20 505 721 471 571 135 190 428 471
1255818597 LEIS KYLE B 2021 FFS RENDERING SNC AGE 21+ 283 546 237 307 143 243 231 305
1255833463 DUPEY CLAIRE E 2021 FFS RENDERING SNC AGE 0-20 1,443 3,225 1,095 1,892 402 698 957 1,358
1255833463 DUPEY CLAIRE E 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 1 1 1 1
1255845608 REYES ERIKA ANDREA 2021 FFS RENDERING SNC AGE 0-20 61 69 61 69 0 0 0 0
1255845608 REYES ERIKA ANDREA 2021 FFS RENDERING SNC AGE 21+ 501 743 499 736 0 0 1 1
1255845947 FELEMA JESSE S 2021 FFS RENDERING SNC AGE 21+ 1 2 1 1 1 1 1 1
1255903282 ROCHA WENDY 2021 FFS RENDERING SNC AGE 0-20 127 297 106 216 29 61 101 163
1255903282 ROCHA WENDY 2021 FFS RENDERING SNC AGE 21+ 140 427 110 198 61 151 109 186
1255948956 CHEN ZHENGXI 2021 FFS RENDERING SNC AGE 0-20 358 1,081 312 697 95 191 188 252
1255948956 CHEN ZHENGXI 2021 FFS RENDERING SNC AGE 21+ 536 2,347 447 1,417 303 863 361 832
1255952495 YOUSSEF YOUSTINA 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 1 1 1 1
1255952495 YOUSSEF YOUSTINA 2021 FFS RENDERING SNC AGE 21+ 45 53 1 1 16 20 21 21
1255977617 MARSANO STEPHANIE 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 0 0 0 0
1255977617 MARSANO STEPHANIE 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 0 0 0 0
1255980504 BERNALDO SAMANTHA 2021 FFS RENDERING SNC AGE 0-20 25 28 25 28 0 0 0 0
1255980504 BERNALDO SAMANTHA 2021 FFS RENDERING SNC AGE 21+ 326 381 321 375 0 0 0 0
1265418776 RIPPY STEVEN W 2021 FFS RENDERING SNC AGE 0-20 193 391 110 140 98 178 124 148
1265418776 RIPPY STEVEN W 2021 FFS RENDERING SNC AGE 21+ 753 1,473 284 324 545 991 387 432
1265456628 CALUORI DOMENIC M 2021 FFS RENDERING SNC AGE 0-20 1,338 2,395 1,338 2,390 39 49 1,324 2,316
1265456628 CALUORI DOMENIC M 2021 FFS RENDERING SNC AGE 21+ 902 2,325 901 2,318 1 1 901 2,318
1265483176 BIRNBAUM,JONATHAN R MD 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 0 0 0 0
1265501043 AMBROSIO CARMELA M 2021 FFS RENDERING SNC AGE 0-20 117 159 89 105 37 44 42 45
1265501043 AMBROSIO CARMELA M 2021 FFS RENDERING SNC AGE 21+ 197 295 99 117 98 143 90 96
1265521199 LEVI ROBIN TORNAI 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 0 0 1 1
1265531180 YAMASHITA LESTER T 2021 FFS RENDERING SNC AGE 0-20 653 1,204 571 1,025 484 802 286 463
1265531180 YAMASHITA LESTER T 2021 FFS RENDERING SNC AGE 21+ 319 746 189 332 242 538 74 105
1265539928 FIGUEROA DONALDO ROBERTO 2021 FFS RENDERING SNC AGE 0-20 19 21 1 1 0 0 1 1
1265554166 MACVANE-PEARSON MONICA GRISEL 2021 FFS RENDERING SNC AGE 0-20 316 346 214 227 75 79 227 241
1265554166 MACVANE-PEARSON MONICA GRISEL 2021 FFS RENDERING SNC AGE 21+ 83 102 61 67 42 52 57 61
1265559520 CREADO LARISSA 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 1 1 1 1
1265559520 CREADO LARISSA 2021 FFS RENDERING SNC AGE 21+ 255 614 162 216 131 281 186 308
1265560890 QUANG NGOC HAO T 2021 FFS RENDERING SNC AGE 0-20 89 222 89 222 0 0 89 222
1265560890 QUANG NGOC HAO T 2021 FFS RENDERING SNC AGE 21+ 567 1,882 567 1,882 0 0 567 1,882
1265598965 UNKNOWN 2021 FFS RENDERING SNC AGE 0-20 1 2 1 2 0 0 1 2
1265598965 UNKNOWN 2021 FFS RENDERING SNC AGE 21+ 50 66 50 66 0 0 50 66
1265604318 PILANT, LINDA LEE, RDHAP 2021 FFS RENDERING SNC AGE 0-20 54 54 52 52 1 1 0 0
1265604318 PILANT, LINDA LEE, RDHAP 2021 FFS RENDERING SNC AGE 21+ 140 153 71 71 69 81 1 1
1265615637 SANTOS ESCALANT CLAVER P 2021 FFS RENDERING SNC AGE 0-20 185 344 98 140 42 70 91 104
1265615637 SANTOS ESCALANT CLAVER P 2021 FFS RENDERING SNC AGE 21+ 932 2,272 587 786 409 880 572 882
1265616338 HERZOG JOSEPH BERNARD 2021 FFS RENDERING SNC AGE 0-20 96 316 95 314 23 96 96 316
1265616338 HERZOG JOSEPH BERNARD 2021 FFS RENDERING SNC AGE 21+ 137 489 137 487 46 121 137 487
1265618771 MERCADO MARIA LUISA A 2021 FFS RENDERING SNC AGE 0-20 200 414 35 40 41 66 12 13
1265618771 MERCADO MARIA LUISA A 2021 FFS RENDERING SNC AGE 21+ 285 706 112 188 109 188 16 16
1265618771 MERCADO MARIA LUISA A 2021 PHP RENDERING SNC AGE 21+ 1 1 1 1 1 1 0 0
1265622419 WILSON ROCIO 2021 FFS RENDERING SNC AGE 0-20 1,254 4,143 1,254 4,143 0 0 1,254 4,143
1265622419 WILSON ROCIO 2021 FFS RENDERING SNC AGE 21+ 436 1,984 435 1,973 0 0 435 1,973
1265622419 WILSON ROCIO 2021 GMC RENDERING SNC AGE 0-20 1 1 1 1 0 0 1 1
1265626329 GEBRI NASHWA NOIL A 2021 FFS RENDERING SNC AGE 0-20 322 736 288 533 61 124 148 193
1265626329 GEBRI NASHWA NOIL A 2021 FFS RENDERING SNC AGE 21+ 516 1,671 363 694 275 709 317 380
1265641823 HOM CYNTHIA 2021 FFS RENDERING SNC AGE 0-20 663 1,008 587 716 273 407 493 548
1265641823 HOM CYNTHIA 2021 FFS RENDERING SNC AGE 21+ 511 1,050 250 278 379 726 252 320
1265642797 SHAH SNEHA B 2021 FFS RENDERING SNC AGE 0-20 280 688 203 360 119 220 52 59
1265642797 SHAH SNEHA B 2021 FFS RENDERING SNC AGE 21+ 296 758 110 154 239 586 40 46
1265692800 ISHIBASHI NAOMI J 2021 FFS RENDERING SNC AGE 0-20 174 300 160 234 23 36 160 230
1265692800 ISHIBASHI NAOMI J 2021 FFS RENDERING SNC AGE 21+ 166 357 121 165 71 139 130 197
1265748941 PERRY KEVIN S 2021 FFS RENDERING SNC AGE 0-20 817 4,749 798 3,609 256 1,053 759 2,169
1265748941 PERRY KEVIN S 2021 FFS RENDERING SNC AGE 21+ 610 3,915 533 1,607 304 2,084 536 1,562
1265750202 NAKHLA, CINDY MD 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 0 0 1 1
1265750202 NAKHLA, CINDY MD 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 0 0 1 1
1265814586 PANOSIAN ONNIG 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 1 1 1 1
1265821128 FARHAT FARZAD 2021 FFS RENDERING SNC AGE 0-20 493 1,372 493 1,372 0 0 493 1,372
1265821128 FARHAT FARZAD 2021 FFS RENDERING SNC AGE 21+ 443 1,115 443 1,115 0 0 443 1,115
1265832992 SARMAST NIMA D 2021 FFS RENDERING SNC AGE 21+ 119 302 46 75 92 224 47 77
1265858138 KUO SAMUEL E 2021 FFS RENDERING SNC AGE 0-20 108 229 108 229 0 0 108 229
1265858138 KUO SAMUEL E 2021 FFS RENDERING SNC AGE 21+ 794 2,171 788 2,163 0 0 788 2,163
1265877948 MUHAMMED SAIRA 2021 FFS RENDERING SNC AGE 0-20 332 449 246 280 73 105 251 287
1265877948 MUHAMMED SAIRA 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 1 1 0 0
1265892814 MARKOVA MARINA S 2021 FFS RENDERING SNC AGE 0-20 222 584 151 190 81 188 11 14
1265892814 MARKOVA MARINA S 2021 FFS RENDERING SNC AGE 21+ 376 1,511 179 187 221 686 92 172
1265969505 SINGH JASWINDER KAUR 2021 FFS RENDERING SNC AGE 0-20 18 19 15 15 1 1 0 0
1265969505 SINGH JASWINDER KAUR 2021 FFS RENDERING SNC AGE 21+ 25 32 1 1 18 24 0 0
1275573669 FOUCHE, KIM V MD 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 1 1 0 0
1275603268 O'DONNELL DINA K 2021 FFS RENDERING SNC AGE 0-20 102 107 83 86 41 43 72 72
1275603268 O'DONNELL DINA K 2021 FFS RENDERING SNC AGE 21+ 63 65 14 14 43 45 18 18
1275608986 GALINDO ALFONSO G 2021 FFS RENDERING SNC AGE 0-20 170 200 119 127 39 53 1 1
1275608986 GALINDO ALFONSO G 2021 FFS RENDERING SNC AGE 21+ 376 701 101 121 261 394 87 213
1275625535 LOVETT DONALD F 2021 FFS RENDERING SNC AGE 0-20 421 627 373 493 90 118 294 315
1275625535 LOVETT DONALD F 2021 FFS RENDERING SNC AGE 21+ 164 269 138 170 54 93 120 135
1275629065 CHIURAZZI, ROBERT D, DDS 2021 FFS RENDERING SNC AGE 0-20 46 62 29 30 18 27 18 22
1275629065 CHIURAZZI, ROBERT D, DDS 2021 FFS RENDERING SNC AGE 21+ 380 600 100 122 322 491 95 122
1275636870 MEZA CRESPO, MAXIMO-DANIEL, 2021 FFS RENDERING SNC AGE 0-20 588 796 502 541 96 156 434 443
1275636870 MEZA CRESPO, MAXIMO-DANIEL, 2021 FFS RENDERING SNC AGE 21+ 628 1,398 356 449 259 444 333 443
1275643868 SAVIDAN MICHAEL A 2021 FFS RENDERING SNC AGE 0-20 242 630 222 418 72 177 192 330
1275643868 SAVIDAN MICHAEL A 2021 FFS RENDERING SNC AGE 21+ 159 494 127 292 101 217 117 266
1275646952 SHAMSID-DEEN SHAFEEQ S 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 0 0 1 1
1275652422 BOUCHOUCHA SLIM 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 0 0 0 0
1275652422 BOUCHOUCHA SLIM 2021 FFS RENDERING SNC AGE 21+ 19 24 1 1 0 0 11 11
1275653743 HENRIE PATRICK 2021 FFS RENDERING SNC AGE 0-20 159 210 99 125 98 124 67 85
1275653743 HENRIE PATRICK 2021 FFS RENDERING SNC AGE 21+ 565 917 100 122 458 695 310 453
1275659856 SARTORI DARIO ABRAMO 2021 FFS RENDERING SNC AGE 0-20 281 769 238 463 147 292 194 255
1275659856 SARTORI DARIO ABRAMO 2021 FFS RENDERING SNC AGE 21+ 561 2,154 344 588 442 1,123 282 567
1275669061 PARKER, CHRISTOPHER D, DDS 2021 FFS RENDERING SNC AGE 0-20 18 125 18 125 0 0 18 125
1275674228 DRUCKENMILLER J WALTER F 2021 FFS RENDERING SNC AGE 0-20 566 1,873 478 1,120 305 1,048 510 1,152
1275674228 DRUCKENMILLER J WALTER F 2021 FFS RENDERING SNC AGE 21+ 366 1,598 127 256 295 1,087 328 1,028
1275707747 MOSS MARK L 2021 FFS RENDERING SNC AGE 0-20 12 15 0 0 1 1 1 1
1275707747 MOSS MARK L 2021 FFS RENDERING SNC AGE 21+ 74 96 1 1 47 65 24 25
1275709115 TRAN JOANNE T 2021 FFS RENDERING SNC AGE 0-20 744 1,405 743 1,399 1 1 743 1,399
1275709115 TRAN JOANNE T 2021 FFS RENDERING SNC AGE 21+ 1 2 1 2 0 0 1 2
1275727182 LIN ANDREW JERRY 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 0 0 1 1
1275727182 LIN ANDREW JERRY 2021 FFS RENDERING SNC AGE 21+ 22 28 1 1 18 22 1 1
1275740722 SARMIENTO SANDRA J 2021 FFS RENDERING SNC AGE 0-20 189 197 94 94 74 77 87 87
1275740722 SARMIENTO SANDRA J 2021 FFS RENDERING SNC AGE 21+ 189 204 93 93 109 117 74 74
1275755183 PIERONI NADINE M 2021 FFS RENDERING SNC AGE 0-20 29 33 22 24 1 1 1 2
1275755183 PIERONI NADINE M 2021 FFS RENDERING SNC AGE 21+ 67 94 32 40 18 24 30 37
1275760894 GOODMAN, ELIZABETH L MD 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 0 0 1 1
1275761298 MEZENTSEV SVETLANA Y 2021 FFS RENDERING SNC AGE 0-20 820 1,612 719 962 313 507 761 979
1275761298 MEZENTSEV SVETLANA Y 2021 FFS RENDERING SNC AGE 21+ 336 566 90 126 115 205 305 349
1275783813 PARK JUNG S 2021 FFS RENDERING SNC AGE 0-20 75 173 64 84 35 90 60 73
1275783813 PARK JUNG S 2021 FFS RENDERING SNC AGE 21+ 177 415 99 139 120 229 105 143
1275790164 BAHADORI MARYAM 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 0 0 1 1
1275790164 BAHADORI MARYAM 2021 FFS RENDERING SNC AGE 21+ 11 11 1 1 1 1 1 1
1275811432 LAGRIMAS MIKOYAN 2021 FFS RENDERING SNC AGE 0-20 1,684 2,337 1,344 1,668 442 563 782 868
1275811432 LAGRIMAS MIKOYAN 2021 FFS RENDERING SNC AGE 21+ 51 77 1 1 26 41 1 1
1275822884 YIP FELIX K 2021 FFS RENDERING SNC AGE 0-20 207 408 1 2 33 37 155 264
1275822884 YIP FELIX K 2021 FFS RENDERING SNC AGE 21+ 1,505 2,910 52 61 668 894 854 1,404
1275849283 BORREGO COMMUNITY HEALTH 2021 FFS RENDERING SNC AGE 0-20 70 148 42 84 22 46 42 88
1275849283 BORREGO COMMUNITY HEALTH 2021 FFS RENDERING SNC AGE 21+ 66 148 20 40 41 92 19 40
1275862997 BROOKINS JENNIFER 2021 FFS RENDERING SNC AGE 0-20 344 674 320 471 136 244 320 444
1275874794 LAMPA LIEZL L 2021 FFS RENDERING SNC AGE 0-20 546 1,290 436 800 179 338 381 487
1275874794 LAMPA LIEZL L 2021 FFS RENDERING SNC AGE 21+ 283 1,026 198 360 193 645 192 313
1275879827 COX CHRISTINA MARIA 2021 FFS RENDERING SNC AGE 0-20 70 111 69 110 0 0 56 88
1275879827 COX CHRISTINA MARIA 2021 FFS RENDERING SNC AGE 21+ 233 479 218 450 23 39 143 230
1275901050 VAYNSHTEYN ILANA 2021 FFS RENDERING SNC AGE 0-20 1,358 1,818 1,358 1,818 0 0 1,358 1,818
1275901050 VAYNSHTEYN ILANA 2021 FFS RENDERING SNC AGE 21+ 772 1,014 766 1,007 0 0 766 1,007
1275906836 HINATA SATOMI 2021 FFS RENDERING SNC AGE 0-20 157 487 156 486 0 0 156 486
1275906836 HINATA SATOMI 2021 FFS RENDERING SNC AGE 21+ 213 815 210 809 1 1 209 808
1275974156 RAY SHEETAL D 2021 FFS RENDERING SNC AGE 0-20 174 364 100 122 44 98 1 1
1275974156 RAY SHEETAL D 2021 FFS RENDERING SNC AGE 21+ 283 971 111 111 160 400 61 130
1275977514 SANVICTORES MARY ANN V 2021 FFS RENDERING SNC AGE 0-20 650 1,365 627 1,040 160 297 545 611
1275977514 SANVICTORES MARY ANN V 2021 FFS RENDERING SNC AGE 21+ 240 497 227 292 71 171 218 287
1275989659 DIZON MARIE B 2021 FFS RENDERING SNC AGE 0-20 40 42 31 32 1 1 29 30
1285001784 MEI KAREN D 2021 FFS RENDERING SNC AGE 0-20 266 572 258 463 57 131 255 409
1285001784 MEI KAREN D 2021 FFS RENDERING SNC AGE 21+ 521 1,864 463 1,078 342 967 407 929
1285026492 HAIDAR HASSAN M 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 1 1 0 0
1285040980 TSO THEODORE V 2021 FFS RENDERING SNC AGE 0-20 1 2 1 1 1 1 1 1
1285040980 TSO THEODORE V 2021 FFS RENDERING SNC AGE 21+ 233 662 43 53 125 302 133 206
1285040980 TSO THEODORE V 2021 PHP RENDERING SNC AGE 21+ 1 1 0 0 0 0 1 1
1285041475 KHODADADZADEH SHAGHAYEGH 2021 FFS RENDERING SNC AGE 0-20 50 52 50 52 0 0 50 52
1285041475 KHODADADZADEH SHAGHAYEGH 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 0 0 1 1
1285041798 KURYLO MICHAEL PATRICK 2021 FFS RENDERING SNC AGE 0-20 191 544 121 265 44 141 1 1
1285041798 KURYLO MICHAEL PATRICK 2021 FFS RENDERING SNC AGE 21+ 649 3,694 156 323 419 1,713 159 1,016
1285067728 MOORE DEREK 2021 FFS RENDERING SNC AGE 0-20 128 177 128 177 0 0 128 177
1285067728 MOORE DEREK 2021 FFS RENDERING SNC AGE 21+ 178 315 178 315 0 0 178 315
1285069609 NGO JOANNE T 2021 FFS RENDERING SNC AGE 0-20 96 187 83 118 44 98 76 101
1285069609 NGO JOANNE T 2021 FFS RENDERING SNC AGE 21+ 127 346 83 151 91 224 83 151
1285080598 ORELLANA VASQUEZ DANIELA 2021 FFS RENDERING SNC AGE 21+ 14 128 14 128 0 0 14 128
1285174722 CHEN JEREMY 2021 FFS RENDERING SNC AGE 0-20 291 389 121 132 88 115 67 80
1285174722 CHEN JEREMY 2021 FFS RENDERING SNC AGE 21+ 639 1,042 171 192 411 645 317 357
1285174904 VO HA N 2021 FFS RENDERING SNC AGE 21+ 1 2 1 1 1 2 1 1
1285185645 HANAK GREGORY 2021 FFS RENDERING SNC AGE 0-20 28 34 12 13 19 22 1 2
1285185645 HANAK GREGORY 2021 FFS RENDERING SNC AGE 21+ 57 71 12 13 41 46 20 28
1285188045 MISRA ANUBHUTI 2021 FFS RENDERING SNC AGE 0-20 244 516 212 273 116 228 208 280
1285188045 MISRA ANUBHUTI 2021 FFS RENDERING SNC AGE 21+ 496 1,640 338 469 351 1,072 402 642
1285272120 ROMAN MANUEL S 2021 FFS RENDERING SNC AGE 0-20 354 473 177 207 73 109 169 191
1285272120 ROMAN MANUEL S 2021 FFS RENDERING SNC AGE 21+ 476 1,214 269 349 332 751 250 315
1285301853 VALIENTE ROMIELYN 2021 FFS RENDERING SNC AGE 0-20 213 259 183 217 44 51 147 173
1285301853 VALIENTE ROMIELYN 2021 FFS RENDERING SNC AGE 21+ 339 470 205 271 176 224 162 210
1285638106 PETERSEN KIRK J 2021 FFS RENDERING SNC AGE 0-20 314 724 1 2 1 1 0 0
1285638106 PETERSEN KIRK J 2021 FFS RENDERING SNC AGE 21+ 314 842 1 1 1 2 0 0
1285642355 QUANG PHUONG N 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 0 0 1 1
1285642355 QUANG PHUONG N 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 0 0 1 1
1285756122 PRIMOSCH SANDRA ELENA 2021 FFS RENDERING SNC AGE 0-20 87 162 72 120 14 25 56 96
1285756122 PRIMOSCH SANDRA ELENA 2021 FFS RENDERING SNC AGE 21+ 167 359 118 197 70 139 106 181
1285796441 BUI CALVIN CUONG H 2021 FFS RENDERING SNC AGE 0-20 99 127 50 59 46 60 37 41
1285796441 BUI CALVIN CUONG H 2021 FFS RENDERING SNC AGE 21+ 560 1,055 134 197 427 749 126 171
1285825307 CRUM ERIC R 2021 FFS RENDERING SNC AGE 0-20 122 229 1 1 44 60 69 94
1285825307 CRUM ERIC R 2021 FFS RENDERING SNC AGE 21+ 667 1,234 41 47 209 291 353 499
1285825307 CRUM ERIC R 2021 PHP RENDERING SNC AGE 21+ 1 1 0 0 0 0 1 1
1285921015 TRAN NHUNG N 2021 FFS RENDERING SNC AGE 0-20 357 537 247 297 148 199 205 222
1285921015 TRAN NHUNG N 2021 FFS RENDERING SNC AGE 21+ 257 542 115 149 192 347 152 189
1285922583 ROZEN MICHAEL S 2021 FFS RENDERING SNC AGE 0-20 847 1,057 358 388 82 148 338 359
1285922583 ROZEN MICHAEL S 2021 FFS RENDERING SNC AGE 21+ 691 1,169 470 581 212 365 446 528
1285929299 ZWERS DIANA V 2021 FFS RENDERING SNC AGE 0-20 493 711 461 547 126 193 421 459
1285929299 ZWERS DIANA V 2021 FFS RENDERING SNC AGE 21+ 250 413 195 238 159 257 204 237
1285943597 AL-HASHIMI, ADIL HADI DDS 2021 FFS RENDERING SNC AGE 0-20 23 40 22 37 1 1 22 37
1285943597 AL-HASHIMI, ADIL HADI DDS 2021 FFS RENDERING SNC AGE 21+ 68 116 68 114 1 1 68 114
1285987206 TAVAKOLI KEYVAN 2021 FFS RENDERING SNC AGE 0-20 21 49 1 1 1 1 19 45
1285989996 HARRIS MATTHEW W 2021 FFS RENDERING SNC AGE 0-20 71 110 35 50 21 28 51 77
1285989996 HARRIS MATTHEW W 2021 FFS RENDERING SNC AGE 21+ 157 318 57 86 64 114 100 187
1295029163 TRUONG VICTOR D 2021 FFS RENDERING SNC AGE 0-20 57 96 48 78 20 28 35 47
1295029163 TRUONG VICTOR D 2021 FFS RENDERING SNC AGE 21+ 325 641 135 200 291 573 125 145
1295054682 CHO JOORI K 2021 FFS RENDERING SNC AGE 0-20 29 31 1 1 1 2 1 1
1295054682 CHO JOORI K 2021 FFS RENDERING SNC AGE 21+ 48 51 1 1 29 30 1 1
1295081404 VU KHOA D 2021 FFS RENDERING SNC AGE 0-20 447 730 393 532 163 265 360 418
1295081404 VU KHOA D 2021 FFS RENDERING SNC AGE 21+ 997 2,015 600 810 695 1,218 541 711
1295110088 BELJEAN KRISTINA 2021 FFS RENDERING SNC AGE 0-20 130 425 127 420 1 1 129 422
1295110088 BELJEAN KRISTINA 2021 FFS RENDERING SNC AGE 21+ 146 440 106 384 29 37 117 397
1295135036 CHEN NICOLE 2021 FFS RENDERING SNC AGE 0-20 14 28 13 26 1 1 13 26
1295135036 CHEN NICOLE 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 0 0 1 1
1295142149 LEE KYUNG WOON 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 0 0 1 1
1295176709 ASKARZOI KHAN W 2021 FFS RENDERING SNC AGE 0-20 289 528 284 478 50 70 264 373
1295176709 ASKARZOI KHAN W 2021 FFS RENDERING SNC AGE 21+ 126 233 117 149 43 80 113 134
1295275642 BENLULU MIKAELA B 2021 FFS RENDERING SNC AGE 0-20 16 17 1 1 1 1 1 1
1295275642 BENLULU MIKAELA B 2021 FFS RENDERING SNC AGE 21+ 24 24 1 1 1 1 1 1
1295293645 ABDULLAH, MINA, DDS INC 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 1 1 0 0
1295293645 ABDULLAH, MINA, DDS INC 2021 FFS RENDERING SNC AGE 21+ 119 181 1 1 113 156 16 25
1295371425 NESTMAN BRETT J 2021 FFS RENDERING SNC AGE 0-20 515 1,139 1 2 1 1 0 0
1295371425 NESTMAN BRETT J 2021 FFS RENDERING SNC AGE 21+ 317 878 1 1 1 1 0 0
1295722718 GULLICK NICOLE M 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 0 0 0 0
1295735579 DUNLAP CRAIG A. 2021 FFS RENDERING SNC AGE 0-20 171 328 133 161 117 209 134 161
1295735579 DUNLAP CRAIG A. 2021 FFS RENDERING SNC AGE 21+ 217 450 183 237 141 258 183 237
1295739845 REINA, ROBERT IGNACIO MD 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 0 0 0 0
1295746618 CARRIEDO-CENICEROS, MARIA T 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 1 1 0 0
1295803245 SNOW WALTER J 2021 FFS RENDERING SNC AGE 0-20 1,544 2,392 1,301 1,723 316 457 1,293 1,602
1295804078 GACIAS EMMALINE D 2021 FFS RENDERING SNC AGE 0-20 1,103 1,375 380 419 355 464 324 340
1295804078 GACIAS EMMALINE D 2021 FFS RENDERING SNC AGE 21+ 567 876 221 242 385 587 177 184
1295808731 LENA DAVID A 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 1 1 1 1
1295808731 LENA DAVID A 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 1 1 1 1
1295819464 NIRUYI SAM 2021 FFS RENDERING SNC AGE 0-20 134 152 129 143 1 2 130 144
1295819464 NIRUYI SAM 2021 FFS RENDERING SNC AGE 21+ 690 1,163 652 976 215 303 650 973
1295859452 NGUYEN GIANG T 2021 FFS RENDERING SNC AGE 0-20 111 198 111 198 0 0 111 198
1295859452 NGUYEN GIANG T 2021 FFS RENDERING SNC AGE 21+ 650 1,873 650 1,873 0 0 650 1,873
1295891802 WONG AMY 2021 FFS RENDERING SNC AGE 0-20 87 174 87 174 0 0 87 174
1295891802 WONG AMY 2021 FFS RENDERING SNC AGE 21+ 148 346 148 346 0 0 148 346
1295927358 RUTKOWSKI JOSEPH DAVID 2021 FFS RENDERING SNC AGE 0-20 135 268 135 268 0 0 135 268
1295927358 RUTKOWSKI JOSEPH DAVID 2021 FFS RENDERING SNC AGE 21+ 211 605 211 605 0 0 211 605
1295939817 TOLOSA LEANDRA D 2021 FFS RENDERING SNC AGE 0-20 153 379 99 119 58 135 145 223
1295939817 TOLOSA LEANDRA D 2021 FFS RENDERING SNC AGE 21+ 364 1,150 95 121 176 518 280 484
1295955409 SCHWARTZ THEODORE C 2021 FFS RENDERING SNC AGE 0-20 18 20 1 1 1 1 1 1
1295955409 SCHWARTZ THEODORE C 2021 FFS RENDERING SNC AGE 21+ 638 1,054 313 409 371 545 267 361
1295969517 SOTTO, MARITES DDS 2021 FFS RENDERING SNC AGE 0-20 1 2 1 1 1 2 1 1
1295969517 SOTTO, MARITES DDS 2021 FFS RENDERING SNC AGE 21+ 43 137 19 31 41 97 13 13
1295989739 DAYANIM REBECCA 2021 FFS RENDERING SNC AGE 0-20 45 77 1 1 1 2 32 49
1295989739 DAYANIM REBECCA 2021 FFS RENDERING SNC AGE 21+ 455 1,458 86 118 258 632 272 639
1306002332 PALAGANAS ALELI A 2021 FFS RENDERING SNC AGE 0-20 90 143 53 76 48 60 1 1
1306002332 PALAGANAS ALELI A 2021 FFS RENDERING SNC AGE 21+ 131 230 63 77 70 114 1 1
1306008594 TAM-JOHNSTON JENNIFER Y 2021 FFS RENDERING SNC AGE 0-20 139 177 97 113 27 37 94 98
1306008594 TAM-JOHNSTON JENNIFER Y 2021 FFS RENDERING SNC AGE 21+ 810 1,079 295 333 345 433 279 304
1306025648 PRIETTO, MARIO M LCSW 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 0 0 0 0
1306025648 PRIETTO, MARIO M LCSW 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 0 0 0 0
1306030770 CHEN HARVEY H 2021 FFS RENDERING SNC AGE 0-20 29 61 0 0 13 30 26 31
1306030770 CHEN HARVEY H 2021 FFS RENDERING SNC AGE 21+ 227 521 1 1 143 251 193 280
1306079413 TRAN JOHNATHAN H 2021 FFS RENDERING SNC AGE 0-20 159 392 130 202 60 142 104 113
1306079413 TRAN JOHNATHAN H 2021 FFS RENDERING SNC AGE 21+ 348 1,645 277 699 183 656 254 458
1306131545 BORREGO COMMUNITY HEALTH 2021 FFS RENDERING SNC AGE 0-20 39 39 25 25 13 13 21 21
1306131545 BORREGO COMMUNITY HEALTH 2021 FFS RENDERING SNC AGE 21+ 37 45 13 13 24 27 13 14
1306133020 FUNG MELANIE C 2021 FFS RENDERING SNC AGE 0-20 159 510 112 211 96 242 73 89
1306133020 FUNG MELANIE C 2021 FFS RENDERING SNC AGE 21+ 360 1,224 175 247 276 746 122 234
1306170196 PATEL PAYAL J 2021 FFS RENDERING SNC AGE 0-20 125 162 124 160 12 17 123 157
1306170196 PATEL PAYAL J 2021 FFS RENDERING SNC AGE 21+ 346 694 342 661 137 261 340 659
1306179239 NELSON CHRISTOPHER D 2021 FFS RENDERING SNC AGE 0-20 145 484 120 267 107 383 113 251
1306179239 NELSON CHRISTOPHER D 2021 FFS RENDERING SNC AGE 21+ 332 1,468 204 544 273 1,142 247 756
1306183991 SIBBALD BRIAN K 2021 FFS RENDERING SNC AGE 0-20 16 21 1 1 13 16 1 1
1306183991 SIBBALD BRIAN K 2021 FFS RENDERING SNC AGE 21+ 38 51 1 1 34 45 1 1
1306200985 SHIFFLER KYLE JOSEPH 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 0 0 1 1
1306221783 HOANG LANA T 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 0 0 0 0
1306221783 HOANG LANA T 2021 FFS RENDERING SNC AGE 21+ 14 29 0 0 0 0 1 1
1306221783 HOANG LANA T 2021 GMC RENDERING SNC AGE 0-20 1 1 0 0 0 0 0 0
1306231840 WYATT TYNAN 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 0 0 1 1
1306248893 HERAVI MONA 2021 FFS RENDERING SNC AGE 0-20 370 618 319 415 105 204 255 277
1306248893 HERAVI MONA 2021 FFS RENDERING SNC AGE 21+ 450 1,189 366 508 246 712 332 450
1306360821 CHIU JOEY C 2021 FFS RENDERING SNC AGE 0-20 207 356 179 238 63 117 52 67
1306360821 CHIU JOEY C 2021 FFS RENDERING SNC AGE 21+ 156 417 144 250 74 164 127 198
1306364559 CHAU TRAM NGOC 2021 FFS RENDERING SNC AGE 0-20 167 186 164 179 1 1 1 1
1306364559 CHAU TRAM NGOC 2021 FFS RENDERING SNC AGE 21+ 153 188 84 91 104 135 1 1
1306367792 FREER ZACHARY L 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 1 1 1 1
1306367792 FREER ZACHARY L 2021 FFS RENDERING SNC AGE 21+ 1 2 0 0 1 1 1 1
1306417860 LY KIM M 2021 FFS RENDERING SNC AGE 0-20 34 45 30 33 16 19 31 37
1306417860 LY KIM M 2021 FFS RENDERING SNC AGE 21+ 193 480 157 237 142 325 158 259
1306445689 TRAN VU A 2021 FFS RENDERING SNC AGE 0-20 306 764 266 600 68 143 224 472
1306445689 TRAN VU A 2021 FFS RENDERING SNC AGE 21+ 640 2,492 476 1,223 323 912 504 1,498
1306489182 MATHEWS JONATHAN FRANCISCO 2021 FFS RENDERING SNC AGE 0-20 1,501 4,098 1,371 3,332 372 594 24 40
1306489182 MATHEWS JONATHAN FRANCISCO 2021 FFS RENDERING SNC AGE 21+ 1,148 4,065 845 2,085 637 1,492 54 91
1306856356 WILLINGHAM JON Y 2021 FFS RENDERING SNC AGE 0-20 113 175 106 158 12 13 108 154
1306856356 WILLINGHAM JON Y 2021 FFS RENDERING SNC AGE 21+ 251 557 133 202 155 307 171 211
1306873922 KADEVARI, RAVINDER MD 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 1 1 0 0
1306886528 KWONG ANSON HOO YIN 2021 FFS RENDERING SNC AGE 0-20 399 552 87 101 112 148 101 120
1306886528 KWONG ANSON HOO YIN 2021 FFS RENDERING SNC AGE 21+ 486 909 179 212 272 478 278 369
1306925854 YEE BARBARA G. 2021 FFS RENDERING SNC AGE 0-20 31 85 21 33 1 2 23 37
1306925854 YEE BARBARA G. 2021 FFS RENDERING SNC AGE 21+ 1 2 1 1 1 1 1 1
1306936182 NISHIMURA MARK M. 2021 FFS RENDERING SNC AGE 0-20 12 14 1 1 1 1 1 1
1306936182 NISHIMURA MARK M. 2021 FFS RENDERING SNC AGE 21+ 78 119 18 29 44 58 24 32
1306983846 SCHULTZ ALLAN R 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 0 0 1 1
1306999164 LEWIS, ROGER J MD 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 0 0 0 0
1316012750 MITCHELL KATHLEEN ALICE 2021 FFS RENDERING SNC AGE 0-20 33 44 32 42 1 1 1 1
1316012750 MITCHELL KATHLEEN ALICE 2021 FFS RENDERING SNC AGE 21+ 80 151 76 142 43 77 1 1
1316077555 MEKMANEE LALLANA 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 1 1 1 1
1316077555 MEKMANEE LALLANA 2021 FFS RENDERING SNC AGE 21+ 157 222 104 117 77 88 124 153
1316140957 PATEL SHINA D 2021 FFS RENDERING SNC AGE 0-20 534 613 369 414 90 95 288 315
1316169618 SIERRA FAMILY MEDICAL CL 2021 FFS RENDERING SNC AGE 0-20 32 71 32 71 0 0 32 71
1316169618 SIERRA FAMILY MEDICAL CL 2021 FFS RENDERING SNC AGE 21+ 204 550 204 550 0 0 204 550
1316174162 TORRES JOSE A 2021 FFS RENDERING SNC AGE 0-20 356 989 168 272 277 605 43 52
1316174162 TORRES JOSE A 2021 FFS RENDERING SNC AGE 21+ 505 1,575 135 182 460 1,330 61 81
1316253560 LOVE THOMAS EDWARD 2021 FFS RENDERING SNC AGE 0-20 33 54 18 21 1 1 32 52
1316253560 LOVE THOMAS EDWARD 2021 FFS RENDERING SNC AGE 21+ 60 105 14 16 31 48 46 70
1316290547 JIVAN NEESHA 2021 FFS RENDERING SNC AGE 0-20 1,669 2,387 1,365 1,748 382 473 909 1,083
1316290547 JIVAN NEESHA 2021 FFS RENDERING SNC AGE 21+ 74 90 24 24 32 41 24 24
1316313125 HOLMES MICHAEL ANDREW 2021 FFS RENDERING SNC AGE 0-20 195 425 195 425 1 1 190 414
1316313125 HOLMES MICHAEL ANDREW 2021 FFS RENDERING SNC AGE 21+ 305 817 304 815 1 1 304 815
1316313778 YU, ZHICHUN, DMD 2021 FFS RENDERING SNC AGE 0-20 64 117 48 58 30 52 58 97
1316313778 YU, ZHICHUN, DMD 2021 FFS RENDERING SNC AGE 21+ 294 946 206 292 227 663 262 586
1316339930 SPENCE SUZARIE VAN 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 0 0 0 0
1316384571 DABIRIZANJANI SARA 2021 FFS RENDERING SNC AGE 0-20 225 506 206 315 103 222 195 218
1316384571 DABIRIZANJANI SARA 2021 FFS RENDERING SNC AGE 21+ 493 1,710 368 871 375 928 365 489
1316464043 YEE CALVIN E 2021 FFS RENDERING SNC AGE 0-20 378 724 351 484 118 210 341 381
1316464043 YEE CALVIN E 2021 FFS RENDERING SNC AGE 21+ 716 1,644 590 775 286 622 655 863
1316476922 MCGIVERN SEAN D 2021 FFS RENDERING SNC AGE 0-20 378 491 297 333 115 144 284 302
1316476922 MCGIVERN SEAN D 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 1 1 0 0
1316510936 CHEN XUELU N/A 2021 FFS RENDERING SNC AGE 0-20 37 42 37 41 1 1 0 0
1316510936 CHEN XUELU N/A 2021 FFS RENDERING SNC AGE 21+ 299 415 130 147 164 254 12 14
1316529621 CHAVEZ ARACELI 2021 FFS RENDERING SNC AGE 0-20 160 218 154 182 20 61 0 0
1316529621 CHAVEZ ARACELI 2021 FFS RENDERING SNC AGE 21+ 199 438 147 257 158 393 1 1
1316599459 TAMAYO DANNA MELISS M 2021 FFS RENDERING SNC AGE 0-20 282 1,654 282 1,654 0 0 282 1,654
1316599459 TAMAYO DANNA MELISS M 2021 FFS RENDERING SNC AGE 21+ 414 3,077 413 3,051 1 1 413 3,051
1316911662 AHMAD MAHMOUD A 2021 FFS RENDERING SNC AGE 0-20 19 104 1 2 14 78 1 2
1316911662 AHMAD MAHMOUD A 2021 FFS RENDERING SNC AGE 21+ 105 840 25 50 101 773 17 43
1316950926 TA MIKHAI C 2021 FFS RENDERING SNC AGE 0-20 322 865 262 493 155 374 211 282
1316950926 TA MIKHAI C 2021 FFS RENDERING SNC AGE 21+ 320 1,320 225 412 267 1,012 170 208
1316999600 KINGSTON ROGER STEPHEN 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 0 0 1 1
1316999600 KINGSTON ROGER STEPHEN 2021 FFS RENDERING SNC AGE 21+ 16 21 0 0 1 1 12 14
1326051236 KAZE JOHN A 2021 FFS RENDERING SNC AGE 0-20 1,220 1,788 913 1,125 579 855 899 1,085
1326051236 KAZE JOHN A 2021 FFS RENDERING SNC AGE 21+ 608 1,088 199 243 497 817 255 362
1326113341 RAMIREZ ROBERT D 2021 FFS RENDERING SNC AGE 0-20 215 353 140 176 120 195 141 180
1326113341 RAMIREZ ROBERT D 2021 FFS RENDERING SNC AGE 21+ 456 954 241 290 306 638 290 388
1326113341 RAMIREZ ROBERT D 2021 GMC RENDERING SNC AGE 21+ 1 1 0 0 1 1 0 0
1326117763 TSURUDOME TIFFANY L 2021 FFS RENDERING SNC AGE 0-20 253 371 203 235 143 223 203 232
1326117763 TSURUDOME TIFFANY L 2021 FFS RENDERING SNC AGE 21+ 123 131 1 1 110 116 13 15
1326141979 PEREZ NOEL C 2021 FFS RENDERING SNC AGE 0-20 383 1,177 260 628 197 538 156 294
1326141979 PEREZ NOEL C 2021 FFS RENDERING SNC AGE 21+ 991 3,666 236 431 875 2,747 267 646
1326149568 RICE MICHAEL B 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 0 0 0 0
1326149568 RICE MICHAEL B 2021 FFS RENDERING SNC AGE 21+ 17 26 0 0 0 0 0 0
1326239773 DERMAWAN JASMINE L 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 1 1 1 1
1326282690 JUBB ALEXANDER E 2021 FFS RENDERING SNC AGE 0-20 601 800 586 748 103 137 580 740
1326282690 JUBB ALEXANDER E 2021 FFS RENDERING SNC AGE 21+ 599 750 583 705 172 223 575 693
1326287798 ROZAK TENNILLE MANRIQUE 2021 FFS RENDERING SNC AGE 0-20 25 34 13 15 1 1 1 2
1326287798 ROZAK TENNILLE MANRIQUE 2021 FFS RENDERING SNC AGE 21+ 482 917 175 219 238 387 195 308
1326287798 ROZAK TENNILLE MANRIQUE 2021 PHP RENDERING SNC AGE 21+ 1 1 0 0 0 0 0 0
1326313057 MIRENAYAT AMIRALI 2021 FFS RENDERING SNC AGE 0-20 7,446 13,681 4,960 6,141 4,423 6,718 634 689
1326313057 MIRENAYAT AMIRALI 2021 FFS RENDERING SNC AGE 21+ 7,215 17,602 1,880 2,227 6,651 14,846 394 488
1326328535 PAIGE KEVIN T 2021 FFS RENDERING SNC AGE 0-20 410 597 321 356 270 410 111 131
1326328535 PAIGE KEVIN T 2021 FFS RENDERING SNC AGE 21+ 425 828 44 45 360 620 338 537
1326355991 HA ANH T 2021 FFS RENDERING SNC AGE 0-20 182 340 142 198 72 126 173 248
1326355991 HA ANH T 2021 FFS RENDERING SNC AGE 21+ 355 880 206 270 247 537 298 476
1326355991 HA ANH T 2021 GMC RENDERING SNC AGE 0-20 1 1 1 1 0 0 1 1
1326384413 SCHULER JAMES 2021 FFS RENDERING SNC AGE 0-20 40 73 40 73 0 0 40 73
1326384413 SCHULER JAMES 2021 FFS RENDERING SNC AGE 21+ 38 77 38 77 0 0 38 77
1326591223 ISSAC SAIF 2021 FFS RENDERING SNC AGE 0-20 113 155 83 106 23 29 65 73
1326591223 ISSAC SAIF 2021 FFS RENDERING SNC AGE 21+ 380 588 234 311 91 134 135 176
1326601667 NNODIM SANDRA O 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 1 1 1 1
1326601667 NNODIM SANDRA O 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 1 1 1 1
1326604364 MERRIWEATHER KAREN A 2021 FFS RENDERING SNC AGE 0-20 897 2,274 653 1,380 423 705 134 172
1326604364 MERRIWEATHER KAREN A 2021 FFS RENDERING SNC AGE 21+ 480 1,665 284 449 370 1,092 197 264
1326650722 ARORA NAMRATA 2021 FFS RENDERING SNC AGE 0-20 371 1,606 298 909 193 480 1 1
1326650722 ARORA NAMRATA 2021 FFS RENDERING SNC AGE 21+ 554 3,878 394 1,078 442 2,181 19 31
1326684499 MINASSIAN SIUNEH 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 0 0 1 1
1326684499 MINASSIAN SIUNEH 2021 FFS RENDERING SNC AGE 21+ 123 214 120 203 1 2 118 191
1326688409 SIDHU GURLEEN K 2021 FFS RENDERING SNC AGE 0-20 178 575 127 292 126 411 118 239
1326688409 SIDHU GURLEEN K 2021 FFS RENDERING SNC AGE 21+ 480 2,240 303 829 409 1,690 285 686
1336204866 REDOBLADO, RONALD, DDS 2021 FFS RENDERING SNC AGE 0-20 57 102 57 102 1 1 57 102
1336204866 REDOBLADO, RONALD, DDS 2021 FFS RENDERING SNC AGE 21+ 242 692 242 691 79 182 242 691
1336249358 KAWAMURA PETER Y 2021 FFS RENDERING SNC AGE 21+ 30 86 0 0 1 1 30 84
1336277748 ABANTE, VIVENCIO B, DDS 2021 FFS RENDERING SNC AGE 0-20 1 2 1 1 1 1 0 0
1336277748 ABANTE, VIVENCIO B, DDS 2021 FFS RENDERING SNC AGE 21+ 39 79 1 1 34 50 11 24
1336281484 SAKURAI KARI 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 1 1 0 0
1336290535 PICACHE OSCAR M 2021 FFS RENDERING SNC AGE 0-20 547 1,166 467 803 163 291 195 227
1336290535 PICACHE OSCAR M 2021 FFS RENDERING SNC AGE 21+ 662 1,643 426 624 339 757 421 524
1336304955 NGUYEN ERIQ F 2021 FFS RENDERING SNC AGE 0-20 51 101 45 77 22 37 1 1
1336304955 NGUYEN ERIQ F 2021 FFS RENDERING SNC AGE 21+ 105 257 61 99 73 154 15 33
1336364603 RIEL JOCELYN D 2021 FFS RENDERING SNC AGE 0-20 785 1,319 600 765 340 562 523 627
1336499326 CHUNG JOHANNA J 2021 FFS RENDERING SNC AGE 0-20 186 323 165 222 57 74 153 165
1336499326 CHUNG JOHANNA J 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 0 0 1 1
1336524305 DASALLA RUSSEL L 2021 FFS RENDERING SNC AGE 0-20 166 311 122 148 50 84 1 1
1336524305 DASALLA RUSSEL L 2021 FFS RENDERING SNC AGE 21+ 109 282 37 40 55 125 21 32
1336528751 BLAKE AMY S 2021 FFS RENDERING SNC AGE 0-20 92 97 56 56 35 37 0 0
1336528751 BLAKE AMY S 2021 FFS RENDERING SNC AGE 21+ 90 95 11 11 79 82 1 1
1336560242 KATRAGADDA VIJAYALAKSHM P 2021 FFS RENDERING SNC AGE 0-20 79 114 77 95 14 18 69 72
1336560242 KATRAGADDA VIJAYALAKSHM P 2021 FFS RENDERING SNC AGE 21+ 82 150 53 58 28 59 55 63
1336602408 RODRIGUEZ RAMOS JOSE M 2021 FFS RENDERING SNC AGE 0-20 806 1,784 579 847 315 541 475 613
1336602408 RODRIGUEZ RAMOS JOSE M 2021 FFS RENDERING SNC AGE 21+ 494 1,386 272 434 348 869 240 366
1336637909 FONG JOEL A 2021 FFS RENDERING SNC AGE 0-20 204 345 101 142 85 140 119 178
1336637909 FONG JOEL A 2021 FFS RENDERING SNC AGE 21+ 398 893 113 156 225 464 185 346
1336637909 FONG JOEL A 2021 GMC RENDERING SNC AGE 0-20 1 1 1 1 1 1 1 1
1336637909 FONG JOEL A 2021 GMC RENDERING SNC AGE 21+ 1 1 1 1 0 0 1 1
1336752971 RUBIO MAURICIO 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 0 0 1 1
1336752971 RUBIO MAURICIO 2021 FFS RENDERING SNC AGE 21+ 18 21 1 1 11 13 1 1
1346214889 KORMANN JACQUELINE 2021 FFS RENDERING SNC AGE 0-20 121 350 121 350 0 0 121 350
1346214889 KORMANN JACQUELINE 2021 FFS RENDERING SNC AGE 21+ 140 492 140 492 0 0 140 492
1346224946 CHEN ANDREW C 2021 FFS RENDERING SNC AGE 0-20 213 454 137 203 86 171 145 187
1346224946 CHEN ANDREW C 2021 FFS RENDERING SNC AGE 21+ 871 1,808 378 502 445 870 503 643
1346305414 KUMAR, DEVINDER 2021 FFS RENDERING SNC AGE 0-20 925 2,015 907 1,719 219 296 901 1,654
1346305414 KUMAR, DEVINDER 2021 FFS RENDERING SNC AGE 21+ 921 1,997 882 1,396 374 598 875 1,314
1346305414 KUMAR, DEVINDER, DDS 2021 FFS RENDERING SNC AGE 0-20 925 2,015 907 1,719 219 296 901 1,654
1346305414 KUMAR, DEVINDER, DDS 2021 FFS RENDERING SNC AGE 21+ 921 1,997 882 1,396 374 598 875 1,314
1346316031 FUJIMOTO STEVEN H 2021 FFS RENDERING SNC AGE 0-20 800 2,111 767 1,438 329 661 397 530
1346316031 FUJIMOTO STEVEN H 2021 FFS RENDERING SNC AGE 21+ 73 104 56 67 24 37 1 1
1346347010 NORTON JON O 2021 FFS RENDERING SNC AGE 0-20 201 261 105 123 81 98 96 102
1346347010 NORTON JON O 2021 FFS RENDERING SNC AGE 21+ 606 858 120 132 497 678 150 168
1346359973 RUTHERFORD FREDERICK C 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 0 0 1 1
1346359973 RUTHERFORD FREDERICK C 2021 FFS RENDERING SNC AGE 21+ 11 11 1 1 1 1 1 1
1346376118 FILANOVA VINCENT 2021 FFS RENDERING SNC AGE 0-20 99 117 88 99 18 22 65 74
1346376118 FILANOVA VINCENT 2021 FFS RENDERING SNC AGE 21+ 90 170 56 68 53 95 59 97
1346410768 DORIN SHIRIN A 2021 FFS RENDERING SNC AGE 0-20 15 19 14 16 1 1 13 13
1346410768 DORIN SHIRIN A 2021 FFS RENDERING SNC AGE 21+ 192 399 99 111 157 324 129 209
1346427903 LEE JEANIE K 2021 FFS RENDERING SNC AGE 0-20 32 32 18 18 1 1 23 23
1346427903 LEE JEANIE K 2021 FFS RENDERING SNC AGE 21+ 671 861 265 318 358 440 198 232
1346511185 GOWDEY GENE ALAN 2021 FFS RENDERING SNC AGE 0-20 139 211 136 208 0 0 136 208
1346511185 GOWDEY GENE ALAN 2021 FFS RENDERING SNC AGE 21+ 168 291 163 286 0 0 163 286
1346514106 ANDALON DARRELL O 2021 FFS RENDERING SNC AGE 0-20 567 790 389 466 233 298 260 267
1346514106 ANDALON DARRELL O 2021 FFS RENDERING SNC AGE 21+ 554 1,002 227 289 392 601 88 155
1346626777 NAYAK NISHA P 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 1 1 1 1
1346626777 NAYAK NISHA P 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 1 1 0 0
1346655677 ALFONSO ANTONIO A 2021 FFS RENDERING SNC AGE 0-20 121 202 114 146 32 59 112 137
1346655677 ALFONSO ANTONIO A 2021 FFS RENDERING SNC AGE 21+ 523 1,364 425 574 361 900 415 559
1346708385 NGUYEN MARILYN 2021 FFS RENDERING SNC AGE 0-20 430 849 349 481 259 481 333 415
1346708385 NGUYEN MARILYN 2021 FFS RENDERING SNC AGE 21+ 590 1,352 390 521 437 871 346 521
1346862166 SUM TIFFANY L 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 1 1 0 0
1356409668 HODGENS CRISELDA T 2021 FFS RENDERING SNC AGE 0-20 660 1,261 543 803 388 672 629 841
1356409668 HODGENS CRISELDA T 2021 FFS RENDERING SNC AGE 21+ 272 417 89 117 180 256 256 286
1356481527 LEMELLE-LOVE SHEILA A 2021 FFS RENDERING SNC AGE 0-20 667 1,220 629 988 276 453 599 826
1356481527 LEMELLE-LOVE SHEILA A 2021 FFS RENDERING SNC AGE 21+ 503 1,070 327 430 353 648 363 538
1356496830 VASAN RUKMANI 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 0 0 1 1
1356507818 MORETTA CARLOS M 2021 FFS RENDERING SNC AGE 0-20 1 2 1 2 0 0 1 2
1356507818 MORETTA CARLOS M 2021 FFS RENDERING SNC AGE 21+ 139 373 139 371 0 0 139 371
1356515837 SOH JENNIFER MEE Y 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 1 1 0 0
1356521264 WIN, NYI NYI DDS 2021 FFS RENDERING SNC AGE 0-20 129 299 118 178 57 140 81 111
1356521264 WIN, NYI NYI DDS 2021 FFS RENDERING SNC AGE 21+ 552 1,822 465 714 491 1,387 477 887
1356521264 WIN, NYI NYI DDS 2021 PHP RENDERING SNC AGE 0-20 1 1 1 1 0 0 1 1
1356537229 BLANCO ALMA C 2021 FFS RENDERING SNC AGE 0-20 102 183 71 94 32 65 80 122
1356537229 BLANCO ALMA C 2021 FFS RENDERING SNC AGE 21+ 233 506 133 177 79 165 166 299
1356573935 TREDINNICK SILVANA 2021 FFS RENDERING SNC AGE 0-20 523 796 448 537 169 250 440 493
1356573935 TREDINNICK SILVANA 2021 FFS RENDERING SNC AGE 21+ 399 1,034 221 289 285 710 207 253
1356579197 CARLIN JR FREDERICK R 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 0 0 0 0
1356579197 CARLIN JR FREDERICK R 2021 FFS RENDERING SNC AGE 21+ 22 22 1 1 1 1 1 1
1356619324 BELGARDE-DURU CARLA S 2021 FFS RENDERING SNC AGE 0-20 1,050 1,146 1,045 1,140 11 11 1,044 1,138
1356619324 BELGARDE-DURU CARLA S 2021 FFS RENDERING SNC AGE 21+ 220 233 218 231 1 1 218 231
1356649198 SIDHU GAGANDEEP S 2021 FFS RENDERING SNC AGE 0-20 110 149 110 149 0 0 110 149
1356649198 SIDHU GAGANDEEP S 2021 FFS RENDERING SNC AGE 21+ 178 280 178 280 0 0 178 280
1356664189 KIANI FARHAD 2021 FFS RENDERING SNC AGE 0-20 307 813 270 497 162 302 229 294
1356664189 KIANI FARHAD 2021 FFS RENDERING SNC AGE 21+ 400 1,373 336 575 290 854 289 338
1356697718 RUBIO, EDGARDO S, DDS 2021 FFS RENDERING SNC AGE 0-20 290 337 245 279 43 51 205 236
1356697718 RUBIO, EDGARDO S, DDS 2021 FFS RENDERING SNC AGE 21+ 137 149 55 59 75 78 55 59
1356751333 GRIER RYAN O 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 0 0 1 1
1356751333 GRIER RYAN O 2021 FFS RENDERING SNC AGE 21+ 11 12 0 0 1 1 1 1
1356801666 BARRON KIRA G 2021 FFS RENDERING SNC AGE 0-20 176 244 127 164 71 101 121 150
1356801666 BARRON KIRA G 2021 FFS RENDERING SNC AGE 21+ 287 559 150 227 210 365 105 172
1356914055 MARTINEZ JACQUELINE M 2021 FFS RENDERING SNC AGE 0-20 257 442 241 335 70 102 242 340
1356914055 MARTINEZ JACQUELINE M 2021 FFS RENDERING SNC AGE 21+ 194 325 170 234 58 87 170 238
1356992069 STUARDO DANIEL LUIS 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 1 1 1 1
1356992069 STUARDO DANIEL LUIS 2021 FFS RENDERING SNC AGE 21+ 47 55 18 20 16 20 16 18
1366002933 ELKHAZIN MOHAMED 2021 FFS RENDERING SNC AGE 0-20 235 476 181 275 110 186 40 47
1366002933 ELKHAZIN MOHAMED 2021 FFS RENDERING SNC AGE 21+ 371 977 241 402 262 532 153 252
1366451833 PEREIRA JOAN M 2021 FFS RENDERING SNC AGE 0-20 214 476 172 246 138 290 90 125
1366451833 PEREIRA JOAN M 2021 FFS RENDERING SNC AGE 21+ 347 1,119 120 175 304 846 102 218
1366531469 SALISBURY NANCY SUE 2021 FFS RENDERING SNC AGE 0-20 273 666 226 477 136 361 207 425
1366531469 SALISBURY NANCY SUE 2021 FFS RENDERING SNC AGE 21+ 262 851 122 317 217 668 82 185
1366568859 RUSSELL ELISA 2021 FFS RENDERING SNC AGE 0-20 32 40 1 2 20 23 16 21
1366568859 RUSSELL ELISA 2021 FFS RENDERING SNC AGE 21+ 50 64 15 21 24 30 22 29
1366584799 JARJOUR GEORGE 2021 FFS RENDERING SNC AGE 0-20 40 48 40 48 0 0 40 48
1366584799 JARJOUR GEORGE 2021 FFS RENDERING SNC AGE 21+ 395 667 389 647 22 22 387 644
1366613218 CLARIN CESAR 2021 FFS RENDERING SNC AGE 0-20 863 1,926 815 1,459 257 412 1 1
1366613218 CLARIN CESAR 2021 FFS RENDERING SNC AGE 21+ 674 1,660 632 1,186 273 500 1 1
1366622177 CHUNG SARAH S 2021 FFS RENDERING SNC AGE 0-20 406 1,057 400 653 90 431 380 633
1366622177 CHUNG SARAH S 2021 FFS RENDERING SNC AGE 21+ 37 40 31 33 11 13 14 15
1366755001 HWANG ALEXIS L 2021 FFS RENDERING SNC AGE 0-20 18 23 18 21 1 1 17 20
1366755001 HWANG ALEXIS L 2021 FFS RENDERING SNC AGE 21+ 540 1,112 410 594 282 475 422 626
1366798530 HATLAVONGSA KONGSAB L 2021 FFS RENDERING SNC AGE 0-20 527 1,480 429 922 210 409 142 182
1366798530 HATLAVONGSA KONGSAB L 2021 FFS RENDERING SNC AGE 21+ 554 1,736 277 462 415 1,187 183 245
1366819344 BARSOUMIAN VAHE D 2021 FFS RENDERING SNC AGE 0-20 192 327 92 137 51 77 41 55
1366819344 BARSOUMIAN VAHE D 2021 FFS RENDERING SNC AGE 21+ 130 283 82 161 82 168 29 56
1366883696 JACKSON EMILY A 2021 FFS RENDERING SNC AGE 0-20 973 1,686 970 1,672 11 11 971 1,673
1366883696 JACKSON EMILY A 2021 FFS RENDERING SNC AGE 21+ 188 391 159 313 1 1 167 336
1366889107 VALENZUELA LIVIA B 2021 FFS RENDERING SNC AGE 0-20 44 51 44 51 0 0 44 51
1366889107 VALENZUELA LIVIA B 2021 FFS RENDERING SNC AGE 21+ 77 102 77 102 0 0 77 102
1366917353 PHAM QUYNH VO BAO 2021 FFS RENDERING SNC AGE 0-20 12 13 1 1 1 1 1 1
1366917353 PHAM QUYNH VO BAO 2021 FFS RENDERING SNC AGE 21+ 99 105 46 46 29 30 29 30
1366920662 KHERDE SNEHA V 2021 FFS RENDERING SNC AGE 0-20 1,346 2,314 1,082 1,407 486 737 963 1,172
1366920662 KHERDE SNEHA V 2021 FFS RENDERING SNC AGE 21+ 996 2,130 410 462 716 1,493 391 431
1366934168 MAYORGA LENNY 2021 FFS RENDERING SNC AGE 0-20 1,162 1,815 955 1,139 432 653 946 1,055
1366934168 MAYORGA LENNY 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 1 1 1 1
1366958092 SEARLEMAN SYLVIA AKUA 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 0 0 0 0
1376104695 TAHA SAHAR 2021 FFS RENDERING SNC AGE 0-20 654 1,456 610 1,046 217 398 598 711
1376104695 TAHA SAHAR 2021 FFS RENDERING SNC AGE 21+ 530 1,256 426 613 221 546 430 527
1376155317 BASHEER WASEEM A 2021 FFS RENDERING SNC AGE 0-20 160 406 130 222 60 139 97 110
1376155317 BASHEER WASEEM A 2021 FFS RENDERING SNC AGE 21+ 379 1,132 301 584 141 280 273 356
1376169714 PANDHER PUNEET KAUR 2021 FFS RENDERING SNC AGE 0-20 159 395 132 234 59 112 97 127
1376169714 PANDHER PUNEET KAUR 2021 FFS RENDERING SNC AGE 21+ 351 1,044 242 438 222 535 229 371
1376178319 SHAH SADDIF B 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 1 1 0 0
1376178319 SHAH SADDIF B 2021 FFS RENDERING SNC AGE 21+ 1 2 1 1 1 2 0 0
1376217752 ANDRADA SUMMER ANGELYN 2021 FFS RENDERING SNC AGE 21+ 1 2 0 0 1 1 0 0
1376547752 IWAMURA HANH A 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 1 1 1 1
1376600205 FUNG GLENN S 2021 FFS RENDERING SNC AGE 0-20 11 11 1 1 1 1 1 1
1376600205 FUNG GLENN S 2021 FFS RENDERING SNC AGE 21+ 16 17 0 0 15 16 0 0
1376619007 CHUNG RICHARD 2021 FFS RENDERING SNC AGE 0-20 126 145 74 80 12 15 67 69
1376619007 CHUNG RICHARD 2021 FFS RENDERING SNC AGE 21+ 166 270 94 106 81 136 88 97
1376633446 PALAGANAS JR, ARTEMIO F, DDS 2021 FFS RENDERING SNC AGE 0-20 72 115 39 47 40 59 1 1
1376633446 PALAGANAS JR, ARTEMIO F, DDS 2021 FFS RENDERING SNC AGE 21+ 137 252 61 66 86 155 1 1
1376636092 VAN DYKE KAREN P 2021 FFS RENDERING SNC AGE 0-20 209 431 120 242 32 42 71 100
1376636092 VAN DYKE KAREN P 2021 FFS RENDERING SNC AGE 21+ 302 1,054 132 309 181 469 179 477
1376640458 DEL CORE BRIAN J 2021 FFS RENDERING SNC AGE 0-20 1 2 1 2 0 0 1 2
1376640458 DEL CORE BRIAN J 2021 FFS RENDERING SNC AGE 21+ 216 240 213 237 0 0 213 237
1376647529 SABOLCH PETER 2021 FFS RENDERING SNC AGE 0-20 186 362 112 127 42 88 87 89
1376647529 SABOLCH PETER 2021 FFS RENDERING SNC AGE 21+ 149 296 94 137 45 84 78 102
1376682583 LICHTY II GUY C 2021 FFS RENDERING SNC AGE 0-20 1,364 1,851 906 1,095 314 372 695 830
1376699918 DOAN, HUNG D MD 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 0 0 0 0
1376702167 LIM ALICE T 2021 FFS RENDERING SNC AGE 0-20 82 123 67 83 21 30 73 83
1376702167 LIM ALICE T 2021 FFS RENDERING SNC AGE 21+ 147 237 67 70 102 163 98 107
1376769687 JONES RAKIYA LYNETTE 2021 FFS RENDERING SNC AGE 0-20 129 318 129 318 0 0 129 318
1376769687 JONES RAKIYA LYNETTE 2021 FFS RENDERING SNC AGE 21+ 120 328 120 328 0 0 120 328
1376769687 JONES RAKIYA LYNETTE 2021 PHP RENDERING SNC AGE 0-20 1 1 1 1 0 0 1 1
1376775767 PARK SUZAN S 2021 FFS RENDERING SNC AGE 21+ 20 20 19 19 1 1 19 19
1376797621 POURSHIRAZI HOMAYOUN 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 0 0 1 1
1376797621 POURSHIRAZI HOMAYOUN 2021 FFS RENDERING SNC AGE 21+ 1 2 1 1 1 1 1 1
1376800391 HANSEN NATHAN M 2021 FFS RENDERING SNC AGE 0-20 262 401 165 197 140 222 178 216
1376800391 HANSEN NATHAN M 2021 FFS RENDERING SNC AGE 21+ 443 893 229 271 301 597 272 355
1376800391 HANSEN NATHAN M 2021 GMC RENDERING SNC AGE 21+ 1 1 1 1 1 1 1 1
1376821546 NORDSTROM MORGAN D 2021 FFS RENDERING SNC AGE 0-20 28 30 1 1 14 16 1 1
1376821546 NORDSTROM MORGAN D 2021 FFS RENDERING SNC AGE 21+ 22 25 1 1 19 19 1 1
1376835983 ZARRABI, SAMEEN DMD 2021 FFS RENDERING SNC AGE 0-20 23 24 18 18 1 1 18 18
1376904516 HERSEY ELIZABETH 2021 FFS RENDERING SNC AGE 0-20 15 30 15 30 0 0 15 30
1376904516 HERSEY ELIZABETH 2021 FFS RENDERING SNC AGE 21+ 39 79 39 79 0 0 39 79
1376952952 LOUIE MONICA 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 0 0 1 1
1376952952 LOUIE MONICA 2021 FFS RENDERING SNC AGE 21+ 19 19 1 1 0 0 19 19
1376967869 KIMZEY KAREN M 2021 FFS RENDERING SNC AGE 0-20 673 1,099 621 760 162 254 536 598
1376967869 KIMZEY KAREN M 2021 FFS RENDERING SNC AGE 21+ 442 997 343 417 165 298 353 476
1376980102 JAHNG ESTHER 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 0 0 1 1
1376980102 JAHNG ESTHER 2021 FFS RENDERING SNC AGE 21+ 32 46 32 44 0 0 32 44
1386002616 LEE HANNA 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 1 1 1 1
1386002616 LEE HANNA 2021 FFS RENDERING SNC AGE 21+ 221 570 92 98 200 413 60 155
1386006369 OVEISI, DAVID R MD 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 0 0 0 0
1386071702 SUGA LUIS R 2021 FFS RENDERING SNC AGE 0-20 26 38 13 13 1 2 16 16
1386076073 PAHLEVANLOU GOLNAZ 2021 FFS RENDERING SNC AGE 0-20 159 242 99 109 58 90 91 96
1386076073 PAHLEVANLOU GOLNAZ 2021 FFS RENDERING SNC AGE 21+ 629 1,081 324 347 277 399 345 425
1386097616 RAVISANKAR ASHWIN 2021 FFS RENDERING SNC AGE 0-20 42 58 1 1 13 18 29 40
1386097616 RAVISANKAR ASHWIN 2021 FFS RENDERING SNC AGE 21+ 169 254 1 1 144 207 34 45
1386141257 WONG MONITA 2021 FFS RENDERING SNC AGE 0-20 667 1,009 573 850 586 846 261 345
1386141257 WONG MONITA 2021 FFS RENDERING SNC AGE 21+ 1,033 2,039 546 798 879 1,628 303 367
1386141257 WONG MONITA 2021 GMC RENDERING SNC AGE 0-20 1 1 1 1 1 1 0 0
1386185718 MCGREGOR TESSA 2021 FFS RENDERING SNC AGE 0-20 707 876 618 713 98 131 619 712
1386185718 MCGREGOR TESSA 2021 FFS RENDERING SNC AGE 21+ 892 1,377 757 1,005 279 372 766 1,063
1386202414 HSIEH REBECCA P 2021 FFS RENDERING SNC AGE 0-20 408 431 289 296 107 112 285 292
1386205235 DIEP JASON DO 2021 FFS RENDERING SNC AGE 0-20 12 15 1 2 1 1 1 2
1386205235 DIEP JASON DO 2021 FFS RENDERING SNC AGE 21+ 136 254 103 142 82 151 105 150
1386226868 TRANG NANCY 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 0 0 1 1
1386228898 SERPA STEPHANIE JEAN 2021 FFS RENDERING SNC AGE 0-20 43 49 43 49 0 0 0 0
1386228898 SERPA STEPHANIE JEAN 2021 FFS RENDERING SNC AGE 21+ 183 422 183 419 15 36 1 1
1386273647 CHEN MICHAEL P 2021 FFS RENDERING SNC AGE 0-20 13 13 12 12 1 1 1 1
1386273647 CHEN MICHAEL P 2021 FFS RENDERING SNC AGE 21+ 81 124 74 97 19 29 64 65
1386295160 PETERSEN JORDAN 2021 FFS RENDERING SNC AGE 0-20 48 64 37 41 15 27 0 0
1386295160 PETERSEN JORDAN 2021 FFS RENDERING SNC AGE 21+ 576 866 184 212 475 756 1 1
1386627263 RAMOS-MERCADO FABIOLA B 2021 FFS RENDERING SNC AGE 0-20 1 2 1 2 1 2 1 2
1386627263 RAMOS-MERCADO FABIOLA B 2021 FFS RENDERING SNC AGE 21+ 37 158 11 26 29 103 21 75
1386654598 REED DAVID 2021 FFS RENDERING SNC AGE 0-20 103 245 77 103 52 139 79 91
1386654598 REED DAVID 2021 FFS RENDERING SNC AGE 21+ 487 1,236 288 321 346 849 297 349
1386705952 AL RIYABI FERAS 2021 FFS RENDERING SNC AGE 0-20 74 106 30 35 23 36 1 1
1386705952 AL RIYABI FERAS 2021 FFS RENDERING SNC AGE 21+ 225 361 63 83 98 145 54 96
1386705952 AL RIYABI FERAS 2021 GMC RENDERING SNC AGE 0-20 1 1 0 0 0 0 0 0
1386705952 AL RIYABI FERAS 2021 GMC RENDERING SNC AGE 21+ 1 1 1 1 1 1 1 1
1386744290 LUGO AMADIS J. 2021 FFS RENDERING SNC AGE 0-20 555 899 518 710 192 284 420 481
1386744290 LUGO AMADIS J. 2021 FFS RENDERING SNC AGE 21+ 693 1,449 602 953 493 840 584 841
1386752574 RODERICK THOMAS L 2021 FFS RENDERING SNC AGE 0-20 398 623 379 521 123 165 332 349
1386752574 RODERICK THOMAS L 2021 FFS RENDERING SNC AGE 21+ 448 834 374 493 323 508 359 455
1386757433 WILLIAMS BRUCE E 2021 FFS RENDERING SNC AGE 0-20 592 1,127 586 1,010 87 127 586 1,017
1386757433 WILLIAMS BRUCE E 2021 FFS RENDERING SNC AGE 21+ 555 1,324 455 712 198 365 502 956
1386758662 PEREZ MARITES M 2021 FFS RENDERING SNC AGE 0-20 53 228 47 126 32 124 44 74
1386758662 PEREZ MARITES M 2021 FFS RENDERING SNC AGE 21+ 279 1,690 184 345 242 1,361 175 333
1386766673 WIGHT BRIAN D 2021 FFS RENDERING SNC AGE 0-20 92 160 82 113 29 45 76 88
1386766673 WIGHT BRIAN D 2021 FFS RENDERING SNC AGE 21+ 405 1,034 204 238 292 674 242 348
1386776839 LEE, LINDA H MD 2021 FFS RENDERING SNC AGE 0-20 140 295 103 109 72 102 138 275
1386776839 LEE, LINDA H MD 2021 FFS RENDERING SNC AGE 21+ 228 384 103 105 142 197 177 255
1386799765 TORNAY STEPHEN SCOTT 2021 FFS RENDERING SNC AGE 0-20 1 2 1 1 1 1 1 1
1386799765 TORNAY STEPHEN SCOTT 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 1 1 1 1
1386823219 BERMOY KATHRYN R 2021 FFS RENDERING SNC AGE 0-20 964 1,687 944 1,582 77 116 913 1,489
1386823219 BERMOY KATHRYN R 2021 FFS RENDERING SNC AGE 21+ 341 586 315 526 144 234 314 524
1386838332 ELACIO CHERYL 2021 FFS RENDERING SNC AGE 0-20 451 714 381 493 161 258 367 430
1386838332 ELACIO CHERYL 2021 FFS RENDERING SNC AGE 21+ 278 569 103 157 203 369 141 215
1386839538 EBRAHIMI NADEREH H 2021 FFS RENDERING SNC AGE 0-20 476 871 51 53 143 242 109 139
1386839538 EBRAHIMI NADEREH H 2021 FFS RENDERING SNC AGE 21+ 655 1,795 1 1 322 660 122 326
1386856102 ASHAR DEVYANI N 2021 FFS RENDERING SNC AGE 0-20 22 23 12 13 1 1 1 1
1386856102 ASHAR DEVYANI N 2021 FFS RENDERING SNC AGE 21+ 103 130 88 114 15 16 85 111
1386936995 MARZOUK MOHAMMED M 2021 FFS RENDERING SNC AGE 0-20 161 357 127 149 110 237 122 131
1386936995 MARZOUK MOHAMMED M 2021 FFS RENDERING SNC AGE 21+ 897 2,212 480 492 833 1,905 545 676
1386956407 WONG CARRIE K 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 0 0 1 1
1386956407 WONG CARRIE K 2021 FFS RENDERING SNC AGE 21+ 164 409 162 363 40 66 162 321
1396006110 SHAFFER ADAM 2021 FFS RENDERING SNC AGE 0-20 85 98 59 69 21 24 49 56
1396052759 PANNU PAWANJEET S 2021 FFS RENDERING SNC AGE 0-20 256 645 241 463 68 130 241 294
1396052759 PANNU PAWANJEET S 2021 FFS RENDERING SNC AGE 21+ 340 945 275 396 110 320 281 385
1396104220 LIN JEREMY DAVID 2021 FFS RENDERING SNC AGE 0-20 330 390 330 390 1 1 321 378
1396104220 LIN JEREMY DAVID 2021 FFS RENDERING SNC AGE 21+ 225 402 225 402 0 0 225 402
1396104758 NGUYEN OLIVIA D 2021 FFS RENDERING SNC AGE 0-20 132 650 123 402 75 268 80 200
1396104758 NGUYEN OLIVIA D 2021 FFS RENDERING SNC AGE 21+ 868 6,215 646 1,872 762 4,805 571 1,744
1396120325 FEREIRA MINDY 2021 FFS RENDERING SNC AGE 0-20 368 405 368 405 1 1 1 1
1396120325 FEREIRA MINDY 2021 FFS RENDERING SNC AGE 21+ 317 463 308 420 102 195 11 16
1396165981 DE LA PENA MARTHA 2021 FFS RENDERING SNC AGE 0-20 691 968 562 655 318 494 479 529
1396165981 DE LA PENA MARTHA 2021 FFS RENDERING SNC AGE 21+ 339 592 86 105 305 517 111 121
1396171526 KIM YEUN JOO 2021 FFS RENDERING SNC AGE 0-20 208 330 191 248 68 99 173 196
1396171526 KIM YEUN JOO 2021 FFS RENDERING SNC AGE 21+ 19 41 18 23 1 2 17 21
1396187746 LANE PATRICE 2021 FFS RENDERING SNC AGE 0-20 165 279 131 166 38 64 152 214
1396187746 LANE PATRICE 2021 FFS RENDERING SNC AGE 21+ 352 901 111 158 138 229 321 651
1396187746 LANE PATRICE 2021 GMC RENDERING SNC AGE 0-20 1 1 1 1 0 0 1 1
1396307070 VAULT KALISHA KORAN 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 0 0 0 0
1396375028 JOHNSON, ROSE MARGARETTE, RD 2021 FFS RENDERING SNC AGE 0-20 103 135 103 135 1 1 0 0
1396375028 JOHNSON, ROSE MARGARETTE, RD 2021 FFS RENDERING SNC AGE 21+ 161 336 158 309 47 73 0 0
1396726782 AUYONG THOMAS GAIL 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 0 0 0 0
1396728937 TURPIN DAVID W 2021 FFS RENDERING SNC AGE 0-20 775 4,588 757 3,707 188 741 745 2,256
1396728937 TURPIN DAVID W 2021 FFS RENDERING SNC AGE 21+ 395 2,130 363 1,148 143 839 355 904
1396731436 TANEN, DAVID MD 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 0 0 1 1
1396754131 SWARTZ, JOHN R MD 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 1 1 1 1
1396754636 BALAKUMARAN, GOWTHAMY MD 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 0 0 0 0
1396835161 HUANG BEATRICE Y 2021 FFS RENDERING SNC AGE 0-20 635 2,264 624 1,843 136 464 602 1,665
1396835161 HUANG BEATRICE Y 2021 FFS RENDERING SNC AGE 21+ 1,223 6,177 1,055 3,331 794 3,271 969 2,916
1396860912 PYTLIK RAFAL 2021 FFS RENDERING SNC AGE 0-20 38 38 25 25 12 12 21 21
1396863551 DU AUDREY L 2021 FFS RENDERING SNC AGE 0-20 59 206 55 107 46 130 45 52
1396863551 DU AUDREY L 2021 FFS RENDERING SNC AGE 21+ 524 1,969 472 894 428 1,264 437 760
1396873303 CUBILLOS, LUZ DDS 2021 FFS RENDERING SNC AGE 0-20 300 987 300 987 0 0 300 987
1396873303 CUBILLOS, LUZ DDS 2021 FFS RENDERING SNC AGE 21+ 258 994 258 994 0 0 258 994
1396879524 ZHANG DING H 2021 FFS RENDERING SNC AGE 0-20 34 39 30 30 1 1 16 16
1396879524 ZHANG DING H 2021 FFS RENDERING SNC AGE 21+ 80 125 65 75 28 46 65 78
1396904074 WHITAKER KIMBALL CARLTON 2021 FFS RENDERING SNC AGE 0-20 111 279 111 279 0 0 111 279
1396904074 WHITAKER KIMBALL CARLTON 2021 FFS RENDERING SNC AGE 21+ 203 580 202 579 0 0 202 579
1396945770 NEAL, VANESSA L MD FAAP 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 1 1 0 0
1396992277 YAP MICHELLE A 2021 FFS RENDERING SNC AGE 0-20 70 85 57 67 25 27 44 53
1396992277 YAP MICHELLE A 2021 GMC RENDERING SNC AGE 0-20 1 1 1 1 0 0 0 0
1407066798 LAU SUK YING 2021 FFS RENDERING SNC AGE 0-20 335 557 304 430 57 90 287 396
1407066798 LAU SUK YING 2021 FFS RENDERING SNC AGE 21+ 481 1,128 349 458 278 630 352 493
1407067325 LANDAYAN MARIA C 2021 FFS RENDERING SNC AGE 0-20 618 1,255 562 746 251 458 594 779
1407067325 LANDAYAN MARIA C 2021 FFS RENDERING SNC AGE 21+ 272 381 47 70 52 72 254 294
1407114499 DEYHIM NILOOFAR 2021 FFS RENDERING SNC AGE 0-20 24 32 24 32 0 0 24 32
1407114499 DEYHIM NILOOFAR 2021 FFS RENDERING SNC AGE 21+ 118 140 116 137 0 0 116 137
1407125610 JAIN BHUMIKA 2021 FFS RENDERING SNC AGE 0-20 1 2 0 0 0 0 0 0
1407125610 JAIN BHUMIKA 2021 FFS RENDERING SNC AGE 21+ 64 138 0 0 0 0 1 1
1407141203 REINKING CELESTE C 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 0 0 0 0
1407141203 REINKING CELESTE C 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 1 1 0 0
1407161045 BAHRAMI PAYMON 2021 FFS RENDERING SNC AGE 0-20 215 281 197 232 29 37 134 151
1407161045 BAHRAMI PAYMON 2021 FFS RENDERING SNC AGE 21+ 341 682 223 276 179 314 199 248
1407167554 YANG INPHING 2021 FFS RENDERING SNC AGE 0-20 210 478 175 311 88 214 175 302
1407167554 YANG INPHING 2021 FFS RENDERING SNC AGE 21+ 555 2,037 392 741 434 1,569 426 841
1407209984 KADKHODA SHADI 2021 FFS RENDERING SNC AGE 0-20 869 1,331 851 1,211 392 500 828 1,140
1407209984 KADKHODA SHADI 2021 FFS RENDERING SNC AGE 21+ 143 277 131 190 94 147 134 216
1407217912 PATISH-PREOBRAZ ALLA 2021 FFS RENDERING SNC AGE 0-20 17 43 13 18 11 28 1 1
1407217912 PATISH-PREOBRAZ ALLA 2021 FFS RENDERING SNC AGE 21+ 141 463 54 62 132 376 58 97
1407259260 ZEBIAN ELIZABETH 2021 FFS RENDERING SNC AGE 0-20 138 157 121 135 47 49 103 114
1407259260 ZEBIAN ELIZABETH 2021 FFS RENDERING SNC AGE 21+ 101 111 87 93 63 68 70 74
1407303175 HOFFMAN DANIEL S 2021 FFS RENDERING SNC AGE 0-20 226 644 196 494 41 58 96 110
1407303175 HOFFMAN DANIEL S 2021 FFS RENDERING SNC AGE 21+ 427 1,401 331 883 185 293 162 188
1407372154 SUN HO HYUN B 2021 FFS RENDERING SNC AGE 0-20 44 54 0 0 33 41 1 2
1407372154 SUN HO HYUN B 2021 FFS RENDERING SNC AGE 21+ 42 48 0 0 34 36 1 2
1407490469 TABATABAIEPUR SOGOLE 2021 FFS RENDERING SNC AGE 0-20 337 488 269 338 84 135 233 290
1407490469 TABATABAIEPUR SOGOLE 2021 FFS RENDERING SNC AGE 21+ 257 425 161 224 143 217 158 220
1407849243 GONZALEZ FRANCISCO J 2021 FFS RENDERING SNC AGE 0-20 19 38 15 26 1 1 13 15
1407849243 GONZALEZ FRANCISCO J 2021 FFS RENDERING SNC AGE 21+ 164 494 117 165 110 238 113 191
1407853690 ABIAOUI AMAL 2021 FFS RENDERING SNC AGE 0-20 519 1,267 472 928 259 477 427 555
1407853690 ABIAOUI AMAL 2021 FFS RENDERING SNC AGE 21+ 513 1,493 332 464 410 1,086 315 408
1407864473 MANTHENA PADMAJA 2021 FFS RENDERING SNC AGE 0-20 532 928 467 643 214 339 353 414
1407864473 MANTHENA PADMAJA 2021 FFS RENDERING SNC AGE 21+ 379 889 279 368 226 478 274 397
1407981798 CHIANG GUEI MEI 2021 FFS RENDERING SNC AGE 0-20 658 1,129 485 658 228 349 466 621
1417007253 BRADSHAW DOYLE ALAN 2021 FFS RENDERING SNC AGE 0-20 200 483 151 305 62 90 112 157
1417007253 BRADSHAW DOYLE ALAN 2021 FFS RENDERING SNC AGE 21+ 237 719 125 296 104 189 127 216
1417007253 BRADSHAW DOYLE ALAN 2021 GMC RENDERING SNC AGE 21+ 1 1 0 0 1 1 0 0
1417030438 LAXAMANA, DARLEEN 2021 FFS RENDERING SNC AGE 0-20 288 427 269 332 60 93 274 334
1417030438 LAXAMANA, DARLEEN 2021 FFS RENDERING SNC AGE 21+ 191 419 106 154 136 269 115 138
1417036468 CARDENAS, JOSE, DDS 2021 FFS RENDERING SNC AGE 0-20 680 2,725 671 2,501 58 216 635 1,875
1417036468 CARDENAS, JOSE, DDS 2021 FFS RENDERING SNC AGE 21+ 1,079 4,398 1,051 3,224 261 1,065 1,034 2,908
1417065020 CHEN ANN 2021 FFS RENDERING SNC AGE 0-20 161 171 56 58 48 49 49 49
1417065020 CHEN ANN 2021 FFS RENDERING SNC AGE 21+ 282 322 97 101 131 149 141 146
1417082041 ICHIMURA DAVID M 2021 FFS RENDERING SNC AGE 0-20 390 525 286 307 120 160 261 303
1417082041 ICHIMURA DAVID M 2021 FFS RENDERING SNC AGE 21+ 288 458 108 142 168 228 145 205
1417082777 JOSHI JASMEEN KAUR 2021 FFS RENDERING SNC AGE 0-20 88 117 65 87 26 34 1 1
1417082777 JOSHI JASMEEN KAUR 2021 FFS RENDERING SNC AGE 21+ 22 26 18 20 1 1 1 1
1417084310 SILVEIRA MARILICE A 2021 FFS RENDERING SNC AGE 0-20 557 1,745 544 1,685 24 31 550 964
1417084310 SILVEIRA MARILICE A 2021 FFS RENDERING SNC AGE 21+ 232 503 208 423 26 44 211 252
1417125238 BRAZIER JAMES C 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 0 0 1 1
1417125238 BRAZIER JAMES C 2021 FFS RENDERING SNC AGE 21+ 1 2 1 2 1 1 1 1
1417191743 MELGOZA ENRIQUE S 2021 FFS RENDERING SNC AGE 0-20 281 452 215 284 97 147 174 202
1417191743 MELGOZA ENRIQUE S 2021 FFS RENDERING SNC AGE 21+ 312 686 155 215 197 363 130 152
1417243890 CHAN, ZAR C MD 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 0 0 0 0
1417284746 WASCHE MARINA 2021 FFS RENDERING SNC AGE 0-20 18 25 1 1 1 2 12 12
1417284746 WASCHE MARINA 2021 FFS RENDERING SNC AGE 21+ 55 124 26 32 31 74 38 45
1417317165 CHOI CHRISTINE A 2021 FFS RENDERING SNC AGE 0-20 1,019 1,994 945 1,222 517 1,063 966 1,352
1417317165 CHOI CHRISTINE A 2021 FFS RENDERING SNC AGE 21+ 408 794 238 277 278 523 311 477
1417317165 CHOI CHRISTINE A 2021 GMC RENDERING SNC AGE 0-20 1 1 1 1 1 1 1 1
1417322744 YAZDI ZADEH MARYAM 2021 FFS RENDERING SNC AGE 0-20 45 98 42 82 21 37 38 51
1417322744 YAZDI ZADEH MARYAM 2021 FFS RENDERING SNC AGE 21+ 197 701 140 287 150 504 107 146
1417398181 CHENG PHILIP 2021 FFS RENDERING SNC AGE 0-20 1 2 1 1 1 1 1 1
1417398181 CHENG PHILIP 2021 FFS RENDERING SNC AGE 21+ 30 48 17 21 22 30 22 26
1417446477 RAMSEY KELLIE A 2021 FFS RENDERING SNC AGE 0-20 192 405 156 281 61 110 71 85
1417446477 RAMSEY KELLIE A 2021 FFS RENDERING SNC AGE 21+ 196 289 111 134 80 122 79 91
1417470170 YANG FUE 2021 FFS RENDERING SNC AGE 0-20 1 2 1 2 1 2 1 1
1417470170 YANG FUE 2021 FFS RENDERING SNC AGE 21+ 96 240 73 138 87 197 67 92
1417470170 YANG FUE 2021 GMC RENDERING SNC AGE 0-20 1 1 1 1 1 1 1 1
1417470170 YANG FUE 2021 GMC RENDERING SNC AGE 21+ 1 1 1 1 1 1 1 1
1417513847 MCCARTHY ELISE NICOLE 2021 FFS RENDERING SNC AGE 0-20 89 178 89 178 0 0 89 178
1417513847 MCCARTHY ELISE NICOLE 2021 FFS RENDERING SNC AGE 21+ 56 138 56 138 0 0 56 138
1417931197 FENZI CHARLES C. 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 0 0 1 1
1417931197 FENZI CHARLES C. 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 0 0 1 1
1427002385 HARRIS MARK STEPHEN 2021 FFS RENDERING SNC AGE 0-20 17 19 1 1 1 1 1 1
1427002385 HARRIS MARK STEPHEN 2021 FFS RENDERING SNC AGE 21+ 32 41 1 1 19 24 22 25
1427078781 DIAZ, JOSE M MD 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 0 0 1 1
1427110386 HONG DAVIS 2021 FFS RENDERING SNC AGE 0-20 844 1,259 832 1,167 290 381 810 1,106
1427110386 HONG DAVIS 2021 FFS RENDERING SNC AGE 21+ 143 251 133 180 72 103 128 181
1427114065 ERIKSSON EVA C 2021 FFS RENDERING SNC AGE 0-20 24 49 24 49 0 0 24 49
1427114065 ERIKSSON EVA C 2021 FFS RENDERING SNC AGE 21+ 62 180 62 180 0 0 62 180
1427135623 WALKER MACHON R 2021 FFS RENDERING SNC AGE 0-20 15 18 13 13 1 1 1 1
1427135623 WALKER MACHON R 2021 FFS RENDERING SNC AGE 21+ 20 38 1 1 1 1 1 1
1427139682 DUSANAPUDI SUDHA N 2021 FFS RENDERING SNC AGE 0-20 112 154 0 0 0 0 0 0
1427142009 UNIV CHILDRENS MED GROUP 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 1 1 0 0
1427142009 UNIV CHILDRENS MED GROUP 2021 FFS RENDERING SNC AGE 21+ 12 15 0 0 1 1 1 1
1427151547 LEE MICHAEL 2021 FFS RENDERING SNC AGE 0-20 66 83 42 47 22 27 17 19
1427151547 LEE MICHAEL 2021 FFS RENDERING SNC AGE 21+ 42 57 27 28 33 46 25 25
1427159748 HEYDARI, CAMERON DDS 2021 FFS RENDERING SNC AGE 0-20 75 97 1 1 0 0 1 1
1427167170 KIM DONALD 2021 FFS RENDERING SNC AGE 0-20 68 120 61 90 29 54 27 32
1427167170 KIM DONALD 2021 FFS RENDERING SNC AGE 21+ 112 198 79 109 87 140 53 68
1427196997 LIU XIA L 2021 FFS RENDERING SNC AGE 0-20 86 426 67 252 38 156 68 273
1427196997 LIU XIA L 2021 FFS RENDERING SNC AGE 21+ 74 275 38 99 46 148 43 123
1427242114 SADDI SUPRIYA A 2021 FFS RENDERING SNC AGE 0-20 523 1,197 492 868 123 215 461 544
1427242114 SADDI SUPRIYA A 2021 FFS RENDERING SNC AGE 21+ 554 1,310 467 681 203 453 455 538
1427249556 CHUNG ANNA SEUNG-EUN 2021 FFS RENDERING SNC AGE 0-20 619 788 538 651 150 185 447 510
1427249556 CHUNG ANNA SEUNG-EUN 2021 FFS RENDERING SNC AGE 21+ 1,020 1,602 764 986 511 715 696 895
1427251222 WANG SUSAN J 2021 FFS RENDERING SNC AGE 0-20 1,618 3,612 1,618 3,612 0 0 1,618 3,612
1427338557 WUPPALAPATI RADHA 2021 FFS RENDERING SNC AGE 0-20 369 566 369 565 148 233 369 563
1427338557 WUPPALAPATI RADHA 2021 FFS RENDERING SNC AGE 21+ 387 814 387 812 255 466 373 771
1427363969 DINH ANH M 2021 FFS RENDERING SNC AGE 0-20 403 462 286 326 95 105 264 301
1427363969 DINH ANH M 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 0 0 0 0
1427416395 LEE ANN 2021 FFS RENDERING SNC AGE 0-20 602 1,587 602 1,583 22 45 594 1,541
1427416395 LEE ANN 2021 FFS RENDERING SNC AGE 21+ 673 2,598 673 2,594 1 2 673 2,594
1427432756 LEE BRYANT 2021 FFS RENDERING SNC AGE 0-20 217 486 195 240 120 211 203 294
1427432756 LEE BRYANT 2021 FFS RENDERING SNC AGE 21+ 449 1,647 350 477 345 1,201 391 682
1427434307 CHO JINHYUN 2021 FFS RENDERING SNC AGE 21+ 24 52 1 1 23 43 1 1
1427488725 MEADOR, MICHELLE HYUNAECHANG 2021 FFS RENDERING SNC AGE 0-20 194 254 158 204 31 40 106 135
1427488725 MEADOR, MICHELLE HYUNAECHANG 2021 FFS RENDERING SNC AGE 21+ 219 256 82 89 84 101 69 76
1427489095 GARCIA NANCY 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 0 0 0 0
1427554385 OKUHARA NATALIE A 2021 FFS RENDERING SNC AGE 0-20 29 39 15 16 17 19 17 18
1427554385 OKUHARA NATALIE A 2021 FFS RENDERING SNC AGE 21+ 86 136 19 22 56 85 32 39
1427582063 DI PIAZZA GIULIANA 2021 FFS RENDERING SNC AGE 0-20 805 1,480 686 1,032 417 756 650 791
1427582063 DI PIAZZA GIULIANA 2021 FFS RENDERING SNC AGE 21+ 490 1,096 259 336 391 842 285 395
1427629369 RAHGOZAR SHAWN C 2021 FFS RENDERING SNC AGE 0-20 1,171 1,635 1,171 1,635 0 0 1,171 1,635
1427679356 RODNEY JONATHAN 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 1 1 0 0
1427679356 RODNEY JONATHAN 2021 FFS RENDERING SNC AGE 21+ 25 31 1 1 1 1 11 15
1427691112 TANDY ABIGAIL COLEEN 2021 FFS RENDERING SNC AGE 0-20 59 63 58 62 1 1 0 0
1427691112 TANDY ABIGAIL COLEEN 2021 FFS RENDERING SNC AGE 21+ 41 46 39 44 1 1 1 1
1437124526 MILLER ANGELA S 2021 FFS RENDERING SNC AGE 0-20 715 1,058 630 837 106 144 609 731
1437124526 MILLER ANGELA S 2021 FFS RENDERING SNC AGE 21+ 211 290 73 78 66 95 82 92
1437156866 CARLTON, SAMUEL R MD 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 0 0 0 0
1437156866 CARLTON, SAMUEL R MD 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 1 1 1 1
1437184769 NGUYEN BOITRAN C 2021 FFS RENDERING SNC AGE 0-20 115 268 69 105 67 152 64 66
1437184769 NGUYEN BOITRAN C 2021 FFS RENDERING SNC AGE 21+ 130 445 23 25 120 372 19 23
1437215936 NOBLE JOHN T 2021 FFS RENDERING SNC AGE 0-20 269 379 224 304 238 328 73 90
1437215936 NOBLE JOHN T 2021 FFS RENDERING SNC AGE 21+ 617 1,126 339 471 499 876 153 185
1437216678 RICHARDSON ALBERT E 2021 FFS RENDERING SNC AGE 0-20 450 1,381 430 1,106 150 391 381 693
1437216678 RICHARDSON ALBERT E 2021 FFS RENDERING SNC AGE 21+ 485 1,973 446 1,029 345 1,195 428 846
1437217544 KATBAMNA, DHANESH S, DDS 2021 FFS RENDERING SNC AGE 0-20 430 833 387 544 157 291 320 372
1437217544 KATBAMNA, DHANESH S, DDS 2021 FFS RENDERING SNC AGE 21+ 369 906 284 377 228 509 289 400
1437252541 BASON FRANCOISE 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 0 0 0 0
1437265493 MERAT SHEILA 2021 FFS RENDERING SNC AGE 0-20 46 62 28 35 20 23 23 28
1437265493 MERAT SHEILA 2021 FFS RENDERING SNC AGE 21+ 56 70 35 38 25 30 35 38
1437267846 ERICKSON, KENDRA M, DDS 2021 FFS RENDERING SNC AGE 0-20 882 2,486 787 1,683 267 513 775 1,063
1437267846 ERICKSON, KENDRA M, DDS 2021 FFS RENDERING SNC AGE 21+ 493 1,394 428 700 231 576 427 589
1437287273 GIDDINGS II CHARLES M 2021 FFS RENDERING SNC AGE 0-20 254 678 251 577 28 53 210 326
1437287273 GIDDINGS II CHARLES M 2021 FFS RENDERING SNC AGE 21+ 256 672 224 358 80 146 242 500
1437345311 SAHASAKMONTRI PANIDA 2021 FFS RENDERING SNC AGE 0-20 151 464 75 150 60 146 146 304
1437345311 SAHASAKMONTRI PANIDA 2021 FFS RENDERING SNC AGE 21+ 278 993 69 96 192 478 258 665
1437355906 TUNG ANGELA K 2021 FFS RENDERING SNC AGE 0-20 247 574 232 429 99 192 227 317
1437355906 TUNG ANGELA K 2021 FFS RENDERING SNC AGE 21+ 346 733 298 487 139 253 277 341
1437440641 YAVROM MONICA Y 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 0 0 1 1
1437440641 YAVROM MONICA Y 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 0 0 1 1
1437501566 KIM JAE D 2021 FFS RENDERING SNC AGE 0-20 315 876 63 106 110 289 24 33
1437501566 KIM JAE D 2021 FFS RENDERING SNC AGE 21+ 606 2,255 33 51 369 1,091 112 423
1437569191 SERRATO ACERO MARTHA V 2021 FFS RENDERING SNC AGE 0-20 543 716 77 82 169 209 89 99
1437569191 SERRATO ACERO MARTHA V 2021 FFS RENDERING SNC AGE 21+ 532 961 72 76 350 544 109 153
1437577574 SVENSSON KRISTINA N 2021 FFS RENDERING SNC AGE 0-20 418 667 316 424 221 355 313 404
1437580040 LEO HEATHER 2021 FFS RENDERING SNC AGE 0-20 799 1,295 691 1,044 707 1,027 324 413
1437580040 LEO HEATHER 2021 FFS RENDERING SNC AGE 21+ 660 1,449 446 779 508 1,012 321 416
1437608361 KIM CHRISTINE J 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 1 1 1 1
1437615259 CHUCK CHRISTOPHER R 2021 FFS RENDERING SNC AGE 0-20 30 48 26 33 1 2 1 1
1437615259 CHUCK CHRISTOPHER R 2021 FFS RENDERING SNC AGE 21+ 112 184 28 39 46 67 19 28
1437615259 CHUCK CHRISTOPHER R 2021 GMC RENDERING SNC AGE 0-20 1 1 1 1 0 0 0 0
1437615259 CHUCK CHRISTOPHER R 2021 GMC RENDERING SNC AGE 21+ 1 1 1 1 1 1 0 0
1437623691 HSIAO ALLYSON 2021 FFS RENDERING SNC AGE 0-20 1 2 1 1 1 1 0 0
1437623691 HSIAO ALLYSON 2021 FFS RENDERING SNC AGE 21+ 125 313 1 2 37 56 17 31
1437637527 PEREZ ALISON 2021 FFS RENDERING SNC AGE 0-20 314 981 278 670 109 253 176 295
1437637527 PEREZ ALISON 2021 FFS RENDERING SNC AGE 21+ 214 922 163 388 159 662 142 246
1437637527 PEREZ ALISON 2021 GMC RENDERING SNC AGE 21+ 1 1 0 0 0 0 0 0
1437685625 SUBIJANO ASUNCION SIBULO 2021 FFS RENDERING SNC AGE 0-20 101 165 93 147 1 1 48 72
1437685625 SUBIJANO ASUNCION SIBULO 2021 FFS RENDERING SNC AGE 21+ 316 710 64 71 210 578 14 16
1437685625 SUBIJANO ASUNCION SIBULO 2021 GMC RENDERING SNC AGE 21+ 1 1 0 0 0 0 0 0
1437813029 REZVANI GHOLAMREZA 2021 FFS RENDERING SNC AGE 0-20 118 288 118 288 0 0 118 288
1437813029 REZVANI GHOLAMREZA 2021 FFS RENDERING SNC AGE 21+ 54 149 54 149 0 0 54 149
1447237672 BALL RANDALL N 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 0 0 1 1
1447323902 BERNSTINE BYRON D 2021 FFS RENDERING SNC AGE 0-20 672 1,452 527 932 178 305 505 705
1447323902 BERNSTINE BYRON D 2021 FFS RENDERING SNC AGE 21+ 388 1,275 324 625 224 636 322 510
1447337654 DONALDSON, ROSS I MD 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 0 0 1 1
1447339353 PEZOLDT ANDREA M 2021 FFS RENDERING SNC AGE 0-20 775 1,440 701 1,150 161 252 666 794
1447339353 PEZOLDT ANDREA M 2021 FFS RENDERING SNC AGE 21+ 636 1,423 528 831 287 550 502 638
1447356597 YEN, CHUNG-KWAN, DDS 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 1 1 0 0
1447407648 SIVARAMAKRISHNA RANJINI M 2021 FFS RENDERING SNC AGE 0-20 91 120 67 77 35 43 47 51
1447407648 SIVARAMAKRISHNA RANJINI M 2021 FFS RENDERING SNC AGE 21+ 95 167 67 73 46 77 70 94
1447412762 UY GIRLIE A 2021 FFS RENDERING SNC AGE 0-20 268 723 249 531 134 277 155 184
1447412762 UY GIRLIE A 2021 FFS RENDERING SNC AGE 21+ 281 817 234 397 185 477 184 221
1447418470 ROVIROSA HIMILCE D 2021 FFS RENDERING SNC AGE 0-20 705 1,633 528 855 212 325 131 143
1447418470 ROVIROSA HIMILCE D 2021 FFS RENDERING SNC AGE 21+ 630 1,368 244 289 318 584 77 80
1447428420 ADAMCZAK, JOANNA E MD 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 0 0 0 0
1447430475 LEVARDO, ELPI MINETTE C, DDS 2021 FFS RENDERING SNC AGE 0-20 67 200 59 108 35 89 54 75
1447430475 LEVARDO, ELPI MINETTE C, DDS 2021 FFS RENDERING SNC AGE 21+ 448 2,217 302 449 411 1,713 345 541
1447445218 MILLER TAMMY PAULETTE 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 0 0 0 0
1447466479 FILLER EVAN M 2021 FFS RENDERING SNC AGE 0-20 18 20 1 1 1 2 1 1
1447466479 FILLER EVAN M 2021 FFS RENDERING SNC AGE 21+ 161 259 1 1 148 235 18 18
1447496856 MORGAN CHALISE MICHELLE 2021 FFS RENDERING SNC AGE 0-20 669 1,259 533 905 161 241 116 157
1447496856 MORGAN CHALISE MICHELLE 2021 FFS RENDERING SNC AGE 21+ 865 1,963 240 330 344 639 164 215
1447496856 MORGAN CHALISE MICHELLE 2021 GMC RENDERING SNC AGE 0-20 1 1 0 0 0 0 0 0
1447496856 MORGAN CHALISE MICHELLE 2021 GMC RENDERING SNC AGE 21+ 1 1 0 0 0 0 0 0
1447586615 SWITZER JOEL M 2021 FFS RENDERING SNC AGE 0-20 508 572 314 351 245 277 237 260
1447586615 SWITZER JOEL M 2021 FFS RENDERING SNC AGE 21+ 368 445 215 250 276 334 203 235
1447628516 CHAN ASHLEY 2021 FFS RENDERING SNC AGE 0-20 906 2,902 906 2,902 0 0 906 2,902
1447628516 CHAN ASHLEY 2021 FFS RENDERING SNC AGE 21+ 497 1,753 497 1,751 0 0 497 1,751
1447697107 LIU SAMUEL 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 1 1 1 1
1447697107 LIU SAMUEL 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 1 1 1 1
1447698345 BURNETT AUSTIN A 2021 FFS RENDERING SNC AGE 0-20 1 2 0 0 1 1 0 0
1447698345 BURNETT AUSTIN A 2021 FFS RENDERING SNC AGE 21+ 39 56 0 0 34 44 1 1
1447699517 CAMACHO-WORMS NATALIA 2021 FFS RENDERING SNC AGE 0-20 251 396 197 265 110 165 166 205
1447699517 CAMACHO-WORMS NATALIA 2021 FFS RENDERING SNC AGE 21+ 181 335 84 103 133 239 91 124
1447705397 JO MIN YOUNG 2021 FFS RENDERING SNC AGE 0-20 43 103 43 103 0 0 43 103
1447705397 JO MIN YOUNG 2021 FFS RENDERING SNC AGE 21+ 84 330 84 330 0 0 84 330
1447744966 NAVAB GHAZAL 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 1 1 1 1
1447744966 NAVAB GHAZAL 2021 FFS RENDERING SNC AGE 21+ 19 23 17 18 1 1 17 19
1447772124 WILSON KIMBERLY D 2021 FFS RENDERING SNC AGE 0-20 165 259 163 257 1 2 0 0
1447772124 WILSON KIMBERLY D 2021 FFS RENDERING SNC AGE 21+ 253 704 201 437 188 634 0 0
1447778048 CUBAS-MOODY YLTZE P 2021 FFS RENDERING SNC AGE 0-20 115 220 102 143 40 93 99 110
1447778048 CUBAS-MOODY YLTZE P 2021 FFS RENDERING SNC AGE 21+ 682 900 295 342 364 457 225 250
1447779327 NGUYEN DEXTER U 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 1 1 0 0
1447779327 NGUYEN DEXTER U 2021 FFS RENDERING SNC AGE 21+ 28 43 13 13 24 37 15 15
1447795265 CHAMBERS MAXMILLIAN 2021 FFS RENDERING SNC AGE 0-20 389 483 347 395 103 121 274 282
1447795265 CHAMBERS MAXMILLIAN 2021 FFS RENDERING SNC AGE 21+ 411 618 320 381 238 315 290 338
1447803325 JONES SHERI E 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 1 1 0 0
1447803325 JONES SHERI E 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 1 1 0 0
1447811310 AL-GROUZ MALIK 2021 FFS RENDERING SNC AGE 0-20 99 247 74 95 55 143 72 89
1447811310 AL-GROUZ MALIK 2021 FFS RENDERING SNC AGE 21+ 359 1,352 238 280 292 987 252 396
1447851647 GANOTISI MELANIE 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 0 0 1 1
1447875927 BANG JOHN M 2021 FFS RENDERING SNC AGE 0-20 268 756 233 465 119 275 169 213
1447875927 BANG JOHN M 2021 FFS RENDERING SNC AGE 21+ 409 1,490 305 561 287 895 266 420
1457329948 KANZALI JAMES B 2021 FFS RENDERING SNC AGE 0-20 82 117 72 91 28 35 68 77
1457329948 KANZALI JAMES B 2021 GMC RENDERING SNC AGE 0-20 1 1 1 1 0 0 1 1
1457349540 OOI, JAMES P MD 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 0 0 0 0
1457364200 GONZALEZ, A R, DDS 2021 FFS RENDERING SNC AGE 0-20 144 786 144 786 50 312 144 786
1457364200 GONZALEZ, A R, DDS 2021 FFS RENDERING SNC AGE 21+ 254 1,600 253 1,592 141 870 253 1,588
1457486086 PARK KWANG S 2021 FFS RENDERING SNC AGE 0-20 20 35 12 20 11 19 12 20
1457486086 PARK KWANG S 2021 FFS RENDERING SNC AGE 21+ 35 75 25 58 12 21 25 58
1457489239 BOUTROS, SHADI F MD 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 1 1 1 1
1457489239 BOUTROS, SHADI F MD 2021 FFS RENDERING SNC AGE 21+ 48 77 0 0 19 19 33 50
1457543472 MATIN GULALAI 2021 FFS RENDERING SNC AGE 0-20 1 2 1 1 1 2 1 2
1457543472 MATIN GULALAI 2021 FFS RENDERING SNC AGE 21+ 25 118 1 2 24 102 1 2
1457544348 VO NHAN T 2021 FFS RENDERING SNC AGE 0-20 397 960 83 114 149 272 362 724
1457544348 VO NHAN T 2021 FFS RENDERING SNC AGE 21+ 355 1,113 90 121 278 676 268 526
1457567612 SHAHRIARPOUR AZITA 2021 FFS RENDERING SNC AGE 0-20 133 165 78 83 38 43 57 58
1457567612 SHAHRIARPOUR AZITA 2021 FFS RENDERING SNC AGE 21+ 209 373 91 110 85 135 55 57
1457577439 ORTEGA LIA C 2021 FFS RENDERING SNC AGE 0-20 69 122 59 79 18 25 50 53
1457577439 ORTEGA LIA C 2021 FFS RENDERING SNC AGE 21+ 494 1,156 411 631 180 333 396 538
1457665705 HA DUONG 2021 FFS RENDERING SNC AGE 0-20 207 328 207 328 0 0 207 328
1457665705 HA DUONG 2021 FFS RENDERING SNC AGE 21+ 72 159 72 159 0 0 72 159
1457666703 RADJINDRIN ALAMELOU 2021 FFS RENDERING SNC AGE 0-20 612 1,011 575 776 149 255 553 657
1457666703 RADJINDRIN ALAMELOU 2021 FFS RENDERING SNC AGE 21+ 360 787 283 398 232 423 296 441
1457734014 TAN, ALVIN C OD 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 0 0 0 0
1457739203 ALAM HIRA H 2021 FFS RENDERING SNC AGE 0-20 55 113 55 113 0 0 55 113
1457739203 ALAM HIRA H 2021 FFS RENDERING SNC AGE 21+ 158 418 154 401 0 0 154 401
1457774192 POTENTE ANTHONY P 2021 FFS RENDERING SNC AGE 0-20 73 121 1 1 31 39 16 18
1457794109 GERGES MICKEL A 2021 FFS RENDERING SNC AGE 0-20 430 616 430 616 0 0 430 616
1457794109 GERGES MICKEL A 2021 FFS RENDERING SNC AGE 21+ 491 937 476 910 0 0 482 917
1457838658 CHUNG JENNIFER PHUONG 2021 FFS RENDERING SNC AGE 0-20 563 857 508 628 186 264 451 484
1457838658 CHUNG JENNIFER PHUONG 2021 FFS RENDERING SNC AGE 21+ 372 698 208 239 266 450 212 269
1457842494 LEDEZMA KRISTIE J 2021 FFS RENDERING SNC AGE 0-20 294 947 185 334 198 495 107 145
1457842494 LEDEZMA KRISTIE J 2021 FFS RENDERING SNC AGE 21+ 430 1,821 210 317 376 1,440 138 186
1457855942 TRAN PHUC CONG 2021 FFS RENDERING SNC AGE 0-20 740 1,190 542 662 550 925 212 248
1457855942 TRAN PHUC CONG 2021 FFS RENDERING SNC AGE 21+ 762 1,625 113 120 653 1,245 431 742
1457855942 TRAN PHUC CONG 2021 GMC RENDERING SNC AGE 0-20 1 1 1 1 1 1 0 0
1457871428 BUI JULIE H 2021 FFS RENDERING SNC AGE 0-20 429 546 137 153 110 133 113 121
1457871428 BUI JULIE H 2021 FFS RENDERING SNC AGE 21+ 653 898 215 229 324 449 345 382
1457880569 PHAM JENNIFER 2021 FFS RENDERING SNC AGE 0-20 565 873 479 622 188 279 360 384
1457880569 PHAM JENNIFER 2021 FFS RENDERING SNC AGE 21+ 512 1,065 441 705 310 600 358 438
1457882789 DIEP CHRISTINA T 2021 FFS RENDERING SNC AGE 0-20 980 1,114 696 772 261 282 635 704
1457889826 HAWKINS WILLIAM N 2021 FFS RENDERING SNC AGE 0-20 11 15 1 1 1 1 1 1
1457889826 HAWKINS WILLIAM N 2021 FFS RENDERING SNC AGE 21+ 32 41 1 1 18 23 1 1
1457911505 LI XIN 2021 FFS RENDERING SNC AGE 0-20 277 415 199 270 134 172 173 192
1457911505 LI XIN 2021 FFS RENDERING SNC AGE 21+ 885 1,731 355 471 705 1,241 361 456
1457913568 TANG CATHERINE M 2021 FFS RENDERING SNC AGE 0-20 25 50 19 26 1 2 1 1
1457913568 TANG CATHERINE M 2021 FFS RENDERING SNC AGE 21+ 42 73 13 13 22 30 1 1
1457923658 SHAH KARISHMA A 2021 FFS RENDERING SNC AGE 0-20 331 452 261 331 152 191 189 208
1457923658 SHAH KARISHMA A 2021 FFS RENDERING SNC AGE 21+ 548 903 323 443 402 603 248 311
1457994931 CHEEMA TARANVIR K 2021 FFS RENDERING SNC AGE 0-20 1,053 1,302 903 983 147 190 840 909
1457994931 CHEEMA TARANVIR K 2021 FFS RENDERING SNC AGE 21+ 765 1,046 590 665 218 304 588 664
1467075267 PATEL DIVYA Y 2021 FFS RENDERING SNC AGE 0-20 80 105 50 55 33 47 40 43
1467075267 PATEL DIVYA Y 2021 FFS RENDERING SNC AGE 21+ 175 230 89 101 84 117 69 81
1467093419 KOOK TIMOTHY J 2021 FFS RENDERING SNC AGE 0-20 521 925 59 72 28 33 92 116
1467093419 KOOK TIMOTHY J 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 0 0 1 1
1467442228 PHAM NICOLE T 2021 FFS RENDERING SNC AGE 0-20 130 323 20 26 120 288 77 151
1467442228 PHAM NICOLE T 2021 FFS RENDERING SNC AGE 21+ 490 1,742 89 119 462 1,531 294 539
1467443010 VANTASSELL, ELIZABETH A DDS 2021 FFS RENDERING SNC AGE 0-20 152 501 146 402 50 135 135 281
1467504944 GHAJAR, ALI SHAHZAD DDS 2021 FFS RENDERING SNC AGE 0-20 537 965 484 701 278 425 429 482
1467504944 GHAJAR, ALI SHAHZAD DDS 2021 FFS RENDERING SNC AGE 21+ 1,194 2,747 839 1,217 972 1,819 764 1,014
1467536607 YU HELEN W 2021 FFS RENDERING SNC AGE 0-20 698 1,265 670 998 145 254 576 739
1467536607 YU HELEN W 2021 FFS RENDERING SNC AGE 21+ 851 2,121 131 182 738 1,736 102 183
1467599274 JANG EUN SUB 2021 FFS RENDERING SNC AGE 0-20 1,420 4,729 1,207 3,214 428 1,181 1,058 2,481
1467599274 JANG EUN SUB 2021 FFS RENDERING SNC AGE 21+ 1,786 6,928 1,232 3,034 868 2,905 1,262 3,446
1467626739 NOYES KATHERINE M 2021 FFS RENDERING SNC AGE 0-20 608 730 474 514 147 170 181 181
1467626739 NOYES KATHERINE M 2021 FFS RENDERING SNC AGE 21+ 668 862 303 317 340 428 229 241
1467657437 BALCE MA AILEEN V 2021 FFS RENDERING SNC AGE 0-20 160 484 48 83 90 224 139 257
1467657437 BALCE MA AILEEN V 2021 FFS RENDERING SNC AGE 21+ 286 1,022 63 100 212 638 205 371
1467658781 LEE TERRY 2021 FFS RENDERING SNC AGE 0-20 160 335 61 95 94 192 35 53
1467658781 LEE TERRY 2021 FFS RENDERING SNC AGE 21+ 145 327 20 32 117 243 38 54
1467670182 BARRIENTOS ERIC M 2021 FFS RENDERING SNC AGE 0-20 240 1,118 222 898 50 214 190 399
1467670182 BARRIENTOS ERIC M 2021 FFS RENDERING SNC AGE 21+ 242 1,432 175 478 140 737 179 559
1467684910 HONRADO MELISSA B 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 0 0 1 1
1467684910 HONRADO MELISSA B 2021 FFS RENDERING SNC AGE 21+ 36 74 18 25 30 64 13 17
1467693903 ARRATOONIAN, ARLET, DDS 2021 FFS RENDERING SNC AGE 0-20 35 53 18 19 15 22 25 29
1467693903 ARRATOONIAN, ARLET, DDS 2021 FFS RENDERING SNC AGE 21+ 372 1,101 211 244 235 618 289 459
1467716035 SHAW JULIANNE M 2021 FFS RENDERING SNC AGE 0-20 80 114 72 99 12 23 69 93
1467716035 SHAW JULIANNE M 2021 FFS RENDERING SNC AGE 21+ 100 162 91 143 25 46 89 137
1467731067 VUONG CHRISTINA 2021 FFS RENDERING SNC AGE 0-20 564 607 513 546 15 16 507 540
1467731067 VUONG CHRISTINA 2021 FFS RENDERING SNC AGE 21+ 391 442 372 413 31 33 372 413
1467758177 WOLFE BEATE GUDRUN 2021 FFS RENDERING SNC AGE 0-20 97 205 86 132 30 59 72 87
1467758177 WOLFE BEATE GUDRUN 2021 FFS RENDERING SNC AGE 21+ 109 263 82 130 80 148 76 115
1467861823 SHAH ERIN L 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 1 1 0 0
1467867895 JOHNSON WESLEY 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 1 1 0 0
1467867895 JOHNSON WESLEY 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 1 1 1 1
1467921288 DO ETHAN T 2021 FFS RENDERING SNC AGE 0-20 1 2 1 2 1 2 1 2
1467921288 DO ETHAN T 2021 FFS RENDERING SNC AGE 21+ 63 251 57 101 55 201 58 117
1467944702 ZADEH POUPAK J 2021 FFS RENDERING SNC AGE 0-20 46 125 46 100 21 48 1 1
1467944702 ZADEH POUPAK J 2021 FFS RENDERING SNC AGE 21+ 136 399 89 147 115 298 21 33
1477079994 JABER JASON ANTON 2021 FFS RENDERING SNC AGE 0-20 871 1,892 834 1,438 257 537 817 1,432
1477079994 JABER JASON ANTON 2021 FFS RENDERING SNC AGE 21+ 417 1,398 314 596 285 852 305 606
1477094795 LEE BRIAN P 2021 FFS RENDERING SNC AGE 0-20 174 356 174 356 0 0 174 356
1477180305 HOFMANN JENNIFER A 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 1 1 0 0
1477611630 LEE KANG H 2021 FFS RENDERING SNC AGE 0-20 183 262 179 257 49 73 171 248
1477611630 LEE KANG H 2021 FFS RENDERING SNC AGE 21+ 310 495 304 478 160 259 304 483
1477628642 HOANG KENNETH VU 2021 FFS RENDERING SNC AGE 0-20 131 197 110 138 32 48 115 130
1477628642 HOANG KENNETH VU 2021 FFS RENDERING SNC AGE 21+ 349 702 178 273 226 351 226 324
1477639367 MACALALAD MICHAEL HERNANDEZ 2021 FFS RENDERING SNC AGE 0-20 72 119 43 55 20 28 23 27
1477639367 MACALALAD MICHAEL HERNANDEZ 2021 FFS RENDERING SNC AGE 21+ 706 1,643 286 342 322 565 224 295
1477669943 HOANG ANDY T 2021 FFS RENDERING SNC AGE 0-20 14 34 1 1 12 30 1 1
1477669943 HOANG ANDY T 2021 FFS RENDERING SNC AGE 21+ 170 380 43 45 153 328 52 61
1477682201 FONG VICTOR D 2021 FFS RENDERING SNC AGE 0-20 1 2 1 1 1 2 1 1
1477682201 FONG VICTOR D 2021 FFS RENDERING SNC AGE 21+ 113 801 25 62 109 739 1 2
1477693406 FIELDS, ROBERT S, DDS 2021 FFS RENDERING SNC AGE 0-20 14 30 12 28 1 1 12 28
1477693406 FIELDS, ROBERT S, DDS 2021 FFS RENDERING SNC AGE 21+ 292 999 275 879 155 452 274 872
1477751907 PATEL, NEIL MD 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 0 0 1 1
1477808707 FRYE JOSHUA R 2021 FFS RENDERING SNC AGE 0-20 124 265 106 129 69 140 105 112
1477808707 FRYE JOSHUA R 2021 FFS RENDERING SNC AGE 21+ 164 501 126 136 108 268 141 170
1477840700 TECSON NINA M 2021 FFS RENDERING SNC AGE 0-20 29 56 19 32 12 17 1 1
1477840700 TECSON NINA M 2021 FFS RENDERING SNC AGE 21+ 140 288 41 59 96 175 29 58
1477840700 TECSON NINA M 2021 GMC RENDERING SNC AGE 21+ 1 1 0 0 0 0 0 0
1477844108 KHAN, MOHAMMED A MD 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 1 1 0 0
1477912533 SAINI REENA RANI 2021 FFS RENDERING SNC AGE 0-20 346 717 302 447 110 218 295 339
1477912533 SAINI REENA RANI 2021 FFS RENDERING SNC AGE 21+ 624 1,554 461 732 208 487 560 796
1477912533 SAINI REENA RANI 2021 GMC RENDERING SNC AGE 21+ 1 1 0 0 1 1 0 0
1477912806 BURNHAM TRAVIS A 2021 FFS RENDERING SNC AGE 0-20 1,028 1,821 964 1,225 300 536 971 1,255
1477912806 BURNHAM TRAVIS A 2021 FFS RENDERING SNC AGE 21+ 413 825 317 360 198 353 345 491
1477994440 KUO LINDA 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 1 1 1 1
1477994440 KUO LINDA 2021 FFS RENDERING SNC AGE 21+ 254 772 96 121 149 274 160 469
1487006136 SUGIMOTO JEAN 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 0 0 0 0
1487010104 YAU TIFFANY HSIA T 2021 FFS RENDERING SNC AGE 0-20 226 329 183 218 67 88 196 229
1487010104 YAU TIFFANY HSIA T 2021 FFS RENDERING SNC AGE 21+ 385 785 166 200 261 467 238 312
1487010104 YAU TIFFANY HSIA T 2021 GMC RENDERING SNC AGE 0-20 1 1 0 0 1 1 0 0
1487020293 LAREZ ANINA 2021 FFS RENDERING SNC AGE 0-20 148 353 39 57 28 68 21 26
1487020293 LAREZ ANINA 2021 FFS RENDERING SNC AGE 21+ 175 535 103 239 70 164 58 82
1487039152 LIU MITZI 2021 FFS RENDERING SNC AGE 0-20 11 11 1 1 1 1 1 1
1487039152 LIU MITZI 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 1 1 1 1
1487055810 SISODIA PIYUSH 2021 FFS RENDERING SNC AGE 0-20 147 165 108 108 56 68 93 95
1487055810 SISODIA PIYUSH 2021 FFS RENDERING SNC AGE 21+ 51 58 33 33 27 30 31 32
1487073839 BANDARPALLE SUSHANT 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 0 0 0 0
1487089850 DELUCA LINH X 2021 FFS RENDERING SNC AGE 0-20 470 651 450 557 90 107 347 381
1487089850 DELUCA LINH X 2021 FFS RENDERING SNC AGE 21+ 177 345 127 149 76 134 122 164
1487163713 ROJAS ACUNA WENDY P 2021 FFS RENDERING SNC AGE 0-20 409 1,909 409 1,909 0 0 409 1,909
1487163713 ROJAS ACUNA WENDY P 2021 FFS RENDERING SNC AGE 21+ 749 4,162 740 4,120 0 0 743 4,128
1487217626 FUENTES WALTER VLADIMIR 2021 FFS RENDERING SNC AGE 0-20 467 782 342 437 242 422 315 402
1487218095 BORDIERI THOMAS C 2021 FFS RENDERING SNC AGE 0-20 13 13 1 1 1 1 1 1
1487218095 BORDIERI THOMAS C 2021 FFS RENDERING SNC AGE 21+ 84 115 1 1 79 103 1 1
1487605747 GARVIN, KEVIN J, DDS 2021 FFS RENDERING SNC AGE 0-20 443 1,344 431 1,077 184 376 408 884
1487605747 GARVIN, KEVIN J, DDS 2021 FFS RENDERING SNC AGE 21+ 473 1,636 427 987 330 889 421 1,046
1487639787 KONDO LAUREN G 2021 FFS RENDERING SNC AGE 0-20 621 1,633 579 827 312 806 574 812
1487639787 KONDO LAUREN G 2021 FFS RENDERING SNC AGE 21+ 338 874 158 178 267 624 177 205
1487677464 MADIREDDI SHANTHI 2021 FFS RENDERING SNC AGE 0-20 201 332 147 177 113 191 136 155
1487677464 MADIREDDI SHANTHI 2021 FFS RENDERING SNC AGE 21+ 392 816 247 308 323 613 255 330
1487680898 AYAP HEIDI 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 1 1 1 1
1487680898 AYAP HEIDI 2021 FFS RENDERING SNC AGE 21+ 1 2 1 1 1 1 1 1
1487738605 ROONGRUANGPHOL THASANAI 2021 FFS RENDERING SNC AGE 0-20 443 630 392 564 46 54 289 442
1487738605 ROONGRUANGPHOL THASANAI 2021 FFS RENDERING SNC AGE 21+ 526 810 322 479 201 266 285 437
1487762944 CHAMBERS, RICHARD B MD 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 0 0 0 0
1487795738 DASTUR VAN ANH T 2021 FFS RENDERING SNC AGE 0-20 1 2 1 2 0 0 1 2
1487795738 DASTUR VAN ANH T 2021 FFS RENDERING SNC AGE 21+ 217 567 206 479 68 109 205 439
1487819074 BHANDARI SONALI 2021 FFS RENDERING SNC AGE 0-20 156 190 93 113 57 67 88 105
1487819074 BHANDARI SONALI 2021 FFS RENDERING SNC AGE 21+ 77 93 24 27 58 67 11 13
1487852794 DO HIEU V 2021 FFS RENDERING SNC AGE 0-20 1,180 1,343 22 22 157 178 1 1
1487852794 DO HIEU V 2021 FFS RENDERING SNC AGE 21+ 456 723 94 101 324 482 12 13
1487886594 PHAM TRINH T 2021 FFS RENDERING SNC AGE 0-20 563 899 563 899 0 0 563 899
1487886594 PHAM TRINH T 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 0 0 1 1
1497072128 TA, THUC N D MD 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 0 0 1 1
1497082739 TRAN KRISTINA T 2021 FFS RENDERING SNC AGE 0-20 181 264 124 159 67 91 77 94
1497082739 TRAN KRISTINA T 2021 FFS RENDERING SNC AGE 21+ 261 441 132 174 129 185 138 197
1497113062 PHORTH AMY 2021 FFS RENDERING SNC AGE 0-20 146 284 96 125 75 139 108 164
1497113062 PHORTH AMY 2021 FFS RENDERING SNC AGE 21+ 382 1,153 150 174 311 935 230 396
1497114458 PANNU JASMEET S 2021 FFS RENDERING SNC AGE 0-20 355 554 213 286 163 242 246 344
1497114458 PANNU JASMEET S 2021 FFS RENDERING SNC AGE 21+ 657 1,505 263 356 396 801 374 681
1497114458 PANNU JASMEET S 2021 GMC RENDERING SNC AGE 0-20 1 1 1 1 0 0 1 1
1497131395 KAPADIA PRACHI K 2021 FFS RENDERING SNC AGE 0-20 344 615 306 432 116 202 218 245
1497131395 KAPADIA PRACHI K 2021 FFS RENDERING SNC AGE 21+ 433 1,274 334 479 269 739 320 502
1497240063 LIN VINCENT 2021 FFS RENDERING SNC AGE 0-20 593 1,714 526 1,178 127 399 493 1,085
1497240063 LIN VINCENT 2021 FFS RENDERING SNC AGE 21+ 1,251 6,569 952 2,863 818 3,112 773 2,991
1497241574 MARTINEZ LESTER D 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 1 1 0 0
1497241574 MARTINEZ LESTER D 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 1 1 1 1
1497319222 BAISLEY JESSICA 2021 FFS RENDERING SNC AGE 0-20 269 310 219 243 220 248 102 102
1497319222 BAISLEY JESSICA 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 1 1 1 1
1497365704 CHAUDHARI KAUSHAL M 2021 FFS RENDERING SNC AGE 0-20 101 127 76 84 49 65 55 55
1497365704 CHAUDHARI KAUSHAL M 2021 FFS RENDERING SNC AGE 21+ 187 271 96 101 137 193 81 87
1497392336 SHETH PALAK K 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 0 0 1 1
1497719850 GORDON LISA A 2021 FFS RENDERING SNC AGE 0-20 605 923 293 359 274 450 287 336
1497719850 GORDON LISA A 2021 FFS RENDERING SNC AGE 21+ 19 26 1 1 13 14 1 1
1497797906 DAHLE, DANIEL B MD 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 1 1 0 0
1497829147 CLEVELAND, AARON J MD 2021 GMC RENDERING SNC AGE 21+ 1 1 0 0 0 0 0 0
1497838486 MEDINA-RANGEL, DIANA MARCELA 2021 FFS RENDERING SNC AGE 0-20 211 391 156 206 101 184 99 116
1497838486 MEDINA-RANGEL, DIANA MARCELA 2021 FFS RENDERING SNC AGE 21+ 501 1,153 260 331 379 844 195 249
1497867477 LEE HO, JAIME S MD 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 0 0 1 1
1497867477 LEE HO, JAIME S MD 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 0 0 1 1
1497883136 LAM SAMSON W 2021 FFS RENDERING SNC AGE 0-20 66 199 55 109 48 122 48 68
1497883136 LAM SAMSON W 2021 FFS RENDERING SNC AGE 21+ 542 1,900 460 753 447 1,323 429 706
1497887046 RAFISOLYMAN, KARMELL DDS 2021 FFS RENDERING SNC AGE 0-20 140 376 136 338 19 27 125 198
1497887046 RAFISOLYMAN, KARMELL DDS 2021 FFS RENDERING SNC AGE 21+ 188 454 161 328 61 88 157 205
1497897698 NGUYEN, AN THUY, DDS 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 1 1 0 0
1497938641 BAL JASPREET 2021 FFS RENDERING SNC AGE 0-20 453 652 402 511 115 154 300 348
1497938641 BAL JASPREET 2021 FFS RENDERING SNC AGE 21+ 315 621 229 315 154 266 228 354
1497963771 BEYAOJU DIANE L 2021 FFS RENDERING SNC AGE 0-20 352 516 352 516 0 0 352 516
1497963771 BEYAOJU DIANE L 2021 FFS RENDERING SNC AGE 21+ 513 1,027 513 1,027 1 1 513 1,027
1508004466 SANTOS RIZA FLORES 2021 FFS RENDERING SNC AGE 0-20 220 405 201 260 80 139 190 215
1508004466 SANTOS RIZA FLORES 2021 FFS RENDERING SNC AGE 21+ 1 2 1 1 1 1 1 1
1508022914 BIR GURPREET 2021 FFS RENDERING SNC AGE 0-20 352 945 342 641 157 323 280 326
1508022914 BIR GURPREET 2021 FFS RENDERING SNC AGE 21+ 466 1,513 415 607 329 956 367 408
1508033598 VASQUEZ DAVID V 2021 FFS RENDERING SNC AGE 0-20 139 178 122 138 37 48 108 115
1508033598 VASQUEZ DAVID V 2021 FFS RENDERING SNC AGE 21+ 119 135 82 91 81 89 71 79
1508046376 BULLOCH, EDGAR M MD 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 0 0 0 0
1508046376 BULLOCH, EDGAR M MD 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 0 0 0 0
1508107368 KATZEL LAUREN M 2021 FFS RENDERING SNC AGE 0-20 773 1,529 740 1,313 194 362 726 1,272
1508107368 KATZEL LAUREN M 2021 FFS RENDERING SNC AGE 21+ 284 793 176 312 196 485 173 338
1508108820 KRIS ANITA SREE 2021 FFS RENDERING SNC AGE 0-20 1,084 1,478 986 1,256 140 164 597 685
1508108820 KRIS ANITA SREE 2021 FFS RENDERING SNC AGE 21+ 426 638 252 303 213 288 154 205
1508114679 KUMAR ZENITRA L 2021 FFS RENDERING SNC AGE 0-20 240 296 237 292 14 17 230 283
1508114679 KUMAR ZENITRA L 2021 FFS RENDERING SNC AGE 21+ 301 448 301 448 1 2 301 448
1508118308 LEE PAULA ANN 2021 FFS RENDERING SNC AGE 21+ 1 2 1 1 1 1 0 0
1508148792 SENKYRIKOVA PAVLA 2021 FFS RENDERING SNC AGE 0-20 210 325 149 184 71 101 87 101
1508148792 SENKYRIKOVA PAVLA 2021 FFS RENDERING SNC AGE 21+ 461 830 182 218 299 485 127 159
1508174129 NASAFI FARIDA 2021 FFS RENDERING SNC AGE 0-20 1 2 1 1 1 1 1 1
1508174129 NASAFI FARIDA 2021 FFS RENDERING SNC AGE 21+ 17 40 1 1 1 2 1 1
1508203969 ZHANG MIN 2021 FFS RENDERING SNC AGE 0-20 451 735 420 575 135 195 318 368
1508203969 ZHANG MIN 2021 FFS RENDERING SNC AGE 21+ 509 1,301 428 631 364 882 404 617
1508208109 BELL ZARINA 2021 FFS RENDERING SNC AGE 0-20 601 1,116 601 1,075 85 108 597 1,058
1508208109 BELL ZARINA 2021 FFS RENDERING SNC AGE 21+ 93 138 81 112 21 30 71 96
1508232497 MCGARVEY LESLIE 2021 FFS RENDERING SNC AGE 0-20 46 118 43 92 14 34 41 82
1508232497 MCGARVEY LESLIE 2021 FFS RENDERING SNC AGE 21+ 133 531 71 194 90 336 57 152
1508241340 JAMMA DALIA 2021 FFS RENDERING SNC AGE 0-20 37 100 34 42 13 52 31 33
1508241340 JAMMA DALIA 2021 FFS RENDERING SNC AGE 21+ 110 433 48 56 98 357 49 59
1508242637 KIM KRISTI S 2021 FFS RENDERING SNC AGE 0-20 63 146 55 85 35 84 1 1
1508242637 KIM KRISTI S 2021 FFS RENDERING SNC AGE 21+ 504 1,544 117 183 444 1,093 34 34
1508256454 JAIME A NGUYEN DDS 2021 FFS RENDERING SNC AGE 0-20 112 146 97 109 23 35 93 104
1508256454 JAIME A NGUYEN DDS 2021 FFS RENDERING SNC AGE 21+ 67 99 44 53 36 44 44 53
1508261512 GALICIA JOHNAH C 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 1 1 1 1
1508261512 GALICIA JOHNAH C 2021 FFS RENDERING SNC AGE 21+ 30 37 23 23 1 2 23 23
1508265497 RAMIREZ ANDREW F 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 0 0 1 1
1508265497 RAMIREZ ANDREW F 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 1 1 0 0
1508267857 COLAS MARISA Y 2021 FFS RENDERING SNC AGE 0-20 1,013 1,922 975 1,714 152 280 959 1,682
1508267857 COLAS MARISA Y 2021 FFS RENDERING SNC AGE 21+ 370 1,250 262 482 263 746 266 633
1508271420 CUCUKOV TEMURKIN K 2021 FFS RENDERING SNC AGE 0-20 48 77 45 62 19 24 27 31
1508271420 CUCUKOV TEMURKIN K 2021 GMC RENDERING SNC AGE 0-20 1 1 1 1 0 0 1 1
1508275025 DINH ANDREW D 2021 FFS RENDERING SNC AGE 0-20 1,398 1,664 1,253 1,406 270 329 57 61
1508275025 DINH ANDREW D 2021 FFS RENDERING SNC AGE 21+ 291 392 48 57 200 257 29 34
1508299637 BROOKS JULIA H 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 1 1 1 1
1508299637 BROOKS JULIA H 2021 FFS RENDERING SNC AGE 21+ 253 623 96 108 196 397 78 198
1508310673 PARK ELLEN 2021 FFS RENDERING SNC AGE 0-20 41 120 32 67 27 64 1 1
1508310673 PARK ELLEN 2021 FFS RENDERING SNC AGE 21+ 415 1,782 23 38 404 1,537 1 1
1508356221 MAUGER STUART CHRISTIAN 2021 FFS RENDERING SNC AGE 0-20 1 2 1 1 1 1 1 1
1508356221 MAUGER STUART CHRISTIAN 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 1 1 0 0
1508394644 GOLCHERT KORY J 2021 FFS RENDERING SNC AGE 0-20 1 2 0 0 1 1 0 0
1508394644 GOLCHERT KORY J 2021 FFS RENDERING SNC AGE 21+ 12 15 0 0 1 2 1 1
1508397233 OYAMA JEFFREY TADA 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 1 1 0 0
1508397233 OYAMA JEFFREY TADA 2021 FFS RENDERING SNC AGE 21+ 172 250 39 44 86 112 67 87
1508439340 MEYER ASHLEY D 2021 FFS RENDERING SNC AGE 0-20 199 259 69 73 56 64 38 39
1508439340 MEYER ASHLEY D 2021 FFS RENDERING SNC AGE 21+ 104 149 38 48 47 63 23 29
1508832452 LAKE, KEVIN B MD 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 0 0 0 0
1508857079 PINSKY, IRINA DPM 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 0 0 0 0
1508881012 CATREEN COHEN DDS 2021 FFS RENDERING SNC AGE 0-20 37 37 34 34 1 1 33 33
1508881012 CATREEN COHEN DDS 2021 FFS RENDERING SNC AGE 21+ 29 63 20 23 15 37 19 24
1508881012 COHEN, CATREEN, DDS A PROF D 2021 FFS RENDERING SNC AGE 0-20 37 37 34 34 1 1 33 33
1508881012 COHEN, CATREEN, DDS A PROF D 2021 FFS RENDERING SNC AGE 21+ 29 63 20 23 15 37 19 24
1508935602 BISHOP JASON S 2021 FFS RENDERING SNC AGE 0-20 440 635 322 396 182 238 167 179
1508935602 BISHOP JASON S 2021 FFS RENDERING SNC AGE 21+ 28 31 23 24 1 1 1 1
1508936709 ESPANA CARLOS M 2021 FFS RENDERING SNC AGE 0-20 526 914 508 753 136 203 429 508
1508936709 ESPANA CARLOS M 2021 FFS RENDERING SNC AGE 21+ 588 1,276 562 823 237 507 553 727
1508951385 WADA, CAROL A, DDS 2021 FFS RENDERING SNC AGE 0-20 32 39 1 1 16 21 16 18
1508951385 WADA, CAROL A, DDS 2021 FFS RENDERING SNC AGE 21+ 110 212 1 1 74 153 47 62
1518008804 KIM, SCOTT Y MD 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 0 0 1 1
1518023894 LOGAN, JAMES, DDS 2021 FFS RENDERING SNC AGE 21+ 1 2 1 1 1 1 1 2
1518028638 SOHN SUNG H 2021 FFS RENDERING SNC AGE 0-20 200 376 167 218 60 114 185 229
1518028638 SOHN SUNG H 2021 FFS RENDERING SNC AGE 21+ 177 318 58 72 88 174 159 187
1518037407 MUCHO SHAWN D 2021 FFS RENDERING SNC AGE 0-20 770 1,170 542 644 488 789 166 200
1518037407 MUCHO SHAWN D 2021 FFS RENDERING SNC AGE 21+ 646 1,369 104 116 558 1,024 368 636
1518037407 MUCHO SHAWN D 2021 GMC RENDERING SNC AGE 0-20 1 1 1 1 0 0 0 0
1518044106 MCDONALD ANA WONG 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 0 0 1 1
1518122647 MANSUKHANI NAVNEET 2021 FFS RENDERING SNC AGE 0-20 726 964 559 644 395 517 115 125
1518122647 MANSUKHANI NAVNEET 2021 FFS RENDERING SNC AGE 21+ 550 1,049 70 73 455 776 335 534
1518148196 YANG NATHAN K 2021 FFS RENDERING SNC AGE 0-20 113 430 94 238 66 282 96 236
1518148196 YANG NATHAN K 2021 FFS RENDERING SNC AGE 21+ 618 3,279 397 1,191 492 2,400 332 978
1518170059 HONG GARRICK SCOTT 2021 FFS RENDERING SNC AGE 0-20 858 1,219 755 971 164 222 590 690
1518170059 HONG GARRICK SCOTT 2021 FFS RENDERING SNC AGE 21+ 555 1,067 497 747 225 375 454 668
1518264654 TIESIERA RANDALL L 2021 FFS RENDERING SNC AGE 0-20 268 486 172 235 121 245 211 344
1518264654 TIESIERA RANDALL L 2021 FFS RENDERING SNC AGE 21+ 566 1,535 250 360 407 827 440 1,196
1518274166 WONG BREE J 2021 FFS RENDERING SNC AGE 0-20 378 432 318 344 96 111 269 283
1518274166 WONG BREE J 2021 FFS RENDERING SNC AGE 21+ 666 878 501 584 337 395 461 543
1518322247 HUANG, ALLEN MD 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 1 1 1 1
1518325430 MALONE ROBYN B 2021 FFS RENDERING SNC AGE 0-20 40 92 38 80 1 2 38 51
1518325430 MALONE ROBYN B 2021 FFS RENDERING SNC AGE 21+ 93 305 50 90 58 158 56 120
1518327238 SILVERIO SEAN S 2021 FFS RENDERING SNC AGE 0-20 1,970 3,246 1,970 3,246 0 0 1,970 3,246
1518327238 SILVERIO SEAN S 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 0 0 1 1
1518341825 THOMPSON MITCHELL A 2021 FFS RENDERING SNC AGE 0-20 54 63 40 42 1 1 14 16
1518341825 THOMPSON MITCHELL A 2021 FFS RENDERING SNC AGE 21+ 222 426 113 164 109 158 106 172
1518341825 THOMPSON MITCHELL A 2021 GMC RENDERING SNC AGE 0-20 1 1 0 0 0 0 0 0
1518341825 THOMPSON MITCHELL A 2021 GMC RENDERING SNC AGE 21+ 1 1 0 0 1 1 0 0
1518350693 SILVA CRISTIANE J 2021 FFS RENDERING SNC AGE 0-20 33 36 26 28 16 17 24 24
1518350693 SILVA CRISTIANE J 2021 FFS RENDERING SNC AGE 21+ 12 13 1 1 1 1 1 1
1518370618 SEKOWSKI DIANNA 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 0 0 0 0
1518383041 RAMOS MA LINDA AUR V 2021 FFS RENDERING SNC AGE 0-20 601 955 464 616 357 513 367 408
1518383041 RAMOS MA LINDA AUR V 2021 FFS RENDERING SNC AGE 21+ 1,047 2,191 616 742 812 1,628 593 877
1518408376 SIDHU ARVINDERPAL KAUR 2021 FFS RENDERING SNC AGE 0-20 46 55 46 55 0 0 46 55
1518408376 SIDHU ARVINDERPAL KAUR 2021 FFS RENDERING SNC AGE 21+ 94 129 94 129 0 0 94 129
1518464486 NNADOZIE UGOCHI 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 0 0 1 1
1518472547 HOANG NHON X 2021 FFS RENDERING SNC AGE 0-20 17 37 17 37 0 0 17 37
1518472547 HOANG NHON X 2021 FFS RENDERING SNC AGE 21+ 38 82 38 82 0 0 38 82
1518477108 WU WENDY Z 2021 FFS RENDERING SNC AGE 0-20 700 834 620 706 78 94 568 647
1518477108 WU WENDY Z 2021 FFS RENDERING SNC AGE 21+ 579 939 474 606 188 329 471 620
1518519164 SAROUFIM RAGY EMAD ADEL 2021 FFS RENDERING SNC AGE 0-20 1,147 2,668 1,096 2,142 317 530 1,042 1,655
1518519164 SAROUFIM RAGY EMAD ADEL 2021 FFS RENDERING SNC AGE 21+ 552 1,356 451 717 299 637 422 607
1518570852 HAUGEN KIRK J 2021 FFS RENDERING SNC AGE 0-20 427 727 260 329 180 319 343 533
1518570852 HAUGEN KIRK J 2021 FFS RENDERING SNC AGE 21+ 639 1,255 347 447 496 889 431 810
1518920602 LEE, VICTOR W DPM 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 0 0 1 1
1518944578 HECHANOVA, WILMER D, DDS 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 0 0 0 0
1518944578 HECHANOVA, WILMER D, DDS 2021 FFS RENDERING SNC AGE 21+ 21 28 0 0 0 0 0 0
1528037421 DANG-PETERSON LIEN THIXUAN 2021 FFS RENDERING SNC AGE 0-20 52 83 33 59 19 27 39 49
1528037421 DANG-PETERSON LIEN THIXUAN 2021 FFS RENDERING SNC AGE 21+ 487 1,197 322 393 405 906 361 534
1528121357 PEREIRA VALERIA R 2021 FFS RENDERING SNC AGE 0-20 500 1,155 446 711 297 547 271 354
1528176963 PINTO FROILAN R 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 0 0 1 1
1528184587 LAM, MICHAEL N MD 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 1 1 0 0
1528252475 DOLMO NORMA AZUCENA 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 0 0 0 0
1528260593 SARRAFAN MARYAM 2021 FFS RENDERING SNC AGE 0-20 543 949 416 598 189 269 35 38
1528260593 SARRAFAN MARYAM 2021 FFS RENDERING SNC AGE 21+ 171 348 1 1 147 264 32 45
1528275021 PHAM KIM T 2021 FFS RENDERING SNC AGE 0-20 468 638 366 401 156 231 329 347
1528275021 PHAM KIM T 2021 FFS RENDERING SNC AGE 21+ 652 1,178 515 677 308 492 476 527
1528275492 PRATT DOREEN M 2021 FFS RENDERING SNC AGE 0-20 485 636 422 468 130 181 390 417
1528275492 PRATT DOREEN M 2021 FFS RENDERING SNC AGE 21+ 273 494 227 281 142 223 225 300
1528317070 MA CHERRY L 2021 FFS RENDERING SNC AGE 0-20 72 153 66 106 30 64 49 58
1528317070 MA CHERRY L 2021 FFS RENDERING SNC AGE 21+ 255 646 222 365 166 357 185 273
1528333275 DENLEY ERICA M 2021 FFS RENDERING SNC AGE 0-20 123 225 101 159 23 48 111 145
1528333275 DENLEY ERICA M 2021 FFS RENDERING SNC AGE 21+ 753 1,961 610 1,177 182 297 686 1,343
1528353323 PETERSEN, RACHEL L 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 0 0 0 0
1528409869 CHEK ROBERTA VAN 2021 FFS RENDERING SNC AGE 0-20 372 693 274 374 135 239 341 452
1528409869 CHEK ROBERTA VAN 2021 FFS RENDERING SNC AGE 21+ 481 1,293 249 303 308 827 407 583
1528494085 KWON JOHN HEE C 2021 FFS RENDERING SNC AGE 0-20 98 147 85 106 47 72 90 111
1528494085 KWON JOHN HEE C 2021 FFS RENDERING SNC AGE 21+ 224 621 176 302 183 415 183 337
1528586716 KODIATH EMILIA T 2021 FFS RENDERING SNC AGE 0-20 149 241 81 113 63 106 33 41
1528586716 KODIATH EMILIA T 2021 FFS RENDERING SNC AGE 21+ 246 409 112 143 131 216 91 115
1528590064 LEE PRISCILA 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 0 0 0 0
1528590064 LEE PRISCILA 2021 FFS RENDERING SNC AGE 21+ 23 50 0 0 0 0 0 0
1528595972 SENAR MARTHA V 2021 FFS RENDERING SNC AGE 0-20 367 441 156 162 68 95 158 163
1528595972 SENAR MARTHA V 2021 FFS RENDERING SNC AGE 21+ 414 789 229 299 208 355 253 331
1528612041 TRAN JIMMY 2021 FFS RENDERING SNC AGE 0-20 19 34 13 18 1 2 14 16
1528612041 TRAN JIMMY 2021 FFS RENDERING SNC AGE 21+ 171 450 71 122 155 365 72 93
1528612041 TRAN JIMMY 2021 GMC RENDERING SNC AGE 0-20 1 1 1 1 1 1 1 1
1528612041 TRAN JIMMY 2021 GMC RENDERING SNC AGE 21+ 1 1 1 1 1 1 0 0
1528613981 DE LEON NOEL ED MONTEVERDE 2021 FFS RENDERING SNC AGE 0-20 44 67 29 32 18 31 21 21
1528613981 DE LEON NOEL ED MONTEVERDE 2021 FFS RENDERING SNC AGE 21+ 569 1,778 323 435 465 1,357 332 438
1538132071 SHIN STEVE I 2021 FFS RENDERING SNC AGE 0-20 615 1,506 528 999 245 484 368 485
1538132071 SHIN STEVE I 2021 FFS RENDERING SNC AGE 21+ 630 1,776 504 934 386 832 428 707
1538189683 WHEADON SCOTT C 2021 FFS RENDERING SNC AGE 0-20 175 372 149 239 40 79 168 308
1538189683 WHEADON SCOTT C 2021 FFS RENDERING SNC AGE 21+ 347 999 218 371 238 595 301 695
1538206149 VAN ADRIENNE N 2021 FFS RENDERING SNC AGE 0-20 181 386 133 173 84 158 157 224
1538206149 VAN ADRIENNE N 2021 FFS RENDERING SNC AGE 21+ 559 1,911 303 347 428 1,378 430 643
1538212329 FERNANDEZ-FRACKELTON, M 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 0 0 0 0
1538230453 WILHELMI JULIE A 2021 FFS RENDERING SNC AGE 0-20 908 1,566 906 1,563 1 1 906 1,563
1538230453 WILHELMI JULIE A 2021 FFS RENDERING SNC AGE 21+ 203 394 169 329 1 1 173 335
1538231592 CHEN RICHARD Z 2021 FFS RENDERING SNC AGE 0-20 811 1,946 786 1,404 272 502 766 1,115
1538231592 CHEN RICHARD Z 2021 FFS RENDERING SNC AGE 21+ 849 3,163 765 1,206 559 1,856 774 1,008
1538259395 PHEN CHIAVEN 2021 FFS RENDERING SNC AGE 0-20 345 422 248 271 127 167 214 237
1538371844 PARK, DANIEL MD 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 0 0 0 0
1538378179 LUZAR JEFFERY R 2021 FFS RENDERING SNC AGE 0-20 193 240 184 203 24 52 177 191
1538378179 LUZAR JEFFERY R 2021 FFS RENDERING SNC AGE 21+ 204 260 183 202 50 80 179 198
1538398870 BATTLES MANDI LISETTE 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 0 0 0 0
1538453956 KAUR SUKHMEET 2021 FFS RENDERING SNC AGE 0-20 370 635 318 456 185 266 1 1
1538453956 KAUR SUKHMEET 2021 FFS RENDERING SNC AGE 21+ 244 412 183 260 183 278 1 1
1538456108 KADKHODA AFSANEH 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 0 0 1 1
1538456108 KADKHODA AFSANEH 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 1 1 1 1
1538491105 RAM SARVANAN 2021 FFS RENDERING SNC AGE 0-20 545 945 467 644 189 317 371 437
1538491105 RAM SARVANAN 2021 FFS RENDERING SNC AGE 21+ 553 1,341 455 721 327 729 399 586
1538493622 WONG CYNTHIA 2021 FFS RENDERING SNC AGE 0-20 552 698 450 522 87 112 414 467
1538493622 WONG CYNTHIA 2021 FFS RENDERING SNC AGE 21+ 434 660 331 420 163 238 320 403
1538501895 ROSEN KATHERINE M 2021 FFS RENDERING SNC AGE 0-20 11 13 0 0 11 13 0 0
1538522180 SHEMWELL, KRISTINA M MD 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 0 0 1 1
1538523394 GELLEIN, TATIANA MD 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 0 0 1 1
1538542980 CHOW OLIVIA 2021 FFS RENDERING SNC AGE 0-20 485 578 424 452 47 67 398 415
1538542980 CHOW OLIVIA 2021 FFS RENDERING SNC AGE 21+ 662 1,289 388 479 248 411 336 460
1538544630 NGUYEN ANDREW T 2021 FFS RENDERING SNC AGE 0-20 218 415 167 238 63 117 156 178
1538544630 NGUYEN ANDREW T 2021 FFS RENDERING SNC AGE 21+ 972 2,408 704 1,180 413 835 633 936
1538549605 BOUSHABA MOKHTAR 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 1 1 1 1
1538549605 BOUSHABA MOKHTAR 2021 FFS RENDERING SNC AGE 21+ 20 30 0 0 11 13 1 2
1538575188 DUNEHEW THOMAS J 2021 FFS RENDERING SNC AGE 0-20 762 1,169 601 798 219 303 272 296
1538575188 DUNEHEW THOMAS J 2021 FFS RENDERING SNC AGE 21+ 860 1,489 444 552 434 721 374 441
1538592639 GANDHI ANERI D 2021 FFS RENDERING SNC AGE 0-20 252 511 73 77 61 99 68 73
1538592639 GANDHI ANERI D 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 0 0 0 0
1538610142 SONG JASON 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 0 0 0 0
1538610142 SONG JASON 2021 FFS RENDERING SNC AGE 21+ 11 31 0 0 0 0 0 0
1538621826 KADOKANA MAWJ 2021 FFS RENDERING SNC AGE 0-20 405 1,000 324 587 183 391 247 332
1538621826 KADOKANA MAWJ 2021 FFS RENDERING SNC AGE 21+ 346 1,096 242 394 273 816 167 189
1538646807 MAKINANO SAMANTHA 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 1 1 0 0
1538646807 MAKINANO SAMANTHA 2021 FFS RENDERING SNC AGE 21+ 97 104 14 14 87 94 1 1
1538659206 LIM ASHLEY S 2021 FFS RENDERING SNC AGE 0-20 298 599 277 407 56 133 1 2
1538659206 LIM ASHLEY S 2021 FFS RENDERING SNC AGE 21+ 129 329 47 54 58 161 1 1
1538659206 LIM ASHLEY S 2021 PHP RENDERING SNC AGE 21+ 1 1 0 0 0 0 0 0
1538681325 GAWANDE SUJATA S 2021 FFS RENDERING SNC AGE 0-20 161 316 131 169 64 129 140 188
1538681325 GAWANDE SUJATA S 2021 FFS RENDERING SNC AGE 21+ 572 1,978 390 531 394 1,303 460 749
1538684964 MANUGIAN ANTRANIG 2021 FFS RENDERING SNC AGE 0-20 322 649 234 316 141 272 289 407
1538684964 MANUGIAN ANTRANIG 2021 FFS RENDERING SNC AGE 21+ 338 1,132 169 207 244 776 295 502
1538725973 KAHLER KIMBERLY SUE 2021 FFS RENDERING SNC AGE 0-20 116 234 116 234 0 0 116 234
1538725973 KAHLER KIMBERLY SUE 2021 FFS RENDERING SNC AGE 21+ 74 155 74 155 0 0 74 155
1538781810 SHIN ELLIE HAYOUNG 2021 FFS RENDERING SNC AGE 0-20 207 439 207 439 12 24 205 436
1538781810 SHIN ELLIE HAYOUNG 2021 FFS RENDERING SNC AGE 21+ 252 679 252 677 1 1 252 677
1548255888 SONG CATHERINE SOOK 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 0 0 1 1
1548277510 SOLIMAN SHAWKY A 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 1 1 1 1
1548277510 SOLIMAN SHAWKY A 2021 FFS RENDERING SNC AGE 21+ 44 120 32 44 24 55 32 54
1548278500 YEH HUEY-JU G 2021 FFS RENDERING SNC AGE 0-20 541 808 475 646 170 226 468 636
1548278500 YEH HUEY-JU G 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 0 0 1 1
1548307101 RUIZ JOSE L 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 1 1 1 1
1548334238 BOYD CAROL A 2021 FFS RENDERING SNC AGE 0-20 464 728 420 531 257 392 400 452
1548334238 BOYD CAROL A 2021 FFS RENDERING SNC AGE 21+ 198 390 58 68 174 298 114 166
1548334949 CAMPOS-CORTES ARIADNA 2021 FFS RENDERING SNC AGE 0-20 117 119 106 108 1 1 106 108
1548334949 CAMPOS-CORTES ARIADNA 2021 FFS RENDERING SNC AGE 21+ 245 254 209 216 11 12 193 198
1548355571 HEYDARI MAHNAZ M 2021 FFS RENDERING SNC AGE 0-20 1,790 2,994 1,444 1,846 602 897 1,345 1,699
1548392160 CHUNG YOON S 2021 FFS RENDERING SNC AGE 0-20 247 480 231 366 57 98 214 284
1548392160 CHUNG YOON S 2021 FFS RENDERING SNC AGE 21+ 576 2,030 489 835 304 800 493 1,147
1548398381 SANCHEZ PAUL 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 0 0 0 0
1548418619 RICHARDSON CHELSEA 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 1 1 1 1
1548418619 RICHARDSON CHELSEA 2021 FFS RENDERING SNC AGE 21+ 155 323 110 181 93 139 122 214
1548464191 TRAN DUNG 2021 FFS RENDERING SNC AGE 0-20 190 328 136 180 71 108 164 197
1548464191 TRAN DUNG 2021 FFS RENDERING SNC AGE 21+ 340 712 135 163 209 431 258 365
1548470024 DI PASUPIL, ROMEO, DDS 2021 FFS RENDERING SNC AGE 0-20 72 168 72 168 0 0 72 168
1548470024 DI PASUPIL, ROMEO, DDS 2021 FFS RENDERING SNC AGE 21+ 115 346 115 346 0 0 115 346
1548470024 DI PASUPIL, ROMEO, DDS 2021 PHP RENDERING SNC AGE 0-20 1 1 1 1 0 0 1 1
1548620107 JOHNSTON TARA M 2021 FFS RENDERING SNC AGE 0-20 106 122 23 24 36 38 32 33
1548620107 JOHNSTON TARA M 2021 FFS RENDERING SNC AGE 21+ 96 106 25 27 49 54 43 45
1548631443 COUTIN JONATHAN G 2021 FFS RENDERING SNC AGE 0-20 278 684 268 544 64 165 264 500
1548631443 COUTIN JONATHAN G 2021 FFS RENDERING SNC AGE 21+ 259 743 245 563 76 170 249 587
1548643521 HSIN HONG-YUAN 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 1 1 1 1
1548643521 HSIN HONG-YUAN 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 0 0 1 1
1548644313 WU CASEY J 2021 FFS RENDERING SNC AGE 0-20 539 945 493 673 142 233 448 538
1548644313 WU CASEY J 2021 FFS RENDERING SNC AGE 21+ 442 878 366 468 194 327 372 536
1548667470 MARITESSA I MASANGYA DDS INC 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 0 0 0 0
1548667470 MARITESSA I MASANGYA DDS INC 2021 FFS RENDERING SNC AGE 21+ 22 75 17 30 12 35 19 24
1548808678 ANSARI BITA 2021 FFS RENDERING SNC AGE 0-20 33 33 21 21 1 1 15 15
1548808678 ANSARI BITA 2021 FFS RENDERING SNC AGE 21+ 12 12 1 1 1 1 1 1
1558397836 ZLATANOVA TZVETANKA 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 0 0 1 1
1558397836 ZLATANOVA TZVETANKA 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 1 1 0 0
1558413450 LE TRAM K 2021 FFS RENDERING SNC AGE 0-20 83 255 67 114 45 132 52 60
1558413450 LE TRAM K 2021 FFS RENDERING SNC AGE 21+ 191 761 107 139 169 601 104 134
1558424143 CUYJET, SCOTT R NP 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 1 1 0 0
1558425579 SURABIAN STANLEY R 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 1 1 0 0
1558427542 SHADRAVAN FARNAZ 2021 FFS RENDERING SNC AGE 0-20 74 96 67 80 1 2 62 70
1558427542 SHADRAVAN FARNAZ 2021 FFS RENDERING SNC AGE 21+ 57 115 46 82 16 33 34 61
1558441709 SABERI, NAGHMEH S MD 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 0 0 0 0
1558457473 VAN, HUAN NGOC, DDS 2021 FFS RENDERING SNC AGE 0-20 106 295 86 124 65 179 97 182
1558457473 VAN, HUAN NGOC, DDS 2021 FFS RENDERING SNC AGE 21+ 481 2,000 341 510 384 1,489 402 807
1558466128 CAVE MARK D 2021 FFS RENDERING SNC AGE 0-20 746 1,449 467 656 330 579 367 497
1558466128 CAVE MARK D 2021 FFS RENDERING SNC AGE 21+ 747 2,163 235 319 632 1,572 195 409
1558496174 PHAN PETER B 2021 FFS RENDERING SNC AGE 0-20 184 446 177 335 126 277 177 342
1558496174 PHAN PETER B 2021 FFS RENDERING SNC AGE 21+ 346 1,253 293 684 245 650 311 835
1558496208 KWOK RAYMOND 2021 FFS RENDERING SNC AGE 0-20 80 111 80 111 0 0 80 111
1558496208 KWOK RAYMOND 2021 FFS RENDERING SNC AGE 21+ 588 1,104 588 1,104 0 0 588 1,104
1558510594 CHAU TIFFANY P 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 1 1 1 1
1558511030 DELACRUZ NICHOLAS P 2021 FFS RENDERING SNC AGE 0-20 297 1,095 231 620 177 448 93 149
1558511030 DELACRUZ NICHOLAS P 2021 FFS RENDERING SNC AGE 21+ 415 1,912 260 617 330 1,236 171 358
1558566737 BETITA GINA M 2021 FFS RENDERING SNC AGE 0-20 104 158 54 61 51 77 53 60
1558566737 BETITA GINA M 2021 FFS RENDERING SNC AGE 21+ 133 273 28 40 90 174 35 47
1558570085 LOPEZ-ZEPEDA THERESA 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 0 0 0 0
1558665091 YEUNG CAROL Y 2021 FFS RENDERING SNC AGE 0-20 284 305 238 249 41 45 156 162
1558665091 YEUNG CAROL Y 2021 FFS RENDERING SNC AGE 21+ 102 113 46 47 43 49 32 33
1558679431 JIN MI JUNG 2021 FFS RENDERING SNC AGE 0-20 55 123 55 123 0 0 55 123
1558679431 JIN MI JUNG 2021 FFS RENDERING SNC AGE 21+ 126 382 126 382 0 0 126 382
1558698092 CRUZ DEO S 2021 FFS RENDERING SNC AGE 0-20 554 711 531 659 102 130 528 650
1558698092 CRUZ DEO S 2021 FFS RENDERING SNC AGE 21+ 346 455 327 411 170 226 326 409
1558743518 YIP, KATHLEEN MD 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 1 1 1 1
1558785949 CHAU DEBORAH H 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 1 1 0 0
1558802280 VAN WINKLE HALEY 2021 FFS RENDERING SNC AGE 0-20 685 2,741 575 1,414 457 1,778 612 1,640
1558802280 VAN WINKLE HALEY 2021 FFS RENDERING SNC AGE 21+ 390 1,759 134 304 332 1,268 349 1,154
1558814509 AUERBACH JIMENE DANIELA A 2021 FFS RENDERING SNC AGE 0-20 156 574 0 0 154 568 1 1
1558814509 AUERBACH JIMENE DANIELA A 2021 FFS RENDERING SNC AGE 21+ 193 729 0 0 190 721 1 1
1558817247 OVERTON HANNAH 2021 FFS RENDERING SNC AGE 0-20 55 65 54 64 1 1 1 1
1558817247 OVERTON HANNAH 2021 FFS RENDERING SNC AGE 21+ 45 66 14 18 31 48 0 0
1558920801 HYMES RACHEL M 2021 FFS RENDERING SNC AGE 0-20 411 755 387 576 101 193 298 339
1558920801 HYMES RACHEL M 2021 FFS RENDERING SNC AGE 21+ 596 1,597 536 790 323 725 529 828
1558920801 HYMES RACHEL M 2021 PHP RENDERING SNC AGE 21+ 1 1 1 1 0 0 1 1
1568414175 CASTANEDA, FORTINO MD 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 0 0 1 1
1568445385 NEWMAN PAUL 2021 FFS RENDERING SNC AGE 0-20 60 122 60 122 0 0 60 122
1568445385 NEWMAN PAUL 2021 FFS RENDERING SNC AGE 21+ 90 293 90 293 0 0 90 293
1568498624 MARSHALL, STEVEN C DDS 2021 FFS RENDERING SNC AGE 0-20 62 151 62 151 0 0 62 151
1568498624 MARSHALL, STEVEN C DDS 2021 FFS RENDERING SNC AGE 21+ 336 956 336 956 0 0 336 956
1568515906 FLORES, MICHAEL A, DDS 2021 FFS RENDERING SNC AGE 0-20 482 502 14 15 31 37 1 1
1568515906 FLORES, MICHAEL A, DDS 2021 FFS RENDERING SNC AGE 21+ 195 268 44 44 88 110 1 1
1568520740 KADABA SUNILKUMAR R 2021 FFS RENDERING SNC AGE 0-20 149 275 67 95 105 202 39 59
1568520740 KADABA SUNILKUMAR R 2021 FFS RENDERING SNC AGE 21+ 221 419 15 23 188 358 67 110
1568523983 BURBULYS DAVID 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 0 0 0 0
1568523983 BURBULYS DAVID 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 1 1 0 0
1568662617 EVAZYAN RITA 2021 FFS RENDERING SNC AGE 0-20 508 783 508 783 0 0 508 783
1568662617 EVAZYAN RITA 2021 FFS RENDERING SNC AGE 21+ 200 297 200 297 0 0 200 297
1568668606 LEEDS LEYLA A 2021 FFS RENDERING SNC AGE 0-20 148 343 148 343 0 0 148 343
1568668606 LEEDS LEYLA A 2021 FFS RENDERING SNC AGE 21+ 184 452 184 452 1 2 184 452
1568688554 FARRELL TIM A 2021 FFS RENDERING SNC AGE 0-20 321 564 317 554 51 74 312 538
1568688554 FARRELL TIM A 2021 FFS RENDERING SNC AGE 21+ 505 1,219 458 1,007 255 547 453 989
1568717858 AGHBASHIAN, NOVA, DDS 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 0 0 1 1
1568719011 PARK ALLYSON J 2021 FFS RENDERING SNC AGE 0-20 463 666 138 167 84 140 113 133
1568719011 PARK ALLYSON J 2021 FFS RENDERING SNC AGE 21+ 797 1,863 517 774 369 639 479 702
1568727725 SESHADRI SHESHASHREE 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 0 0 1 1
1568870723 BARNHART-KALINO RACHEL L 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 1 1 0 0
1568891794 LAI JOSEPH H 2021 FFS RENDERING SNC AGE 0-20 55 141 52 111 15 32 30 35
1568891794 LAI JOSEPH H 2021 FFS RENDERING SNC AGE 21+ 517 1,757 462 850 367 926 436 729
1568935252 MERCADO VICTOR A 2021 FFS RENDERING SNC AGE 0-20 16 16 1 1 1 1 1 1
1568935252 MERCADO VICTOR A 2021 FFS RENDERING SNC AGE 21+ 196 219 81 88 95 107 45 48
1568987857 MONCADA CLAUDIA 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 0 0 0 0
1578002044 DAVYDOV ANNA 2021 FFS RENDERING SNC AGE 0-20 112 284 91 149 42 111 94 148
1578002044 DAVYDOV ANNA 2021 FFS RENDERING SNC AGE 21+ 250 907 175 285 144 384 179 337
1578003463 GAGGI DINA S 2021 FFS RENDERING SNC AGE 0-20 510 1,015 473 801 201 322 439 616
1578003463 GAGGI DINA S 2021 FFS RENDERING SNC AGE 21+ 560 1,278 320 513 438 986 203 238
1578040135 NGO TRACY M 2021 FFS RENDERING SNC AGE 0-20 75 123 64 79 19 37 18 18
1578040135 NGO TRACY M 2021 FFS RENDERING SNC AGE 21+ 175 409 80 109 89 174 60 98
1578080628 CHOLA SHARANYA 2021 FFS RENDERING SNC AGE 0-20 162 364 111 145 123 247 96 136
1578080628 CHOLA SHARANYA 2021 FFS RENDERING SNC AGE 21+ 351 1,176 109 118 328 1,015 239 456
1578093233 MIXTER HANNAH E 2021 FFS RENDERING SNC AGE 0-20 1,260 1,623 1,260 1,623 0 0 1,260 1,623
1578093233 MIXTER HANNAH E 2021 FFS RENDERING SNC AGE 21+ 780 996 771 986 0 0 771 986
1578098349 HARDY CHRISTOPHER M 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 1 1 1 1
1578098349 HARDY CHRISTOPHER M 2021 FFS RENDERING SNC AGE 21+ 33 36 1 1 1 1 15 16
1578126793 JOSEPH EVAN M 2021 FFS RENDERING SNC AGE 0-20 21 27 1 1 1 1 14 18
1578126793 JOSEPH EVAN M 2021 FFS RENDERING SNC AGE 21+ 79 104 1 1 34 42 30 33
1578133625 WATU VANESSA L 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 0 0 0 0
1578133625 WATU VANESSA L 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 1 1 0 0
1578610143 OU JON C 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 1 1 0 0
1578634234 GIBONEY PAUL TRAVIS 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 1 1 0 0
1578657110 WRIGHT CARTER R 2021 FFS RENDERING SNC AGE 0-20 957 1,755 792 998 383 677 871 1,202
1578657110 WRIGHT CARTER R 2021 FFS RENDERING SNC AGE 21+ 1,239 2,026 363 445 823 1,238 896 1,209
1578664884 GANDY, TODD THOMAS, DDS 2021 FFS RENDERING SNC AGE 0-20 363 588 231 305 72 98 129 155
1578664884 GANDY, TODD THOMAS, DDS 2021 FFS RENDERING SNC AGE 21+ 218 399 143 251 123 205 51 84
1578709739 VARGAS CLARISSA RENEE 2021 FFS RENDERING SNC AGE 0-20 160 222 150 198 1 2 0 0
1578709739 VARGAS CLARISSA RENEE 2021 FFS RENDERING SNC AGE 21+ 107 242 43 51 92 220 1 1
1578719068 TSUI MAXIMILIAN 2021 FFS RENDERING SNC AGE 0-20 1,982 2,738 1,699 2,191 374 459 1,199 1,361
1578719068 TSUI MAXIMILIAN 2021 FFS RENDERING SNC AGE 21+ 126 155 39 42 71 83 43 47
1578729711 ACOSTA EDWIN 2021 FFS RENDERING SNC AGE 0-20 29 42 19 27 1 1 23 35
1578729711 ACOSTA EDWIN 2021 FFS RENDERING SNC AGE 21+ 47 80 25 35 1 1 43 71
1578751046 DELOS REYES IMELDA F 2021 FFS RENDERING SNC AGE 0-20 1,449 1,553 1,382 1,472 30 35 1,347 1,430
1578751046 DELOS REYES IMELDA F 2021 FFS RENDERING SNC AGE 21+ 185 243 110 143 46 54 68 81
1578753794 RYAN A YAMANAKA DDS 2021 FFS RENDERING SNC AGE 0-20 42 98 23 25 28 58 27 30
1578753794 RYAN A YAMANAKA DDS 2021 FFS RENDERING SNC AGE 21+ 289 518 201 229 113 193 241 301
1578754008 KIM MINA 2021 FFS RENDERING SNC AGE 0-20 186 287 162 210 54 72 93 95
1578754008 KIM MINA 2021 FFS RENDERING SNC AGE 21+ 302 614 171 234 165 258 135 195
1578772000 NGUYEN, TRISTEN, DDS 2021 FFS RENDERING SNC AGE 0-20 235 301 235 301 0 0 235 301
1578772000 NGUYEN, TRISTEN, DDS 2021 FFS RENDERING SNC AGE 21+ 152 237 152 237 0 0 152 237
1578829974 WILEY RASHIDAH TYNETTA 2021 FFS RENDERING SNC AGE 0-20 242 353 202 278 224 307 70 86
1578829974 WILEY RASHIDAH TYNETTA 2021 FFS RENDERING SNC AGE 21+ 450 799 231 329 401 649 106 128
1578834511 GANJIAN SHIVA 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 0 0 1 1
1578834511 GANJIAN SHIVA 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 0 0 1 1
1578905253 ESCARENO JEANETTE 2021 FFS RENDERING SNC AGE 0-20 809 849 42 44 183 188 163 167
1578905253 ESCARENO JEANETTE 2021 FFS RENDERING SNC AGE 21+ 691 730 53 55 401 417 290 302
1578917803 NGUYEN THERESA T 2021 FFS RENDERING SNC AGE 0-20 143 253 108 183 29 41 125 204
1578917803 NGUYEN THERESA T 2021 FFS RENDERING SNC AGE 21+ 240 520 171 336 89 179 183 272
1578921953 BERGER BONNIE JEAN 2021 FFS RENDERING SNC AGE 0-20 75 104 74 103 1 1 60 82
1578921953 BERGER BONNIE JEAN 2021 FFS RENDERING SNC AGE 21+ 302 582 277 535 39 57 35 59
1578934717 REESOR JASON D 2021 FFS RENDERING SNC AGE 0-20 58 79 39 41 23 33 15 15
1578934717 REESOR JASON D 2021 FFS RENDERING SNC AGE 21+ 278 723 71 78 256 634 60 64
1578964110 LIM PETERSON 2021 FFS RENDERING SNC AGE 0-20 78 128 58 71 46 76 50 61
1578964110 LIM PETERSON 2021 FFS RENDERING SNC AGE 21+ 191 382 101 131 134 248 129 199
1578986543 KOH ROY ANTHONY KENNETH 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 1 1 1 1
1578986543 KOH ROY ANTHONY KENNETH 2021 FFS RENDERING SNC AGE 21+ 310 472 203 240 136 170 223 307
1578994034 COOK JASON L 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 0 0 1 1
1578994034 COOK JASON L 2021 FFS RENDERING SNC AGE 21+ 81 81 81 81 0 0 81 81
1588279723 SAAD AKRAM A 2021 FFS RENDERING SNC AGE 0-20 644 1,190 635 1,025 132 182 617 724
1588279723 SAAD AKRAM A 2021 FFS RENDERING SNC AGE 21+ 454 1,070 422 676 211 399 407 520
1588676522 SHIRRELL, AIMEE M MD 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 0 0 1 1
1588726319 PRECIADO ULICES ISRAEL 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 1 1 0 0
1588732218 COBB, RODNEY LAMONT DDS 2021 FFS RENDERING SNC AGE 0-20 112 156 111 155 1 1 111 155
1588732218 COBB, RODNEY LAMONT DDS 2021 FFS RENDERING SNC AGE 21+ 301 509 301 503 1 1 297 497
1588732218 UNKNOWN 2021 FFS RENDERING SNC AGE 0-20 112 156 111 155 1 1 111 155
1588732218 UNKNOWN 2021 FFS RENDERING SNC AGE 21+ 301 509 301 503 1 1 297 497
1588748750 LIN THERESA P 2021 FFS RENDERING SNC AGE 0-20 211 312 198 249 41 57 180 210
1588748750 LIN THERESA P 2021 FFS RENDERING SNC AGE 21+ 264 578 179 234 145 333 157 192
1588748750 LIN THERESA P 2021 PHP RENDERING SNC AGE 21+ 1 1 1 1 0 0 1 1
1588792105 HA LINH N 2021 FFS RENDERING SNC AGE 0-20 55 70 55 70 0 0 55 70
1588792105 HA LINH N 2021 FFS RENDERING SNC AGE 21+ 559 1,423 559 1,423 0 0 559 1,423
1588794945 PAISO IRIS M 2021 FFS RENDERING SNC AGE 0-20 835 1,241 782 998 96 121 734 891
1588794945 PAISO IRIS M 2021 FFS RENDERING SNC AGE 21+ 899 2,140 616 924 266 455 632 974
1588794945 PAISO IRIS M 2021 PHP RENDERING SNC AGE 21+ 1 1 0 0 0 0 0 0
1588796874 YEE THOMAS L 2021 FFS RENDERING SNC AGE 0-20 29 59 28 47 19 26 25 27
1588796874 YEE THOMAS L 2021 GMC RENDERING SNC AGE 0-20 1 1 1 1 1 1 1 1
1588798169 MARTINEZ JIM R 2021 FFS RENDERING SNC AGE 0-20 35 78 27 38 22 36 1 1
1588798169 MARTINEZ JIM R 2021 FFS RENDERING SNC AGE 21+ 104 275 74 129 70 122 39 63
1588823819 LUONG WINI ZERLINE 2021 FFS RENDERING SNC AGE 0-20 122 205 105 149 34 59 105 126
1588823819 LUONG WINI ZERLINE 2021 FFS RENDERING SNC AGE 21+ 328 823 206 304 220 471 220 275
1588853352 KELLY JESUSA BEATRIZ PEREZ 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 0 0 0 0
1588859375 KAUR JASPREET 2021 FFS RENDERING SNC AGE 0-20 445 667 445 667 1 1 445 667
1588859375 KAUR JASPREET 2021 FFS RENDERING SNC AGE 21+ 349 612 349 611 1 1 349 611
1588865844 ARONSON KIMBERLY ANN 2021 FFS RENDERING SNC AGE 0-20 43 111 43 111 0 0 43 111
1588865844 ARONSON KIMBERLY ANN 2021 FFS RENDERING SNC AGE 21+ 125 444 125 444 0 0 125 444
1588876593 HUNT, BEN M MD 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 0 0 1 1
1588923585 HEIN GREGORY GLENN 2021 FFS RENDERING SNC AGE 0-20 1 2 0 0 1 2 0 0
1588923585 HEIN GREGORY GLENN 2021 FFS RENDERING SNC AGE 21+ 47 98 1 1 47 98 1 1
1588985121 LEFFALL SHEILA L 2021 FFS RENDERING SNC AGE 0-20 1,239 1,625 1,015 1,272 252 300 598 657
1588985121 LEFFALL SHEILA L 2021 FFS RENDERING SNC AGE 21+ 68 81 25 28 42 48 21 24
1598029530 LEE JESSICA 2021 FFS RENDERING SNC AGE 0-20 544 1,249 544 1,249 0 0 544 1,249
1598052821 LAWRENCE AMPERES LAI-PING 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 0 0 1 1
1598135642 GIRN VISHAVJEET 2021 FFS RENDERING SNC AGE 0-20 1,251 2,198 1,155 1,637 341 545 1,120 1,583
1598135642 GIRN VISHAVJEET 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 1 1 1 1
1598152803 MEDINA DOMINIQUE J 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 1 1 1 1
1598152803 MEDINA DOMINIQUE J 2021 FFS RENDERING SNC AGE 21+ 23 25 1 1 1 1 15 15
1598154734 ST HILAIRE KAREN 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 0 0 1 1
1598176943 MAGAR MATTHEW 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 1 1 1 1
1598297327 ROBERTSON CAMILLE 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 0 0 1 1
1598311433 HONG SHAWN 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 0 0 0 0
1598312126 FLAKE JASMINE R 2021 FFS RENDERING SNC AGE 0-20 48 63 38 43 15 21 24 24
1598312126 FLAKE JASMINE R 2021 FFS RENDERING SNC AGE 21+ 101 148 63 76 61 80 49 56
1598312126 FLAKE JASMINE R 2021 PHP RENDERING SNC AGE 21+ 1 1 1 1 0 0 1 1
1598316267 CAO CHENGHUA 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 1 1 0 0
1598316267 CAO CHENGHUA 2021 FFS RENDERING SNC AGE 21+ 28 31 17 18 13 13 20 21
1598356636 AHMED IMRAN 2021 FFS RENDERING SNC AGE 0-20 577 851 477 533 231 325 461 477
1598803116 PARK DANIEL C 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 1 1 1 1
1598810228 MACABASCO AGILIO 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 0 0 0 0
1598818148 TON THANH TAM N 2021 FFS RENDERING SNC AGE 0-20 42 45 35 35 1 1 36 37
1598820953 PETCHPUD APIRADA K 2021 FFS RENDERING SNC AGE 0-20 909 1,569 908 1,566 112 199 908 1,562
1598820953 PETCHPUD APIRADA K 2021 FFS RENDERING SNC AGE 21+ 360 906 357 890 184 425 357 893
1598876070 LEONG, FREDERIC J MD 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 0 0 1 1
1598953382 PAYMAN PARISA 2021 FFS RENDERING SNC AGE 0-20 491 1,507 491 1,507 0 0 491 1,507
1598953382 PAYMAN PARISA 2021 FFS RENDERING SNC AGE 21+ 394 1,229 394 1,229 0 0 394 1,229
1598984924 ALEMI HAMED 2021 FFS RENDERING SNC AGE 0-20 450 1,399 428 1,051 203 546 387 655
1598984924 ALEMI HAMED 2021 FFS RENDERING SNC AGE 21+ 557 2,522 509 1,190 382 1,693 489 1,025
1598992653 PATEL DHAVAL T 2021 FFS RENDERING SNC AGE 0-20 15 19 11 15 1 1 11 15
1598992653 PATEL DHAVAL T 2021 FFS RENDERING SNC AGE 21+ 41 52 29 33 18 23 29 33
1609012830 CAMPO CARLA P 2021 FFS RENDERING SNC AGE 0-20 583 1,076 500 947 203 332 495 940
1609012830 CAMPO CARLA P 2021 FFS RENDERING SNC AGE 21+ 445 869 435 837 223 413 434 835
1609018118 EDGECOMBE ALPHONSO R 2021 FFS RENDERING SNC AGE 0-20 379 817 378 816 0 0 379 817
1609018118 EDGECOMBE ALPHONSO R 2021 FFS RENDERING SNC AGE 21+ 499 1,170 498 1,167 0 0 499 1,170
1609062801 HUYNH PHUONG-KIEU T 2021 FFS RENDERING SNC AGE 0-20 342 1,197 287 1,007 90 278 287 1,007
1609062801 HUYNH PHUONG-KIEU T 2021 FFS RENDERING SNC AGE 21+ 325 1,547 325 1,539 183 836 325 1,539
1609081454 KHAN FARAH S 2021 FFS RENDERING SNC AGE 21+ 174 466 83 111 144 319 44 97
1609086446 SILVERIO JOSEPHINE C 2021 FFS RENDERING SNC AGE 0-20 850 2,124 773 1,230 540 1,596 742 937
1609086446 SILVERIO JOSEPHINE C 2021 FFS RENDERING SNC AGE 21+ 592 1,710 365 516 585 1,651 366 496
1609098177 SHAREEF ASMA 2021 FFS RENDERING SNC AGE 0-20 151 388 151 388 0 0 151 388
1609098177 SHAREEF ASMA 2021 FFS RENDERING SNC AGE 21+ 267 784 267 784 0 0 267 784
1609098177 SHAREEF ASMA 2021 PHP RENDERING SNC AGE 21+ 1 1 1 1 0 0 1 1
1609125921 YANG JONG-HWAN A 2021 FFS RENDERING SNC AGE 0-20 1,020 1,393 908 1,127 176 233 544 596
1609125921 YANG JONG-HWAN A 2021 FFS RENDERING SNC AGE 21+ 369 495 204 222 210 266 140 149
1609136381 PEUGH GUIDI DANA 2021 FFS RENDERING SNC AGE 0-20 88 108 77 85 13 23 1 1
1609136381 PEUGH GUIDI DANA 2021 FFS RENDERING SNC AGE 21+ 385 598 137 144 262 456 1 1
1609166396 KASHEFI NEGAR 2021 FFS RENDERING SNC AGE 0-20 259 530 243 417 59 82 1 1
1609166396 KASHEFI NEGAR 2021 FFS RENDERING SNC AGE 21+ 31 54 30 44 1 1 1 1
1609195270 WINTERS TIFFANY N 2021 FFS RENDERING SNC AGE 0-20 169 257 169 257 1 2 0 0
1609195270 WINTERS TIFFANY N 2021 FFS RENDERING SNC AGE 21+ 277 770 266 664 187 648 0 0
1609272939 CUMBY RYAN J 2021 FFS RENDERING SNC AGE 0-20 60 87 51 68 24 32 35 40
1609272939 CUMBY RYAN J 2021 GMC RENDERING SNC AGE 0-20 1 1 1 1 0 0 0 0
1609281443 YEE VIVIAN E 2021 FFS RENDERING SNC AGE 0-20 238 293 130 138 88 103 133 143
1609306752 AHMAD NAHEED 2021 FFS RENDERING SNC AGE 0-20 612 730 398 433 142 151 267 289
1609326115 MARCOM KARINE A 2021 FFS RENDERING SNC AGE 0-20 175 395 125 159 85 182 162 287
1609326115 MARCOM KARINE A 2021 FFS RENDERING SNC AGE 21+ 339 893 140 152 234 572 295 538
1609329424 LEE JONATHAN 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 0 0 1 1
1609391549 SINGH SOORAJ 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 0 0 0 0
1609391549 SINGH SOORAJ 2021 FFS RENDERING SNC AGE 21+ 40 63 0 0 0 0 1 1
1609423383 CHOI SCOTT J 2021 FFS RENDERING SNC AGE 0-20 197 445 183 319 93 211 173 270
1609423383 CHOI SCOTT J 2021 FFS RENDERING SNC AGE 21+ 236 737 172 301 191 564 176 307
1609479567 SAHAND SIAMAK 2021 FFS RENDERING SNC AGE 0-20 677 1,101 526 621 401 722 160 222
1609479567 SAHAND SIAMAK 2021 FFS RENDERING SNC AGE 21+ 723 1,385 77 84 582 1,120 506 739
1609496637 BAMGBADE BERNICE A 2021 FFS RENDERING SNC AGE 0-20 42 56 41 49 1 1 41 48
1609496637 BAMGBADE BERNICE A 2021 FFS RENDERING SNC AGE 21+ 89 179 83 106 33 75 85 113
1609849074 LA MAESTRA FAMILY CLINIC 2021 FFS RENDERING SNC AGE 0-20 12 144 1 2 1 2 1 2
1609849074 LA MAESTRA FAMILY CLINIC 2021 FFS RENDERING SNC AGE 21+ 19 288 13 168 1 2 11 132
1609861400 HILTON ALDON J 2021 FFS RENDERING SNC AGE 0-20 104 347 100 305 14 40 100 293
1609861400 HILTON ALDON J 2021 FFS RENDERING SNC AGE 21+ 188 725 164 484 71 207 168 501
1609900786 LEE JOHN R 2021 FFS RENDERING SNC AGE 0-20 89 183 89 183 0 0 89 183
1609900786 LEE JOHN R 2021 FFS RENDERING SNC AGE 21+ 183 555 183 555 0 0 183 555
1609906775 ZARRINNAM LILA 2021 FFS RENDERING SNC AGE 0-20 17 18 17 18 0 0 17 18
1609906775 ZARRINNAM LILA 2021 FFS RENDERING SNC AGE 21+ 75 96 72 92 1 1 69 88
1609961267 MA CHUN-TAO T 2021 FFS RENDERING SNC AGE 0-20 75 96 39 42 33 46 32 32
1609961267 MA CHUN-TAO T 2021 FFS RENDERING SNC AGE 21+ 175 274 69 74 131 205 41 42
1609986686 LU PHONG T 2021 FFS RENDERING SNC AGE 0-20 142 292 142 292 0 0 142 292
1609986686 LU PHONG T 2021 FFS RENDERING SNC AGE 21+ 119 324 118 320 0 0 118 320
1609996107 ALCANTARA-BUENO MARIA S 2021 FFS RENDERING SNC AGE 0-20 390 501 308 374 102 141 293 357
1609996107 ALCANTARA-BUENO MARIA S 2021 FFS RENDERING SNC AGE 21+ 235 332 125 144 127 187 138 174
1619008034 LEE KELLY K 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 1 1 1 1
1619008034 LEE KELLY K 2021 FFS RENDERING SNC AGE 21+ 146 384 32 43 103 247 38 73
1619017779 BAKER BRADFORD GUY 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 0 0 1 1
1619036449 WALKER JAMESE B 2021 FFS RENDERING SNC AGE 0-20 85 105 65 71 20 27 49 50
1619036449 WALKER JAMESE B 2021 FFS RENDERING SNC AGE 21+ 109 154 68 72 28 32 67 75
1619036514 BORREGO COMM HLTH FNDTN 2021 FFS RENDERING SNC AGE 0-20 223 1,494 156 954 52 378 133 810
1619036514 BORREGO COMM HLTH FNDTN 2021 FFS RENDERING SNC AGE 21+ 23 138 1 2 1 2 13 78
1619044823 MAKATI SHABBIR A 2021 FFS RENDERING SNC AGE 0-20 228 437 219 356 56 88 175 201
1619044823 MAKATI SHABBIR A 2021 FFS RENDERING SNC AGE 21+ 137 319 103 153 114 240 91 114
1619071883 RIVERA OSCAR R 2021 FFS RENDERING SNC AGE 0-20 1,252 2,499 964 1,512 421 738 807 973
1619071883 RIVERA OSCAR R 2021 FFS RENDERING SNC AGE 21+ 13 17 1 1 1 1 1 1
1619093929 MORRISON LANITA A 2021 FFS RENDERING SNC AGE 0-20 458 763 428 597 130 200 408 510
1619093929 MORRISON LANITA A 2021 FFS RENDERING SNC AGE 21+ 145 288 134 181 60 117 131 174
1619096039 LAURON ELIZABETH CLAIRE 2021 FFS RENDERING SNC AGE 0-20 54 127 54 127 0 0 54 127
1619096039 LAURON ELIZABETH CLAIRE 2021 FFS RENDERING SNC AGE 21+ 71 179 71 179 0 0 71 179
1619196318 BUENAVENTURA ESPERANZA S 2021 FFS RENDERING SNC AGE 0-20 807 1,057 799 1,045 68 99 797 1,037
1619196318 BUENAVENTURA ESPERANZA S 2021 FFS RENDERING SNC AGE 21+ 418 740 406 695 194 311 409 695
1619199668 JOHNSON ELIZABETH A 2021 FFS RENDERING SNC AGE 0-20 68 86 54 61 32 37 40 42
1619199668 JOHNSON ELIZABETH A 2021 GMC RENDERING SNC AGE 0-20 1 1 1 1 0 0 1 1
1619263993 SALAZAR VICTOR MANUEL 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 0 0 0 0
1619265410 MONIZ STEPHANIE D 2021 FFS RENDERING SNC AGE 0-20 721 850 534 602 148 173 496 556
1619265410 MONIZ STEPHANIE D 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 0 0 1 1
1619274990 NAEEM SAMIA F 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 1 1 1 1
1619274990 NAEEM SAMIA F 2021 FFS RENDERING SNC AGE 21+ 121 207 52 56 91 147 63 75
1619290905 WHYTE FADRA M 2021 FFS RENDERING SNC AGE 0-20 1,279 1,748 890 1,082 270 327 618 712
1619297843 VERNON ALLEN T 2021 FFS RENDERING SNC AGE 0-20 718 2,366 502 714 250 491 391 504
1619297843 VERNON ALLEN T 2021 FFS RENDERING SNC AGE 21+ 292 1,257 214 479 218 766 69 111
1619300761 REZAI, DAMOUN A MD 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 0 0 0 0
1619321353 GURION EDILYN 2021 FFS RENDERING SNC AGE 0-20 61 72 58 67 1 1 0 0
1619321353 GURION EDILYN 2021 FFS RENDERING SNC AGE 21+ 69 95 14 14 55 81 1 1
1619335254 LEE DEANNA S 2021 FFS RENDERING SNC AGE 0-20 265 492 186 277 77 139 197 316
1619335254 LEE DEANNA S 2021 FFS RENDERING SNC AGE 21+ 533 1,487 309 450 194 405 380 831
1619335254 LEE DEANNA S 2021 GMC RENDERING SNC AGE 0-20 1 1 0 0 0 0 0 0
1619335254 LEE DEANNA S 2021 GMC RENDERING SNC AGE 21+ 1 1 0 0 0 0 0 0
1619375243 NGUYEN HOANG QUYNH D 2021 FFS RENDERING SNC AGE 0-20 804 2,650 796 2,174 246 480 775 1,128
1619375243 NGUYEN HOANG QUYNH D 2021 FFS RENDERING SNC AGE 21+ 663 2,415 638 1,316 355 969 616 970
1619397171 PASHYAN ARMINE 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 0 0 1 1
1619433562 YOUSEF MADONA 2021 FFS RENDERING SNC AGE 0-20 20 20 18 18 1 1 19 19
1619433562 YOUSEF MADONA 2021 FFS RENDERING SNC AGE 21+ 18 18 1 1 13 13 1 1
1619442472 EWERT KEVIN J 2021 FFS RENDERING SNC AGE 0-20 125 328 125 328 23 62 125 328
1619442472 EWERT KEVIN J 2021 FFS RENDERING SNC AGE 21+ 157 495 157 493 47 136 157 493
1619454253 RUIZ BYRON A 2021 FFS RENDERING SNC AGE 0-20 33 55 27 39 1 1 1 1
1619454253 RUIZ BYRON A 2021 FFS RENDERING SNC AGE 21+ 76 222 26 53 51 94 29 96
1619493327 TRUONG BAO-TRAN L 2021 FFS RENDERING SNC AGE 0-20 52 124 52 124 0 0 52 124
1619493327 TRUONG BAO-TRAN L 2021 FFS RENDERING SNC AGE 21+ 63 177 63 177 0 0 63 177
1619509460 NIKCHEVICH NICHOLAS T 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 1 1 1 1
1619640653 GUTIERREZ LUZ C 2021 FFS RENDERING SNC AGE 0-20 104 119 63 69 33 41 53 54
1619640653 GUTIERREZ LUZ C 2021 FFS RENDERING SNC AGE 21+ 116 151 52 58 76 91 32 34
1619928538 NEWMAN, PAULETTE M, DDS 2021 FFS RENDERING SNC AGE 0-20 938 2,289 708 1,319 476 841 174 200
1619928538 NEWMAN, PAULETTE M, DDS 2021 FFS RENDERING SNC AGE 21+ 486 1,299 199 255 386 976 54 60
1619970159 BRAZA, JEAN SUSANA F, DDS 2021 FFS RENDERING SNC AGE 0-20 568 931 514 696 161 251 374 416
1619970159 BRAZA, JEAN SUSANA F, DDS 2021 FFS RENDERING SNC AGE 21+ 595 1,297 444 568 360 711 449 590
1629081005 ASHRAF, IRMEEN M MD 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 0 0 1 1
1629082110 MONROE, BENJAMIN F MD 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 0 0 1 1
1629139811 JAHANBANI SAFAEDDIN DDS 2021 FFS RENDERING SNC AGE 0-20 1,832 6,957 1,804 6,556 99 254 1,815 6,657
1629139811 JAHANBANI SAFAEDDIN DDS 2021 FFS RENDERING SNC AGE 21+ 1,392 6,738 1,379 5,895 190 834 1,379 5,899
1629154745 LEWIS, KENNETH D MD 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 0 0 1 1
1629219456 SHEU LISA W 2021 FFS RENDERING SNC AGE 0-20 718 1,106 551 710 271 363 326 360
1629219456 SHEU LISA W 2021 FFS RENDERING SNC AGE 21+ 477 911 246 301 335 604 253 283
1629253042 LINCOLN ROSARIO C 2021 FFS RENDERING SNC AGE 0-20 1,495 2,629 1,288 1,864 272 392 1,212 1,732
1629253042 LINCOLN ROSARIO C 2021 FFS RENDERING SNC AGE 21+ 308 446 91 104 140 199 98 103
1629260369 OKA, HIDEMI MD 2021 FFS RENDERING SNC AGE 0-20 1 2 0 0 1 1 1 2
1629260369 OKA, HIDEMI MD 2021 FFS RENDERING SNC AGE 21+ 27 30 0 0 17 20 1 1
1629260450 SOLIMAN II MACARIO D 2021 FFS RENDERING SNC AGE 0-20 1,172 2,417 1,006 1,399 937 1,830 1,047 1,509
1629260450 SOLIMAN II MACARIO D 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 1 1 1 1
1629340237 SANDHU SHARON 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 0 0 0 0
1629366240 MEADOR MATTHEW J 2021 FFS RENDERING SNC AGE 0-20 499 642 415 508 121 159 391 444
1629366240 MEADOR MATTHEW J 2021 FFS RENDERING SNC AGE 21+ 317 507 168 223 202 314 179 215
1629372669 FLORES, LIEZL S, DDS 2021 FFS RENDERING SNC AGE 0-20 1,985 2,711 1,825 2,269 362 505 1,799 2,213
1629372669 FLORES, LIEZL S, DDS 2021 FFS RENDERING SNC AGE 21+ 279 359 237 268 75 105 234 254
1629394721 WHITLEY, NICHOLAS R MD 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 0 0 1 1
1629420617 BROWN ERIC 2021 FFS RENDERING SNC AGE 0-20 495 777 422 531 155 196 413 477
1629420617 BROWN ERIC 2021 FFS RENDERING SNC AGE 21+ 227 399 117 139 116 182 132 151
1629474572 BOSTRE JERRY 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 1 1 0 0
1629474572 BOSTRE JERRY 2021 FFS RENDERING SNC AGE 21+ 200 769 110 251 102 520 0 0
1629489315 VAN SICKLEN CHARLES N 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 1 1 0 0
1629489315 VAN SICKLEN CHARLES N 2021 FFS RENDERING SNC AGE 21+ 40 76 1 1 26 40 1 1
1629509260 MARTINEZ LESLY VICTORIA 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 0 0 0 0
1629521430 RASCO ROBERT Z 2021 FFS RENDERING SNC AGE 0-20 495 1,720 495 1,718 0 0 495 1,718
1629521430 RASCO ROBERT Z 2021 FFS RENDERING SNC AGE 21+ 475 1,444 475 1,444 0 0 475 1,444
1629556865 CHAWLA PRAGYA 2021 FFS RENDERING SNC AGE 0-20 182 384 143 179 82 170 165 234
1629556865 CHAWLA PRAGYA 2021 FFS RENDERING SNC AGE 21+ 419 1,515 290 426 293 983 367 666
1629599535 UNITED HEALTH CENTERS OF THE 2021 FFS RENDERING SNC AGE 0-20 230 972 161 450 102 374 32 80
1629599535 UNITED HEALTH CENTERS OF THE 2021 FFS RENDERING SNC AGE 21+ 299 1,580 122 310 226 1,098 52 110
1629622014 GRIN ERIC JONATHAN 2021 FFS RENDERING SNC AGE 0-20 89 126 54 69 21 27 49 56
1629622014 GRIN ERIC JONATHAN 2021 FFS RENDERING SNC AGE 21+ 90 144 36 39 19 27 72 91
1629630496 RODRIGUEZ ADAM P 2021 FFS RENDERING SNC AGE 0-20 338 612 335 599 0 0 335 599
1629630496 RODRIGUEZ ADAM P 2021 FFS RENDERING SNC AGE 21+ 248 475 239 455 0 0 239 455
1639166978 HETSKO MICHAEL L 2021 FFS RENDERING SNC AGE 0-20 258 600 236 392 98 202 208 230
1639166978 HETSKO MICHAEL L 2021 FFS RENDERING SNC AGE 21+ 380 1,120 313 406 245 760 301 345
1639202484 CHEE MARTIN A 2021 FFS RENDERING SNC AGE 0-20 164 240 136 164 53 83 133 162
1639202484 CHEE MARTIN A 2021 FFS RENDERING SNC AGE 21+ 156 249 74 95 129 195 72 92
1639211899 RAVARI SAHAR N 2021 FFS RENDERING SNC AGE 0-20 562 915 538 799 79 99 507 706
1639211899 RAVARI SAHAR N 2021 FFS RENDERING SNC AGE 21+ 251 538 227 363 145 263 223 339
1639211899 RAVARI SAHAR N 2021 PHP RENDERING SNC AGE 0-20 1 1 1 1 0 0 1 1
1639230733 WANG LE LE 2021 FFS RENDERING SNC AGE 0-20 444 547 326 347 153 180 308 312
1639230733 WANG LE LE 2021 FFS RENDERING SNC AGE 21+ 391 727 195 222 254 408 194 251
1639276306 MARSHALL, DEJERNERIA 2021 FFS RENDERING SNC AGE 0-20 99 217 94 159 46 88 81 97
1639276306 MARSHALL, DEJERNERIA 2021 FFS RENDERING SNC AGE 21+ 178 427 155 319 100 196 146 274
1639277908 LAMBERT CAROLINE LORRAINE 2021 FFS RENDERING SNC AGE 0-20 1 2 1 2 0 0 1 2
1639277908 LAMBERT CAROLINE LORRAINE 2021 FFS RENDERING SNC AGE 21+ 12 30 1 2 1 2 1 2
1639301716 NG CHARMAINE G 2021 FFS RENDERING SNC AGE 0-20 16 16 15 15 0 0 15 15
1639301716 NG CHARMAINE G 2021 FFS RENDERING SNC AGE 21+ 25 25 1 1 1 1 19 19
1639309404 TEAGUE MATTHEW W 2021 FFS RENDERING SNC AGE 0-20 360 574 188 245 65 91 93 107
1639309404 TEAGUE MATTHEW W 2021 FFS RENDERING SNC AGE 21+ 212 398 141 228 126 226 45 58
1639348204 PRASAD, PRADEEP S MD 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 0 0 1 1
1639404692 SY, ALDRICH MD 2021 FFS RENDERING SNC AGE 0-20 19 26 0 0 1 1 16 22
1639404692 SY, ALDRICH MD 2021 FFS RENDERING SNC AGE 21+ 46 53 0 0 25 27 19 22
1639485162 WESTFALL, APRIL LYN DMD 2021 FFS RENDERING SNC AGE 0-20 75 83 75 75 39 39 73 73
1639485162 WESTFALL, APRIL LYN DMD 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 0 0 1 1
1639518699 HADDADIN MARWAN 2021 FFS RENDERING SNC AGE 0-20 412 702 384 507 154 270 309 347
1639518699 HADDADIN MARWAN 2021 FFS RENDERING SNC AGE 21+ 674 1,607 562 751 436 958 570 834
1639538994 HARLAN MIA 2021 FFS RENDERING SNC AGE 0-20 155 330 155 330 46 92 155 330
1639538994 HARLAN MIA 2021 FFS RENDERING SNC AGE 21+ 178 514 178 514 135 385 178 514
1639646813 CHEN JASON L 2021 FFS RENDERING SNC AGE 0-20 515 1,046 515 1,046 0 0 515 1,046
1639646813 CHEN JASON L 2021 FFS RENDERING SNC AGE 21+ 743 2,162 741 2,158 0 0 742 2,159
1639650245 RODRIGUEZ PENA ANGEL E 2021 FFS RENDERING SNC AGE 0-20 973 2,230 940 1,937 232 414 871 1,181
1639650245 RODRIGUEZ PENA ANGEL E 2021 FFS RENDERING SNC AGE 21+ 583 1,398 516 958 280 601 472 639
1639696396 SURA AMISHA A 2021 FFS RENDERING SNC AGE 0-20 97 161 77 118 30 49 62 90
1639696396 SURA AMISHA A 2021 FFS RENDERING SNC AGE 21+ 82 186 29 49 63 136 38 63
1639772700 RANA SARASWATI 2021 FFS RENDERING SNC AGE 0-20 213 620 170 384 74 171 78 109
1639772700 RANA SARASWATI 2021 FFS RENDERING SNC AGE 21+ 289 1,204 173 429 176 623 116 217
1639785223 VAEZ MERCEDEH N 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 0 0 1 1
1639792542 DAWSON COURTNEY NICOLE 2021 FFS RENDERING SNC AGE 0-20 300 487 292 470 15 23 54 59
1639792542 DAWSON COURTNEY NICOLE 2021 FFS RENDERING SNC AGE 21+ 166 303 55 64 114 238 15 17
1649309014 MACHADO ASTERITA A 2021 FFS RENDERING SNC AGE 0-20 284 543 284 543 0 0 284 543
1649309014 MACHADO ASTERITA A 2021 FFS RENDERING SNC AGE 21+ 220 587 220 587 0 0 220 587
1649309014 MACHADO ASTERITA A 2021 GMC RENDERING SNC AGE 0-20 1 1 1 1 0 0 1 1
1649316332 SULLIVAN, NEIL P MD 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 0 0 1 1
1649348632 PEREZ MARISSA ALINA 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 0 0 0 0
1649382714 THYNE, SHANNON MD 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 0 0 1 1
1649386210 KADAKIA, AMAR A MD 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 1 1 0 0
1649476672 GUEVARA GABRIEL S 2021 FFS RENDERING SNC AGE 0-20 14 30 1 2 13 24 1 1
1649476672 GUEVARA GABRIEL S 2021 FFS RENDERING SNC AGE 21+ 186 527 90 164 176 459 99 123
1649476672 GUEVARA GABRIEL S 2021 GMC RENDERING SNC AGE 0-20 1 1 1 1 1 1 1 1
1649476672 GUEVARA GABRIEL S 2021 GMC RENDERING SNC AGE 21+ 1 1 1 1 1 1 1 1
1649561226 GORJIAN ARTIN H 2021 FFS RENDERING SNC AGE 0-20 140 202 0 0 0 0 0 0
1649561226 GORJIAN ARTIN H 2021 FFS RENDERING SNC AGE 21+ 159 331 1 1 1 1 0 0
1649561226 GORJIAN ARTIN H 2021 GMC RENDERING SNC AGE 21+ 1 1 0 0 0 0 0 0
1649629502 ZMIEVSCHI RUSLAN 2021 FFS RENDERING SNC AGE 0-20 136 198 0 0 0 0 0 0
1649629502 ZMIEVSCHI RUSLAN 2021 FFS RENDERING SNC AGE 21+ 445 805 0 0 0 0 0 0
1649634841 AKAS, MICHAEL N NP 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 0 0 1 1
1649648593 JARMAK MIRA 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 0 0 1 1
1649656299 HAN PAMELA ZUNG F 2021 FFS RENDERING SNC AGE 0-20 596 978 561 735 128 219 492 585
1649656299 HAN PAMELA ZUNG F 2021 FFS RENDERING SNC AGE 21+ 467 1,163 365 457 196 414 381 588
1649672304 PANIS MARILYN LACSAMANA 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 1 1 0 0
1649683095 LATHAM LESLEY N 2021 FFS RENDERING SNC AGE 0-20 602 1,148 439 610 219 293 419 558
1649683095 LATHAM LESLEY N 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 0 0 1 1
1649717257 MALHOTRA MISHEL 2021 FFS RENDERING SNC AGE 0-20 848 1,228 671 807 552 761 325 358
1649717257 MALHOTRA MISHEL 2021 FFS RENDERING SNC AGE 21+ 693 1,258 96 102 563 976 503 699
1649718578 ANSARI MOHAM M 2021 FFS RENDERING SNC AGE 0-20 206 371 188 249 64 139 147 155
1649718578 ANSARI MOHAM M 2021 FFS RENDERING SNC AGE 21+ 230 484 148 193 101 200 137 173
1649718578 ANSARI MOHAM M 2021 GMC RENDERING SNC AGE 21+ 1 1 0 0 1 1 0 0
1649737131 HUGHES KRISTI MICHELLE 2021 FFS RENDERING SNC AGE 0-20 80 199 78 193 1 1 1 1
1649737131 HUGHES KRISTI MICHELLE 2021 FFS RENDERING SNC AGE 21+ 159 492 159 492 62 242 1 1
1649807090 CHANG CHEAN TAU 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 1 1 1 1
1649837980 LUCE CYNTHIA ANN 2021 FFS RENDERING SNC AGE 0-20 149 300 149 300 0 0 149 300
1649837980 LUCE CYNTHIA ANN 2021 FFS RENDERING SNC AGE 21+ 103 219 103 219 0 0 103 219
1649854373 BENSON KINGSLEY 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 1 1 1 1
1649885211 SHAH NIRALEE ROHIT 2021 FFS RENDERING SNC AGE 0-20 835 1,628 796 1,297 216 340 742 931
1649885211 SHAH NIRALEE ROHIT 2021 FFS RENDERING SNC AGE 21+ 717 1,930 642 1,077 357 841 604 863
1659377646 LAMBING ROBERT THEODORE 2021 FFS RENDERING SNC AGE 0-20 14 15 12 13 1 1 12 13
1659377646 LAMBING ROBERT THEODORE 2021 FFS RENDERING SNC AGE 21+ 21 23 17 18 1 1 19 20
1659392272 MARTINEZ TIMOTHY S 2021 FFS RENDERING SNC AGE 0-20 283 337 206 233 49 57 179 196
1659392272 MARTINEZ TIMOTHY S 2021 FFS RENDERING SNC AGE 21+ 186 291 102 121 95 125 103 123
1659402980 YOON MICHAEL J 2021 FFS RENDERING SNC AGE 0-20 533 1,225 404 663 95 170 58 66
1659402980 YOON MICHAEL J 2021 FFS RENDERING SNC AGE 21+ 689 1,456 238 264 282 566 32 35
1659405306 STACK LYNDA BASILE 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 0 0 0 0
1659421725 SPECTOR DAVID MICHAEL 2021 FFS RENDERING SNC AGE 0-20 290 1,213 290 1,213 0 0 290 1,213
1659421725 SPECTOR DAVID MICHAEL 2021 FFS RENDERING SNC AGE 21+ 470 2,039 469 2,035 0 0 469 2,035
1659448918 WHITE KATHRYN CARR 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 1 1 1 1
1659448918 WHITE KATHRYN CARR 2021 FFS RENDERING SNC AGE 21+ 458 871 353 489 222 337 371 529
1659499069 CACES-TIAMSON MARIA A 2021 FFS RENDERING SNC AGE 0-20 132 405 108 203 64 162 115 224
1659499069 CACES-TIAMSON MARIA A 2021 FFS RENDERING SNC AGE 21+ 182 595 108 228 127 393 151 260
1659518066 HOKAMA MYLES M 2021 FFS RENDERING SNC AGE 0-20 65 78 0 0 0 0 0 0
1659518066 HOKAMA MYLES M 2021 FFS RENDERING SNC AGE 21+ 56 72 0 0 0 0 0 0
1659580710 ANTWAN DUNYA G 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 1 1 0 0
1659580710 ANTWAN DUNYA G 2021 FFS RENDERING SNC AGE 21+ 36 124 1 2 33 103 1 1
1659662757 CHAWLA HARJOT S 2021 FFS RENDERING SNC AGE 0-20 73 97 66 76 21 31 65 75
1659662757 CHAWLA HARJOT S 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 0 0 1 1
1659678779 MILLER KHANDA A 2021 FFS RENDERING SNC AGE 0-20 15 34 1 1 1 2 1 1
1659678779 MILLER KHANDA A 2021 FFS RENDERING SNC AGE 21+ 79 184 13 14 69 153 16 17
1659682565 HABASHY JAMES 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 0 0 1 1
1659682565 HABASHY JAMES 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 1 1 1 1
1659747061 SALDIVAR NATALIE RENEE 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 1 1 1 1
1659747061 SALDIVAR NATALIE RENEE 2021 FFS RENDERING SNC AGE 21+ 53 60 44 47 12 12 48 54
1659748242 ROMERO, AMANDA M RN CPNP 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 1 1 0 0
1659780328 KUO CHLOE N 2021 FFS RENDERING SNC AGE 0-20 99 308 90 179 77 179 74 99
1659780328 KUO CHLOE N 2021 FFS RENDERING SNC AGE 21+ 543 2,000 471 810 461 1,308 424 805
1659801975 SCHLUMPF MIKELL ANGELA 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 0 0 1 1
1659801975 SCHLUMPF MIKELL ANGELA 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 0 0 1 1
1659805158 NWOSU MICHAEL 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 0 0 1 1
1659806719 FLORES DUBON MACKLIN A 2021 FFS RENDERING SNC AGE 0-20 815 1,009 684 799 109 134 677 790
1659806719 FLORES DUBON MACKLIN A 2021 FFS RENDERING SNC AGE 21+ 814 1,169 674 845 270 352 675 857
1659828895 CHALLA RAJESWARI 2021 FFS RENDERING SNC AGE 0-20 835 1,301 734 965 224 340 503 538
1659828895 CHALLA RAJESWARI 2021 FFS RENDERING SNC AGE 21+ 444 922 383 559 243 446 323 452
1659849529 OROVILLE HOSPITAL 2021 FFS RENDERING SNC AGE 21+ 14 27 14 27 0 0 0 0
1659853539 BRUNELL, CHRISTOPHER J PHD 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 1 1 0 0
1659895753 KHOOSHAB SAHAR 2021 FFS RENDERING SNC AGE 0-20 19 35 11 15 12 20 1 1
1659895753 KHOOSHAB SAHAR 2021 FFS RENDERING SNC AGE 21+ 110 326 41 43 97 267 51 69
1659927093 IBRAHIM MERNA 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 0 0 0 0
1659927093 IBRAHIM MERNA 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 1 1 0 0
1659988004 DANIELS ALEXIS HALEY 2021 FFS RENDERING SNC AGE 0-20 113 137 112 136 1 1 0 0
1659988004 DANIELS ALEXIS HALEY 2021 FFS RENDERING SNC AGE 21+ 495 1,120 493 1,087 85 150 1 1
1669407946 MOUDGALYA RAJINI R 2021 FFS RENDERING SNC AGE 0-20 146 202 127 160 58 72 94 101
1669407946 MOUDGALYA RAJINI R 2021 FFS RENDERING SNC AGE 21+ 43 53 24 25 30 39 16 16
1669500666 LEE JEFFREY M 2021 FFS RENDERING SNC AGE 0-20 144 308 54 95 57 107 105 144
1669500666 LEE JEFFREY M 2021 FFS RENDERING SNC AGE 21+ 369 1,128 101 162 297 683 266 499
1669506242 DRINCIC MARKO V 2021 FFS RENDERING SNC AGE 0-20 125 260 85 126 72 126 50 57
1669506242 DRINCIC MARKO V 2021 FFS RENDERING SNC AGE 21+ 224 755 126 226 176 487 106 185
1669520243 LANE LINWOOD 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 0 0 1 1
1669520243 LANE LINWOOD 2021 FFS RENDERING SNC AGE 21+ 1 2 1 2 0 0 1 2
1669532545 NGUYEN BINH H 2021 FFS RENDERING SNC AGE 0-20 456 787 388 509 169 265 360 414
1669532545 NGUYEN BINH H 2021 FFS RENDERING SNC AGE 21+ 448 1,224 297 437 323 784 236 256
1669537767 JOHNSON ERIC OLIN 2021 FFS RENDERING SNC AGE 0-20 128 184 69 81 49 88 54 63
1669537767 JOHNSON ERIC OLIN 2021 FFS RENDERING SNC AGE 21+ 283 590 71 112 185 377 106 153
1669542627 LEWIS DOUGLAS S 2021 FFS RENDERING SNC AGE 0-20 606 859 390 461 444 636 180 207
1669542627 LEWIS DOUGLAS S 2021 FFS RENDERING SNC AGE 21+ 793 1,512 100 112 656 1,146 480 774
1669560793 BALUYUT DENNIS P 2021 FFS RENDERING SNC AGE 0-20 308 923 244 524 129 319 278 576
1669560793 BALUYUT DENNIS P 2021 FFS RENDERING SNC AGE 21+ 565 2,499 416 863 416 1,566 476 1,161
1669575783 ANSARI NELOFER 2021 FFS RENDERING SNC AGE 0-20 324 402 265 314 68 89 233 269
1669575783 ANSARI NELOFER 2021 FFS RENDERING SNC AGE 21+ 178 235 131 155 71 93 127 149
1669579330 HUMES ROXAN C 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 0 0 1 1
1669579330 HUMES ROXAN C 2021 FFS RENDERING SNC AGE 21+ 18 73 0 0 0 0 15 45
1669651337 THAN HOANG T 2021 FFS RENDERING SNC AGE 0-20 273 314 175 200 88 97 174 198
1669651337 THAN HOANG T 2021 FFS RENDERING SNC AGE 21+ 295 402 126 153 175 232 109 140
1669685228 ROLDAN ROSE E 2021 FFS RENDERING SNC AGE 0-20 317 489 316 483 1 1 316 485
1669685228 ROLDAN ROSE E 2021 FFS RENDERING SNC AGE 21+ 342 598 327 568 11 11 330 572
1669713665 AMIN-PATEL SAHIL D 2021 FFS RENDERING SNC AGE 0-20 62 78 31 38 24 31 25 31
1669713665 AMIN-PATEL SAHIL D 2021 FFS RENDERING SNC AGE 21+ 252 302 122 146 76 87 93 109
1669734505 TRAN LINDA K 2021 FFS RENDERING SNC AGE 0-20 692 1,137 609 750 237 392 567 624
1669734505 TRAN LINDA K 2021 FFS RENDERING SNC AGE 21+ 380 654 137 175 258 408 167 211
1669774907 KARP JEFFREY H 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 0 0 1 1
1669774907 KARP JEFFREY H 2021 FFS RENDERING SNC AGE 21+ 225 624 123 185 93 191 127 206
1669786869 FUENTES LILIA 2021 FFS RENDERING SNC AGE 0-20 298 348 54 58 1 1 81 86
1669786869 FUENTES LILIA 2021 FFS RENDERING SNC AGE 21+ 85 85 0 0 1 1 71 71
1669838637 WALKER DENNISE 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 0 0 1 1
1669854741 HU AILLIE Y 2021 FFS RENDERING SNC AGE 0-20 364 852 261 351 129 287 23 26
1669854741 HU AILLIE Y 2021 FFS RENDERING SNC AGE 21+ 261 900 83 90 147 474 39 61
1669872404 MARTINEZ YAJAIRA 2021 FFS RENDERING SNC AGE 0-20 146 197 111 137 40 52 76 85
1669872404 MARTINEZ YAJAIRA 2021 FFS RENDERING SNC AGE 21+ 126 278 72 83 82 160 73 93
1669880399 MAGTOTO ALIDA GRACE M 2021 FFS RENDERING SNC AGE 0-20 70 96 66 77 30 42 53 62
1669880399 MAGTOTO ALIDA GRACE M 2021 GMC RENDERING SNC AGE 0-20 1 1 1 1 0 0 1 1
1669901518 CAO LONG H 2021 FFS RENDERING SNC AGE 0-20 310 702 235 359 171 379 250 438
1669901518 CAO LONG H 2021 FFS RENDERING SNC AGE 21+ 798 2,249 441 640 479 1,130 547 1,181
1669909354 YOUNAN JAMES MARC 2021 FFS RENDERING SNC AGE 0-20 438 1,989 409 1,412 143 509 423 1,510
1669909354 YOUNAN JAMES MARC 2021 FFS RENDERING SNC AGE 21+ 385 2,084 218 635 214 1,008 346 1,280
1669912655 NGUYEN JIMMY-TUNG THANH 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 0 0 1 1
1669956769 KWON WILLIAM MYUNG 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 1 1 0 0
1669956769 KWON WILLIAM MYUNG 2021 FFS RENDERING SNC AGE 21+ 24 33 0 0 18 21 1 2
1679008262 CHEUNG RAYMOND M 2021 FFS RENDERING SNC AGE 0-20 677 1,278 617 998 148 254 540 678
1679008262 CHEUNG RAYMOND M 2021 FFS RENDERING SNC AGE 21+ 695 1,537 630 977 234 508 636 838
1679041008 HTET SOE M 2021 FFS RENDERING SNC AGE 0-20 53 68 52 63 1 1 50 61
1679041008 HTET SOE M 2021 FFS RENDERING SNC AGE 21+ 385 585 370 535 30 52 381 557
1679094379 CHEN CHRISTINA 2021 FFS RENDERING SNC AGE 0-20 310 364 157 172 66 73 79 86
1679094379 CHEN CHRISTINA 2021 FFS RENDERING SNC AGE 21+ 439 539 187 204 127 150 320 376
1679509954 CHANDRAMOULI, RANJANI MD 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 1 1 1 1
1679514798 DEL ROSARIO SUSAN 2021 FFS RENDERING SNC AGE 0-20 141 333 141 330 26 49 141 330
1679514798 DEL ROSARIO SUSAN 2021 FFS RENDERING SNC AGE 21+ 267 830 267 823 147 421 267 823
1679574495 HARDY GRACE S 2021 FFS RENDERING SNC AGE 0-20 160 167 160 167 0 0 160 167
1679589618 KINSEL JAMES 2021 FFS RENDERING SNC AGE 0-20 361 897 292 677 86 187 217 469
1679589618 KINSEL JAMES 2021 FFS RENDERING SNC AGE 21+ 641 2,067 438 1,031 307 934 413 1,002
1679659163 SAHAKIANS, ALLEN, RDHAP 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 1 1 0 0
1679659163 SAHAKIANS, ALLEN, RDHAP 2021 FFS RENDERING SNC AGE 21+ 383 484 193 209 241 325 1 1
1679659361 LINCARE INC. 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 0 0 1 1
1679659858 SABRI LAMYA T 2021 FFS RENDERING SNC AGE 0-20 241 813 181 342 131 393 196 401
1679659858 SABRI LAMYA T 2021 FFS RENDERING SNC AGE 21+ 314 1,159 104 199 227 614 161 403
1679664346 YEE, BRIAN MD 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 0 0 1 1
1679664346 YEE, BRIAN MD 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 1 1 0 0
1679735146 YEE DANA D 2021 FFS RENDERING SNC AGE 0-20 575 1,130 529 814 191 374 207 308
1679735146 YEE DANA D 2021 FFS RENDERING SNC AGE 21+ 465 1,046 308 446 207 396 246 446
1679738827 ABASS OLAWUNMI M 2021 FFS RENDERING SNC AGE 0-20 356 1,335 262 608 235 615 98 144
1679738827 ABASS OLAWUNMI M 2021 FFS RENDERING SNC AGE 21+ 460 1,864 292 550 364 1,250 92 125
1679761019 EL SAYED MOHAMED A 2021 FFS RENDERING SNC AGE 0-20 88 156 87 154 1 1 87 154
1679761019 EL SAYED MOHAMED A 2021 FFS RENDERING SNC AGE 21+ 167 298 164 288 1 1 164 288
1679771174 JOHNSON MALIA L 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 0 0 1 1
1679771174 JOHNSON MALIA L 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 0 0 1 1
1679821979 COOPERMAN, GLENN A MD 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 0 0 1 1
1679831184 BOYD NATHAN 2021 FFS RENDERING SNC AGE 0-20 49 65 22 26 25 35 1 1
1679831184 BOYD NATHAN 2021 FFS RENDERING SNC AGE 21+ 184 386 69 92 154 292 52 67
1679928659 TUMANYAN ASTHIK 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 1 1 1 1
1679928659 TUMANYAN ASTHIK 2021 FFS RENDERING SNC AGE 21+ 55 198 1 1 43 132 14 52
1689038465 TAN CATHERINE F 2021 FFS RENDERING SNC AGE 0-20 922 1,265 805 1,043 174 220 671 820
1689038465 TAN CATHERINE F 2021 FFS RENDERING SNC AGE 21+ 324 511 49 59 229 387 38 47
1689050296 NGUYEN ELAINE A 2021 FFS RENDERING SNC AGE 0-20 142 227 123 156 87 130 128 167
1689050296 NGUYEN ELAINE A 2021 FFS RENDERING SNC AGE 21+ 257 537 198 305 172 287 203 329
1689105215 MELGOZA VICKY 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 0 0 1 1
1689138224 MCCLURE MARTHA 2021 FFS RENDERING SNC AGE 0-20 259 389 251 349 1 2 0 0
1689138224 MCCLURE MARTHA 2021 FFS RENDERING SNC AGE 21+ 296 503 218 305 249 446 0 0
1689139396 ARVIZU PALOMA 2021 FFS RENDERING SNC AGE 21+ 14 15 0 0 0 0 0 0
1689169005 ABADIAN BAHAREH 2021 FFS RENDERING SNC AGE 0-20 213 378 42 58 25 55 1 1
1689169005 ABADIAN BAHAREH 2021 FFS RENDERING SNC AGE 21+ 285 752 121 217 93 173 21 25
1689208936 THAI RACHEL 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 0 0 1 1
1689208936 THAI RACHEL 2021 FFS RENDERING SNC AGE 21+ 95 120 95 120 0 0 95 120
1689215998 LEE YOUNJIN 2021 FFS RENDERING SNC AGE 21+ 1 2 1 1 1 2 1 1
1689256315 ALVARENGA LUIS 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 0 0 1 1
1689342545 HERNANDEZ VILLALVAZO HECTOR DANIEL 2021 FFS RENDERING SNC AGE 0-20 219 476 201 360 43 79 181 240
1689342545 HERNANDEZ VILLALVAZO HECTOR DANIEL 2021 FFS RENDERING SNC AGE 21+ 250 793 196 414 131 335 192 359
1689347452 TALAKOUB NAGHME 2021 FFS RENDERING SNC AGE 0-20 66 144 59 86 50 93 42 43
1689347452 TALAKOUB NAGHME 2021 FFS RENDERING SNC AGE 21+ 81 201 65 123 54 82 40 45
1689700114 VILLA GUADALUPE V 2021 FFS RENDERING SNC AGE 0-20 452 1,167 434 930 239 431 255 323
1689700114 VILLA GUADALUPE V 2021 FFS RENDERING SNC AGE 21+ 359 1,039 336 617 259 607 227 320
1689726200 LEE DAVID W 2021 FFS RENDERING SNC AGE 0-20 322 1,838 300 954 200 894 296 948
1689738866 AUSTIN, CHESTER J 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 0 0 0 0
1689738866 AUSTIN, CHESTER J 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 0 0 0 0
1689787202 BUSSELEN, STEVEN C MD 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 0 0 1 1
1689818635 ROCES MARIA VICTORIA 2021 FFS RENDERING SNC AGE 0-20 731 1,693 661 1,036 505 966 689 1,165
1689818635 ROCES MARIA VICTORIA 2021 FFS RENDERING SNC AGE 21+ 411 757 173 200 214 406 360 521
1689858219 CHENG DANIEL C 2021 FFS RENDERING SNC AGE 0-20 547 836 487 589 107 167 424 453
1689858219 CHENG DANIEL C 2021 FFS RENDERING SNC AGE 21+ 484 1,000 364 427 136 236 384 586
1689862146 LEE JINA 2021 FFS RENDERING SNC AGE 0-20 756 1,920 600 1,017 215 390 163 185
1689862146 LEE JINA 2021 FFS RENDERING SNC AGE 21+ 604 1,297 208 225 218 434 11 12
1689868242 AGUILAR JACQUELINE D 2021 FFS RENDERING SNC AGE 0-20 119 162 118 160 1 1 117 156
1689868242 AGUILAR JACQUELINE D 2021 FFS RENDERING SNC AGE 21+ 128 208 126 204 1 1 126 204
1689869257 SARVI, SAUNAZ 2021 FFS RENDERING SNC AGE 0-20 116 161 106 114 35 49 104 104
1689869257 SARVI, SAUNAZ 2021 FFS RENDERING SNC AGE 21+ 128 217 68 89 86 125 69 77
1689886624 TANBONLIONG JR THOMAS S 2021 FFS RENDERING SNC AGE 0-20 401 454 241 267 170 187 238 264
1689886624 TANBONLIONG JR THOMAS S 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 0 0 1 1
1689891020 PENDURKAR SHAKALPI R 2021 FFS RENDERING SNC AGE 0-20 278 326 138 162 82 92 191 226
1689891020 PENDURKAR SHAKALPI R 2021 FFS RENDERING SNC AGE 21+ 65 77 40 46 25 27 42 48
1689904476 BAJORIA RASHMI 2021 FFS RENDERING SNC AGE 0-20 26 27 18 19 1 1 16 16
1689904476 BAJORIA RASHMI 2021 FFS RENDERING SNC AGE 21+ 46 50 23 24 22 24 15 16
1689926297 PATEL BELA R 2021 FFS RENDERING SNC AGE 0-20 232 705 211 507 64 187 175 380
1689926297 PATEL BELA R 2021 FFS RENDERING SNC AGE 21+ 417 2,063 285 769 288 1,228 292 791
1689933178 LEDOUX ANNIE C 2021 FFS RENDERING SNC AGE 0-20 99 198 99 198 16 25 99 198
1689933178 LEDOUX ANNIE C 2021 FFS RENDERING SNC AGE 21+ 243 728 243 727 113 247 243 727
1689933178 LEDOUX ANNIE C 2021 PHP RENDERING SNC AGE 21+ 1 1 1 1 0 0 1 1
1689997074 CAMARENA MARY 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 0 0 0 0
1689997074 CAMARENA MARY 2021 FFS RENDERING SNC AGE 21+ 12 13 1 1 1 1 0 0
1699079418 KHAMIS WATHIQ I 2021 FFS RENDERING SNC AGE 0-20 969 2,741 962 2,362 227 379 953 2,105
1699079418 KHAMIS WATHIQ I 2021 FFS RENDERING SNC AGE 21+ 304 876 287 458 122 417 286 441
1699105619 CHEN DONALD Y 2021 FFS RENDERING SNC AGE 0-20 22 27 1 1 1 1 11 11
1699127266 CHANG EVAN Y 2021 FFS RENDERING SNC AGE 0-20 1,059 1,249 701 783 349 398 654 727
1699128413 TANG VICKY 2021 FFS RENDERING SNC AGE 0-20 315 674 224 302 144 270 291 408
1699128413 TANG VICKY 2021 FFS RENDERING SNC AGE 21+ 395 1,250 192 255 286 779 338 558
1699157602 HURNG JONATHAN M 2021 FFS RENDERING SNC AGE 0-20 521 906 403 475 285 481 307 366
1699157602 HURNG JONATHAN M 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 1 1 0 0
1699178285 WU HUI JUE 2021 FFS RENDERING SNC AGE 0-20 13 14 1 1 1 1 1 1
1699178285 WU HUI JUE 2021 FFS RENDERING SNC AGE 21+ 602 716 131 144 384 439 154 168
1699200188 MUNNS JONATHAN 2021 FFS RENDERING SNC AGE 0-20 902 1,612 625 877 455 826 581 796
1699200188 MUNNS JONATHAN 2021 FFS RENDERING SNC AGE 21+ 283 547 65 98 233 414 98 174
1699213967 CULP DANA 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 0 0 0 0
1699254060 DIEPLINGER ALESSANDRA A 2021 FFS RENDERING SNC AGE 0-20 591 781 536 619 114 173 459 517
1699254060 DIEPLINGER ALESSANDRA A 2021 FFS RENDERING SNC AGE 21+ 295 469 269 313 74 182 266 286
1699260935 HERNANDEZ MORAL RODOLFO 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 0 0 1 1
1699260935 HERNANDEZ MORAL RODOLFO 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 1 1 0 0
1699277046 SINGH VIVEK 2021 FFS RENDERING SNC AGE 0-20 558 1,087 509 747 206 358 389 433
1699277046 SINGH VIVEK 2021 FFS RENDERING SNC AGE 21+ 427 1,123 343 534 258 610 337 503
1699277293 IBRAHIM JACKLYN 2021 FFS RENDERING SNC AGE 0-20 14 23 14 20 1 1 14 19
1699277293 IBRAHIM JACKLYN 2021 FFS RENDERING SNC AGE 21+ 464 1,114 458 987 113 169 448 920
1699285064 IFEACHO IFUNANYA OLIVE 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 0 0 1 1
1699285379 KANG HYUN-JOO 2021 FFS RENDERING SNC AGE 0-20 35 74 32 57 21 26 26 37
1699285379 KANG HYUN-JOO 2021 FFS RENDERING SNC AGE 21+ 380 1,184 233 288 344 1,002 197 207
1699322099 CHEUNG KA CHUN 2021 FFS RENDERING SNC AGE 0-20 409 778 387 589 83 164 372 525
1699322099 CHEUNG KA CHUN 2021 FFS RENDERING SNC AGE 21+ 414 1,082 292 368 287 708 295 417
1699365601 CLACK CHRISTINA MARIE 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 0 0 0 0
1699394403 LU STEVEN 2021 FFS RENDERING SNC AGE 0-20 443 1,500 416 1,065 147 386 374 637
1699394403 LU STEVEN 2021 FFS RENDERING SNC AGE 21+ 502 1,734 401 734 298 893 355 493
1699397984 ONWUKWE EDMOND EBUBECHUKWU 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 1 1 1 1
1699397984 ONWUKWE EDMOND EBUBECHUKWU 2021 FFS RENDERING SNC AGE 21+ 20 25 1 1 1 2 1 1
1699758219 ROMNEY RICHARD L 2021 FFS RENDERING SNC AGE 0-20 495 898 451 631 205 373 390 526
1699758219 ROMNEY RICHARD L 2021 FFS RENDERING SNC AGE 21+ 727 1,278 504 675 415 711 141 230
1699771154 LEE PETER Y 2021 FFS RENDERING SNC AGE 0-20 136 223 117 150 73 107 89 104
1699771154 LEE PETER Y 2021 FFS RENDERING SNC AGE 21+ 13 16 11 11 1 1 1 1
1699786467 YAMASAKI KRISTEN K 2021 FFS RENDERING SNC AGE 0-20 370 607 214 245 215 373 135 152
1699786467 YAMASAKI KRISTEN K 2021 FFS RENDERING SNC AGE 21+ 450 885 197 287 407 796 169 253
1699803049 KOO BERNARD W 2021 FFS RENDERING SNC AGE 0-20 67 104 67 104 0 0 67 104
1699803049 KOO BERNARD W 2021 FFS RENDERING SNC AGE 21+ 853 2,246 853 2,246 0 0 853 2,246
1699816108 LOPEZ-SHAMS MARIA C 2021 FFS RENDERING SNC AGE 0-20 184 331 168 258 104 133 138 164
1699816108 LOPEZ-SHAMS MARIA C 2021 GMC RENDERING SNC AGE 0-20 1 1 0 0 0 0 1 1
1699826479 KIANOURI SHADROUZ 2021 FFS RENDERING SNC AGE 0-20 60 116 60 116 0 0 60 116
1699826479 KIANOURI SHADROUZ 2021 FFS RENDERING SNC AGE 21+ 93 249 93 249 0 0 93 249
1699831065 DER BOGHOSIAN-I RUPEN 2021 FFS RENDERING SNC AGE 0-20 617 990 370 498 74 169 342 393
1699831065 DER BOGHOSIAN-I RUPEN 2021 FFS RENDERING SNC AGE 21+ 447 1,348 330 489 214 678 330 464
1699831065 DER BOGHOSIAN-I RUPEN 2021 PHP RENDERING SNC AGE 21+ 1 1 0 0 1 1 0 0
1699854125 KEMPTON JOHN T 2021 FFS RENDERING SNC AGE 0-20 59 101 40 47 21 49 19 19
1699854125 KEMPTON JOHN T 2021 FFS RENDERING SNC AGE 21+ 198 513 104 146 144 284 32 82
1699904144 ARTIGA FRANCESCA E 2021 FFS RENDERING SNC AGE 0-20 2,800 4,006 2,148 2,659 853 1,105 2,021 2,487
1699904144 ARTIGA FRANCESCA E 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 0 0 1 1
1699920835 FLORES JUN ROYCE M. 2021 FFS RENDERING SNC AGE 0-20 1 2 1 1 1 1 1 1
1699920835 FLORES JUN ROYCE M. 2021 FFS RENDERING SNC AGE 21+ 244 399 44 52 116 156 118 147
1699974014 STAUFFER JACY A 2021 FFS RENDERING SNC AGE 0-20 2,146 3,290 1,523 1,962 507 633 1,209 1,496
1700051968 MILLARE PASCO CONNIE 2021 FFS RENDERING SNC AGE 0-20 155 366 155 365 25 51 155 365
1700051968 MILLARE PASCO CONNIE 2021 FFS RENDERING SNC AGE 21+ 192 595 192 592 91 212 192 592
1700068632 KAPLAN, JEFFREY B 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 0 0 1 1
1700089364 TZOU, JERRY, DDS 2021 FFS RENDERING SNC AGE 0-20 79 98 69 80 1 2 1 1
1700089364 TZOU, JERRY, DDS 2021 FFS RENDERING SNC AGE 21+ 1,279 2,258 848 1,329 677 985 33 41
1700119161 EHSAN PARIZAD 2021 FFS RENDERING SNC AGE 0-20 22 22 15 15 1 1 1 1
1700119161 EHSAN PARIZAD 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 0 0 1 1
1700131588 JUSKA TOMAS 2021 FFS RENDERING SNC AGE 0-20 148 218 42 45 92 150 31 32
1700131588 JUSKA TOMAS 2021 FFS RENDERING SNC AGE 21+ 530 1,331 125 139 455 857 204 508
1700133618 WILLIAMS ANGENETTA MARIE 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 0 0 0 0
1700133618 WILLIAMS ANGENETTA MARIE 2021 FFS RENDERING SNC AGE 21+ 30 34 29 33 1 1 0 0
1700180825 ABARTE STEPHANIE A 2021 FFS RENDERING SNC AGE 0-20 579 1,015 444 598 207 323 166 200
1700180825 ABARTE STEPHANIE A 2021 FFS RENDERING SNC AGE 21+ 760 1,569 383 481 449 851 334 393
1700210705 PHAM UYEN N 2021 FFS RENDERING SNC AGE 0-20 544 1,282 544 1,282 0 0 544 1,282
1700210705 PHAM UYEN N 2021 FFS RENDERING SNC AGE 21+ 381 1,378 381 1,378 0 0 381 1,378
1700211000 WU TRAVIS D 2021 FFS RENDERING SNC AGE 21+ 149 527 98 157 129 373 63 156
1700214657 FJARLI SUZANNE M 2021 FFS RENDERING SNC AGE 0-20 1,047 3,890 911 2,688 329 984 827 2,362
1700214657 FJARLI SUZANNE M 2021 FFS RENDERING SNC AGE 21+ 702 2,210 487 1,085 340 1,031 452 1,013
1700215365 TAN CALVIN 2021 FFS RENDERING SNC AGE 0-20 1,107 3,143 1,079 2,518 309 548 1,066 1,441
1700215365 TAN CALVIN 2021 FFS RENDERING SNC AGE 21+ 500 1,903 449 893 315 862 453 703
1700262771 BROOKS JAN 2021 FFS RENDERING SNC AGE 0-20 72 89 62 73 18 21 57 66
1700262771 BROOKS JAN 2021 FFS RENDERING SNC AGE 21+ 24 29 1 2 12 13 12 16
1700274651 MARKOVA-MITEV IVETA S 2021 FFS RENDERING SNC AGE 0-20 976 1,204 742 793 371 436 228 249
1700340403 RIOS WILFREDO 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 0 0 0 0
1700437241 TRAN MICHELLE ROXAS 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 0 0 1 1
1700445152 MIRANDA-OGLESBY CECILIA 2021 FFS RENDERING SNC AGE 0-20 40 118 40 118 0 0 40 118
1700445152 MIRANDA-OGLESBY CECILIA 2021 FFS RENDERING SNC AGE 21+ 86 296 86 296 0 0 86 296
1700448362 EIDELSTEIN DYANA 2021 FFS RENDERING SNC AGE 0-20 1 2 1 2 0 0 1 2
1700448362 EIDELSTEIN DYANA 2021 FFS RENDERING SNC AGE 21+ 139 199 130 184 1 2 132 188
1700448362 EIDELSTEIN DYANA 2021 PHP RENDERING SNC AGE 21+ 1 1 1 1 0 0 1 1
1700449600 GONZALEZ JESICA 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 1 1 0 0
1700449600 GONZALEZ JESICA 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 1 1 0 0
1700880622 ONG AGNES G 2021 FFS RENDERING SNC AGE 0-20 559 1,239 485 808 498 1,062 407 494
1700880622 ONG AGNES G 2021 FFS RENDERING SNC AGE 21+ 588 1,588 371 484 547 1,459 352 551
1700903622 AKHTAR SYED F 2021 FFS RENDERING SNC AGE 0-20 68 124 17 25 21 40 31 53
1700903622 AKHTAR SYED F 2021 FFS RENDERING SNC AGE 21+ 76 156 0 0 54 105 36 68
1700976552 PHAN ANTHONY 2021 FFS RENDERING SNC AGE 0-20 249 571 174 248 109 215 218 307
1700976552 PHAN ANTHONY 2021 FFS RENDERING SNC AGE 21+ 325 1,061 131 174 185 544 284 522
1700987518 MANN ROBERT N 2021 FFS RENDERING SNC AGE 0-20 79 107 0 0 1 1 0 0
1700987518 MANN ROBERT N 2021 FFS RENDERING SNC AGE 21+ 75 106 0 0 1 1 0 0
1710052303 LABARRE EUGENE E 2021 FFS RENDERING SNC AGE 21+ 43 152 16 19 1 1 43 152
1710054796 BROWNSTONE DONNI B 2021 FFS RENDERING SNC AGE 0-20 34 40 30 33 1 1 22 23
1710078472 AKOPYAN, DIANA, DDS 2021 FFS RENDERING SNC AGE 21+ 197 516 106 126 163 363 54 111
1710078829 KIM EUNOCK 2021 FFS RENDERING SNC AGE 0-20 394 619 344 425 44 58 338 393
1710078829 KIM EUNOCK 2021 FFS RENDERING SNC AGE 21+ 495 981 326 349 216 435 406 487
1710095344 LEW EUNSUN 2021 FFS RENDERING SNC AGE 0-20 372 900 358 680 208 385 224 264
1710095344 LEW EUNSUN 2021 FFS RENDERING SNC AGE 21+ 417 1,012 351 572 323 698 263 363
1710113964 SHAH KRUTIKA A 2021 FFS RENDERING SNC AGE 0-20 194 459 186 313 116 222 160 169
1710113964 SHAH KRUTIKA A 2021 FFS RENDERING SNC AGE 21+ 301 1,034 287 591 209 496 253 320
1710126891 MILTNER ELIZABETH C 2021 FFS RENDERING SNC AGE 0-20 267 523 248 386 51 98 231 315
1710126891 MILTNER ELIZABETH C 2021 FFS RENDERING SNC AGE 21+ 316 787 184 220 176 394 228 364
1710171996 NATARAJAN, VASANTHA MD 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 0 0 1 1
1710179387 LIPUMANO-SANCHE LULETTE F 2021 FFS RENDERING SNC AGE 0-20 394 945 270 431 203 362 61 78
1710179387 LIPUMANO-SANCHE LULETTE F 2021 FFS RENDERING SNC AGE 21+ 348 858 203 402 242 417 143 297
1710179973 SALIM, ALI MD 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 0 0 0 0
1710179973 SALIM, ALI MD 2021 FFS RENDERING SNC AGE 21+ 17 19 0 0 1 1 1 1
1710186564 DA SILVA CARLOS T 2021 FFS RENDERING SNC AGE 0-20 245 825 235 570 76 141 226 356
1710186564 DA SILVA CARLOS T 2021 FFS RENDERING SNC AGE 21+ 411 1,232 368 528 194 550 361 453
1710275375 AGHAZADEHSANAI NONA 2021 FFS RENDERING SNC AGE 0-20 66 81 0 0 52 62 54 64
1710275375 AGHAZADEHSANAI NONA 2021 FFS RENDERING SNC AGE 21+ 545 889 11 12 470 714 441 650
1710302195 ESKIF DABBAGH, BAKRI MD 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 0 0 1 1
1710328950 FIROOZI HAMED 2021 FFS RENDERING SNC AGE 0-20 78 120 66 81 27 48 62 65
1710328950 FIROOZI HAMED 2021 FFS RENDERING SNC AGE 21+ 95 217 51 64 73 161 35 40
1710339684 BAILLARGEON FANNIE 2021 FFS RENDERING SNC AGE 0-20 451 566 386 453 136 163 296 328
1710339684 BAILLARGEON FANNIE 2021 FFS RENDERING SNC AGE 21+ 735 1,100 479 597 427 562 437 545
1710360854 FERNANDES BRIAN JOSEPH 2021 FFS RENDERING SNC AGE 0-20 62 64 51 52 18 18 49 50
1710360854 FERNANDES BRIAN JOSEPH 2021 FFS RENDERING SNC AGE 21+ 63 72 32 34 40 46 29 31
1710400858 CHO ALAN 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 1 1 1 1
1710400858 CHO ALAN 2021 FFS RENDERING SNC AGE 21+ 34 41 1 1 16 20 1 1
1710512991 MAZZONE HILARY D 2021 FFS RENDERING SNC AGE 0-20 87 231 33 65 51 127 45 94
1710512991 MAZZONE HILARY D 2021 FFS RENDERING SNC AGE 21+ 194 594 71 142 112 289 96 225
1710931464 WAKIL, FRED W MD 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 1 1 0 0
1710931464 WAKIL, FRED W MD 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 0 0 0 0
1720007420 LEE, JAI H MD 2021 FFS RENDERING SNC AGE 0-20 1 2 1 1 1 1 1 1
1720007420 LEE, JAI H MD 2021 FFS RENDERING SNC AGE 21+ 1 2 1 2 1 1 1 2
1720128374 ROTHSTEIN TORREY M 2021 FFS RENDERING SNC AGE 21+ 73 258 12 13 65 182 31 80
1720138688 MARTINEZ MELISSA ANN 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 1 1 0 0
1720164627 KRUPA GARY M 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 0 0 0 0
1720164999 ARAICA ALIDA MENDIETA 2021 FFS RENDERING SNC AGE 0-20 598 789 524 600 115 145 502 564
1720164999 ARAICA ALIDA MENDIETA 2021 FFS RENDERING SNC AGE 21+ 754 1,024 664 838 159 203 662 835
1720164999 ARAICA ALIDA MENDIETA 2021 GMC RENDERING SNC AGE 21+ 1 1 1 1 0 0 1 1
1720181290 CUEVAS SERGIO 2021 FFS RENDERING SNC AGE 0-20 425 436 144 148 20 20 109 109
1720181290 CUEVAS SERGIO 2021 FFS RENDERING SNC AGE 21+ 15 15 15 15 0 0 15 15
1720279060 TURSHANI, YOUSEF Y MD 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 0 0 1 1
1720295348 MAFI SHIDROKH 2021 FFS RENDERING SNC AGE 0-20 684 757 649 699 57 63 635 679
1720295348 MAFI SHIDROKH 2021 FFS RENDERING SNC AGE 21+ 421 677 381 481 116 208 370 442
1720340896 PETRIE LY N 2021 FFS RENDERING SNC AGE 0-20 101 176 62 102 33 59 82 107
1720340896 PETRIE LY N 2021 FFS RENDERING SNC AGE 21+ 231 487 99 157 155 268 119 164
1720342637 SLATON ADELA 2021 FFS RENDERING SNC AGE 0-20 372 633 359 493 125 196 334 363
1720342637 SLATON ADELA 2021 FFS RENDERING SNC AGE 21+ 526 1,288 486 720 377 798 470 618
1720375629 KANG HYEJUNG 2021 FFS RENDERING SNC AGE 0-20 1,061 1,475 1,061 1,472 49 74 1,059 1,461
1720375629 KANG HYEJUNG 2021 FFS RENDERING SNC AGE 21+ 359 559 359 556 124 191 357 552
1720375629 KANG HYEJUNG 2021 PHP RENDERING SNC AGE 0-20 1 1 1 1 0 0 1 1
1720387715 WONG, ANDREA W OD 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 0 0 0 0
1720395536 ASURZA HUGO R 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 1 1 1 1
1720413735 TRUONG RICHARD T 2021 FFS RENDERING SNC AGE 0-20 827 1,256 537 646 282 400 437 514
1720413735 TRUONG RICHARD T 2021 FFS RENDERING SNC AGE 21+ 562 923 101 109 397 645 67 72
1720446503 WESTBROOK JESSICA AQUINO 2021 FFS RENDERING SNC AGE 0-20 1,004 2,073 839 1,585 461 881 797 1,453
1720446503 WESTBROOK JESSICA AQUINO 2021 FFS RENDERING SNC AGE 21+ 313 611 123 199 233 443 153 269
1720446818 KONG LAURA 2021 FFS RENDERING SNC AGE 0-20 79 91 34 34 19 24 18 19
1720446818 KONG LAURA 2021 FFS RENDERING SNC AGE 21+ 194 237 56 56 92 117 103 106
1720462013 SZATKOWSKI JESSE 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 0 0 1 1
1720481112 KIM HOWARD 2021 FFS RENDERING SNC AGE 0-20 704 1,032 686 901 253 355 690 906
1720481112 KIM HOWARD 2021 FFS RENDERING SNC AGE 21+ 240 560 192 299 206 411 198 316
1720481112 KIM HOWARD 2021 PHP RENDERING SNC AGE 0-20 1 1 0 0 1 1 0 0
1720518368 STURGEON MARY E 2021 FFS RENDERING SNC AGE 0-20 54 114 54 114 0 0 54 114
1720518368 STURGEON MARY E 2021 FFS RENDERING SNC AGE 21+ 136 465 136 465 0 0 136 465
1720534886 BAIERA PARISSA N 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 1 1 1 1
1720534886 BAIERA PARISSA N 2021 FFS RENDERING SNC AGE 21+ 130 349 100 195 66 136 106 212
1720540818 GONZALEZ PETER CHARLES 2021 FFS RENDERING SNC AGE 0-20 392 771 370 476 139 309 369 474
1720540818 GONZALEZ PETER CHARLES 2021 FFS RENDERING SNC AGE 21+ 349 979 312 436 177 429 322 513
1720541311 TRUONG MINDY 2021 FFS RENDERING SNC AGE 0-20 162 237 143 175 42 75 135 149
1720541311 TRUONG MINDY 2021 FFS RENDERING SNC AGE 21+ 137 237 112 131 53 94 109 125
1720640055 BRAWLEY DUNG T 2021 FFS RENDERING SNC AGE 0-20 105 146 50 66 22 28 11 14
1720640055 BRAWLEY DUNG T 2021 FFS RENDERING SNC AGE 21+ 179 445 73 136 96 170 60 133
1720640055 BRAWLEY DUNG T 2021 GMC RENDERING SNC AGE 0-20 1 1 0 0 0 0 0 0
1720640055 BRAWLEY DUNG T 2021 GMC RENDERING SNC AGE 21+ 1 1 0 0 1 1 0 0
1730112046 MANOR, SONDRA 2021 FFS RENDERING SNC AGE 0-20 860 1,475 780 1,108 295 482 537 608
1730112046 MANOR, SONDRA 2021 FFS RENDERING SNC AGE 21+ 483 1,155 399 604 296 615 356 599
1730193368 SOLIMAN, GEORGE MD 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 0 0 1 1
1730213703 BOGLE BARRY W 2021 FFS RENDERING SNC AGE 0-20 105 126 96 109 14 15 55 55
1730213703 BOGLE BARRY W 2021 FFS RENDERING SNC AGE 21+ 114 164 78 94 51 70 50 53
1730218140 TI ELAINE C. 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 0 0 1 1
1730218140 TI ELAINE C. 2021 FFS RENDERING SNC AGE 21+ 29 69 18 23 16 37 21 27
1730221581 CROY KRISTINE 2021 FFS RENDERING SNC AGE 0-20 99 135 98 133 1 1 1 1
1730221581 CROY KRISTINE 2021 FFS RENDERING SNC AGE 21+ 44 78 44 76 11 28 1 1
1730229832 TAN WINNIE 2021 FFS RENDERING SNC AGE 0-20 149 184 79 94 39 49 75 84
1730229832 TAN WINNIE 2021 FFS RENDERING SNC AGE 21+ 217 369 136 189 109 162 89 92
1730235607 SUMMERS SHAWN J 2021 FFS RENDERING SNC AGE 0-20 43 117 43 117 1 2 43 117
1730235607 SUMMERS SHAWN J 2021 FFS RENDERING SNC AGE 21+ 281 1,154 281 1,154 248 1,030 281 1,154
1730247222 COLVIN WALLACE SPURGEON 2021 FFS RENDERING SNC AGE 0-20 471 1,067 285 447 278 539 180 223
1730247222 COLVIN WALLACE SPURGEON 2021 FFS RENDERING SNC AGE 21+ 623 2,341 254 373 545 1,919 193 268
1730379314 DAO LOAN K 2021 FFS RENDERING SNC AGE 0-20 1,649 2,261 1,632 2,217 42 60 1,608 2,170
1730379314 DAO LOAN K 2021 FFS RENDERING SNC AGE 21+ 275 437 252 381 128 196 246 372
1730379314 DAO LOAN K 2021 GMC RENDERING SNC AGE 0-20 1 1 1 1 0 0 1 1
1730379314 DAO LOAN K 2021 PHP RENDERING SNC AGE 0-20 1 1 1 1 1 1 1 1
1730483785 WINTER CHRISTINA L 2021 FFS RENDERING SNC AGE 0-20 453 1,124 421 869 115 193 309 397
1730483785 WINTER CHRISTINA L 2021 FFS RENDERING SNC AGE 21+ 379 1,116 259 438 206 532 230 274
1730496407 SHAH POONAM U 2021 FFS RENDERING SNC AGE 0-20 259 264 222 224 27 27 218 220
1730496407 SHAH POONAM U 2021 GMC RENDERING SNC AGE 0-20 1 1 1 1 0 0 1 1
1730572447 MAR GREGORY 2021 FFS RENDERING SNC AGE 0-20 245 509 116 158 62 102 211 418
1730572447 MAR GREGORY 2021 FFS RENDERING SNC AGE 21+ 191 396 46 59 137 248 81 162
1730574856 MCCOY-WILSON KELSI 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 0 0 1 1
1730587007 OLSON SUSAN 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 1 1 1 1
1730587007 OLSON SUSAN 2021 FFS RENDERING SNC AGE 21+ 101 167 80 97 78 121 77 89
1730597071 IM DEBRA J 2021 FFS RENDERING SNC AGE 0-20 16 36 16 26 1 2 13 16
1730597071 IM DEBRA J 2021 FFS RENDERING SNC AGE 21+ 161 483 135 197 141 373 130 225
1730598434 CHI JACOB 2021 FFS RENDERING SNC AGE 0-20 126 175 118 146 16 24 115 130
1730598434 CHI JACOB 2021 FFS RENDERING SNC AGE 21+ 231 545 104 157 113 205 194 289
1730607425 LEONCIO BERNADETTE F 2021 FFS RENDERING SNC AGE 0-20 580 747 414 425 166 220 423 471
1730607425 LEONCIO BERNADETTE F 2021 FFS RENDERING SNC AGE 21+ 550 1,012 39 40 424 744 56 79
1730731555 PASCAL CLAUDIE 2021 FFS RENDERING SNC AGE 0-20 18 51 18 51 0 0 18 51
1730731555 PASCAL CLAUDIE 2021 FFS RENDERING SNC AGE 21+ 118 519 118 517 1 1 118 519
1730742156 STORY BEAUREGARD B 2021 FFS RENDERING SNC AGE 0-20 273 346 250 285 53 69 233 240
1730742156 STORY BEAUREGARD B 2021 FFS RENDERING SNC AGE 21+ 173 295 138 165 93 132 135 156
1730762261 SINGH JITENDER 2021 FFS RENDERING SNC AGE 0-20 388 452 387 451 1 2 1 1
1730762261 SINGH JITENDER 2021 FFS RENDERING SNC AGE 21+ 199 330 194 321 71 179 1 1
1730765850 ARAGONES GUSTAVO CHAVEZ 2021 FFS RENDERING SNC AGE 0-20 302 607 302 607 1 2 1 1
1730765850 ARAGONES GUSTAVO CHAVEZ 2021 FFS RENDERING SNC AGE 21+ 203 612 203 604 62 268 0 0
1740259027 JONES JR JULIUS R 2021 FFS RENDERING SNC AGE 0-20 154 173 147 163 1 1 147 163
1740259027 JONES JR JULIUS R 2021 FFS RENDERING SNC AGE 21+ 522 827 359 513 134 195 389 558
1740265651 SIRI, DANIEL W, DDS 2021 FFS RENDERING SNC AGE 0-20 294 542 163 208 85 152 106 128
1740265651 SIRI, DANIEL W, DDS 2021 FFS RENDERING SNC AGE 21+ 509 810 221 271 170 262 197 238
1740277193 MAC FRANK X 2021 FFS RENDERING SNC AGE 0-20 557 911 51 59 119 146 289 395
1740277193 MAC FRANK X 2021 FFS RENDERING SNC AGE 21+ 1,243 1,977 78 87 502 602 600 745
1740307214 SHIRASUKA TETSUYA 2021 FFS RENDERING SNC AGE 0-20 308 638 234 392 60 143 268 477
1740307214 SHIRASUKA TETSUYA 2021 FFS RENDERING SNC AGE 21+ 278 651 107 143 100 234 238 398
1740311869 RAMOS RAYMOND D 2021 FFS RENDERING SNC AGE 0-20 270 657 243 508 97 185 217 297
1740311869 RAMOS RAYMOND D 2021 FFS RENDERING SNC AGE 21+ 252 659 217 383 137 335 204 308
1740328483 GONZALEZ MARY ANN NMN 2021 FFS RENDERING SNC AGE 0-20 446 772 379 602 142 164 380 605
1740328483 GONZALEZ MARY ANN NMN 2021 FFS RENDERING SNC AGE 21+ 416 926 342 677 167 220 353 703
1740374610 LESNIAK ROSANNA M 2021 FFS RENDERING SNC AGE 0-20 32 64 18 29 19 34 1 1
1740374610 LESNIAK ROSANNA M 2021 FFS RENDERING SNC AGE 21+ 49 120 31 47 32 77 27 35
1740398171 LEUNG, DENNIS C, DDS 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 0 0 1 1
1740402825 MILLINGTON ROBERT E 2021 FFS RENDERING SNC AGE 0-20 146 391 139 263 96 194 109 125
1740402825 MILLINGTON ROBERT E 2021 FFS RENDERING SNC AGE 21+ 251 710 226 356 210 459 215 325
1740402825 MILLINGTON ROBERT E 2021 GMC RENDERING SNC AGE 0-20 1 1 1 1 0 0 0 0
1740402825 MILLINGTON ROBERT E 2021 GMC RENDERING SNC AGE 21+ 1 1 0 0 1 1 0 0
1740436450 TRAN, HUY XUAN, DDS 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 1 1 1 1
1740436450 TRAN, HUY XUAN, DDS 2021 FFS RENDERING SNC AGE 21+ 146 603 134 430 69 271 132 432
1740441542 GEE, MELISSA L MD 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 1 1 1 1
1740443175 GHUMAN RUPAUL S 2021 FFS RENDERING SNC AGE 0-20 686 3,604 660 2,538 198 606 658 1,671
1740443175 GHUMAN RUPAUL S 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 1 1 1 1
1740472828 REZA-SOLTANI SHIRIN 2021 FFS RENDERING SNC AGE 0-20 138 202 126 166 58 77 121 147
1740472828 REZA-SOLTANI SHIRIN 2021 FFS RENDERING SNC AGE 21+ 387 737 281 321 314 628 275 299
1740480995 HARO JUAN R 2021 FFS RENDERING SNC AGE 0-20 950 1,798 835 1,230 555 982 885 1,258
1740480995 HARO JUAN R 2021 FFS RENDERING SNC AGE 21+ 14 17 1 1 1 1 1 1
1740514645 KEHL RONALD J 2021 FFS RENDERING SNC AGE 0-20 114 208 44 60 31 46 1 1
1740514645 KEHL RONALD J 2021 FFS RENDERING SNC AGE 21+ 284 711 71 97 168 360 30 38
1740518737 MEEKAY MONIKA 2021 FFS RENDERING SNC AGE 0-20 461 1,104 206 266 399 870 201 258
1740580109 YAU KATHLEEN Y 2021 FFS RENDERING SNC AGE 0-20 431 661 311 383 185 268 344 401
1740580109 YAU KATHLEEN Y 2021 FFS RENDERING SNC AGE 21+ 478 968 120 135 348 631 81 111
1740587229 CARVAJAL WENDY J 2021 FFS RENDERING SNC AGE 0-20 94 125 59 74 47 55 70 83
1740587229 CARVAJAL WENDY J 2021 FFS RENDERING SNC AGE 21+ 154 270 52 64 135 213 88 117
1740611250 MALLARI JULIE B 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 0 0 0 0
1740629864 MCKENNA NICHOLE D 2021 FFS RENDERING SNC AGE 0-20 248 392 128 171 104 167 192 279
1740629864 MCKENNA NICHOLE D 2021 FFS RENDERING SNC AGE 21+ 428 1,086 147 222 260 568 295 598
1740629864 MCKENNA NICHOLE D 2021 GMC RENDERING SNC AGE 0-20 1 1 1 1 0 0 1 1
1740647916 DOMINICIS ZITA A 2021 FFS RENDERING SNC AGE 0-20 181 183 96 96 39 39 79 79
1740647916 DOMINICIS ZITA A 2021 FFS RENDERING SNC AGE 21+ 159 166 58 59 94 96 44 44
1740647916 DOMINICIS ZITA A 2021 PHP RENDERING SNC AGE 0-20 1 1 0 0 0 0 0 0
1740704808 PATEL REHNISHA 2021 FFS RENDERING SNC AGE 0-20 60 91 29 32 35 51 46 65
1740704808 PATEL REHNISHA 2021 FFS RENDERING SNC AGE 21+ 122 225 1 1 95 183 87 143
1740747880 BAE DAVID H 2021 FFS RENDERING SNC AGE 0-20 527 632 420 441 170 205 403 412
1740747880 BAE DAVID H 2021 FFS RENDERING SNC AGE 21+ 562 1,123 408 552 348 631 307 332
1740776020 CARTER JOSEPH C 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 0 0 0 0
1740816958 GUO CHANG 2021 FFS RENDERING SNC AGE 0-20 584 901 451 524 337 507 437 492
1740816958 GUO CHANG 2021 FFS RENDERING SNC AGE 21+ 361 666 219 284 290 515 184 210
1740834217 MECHEAL MATTHEW B 2021 FFS RENDERING SNC AGE 0-20 871 1,106 814 959 57 88 797 917
1740834217 MECHEAL MATTHEW B 2021 FFS RENDERING SNC AGE 21+ 587 1,305 525 806 200 517 520 765
1740878958 BHATTACHARYYA URMI 2021 FFS RENDERING SNC AGE 0-20 200 332 175 235 86 132 166 180
1740878958 BHATTACHARYYA URMI 2021 FFS RENDERING SNC AGE 21+ 203 463 162 270 118 214 139 165
1740959014 LY TONY 2021 FFS RENDERING SNC AGE 0-20 185 816 184 616 47 185 181 382
1740959014 LY TONY 2021 FFS RENDERING SNC AGE 21+ 220 1,245 216 649 95 482 217 577
1750317038 KAPGAN GALINA 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 1 1 0 0
1750318432 PAULE WILLIAM JOEL 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 0 0 1 1
1750364287 JOW JOHN 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 0 0 1 1
1750364287 JOW JOHN 2021 FFS RENDERING SNC AGE 21+ 260 547 1 1 1 1 249 529
1750394417 SADRI AMIR 2021 FFS RENDERING SNC AGE 0-20 307 544 260 373 109 183 192 233
1750394417 SADRI AMIR 2021 FFS RENDERING SNC AGE 21+ 478 1,447 405 769 317 825 349 577
1750403465 YANAGI MAY M 2021 FFS RENDERING SNC AGE 0-20 217 590 197 311 92 278 197 311
1750403465 YANAGI MAY M 2021 FFS RENDERING SNC AGE 21+ 105 255 87 137 45 107 87 137
1750414462 MITTAL KRISHAN K 2021 FFS RENDERING SNC AGE 0-20 141 221 113 149 72 99 46 51
1750414462 MITTAL KRISHAN K 2021 FFS RENDERING SNC AGE 21+ 170 281 111 134 124 200 64 70
1750428850 MCCANN DAVID THOMAS 2021 FFS RENDERING SNC AGE 0-20 59 156 54 122 1 2 46 94
1750428850 MCCANN DAVID THOMAS 2021 FFS RENDERING SNC AGE 21+ 64 163 46 100 26 59 42 90
1750470795 LUPTRAWAN, ALENDA 2021 FFS RENDERING SNC AGE 0-20 412 573 225 275 133 165 138 152
1750470795 LUPTRAWAN, ALENDA 2021 FFS RENDERING SNC AGE 21+ 269 434 114 134 197 302 110 127
1750481594 GARIBOTTI MARIO G 2021 FFS RENDERING SNC AGE 0-20 281 733 259 597 98 150 265 607
1750481594 GARIBOTTI MARIO G 2021 FFS RENDERING SNC AGE 21+ 527 1,568 436 729 350 758 460 900
1750496832 CHEN JOYCE YUNLING 2021 FFS RENDERING SNC AGE 0-20 477 673 120 130 130 175 147 161
1750496832 CHEN JOYCE YUNLING 2021 FFS RENDERING SNC AGE 21+ 542 995 229 280 293 523 304 380
1750512174 JANZEN BRUCE DAVID 2021 FFS RENDERING SNC AGE 0-20 321 545 269 381 89 155 204 218
1750512174 JANZEN BRUCE DAVID 2021 FFS RENDERING SNC AGE 21+ 327 631 201 251 201 365 169 186
1750563664 BEIZAEE ARASH A 2021 FFS RENDERING SNC AGE 0-20 241 434 165 231 69 116 147 161
1750563664 BEIZAEE ARASH A 2021 FFS RENDERING SNC AGE 21+ 1,063 2,098 628 930 323 537 559 706
1750580288 BALDERSTON JR, CARREL D, DDS 2021 FFS RENDERING SNC AGE 0-20 152 295 152 295 0 0 152 295
1750580288 BALDERSTON JR, CARREL D, DDS 2021 FFS RENDERING SNC AGE 21+ 209 549 209 549 0 0 209 549
1750587044 MORTON JOEL R. 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 0 0 0 0
1750684254 SHIRAN SINGH PARWIN M 2021 FFS RENDERING SNC AGE 0-20 1,070 2,042 960 1,689 930 1,670 518 808
1750684254 SHIRAN SINGH PARWIN M 2021 FFS RENDERING SNC AGE 21+ 759 1,738 469 776 620 1,341 291 386
1750684254 SHIRAN SINGH PARWIN M 2021 GMC RENDERING SNC AGE 0-20 1 1 1 1 1 1 0 0
1750713764 AMIN AISHA 2021 FFS RENDERING SNC AGE 0-20 3,046 4,574 1,890 2,161 1,654 2,222 280 294
1750713764 AMIN AISHA 2021 FFS RENDERING SNC AGE 21+ 2,846 5,340 623 705 2,588 4,527 133 148
1750766192 DEL VALLE OLIVIA 2021 FFS RENDERING SNC AGE 0-20 40 94 1 1 35 84 0 0
1750766192 DEL VALLE OLIVIA 2021 FFS RENDERING SNC AGE 21+ 312 995 96 102 302 894 0 0
1750797288 HE, GUOBIN, DDS 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 1 1 1 1
1750797288 HE, GUOBIN, DDS 2021 FFS RENDERING SNC AGE 21+ 78 191 27 30 66 150 28 33
1750800736 NAANAA MARIA 2021 FFS RENDERING SNC AGE 0-20 1,352 1,632 1,140 1,270 382 473 917 1,020
1750800736 NAANAA MARIA 2021 FFS RENDERING SNC AGE 21+ 280 424 107 122 180 240 104 134
1750807970 VALDEZ MARIA SOCORRO ILAGAN 2021 FFS RENDERING SNC AGE 0-20 130 304 75 86 96 228 77 120
1750807970 VALDEZ MARIA SOCORRO ILAGAN 2021 FFS RENDERING SNC AGE 21+ 336 1,448 88 123 313 1,229 224 563
1750905840 THAKKAR RINKAL B 2021 FFS RENDERING SNC AGE 0-20 163 229 117 139 32 45 1 1
1750905840 THAKKAR RINKAL B 2021 FFS RENDERING SNC AGE 21+ 191 390 43 44 87 148 22 26
1750998969 JACQUES CHRISTIE M 2021 FFS RENDERING SNC AGE 0-20 45 81 45 81 0 0 45 81
1750998969 JACQUES CHRISTIE M 2021 FFS RENDERING SNC AGE 21+ 126 322 126 322 0 0 126 322
1760493076 DELSHAD, GEORGE M MD 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 0 0 0 0
1760519805 THAN HUY T 2021 FFS RENDERING SNC AGE 0-20 525 777 490 610 142 194 468 551
1760519805 THAN HUY T 2021 FFS RENDERING SNC AGE 21+ 300 709 198 309 215 426 169 221
1760549364 PAI, JACOB P, DDS 2021 FFS RENDERING SNC AGE 0-20 1,322 1,700 1,158 1,366 232 323 301 325
1760549364 PAI, JACOB P, DDS 2021 FFS RENDERING SNC AGE 21+ 327 541 102 121 235 350 35 65
1760647861 MEJIA MARTA E 2021 FFS RENDERING SNC AGE 0-20 171 349 0 0 0 0 0 0
1760647861 MEJIA MARTA E 2021 FFS RENDERING SNC AGE 21+ 135 370 1 1 1 1 0 0
1760739544 NIKHINSON ANNA K. 2021 FFS RENDERING SNC AGE 0-20 488 592 452 531 42 53 427 494
1760739544 NIKHINSON ANNA K. 2021 FFS RENDERING SNC AGE 21+ 149 196 81 87 79 106 78 84
1760750087 MAJANO VALERIE L 2021 FFS RENDERING SNC AGE 0-20 1 2 1 2 0 0 1 2
1760750087 MAJANO VALERIE L 2021 FFS RENDERING SNC AGE 21+ 134 608 126 388 49 152 124 476
1760750087 MAJANO VALERIE L 2021 GMC RENDERING SNC AGE 0-20 1 1 1 1 0 0 1 1
1760821615 MAJOR AMANDA 2021 FFS RENDERING SNC AGE 0-20 161 189 101 107 69 82 18 18
1760900567 CHOI MICHAEL 2021 FFS RENDERING SNC AGE 0-20 110 183 96 145 44 61 88 104
1760900567 CHOI MICHAEL 2021 FFS RENDERING SNC AGE 21+ 222 455 166 200 192 396 164 193
1770017188 NGUYEN MARI JANET M 2021 FFS RENDERING SNC AGE 0-20 242 373 242 373 0 0 242 373
1770017188 NGUYEN MARI JANET M 2021 FFS RENDERING SNC AGE 21+ 92 189 92 189 0 0 92 189
1770032443 IM ROBIN 2021 FFS RENDERING SNC AGE 0-20 84 138 84 138 0 0 84 138
1770032443 IM ROBIN 2021 FFS RENDERING SNC AGE 21+ 90 231 87 226 0 0 87 226
1770060105 ESHAGHZADEH EDWIN 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 1 1 0 0
1770067639 CHI PO-TING 2021 FFS RENDERING SNC AGE 0-20 257 735 154 255 154 328 99 127
1770067639 CHI PO-TING 2021 FFS RENDERING SNC AGE 21+ 601 2,042 240 341 492 1,484 148 171
1770139966 BOYLE KRISTY L 2021 FFS RENDERING SNC AGE 0-20 1,212 1,315 345 358 335 364 458 475
1770139966 BOYLE KRISTY L 2021 FFS RENDERING SNC AGE 21+ 507 557 108 123 256 285 318 335
1770146714 CARRASCO SANDOV JOSE E 2021 FFS RENDERING SNC AGE 0-20 1,446 1,959 1,205 1,272 413 578 1,213 1,291
1770146714 CARRASCO SANDOV JOSE E 2021 FFS RENDERING SNC AGE 21+ 35 35 13 13 22 22 12 12
1770192668 GARCIA MARCO 2021 FFS RENDERING SNC AGE 0-20 139 268 116 182 70 110 80 89
1770192668 GARCIA MARCO 2021 FFS RENDERING SNC AGE 21+ 299 672 191 249 225 459 153 193
1770503609 UMALI JOEL W 2021 FFS RENDERING SNC AGE 0-20 21 64 21 64 0 0 21 64
1770503609 UMALI JOEL W 2021 FFS RENDERING SNC AGE 21+ 207 948 207 948 14 33 207 948
1770503716 ARAKAWA, RONALD S, DDS 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 0 0 1 1
1770575888 EDSON DEBRA S 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 1 1 1 1
1770575888 EDSON DEBRA S 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 1 1 1 1
1770625337 CASTANEDA, CAROLINA, DDS INC 2021 FFS RENDERING SNC AGE 0-20 50 86 37 55 1 2 23 25
1770625337 CASTANEDA, CAROLINA, DDS INC 2021 FFS RENDERING SNC AGE 21+ 192 630 69 90 122 334 74 144
1770650384 BROWN, MEHRAVAR E, DDS 2021 FFS RENDERING SNC AGE 0-20 116 118 82 83 37 38 39 39
1770650384 BROWN, MEHRAVAR E, DDS 2021 FFS RENDERING SNC AGE 21+ 97 105 58 58 47 51 53 53
1770676470 RODRIGUES OLIVIA M 2021 FFS RENDERING SNC AGE 0-20 24 50 1 1 17 36 1 1
1770676470 RODRIGUES OLIVIA M 2021 FFS RENDERING SNC AGE 21+ 35 82 0 0 28 67 1 1
1770707036 ARAFILES-REYES MILDRED P 2021 FFS RENDERING SNC AGE 0-20 464 542 397 437 72 82 358 384
1770707036 ARAFILES-REYES MILDRED P 2021 FFS RENDERING SNC AGE 21+ 305 418 210 243 134 177 202 228
1770716276 KADOCH, MICHAEL A MD 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 0 0 1 1
1770716367 TINLOY IRIS D 2021 FFS RENDERING SNC AGE 0-20 110 260 36 39 54 81 55 73
1770761140 LEE BENJAMIN 2021 FFS RENDERING SNC AGE 0-20 587 809 411 478 184 256 23 25
1770761140 LEE BENJAMIN 2021 FFS RENDERING SNC AGE 21+ 509 876 122 136 381 612 110 184
1770782260 PFEIFFER RICHARD D 2021 FFS RENDERING SNC AGE 0-20 178 1,462 1 1 0 0 138 1,378
1770782260 PFEIFFER RICHARD D 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 0 0 1 1
1770867822 JUN DANIEL S 2021 FFS RENDERING SNC AGE 0-20 1 2 0 0 0 0 0 0
1770867822 JUN DANIEL S 2021 FFS RENDERING SNC AGE 21+ 50 133 0 0 0 0 1 1
1770910952 TSENG HSIANG-HSIN 2021 FFS RENDERING SNC AGE 0-20 685 1,180 531 716 254 380 430 526
1770910952 TSENG HSIANG-HSIN 2021 FFS RENDERING SNC AGE 21+ 447 998 255 316 343 742 271 349
1770924573 DEMEHIN MAYOKUN GRACE 2021 FFS RENDERING SNC AGE 0-20 20 26 1 2 13 14 1 1
1770924573 DEMEHIN MAYOKUN GRACE 2021 FFS RENDERING SNC AGE 21+ 27 34 1 1 22 24 1 1
1770962144 PHAM HOA H 2021 FFS RENDERING SNC AGE 0-20 832 1,724 832 1,724 0 0 832 1,724
1770962144 PHAM HOA H 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 0 0 1 1
1770968463 BALOUCH AMIR 2021 FFS RENDERING SNC AGE 0-20 574 889 573 881 44 59 567 864
1770968463 BALOUCH AMIR 2021 FFS RENDERING SNC AGE 21+ 471 1,758 468 1,567 270 856 468 1,561
1770983983 WU WEI-YEN 2021 FFS RENDERING SNC AGE 0-20 322 637 311 493 75 139 308 454
1770983983 WU WEI-YEN 2021 FFS RENDERING SNC AGE 21+ 216 683 178 256 124 347 187 287
1770991697 RIKHYE SHRADDHA 2021 FFS RENDERING SNC AGE 0-20 401 912 392 684 110 246 352 472
1770991697 RIKHYE SHRADDHA 2021 FFS RENDERING SNC AGE 21+ 503 1,780 466 844 268 844 455 857
1770996548 HUANG RITA S 2021 FFS RENDERING SNC AGE 0-20 20 35 20 33 1 1 20 34
1770996548 HUANG RITA S 2021 FFS RENDERING SNC AGE 21+ 66 120 57 96 1 1 61 106
1770998569 DROZDZ RAFAL 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 0 0 0 0
1770998569 DROZDZ RAFAL 2021 FFS RENDERING SNC AGE 21+ 42 127 0 0 0 0 1 2
1780015693 CAMPBELL CLAY O 2021 FFS RENDERING SNC AGE 0-20 42 66 36 47 16 20 31 35
1780015693 CAMPBELL CLAY O 2021 FFS RENDERING SNC AGE 21+ 254 572 159 189 213 466 164 198
1780017673 YOSHIOKA BRADD S 2021 FFS RENDERING SNC AGE 0-20 251 329 202 238 121 149 190 217
1780017673 YOSHIOKA BRADD S 2021 FFS RENDERING SNC AGE 21+ 101 161 73 89 60 99 76 97
1780117036 VERT JOSHUA C 2021 FFS RENDERING SNC AGE 0-20 951 2,460 648 956 595 1,293 666 1,012
1780117036 VERT JOSHUA C 2021 FFS RENDERING SNC AGE 21+ 217 707 166 243 153 438 146 164
1780143420 ROSAS ANDREA 2021 FFS RENDERING SNC AGE 0-20 113 219 110 207 1 2 1 2
1780143420 ROSAS ANDREA 2021 FFS RENDERING SNC AGE 21+ 144 311 106 156 60 153 14 14
1780172379 LUCHKOVSKA YELIZAVETA O 2021 FFS RENDERING SNC AGE 0-20 649 724 649 724 0 0 649 724
1780172379 LUCHKOVSKA YELIZAVETA O 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 0 0 1 1
1780210807 CARDIEL JESICA VIVIANA 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 0 0 0 0
1780210807 CARDIEL JESICA VIVIANA 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 0 0 0 0
1780357335 SINGH AMARJOT 2021 FFS RENDERING SNC AGE 0-20 414 1,293 414 1,293 0 0 414 1,293
1780357335 SINGH AMARJOT 2021 FFS RENDERING SNC AGE 21+ 196 647 196 647 0 0 196 647
1780605097 GOLDYN, LAWRENCE M MD 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 1 1 0 0
1780620229 LAM VALERIE 2021 FFS RENDERING SNC AGE 0-20 239 469 196 352 223 392 111 173
1780620229 LAM VALERIE 2021 FFS RENDERING SNC AGE 21+ 23 40 11 17 17 32 1 1
1780725226 HANSON, SHARON A NP 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 0 0 1 1
1780730051 PASION ALICE 2021 FFS RENDERING SNC AGE 0-20 366 890 293 482 183 377 188 246
1780730051 PASION ALICE 2021 FFS RENDERING SNC AGE 21+ 867 2,494 425 585 644 1,838 354 418
1780742361 AMADOR GERARDO 2021 FFS RENDERING SNC AGE 0-20 910 1,541 817 1,143 272 467 729 888
1780742361 AMADOR GERARDO 2021 FFS RENDERING SNC AGE 21+ 614 1,325 266 343 459 930 363 556
1780776682 RAMS ROBERTA U 2021 FFS RENDERING SNC AGE 0-20 102 138 83 101 33 40 69 77
1780776682 RAMS ROBERTA U 2021 FFS RENDERING SNC AGE 21+ 124 182 106 139 30 36 97 122
1780804567 KAO BRYAN 2021 FFS RENDERING SNC AGE 0-20 577 932 348 437 209 342 291 319
1780804567 KAO BRYAN 2021 FFS RENDERING SNC AGE 21+ 578 1,423 434 650 358 775 353 412
1780817577 LAUREOLA MELISSA L 2021 FFS RENDERING SNC AGE 0-20 208 252 136 155 71 91 117 132
1780817577 LAUREOLA MELISSA L 2021 FFS RENDERING SNC AGE 21+ 212 237 84 89 117 132 52 53
1780829754 KHUDDUS, UMME HANI MD 2021 FFS RENDERING SNC AGE 21+ 1 2 0 0 0 0 1 1
1780889691 DE RIDDER, CATHERINE A MD 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 0 0 1 1
1780890665 BALCH HARVEY M 2021 FFS RENDERING SNC AGE 0-20 226 410 0 0 0 0 0 0
1780890665 BALCH HARVEY M 2021 FFS RENDERING SNC AGE 21+ 867 2,237 0 0 0 0 0 0
1780890665 BALCH HARVEY M 2021 GMC RENDERING SNC AGE 0-20 1 1 0 0 0 0 0 0
1780892083 NIKKHAH JILA 2021 FFS RENDERING SNC AGE 21+ 126 180 126 180 0 0 126 180
1780899260 LIPUMANO-PICAZO, LERIDA F, D 2021 FFS RENDERING SNC AGE 0-20 2,586 3,511 1,907 2,237 903 1,114 1,795 2,092
1780899260 LIPUMANO-PICAZO, LERIDA F, D 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 0 0 1 1
1780916981 MILES JONATHAN R 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 1 1 0 0
1780968339 LOMAS GREGG ERIC 2021 FFS RENDERING SNC AGE 0-20 46 92 45 90 1 1 1 1
1780968339 LOMAS GREGG ERIC 2021 FFS RENDERING SNC AGE 21+ 39 86 1 2 33 74 1 1
1780983353 SPATOLA MAY H 2021 FFS RENDERING SNC AGE 0-20 400 595 259 305 190 302 245 281
1780983353 SPATOLA MAY H 2021 FFS RENDERING SNC AGE 21+ 282 699 162 191 196 361 170 359
1780999268 WHITE MEGAN ANN 2021 FFS RENDERING SNC AGE 0-20 834 2,162 834 2,162 0 0 834 2,162
1780999268 WHITE MEGAN ANN 2021 FFS RENDERING SNC AGE 21+ 421 1,366 421 1,366 0 0 421 1,366
1790019958 JARDINA SHANNON L 2021 FFS RENDERING SNC AGE 0-20 575 739 530 670 168 205 493 625
1790019958 JARDINA SHANNON L 2021 FFS RENDERING SNC AGE 21+ 541 736 445 585 338 445 441 577
1790075315 BORREGO COMMUNITY HEALTH 2021 FFS RENDERING SNC AGE 0-20 27 56 19 38 1 2 17 34
1790075315 BORREGO COMMUNITY HEALTH 2021 FFS RENDERING SNC AGE 21+ 40 90 14 28 19 48 15 30
1790103075 ALDAN THOMAS JESSIE T. 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 0 0 0 0
1790112209 MENDOZA CHRISTINA 2021 FFS RENDERING SNC AGE 0-20 381 450 381 450 1 1 328 377
1790112209 MENDOZA CHRISTINA 2021 FFS RENDERING SNC AGE 21+ 201 253 201 253 1 1 201 253
1790134880 LUPICA, ANNELISE M MD 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 0 0 1 1
1790150571 PATEL KUNJAL R 2021 FFS RENDERING SNC AGE 0-20 856 1,875 847 1,649 117 212 764 1,008
1790150571 PATEL KUNJAL R 2021 FFS RENDERING SNC AGE 21+ 359 939 334 514 128 374 331 475
1790151660 EPSTEIN MICHELLE 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 0 0 1 1
1790151660 EPSTEIN MICHELLE 2021 FFS RENDERING SNC AGE 21+ 101 152 101 152 0 0 101 152
1790162014 JACOBSON WILLIAM A 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 1 1 1 1
1790162014 JACOBSON WILLIAM A 2021 FFS RENDERING SNC AGE 21+ 87 567 35 92 73 346 45 239
1790169613 ESMERALDO VICTOR C 2021 FFS RENDERING SNC AGE 21+ 22 58 18 42 1 2 1 1
1790222479 WARD KELLY 2021 FFS RENDERING SNC AGE 0-20 55 67 55 67 1 1 0 0
1790222479 WARD KELLY 2021 FFS RENDERING SNC AGE 21+ 218 367 203 317 49 63 0 0
1790231231 PETERSON DEBRA A 2021 FFS RENDERING SNC AGE 0-20 41 83 23 40 20 36 20 30
1790231231 PETERSON DEBRA A 2021 FFS RENDERING SNC AGE 21+ 119 290 48 86 101 193 51 97
1790233567 HSIEH JOHANNA 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 0 0 0 0
1790233567 HSIEH JOHANNA 2021 FFS RENDERING SNC AGE 21+ 19 31 0 0 0 0 0 0
1790257517 NUNEZURIBE LILIA M 2021 FFS RENDERING SNC AGE 0-20 1,856 2,382 1,589 1,926 31 43 1,583 1,913
1790257517 NUNEZURIBE LILIA M 2021 FFS RENDERING SNC AGE 21+ 787 1,116 671 849 110 161 660 832
1790257517 NUNEZURIBE LILIA M 2021 PHP RENDERING SNC AGE 0-20 1 1 1 1 0 0 1 1
1790257517 NUNEZURIBE LILIA M 2021 PHP RENDERING SNC AGE 21+ 1 1 1 1 0 0 0 0
1790282960 ONYENEKE VIVIENNE AGHOGHO 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 0 0 0 0
1790321891 ROHANI SAM 2021 FFS RENDERING SNC AGE 0-20 191 452 146 221 97 205 147 188
1790321891 ROHANI SAM 2021 FFS RENDERING SNC AGE 21+ 509 1,960 275 370 380 1,133 370 801
1790329555 D'AURIA DAMIAN 2021 FFS RENDERING SNC AGE 0-20 371 958 360 739 96 218 343 417
1790329555 D'AURIA DAMIAN 2021 FFS RENDERING SNC AGE 21+ 528 1,967 504 925 285 1,043 501 820
1790358422 GUEVARRA-SHAMS GENELLE 2021 FFS RENDERING SNC AGE 0-20 46 77 39 50 27 42 25 30
1790359636 EVERDING MICHELLE 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 1 1 0 0
1790361319 UHM JOSEPH 2021 FFS RENDERING SNC AGE 0-20 156 308 156 307 1 1 154 303
1790361319 UHM JOSEPH 2021 FFS RENDERING SNC AGE 21+ 198 492 198 488 1 1 198 488
1790728764 ROWHANI SHIRIN A 2021 FFS RENDERING SNC AGE 0-20 2,228 3,140 2,022 2,543 765 993 1,994 2,525
1790728764 ROWHANI SHIRIN A 2021 FFS RENDERING SNC AGE 21+ 312 433 233 255 237 324 260 308
1790775310 CAO-CHAN LINH M 2021 FFS RENDERING SNC AGE 0-20 41 58 36 45 1 1 31 37
1790775310 CAO-CHAN LINH M 2021 FFS RENDERING SNC AGE 21+ 1 2 1 2 1 1 1 1
1790785988 ORPILLA IMELDA M. 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 0 0 0 0
1790797868 YAMASHITA DENNIS D 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 0 0 1 1
1790797868 YAMASHITA DENNIS D 2021 FFS RENDERING SNC AGE 21+ 14 21 1 1 1 1 13 16
1790799641 BROGAN, DONNA 2021 FFS RENDERING SNC AGE 0-20 156 224 142 183 14 18 149 182
1790799641 BROGAN, DONNA 2021 FFS RENDERING SNC AGE 21+ 103 165 49 64 61 92 56 62
1790842417 ROGERS TERRI L 2021 FFS RENDERING SNC AGE 0-20 97 166 58 85 31 52 72 94
1790842417 ROGERS TERRI L 2021 FFS RENDERING SNC AGE 21+ 472 1,607 167 196 344 1,096 289 402
1790845444 MAHAJAN, ANIL, DDS 2021 FFS RENDERING SNC AGE 0-20 474 1,055 342 464 169 408 288 336
1790845444 MAHAJAN, ANIL, DDS 2021 FFS RENDERING SNC AGE 21+ 640 1,412 308 411 245 602 304 347
1790862340 ARIAS JANET M 2021 FFS RENDERING SNC AGE 0-20 278 383 109 131 65 103 98 114
1790862340 ARIAS JANET M 2021 FFS RENDERING SNC AGE 21+ 403 1,003 199 267 269 635 220 288
1790884237 ODONO LARRY M 2021 FFS RENDERING SNC AGE 0-20 25 31 12 12 1 2 1 1
1790884237 ODONO LARRY M 2021 FFS RENDERING SNC AGE 21+ 400 679 140 159 221 317 120 155
1790884260 MEHRALI MARK CYRUS 2021 FFS RENDERING SNC AGE 21+ 1 2 1 1 0 0 1 1
1790906568 SUBBIAH, VISHAKALAKSHMI 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 0 0 1 1
1790933372 GORSKI LUKASZ ARTUR 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 1 1 0 0
1790933372 GORSKI LUKASZ ARTUR 2021 FFS RENDERING SNC AGE 21+ 45 48 1 1 25 27 1 1
1790947976 LAI GORDON SAN 2021 FFS RENDERING SNC AGE 0-20 11 20 1 2 1 1 1 1
1790947976 LAI GORDON SAN 2021 FFS RENDERING SNC AGE 21+ 45 94 37 49 25 45 37 49
1790953370 RAMLEY STANLEY E 2021 FFS RENDERING SNC AGE 0-20 101 424 0 0 0 0 0 0
1790953370 RAMLEY STANLEY E 2021 FFS RENDERING SNC AGE 21+ 112 705 0 0 0 0 0 0
1790958122 BAK JUNG A 2021 FFS RENDERING SNC AGE 0-20 170 405 170 405 0 0 170 405
1790958122 BAK JUNG A 2021 FFS RENDERING SNC AGE 21+ 90 221 89 220 0 0 89 220
1790973212 BELEN MARIA SHARON B 2021 FFS RENDERING SNC AGE 0-20 255 431 48 57 46 70 18 18
1790973212 BELEN MARIA SHARON B 2021 FFS RENDERING SNC AGE 21+ 321 868 177 311 135 223 89 93
1790993079 LUGA ROMANI 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 0 0 1 1
1801048277 HO WILLIAM CW 2021 FFS RENDERING SNC AGE 0-20 55 87 54 86 1 1 54 86
1801048277 HO WILLIAM CW 2021 FFS RENDERING SNC AGE 21+ 83 255 83 255 0 0 83 255
1801059811 CHIO EDWARD C 2021 FFS RENDERING SNC AGE 0-20 294 619 288 442 118 205 286 378
1801059811 CHIO EDWARD C 2021 FFS RENDERING SNC AGE 21+ 536 1,743 519 980 309 783 527 921
1801063763 BALACHANDRAN NATHERA 2021 FFS RENDERING SNC AGE 0-20 191 217 122 135 37 41 84 93
1801071089 CHAVEZ JUAN A 2021 FFS RENDERING SNC AGE 0-20 868 3,686 749 2,619 131 499 744 2,237
1801071089 CHAVEZ JUAN A 2021 FFS RENDERING SNC AGE 21+ 501 1,857 100 276 88 298 470 1,559
1801102389 TUNGOL DIANNE M 2021 FFS RENDERING SNC AGE 0-20 800 938 780 835 81 114 743 761
1801102389 TUNGOL DIANNE M 2021 FFS RENDERING SNC AGE 21+ 202 279 146 161 88 124 123 129
1801102389 TUNGOL DIANNE M 2021 PHP RENDERING SNC AGE 21+ 1 1 0 0 1 1 0 0
1801153820 ABICHAKER GEORGE 2021 FFS RENDERING SNC AGE 0-20 162 348 37 74 36 40 44 85
1801154778 LEBUS RONALD LAWRENCE 2021 FFS RENDERING SNC AGE 0-20 330 540 220 292 138 230 233 355
1801154778 LEBUS RONALD LAWRENCE 2021 FFS RENDERING SNC AGE 21+ 692 1,547 420 608 561 1,144 451 876
1801168547 MENDOZA TRISTAN ELEAZAR 2021 FFS RENDERING SNC AGE 0-20 811 1,067 665 790 141 197 620 724
1801168547 MENDOZA TRISTAN ELEAZAR 2021 FFS RENDERING SNC AGE 21+ 472 653 405 504 101 148 405 503
1801256896 MEJIA ERIC MARIO 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 0 0 1 1
1801256896 MEJIA ERIC MARIO 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 1 1 1 1
1801336433 NOESKE JAYME JO 2021 FFS RENDERING SNC AGE 0-20 268 581 266 577 14 26 260 562
1801336433 NOESKE JAYME JO 2021 FFS RENDERING SNC AGE 21+ 320 961 319 957 1 1 319 957
1801484894 OBREGON NATALIA ALEJANDRA 2021 FFS RENDERING SNC AGE 0-20 61 182 44 85 20 67 1 1
1801484894 OBREGON NATALIA ALEJANDRA 2021 FFS RENDERING SNC AGE 21+ 232 1,036 69 158 147 547 41 156
1801821459 DADBEH CECILIA C 2021 FFS RENDERING SNC AGE 0-20 563 1,369 449 708 222 509 371 456
1801821459 DADBEH CECILIA C 2021 FFS RENDERING SNC AGE 21+ 888 1,536 513 611 303 588 506 598
1801831318 MANCIAS, RAMIRO, DDS 2021 FFS RENDERING SNC AGE 0-20 1,311 2,979 1,287 2,559 237 390 1,186 1,702
1801831318 MANCIAS, RAMIRO, DDS 2021 FFS RENDERING SNC AGE 21+ 1,005 2,267 907 1,436 306 540 863 1,308
1801852900 ADAMS, JOHN D JR DO 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 0 0 0 0
1801921291 TOMASZEWSKI CHRISTINE V 2021 FFS RENDERING SNC AGE 0-20 340 472 257 305 136 167 54 58
1801922273 MALLEMPALLI, MANIMANJARI, DD 2021 FFS RENDERING SNC AGE 0-20 1 2 1 1 1 2 1 1
1801922273 MALLEMPALLI, MANIMANJARI, DD 2021 FFS RENDERING SNC AGE 21+ 80 307 1 2 77 243 12 13
1801959358 KO WYNNE S 2021 FFS RENDERING SNC AGE 0-20 456 599 115 122 103 138 112 120
1801959358 KO WYNNE S 2021 FFS RENDERING SNC AGE 21+ 516 829 196 231 285 452 294 334
1801994892 OAK SARA J 2021 FFS RENDERING SNC AGE 0-20 108 196 77 105 40 71 66 72
1801994892 OAK SARA J 2021 FFS RENDERING SNC AGE 21+ 771 1,757 478 718 301 580 478 696
1811002777 BANOONI, PEYMAN MD 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 0 0 1 1
1811002777 UNKNOWN 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 0 0 1 1
1811012453 WONG, WARREN, DDS 2021 FFS RENDERING SNC AGE 0-20 79 96 65 74 1 2 61 70
1811012453 WONG, WARREN, DDS 2021 FFS RENDERING SNC AGE 21+ 107 180 67 88 53 82 62 67
1811019342 HANEFIELD JR HAROLD R 2021 FFS RENDERING SNC AGE 0-20 31 48 15 22 14 23 19 26
1811019342 HANEFIELD JR HAROLD R 2021 FFS RENDERING SNC AGE 21+ 63 83 20 26 44 53 24 31
1811033517 DUONG BAOCHAU T 2021 FFS RENDERING SNC AGE 0-20 820 984 538 589 407 489 448 460
1811033517 DUONG BAOCHAU T 2021 FFS RENDERING SNC AGE 21+ 361 398 124 133 265 291 63 68
1811036676 LARGOZA NITA HUGO 2021 FFS RENDERING SNC AGE 0-20 188 607 151 403 57 217 134 348
1811036676 LARGOZA NITA HUGO 2021 FFS RENDERING SNC AGE 21+ 206 710 150 409 108 369 128 336
1811084106 BENNETT HENRY E 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 0 0 1 1
1811084106 BENNETT HENRY E 2021 FFS RENDERING SNC AGE 21+ 22 32 22 32 0 0 22 32
1811090384 CAMPOS LUCELLY 2021 FFS RENDERING SNC AGE 0-20 69 141 45 66 29 55 40 49
1811090384 CAMPOS LUCELLY 2021 FFS RENDERING SNC AGE 21+ 642 1,623 505 770 262 525 475 661
1811157373 WISE ANDREW R 2021 FFS RENDERING SNC AGE 0-20 689 1,365 245 336 144 277 224 299
1811157373 WISE ANDREW R 2021 FFS RENDERING SNC AGE 21+ 672 1,700 102 182 480 1,001 130 214
1811195852 NAKASUJI CINDY C 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 0 0 1 1
1811239155 MYINT OHMAR MYO KYAW 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 0 0 0 0
1811252505 HARA PETER 2021 FFS RENDERING SNC AGE 0-20 743 976 633 714 123 170 585 634
1811252505 HARA PETER 2021 FFS RENDERING SNC AGE 21+ 353 798 242 277 215 387 255 369
1811296916 TIEN GARRETT M 2021 FFS RENDERING SNC AGE 0-20 1,048 1,243 937 1,039 203 237 38 44
1811296916 TIEN GARRETT M 2021 FFS RENDERING SNC AGE 21+ 228 408 82 104 144 227 29 68
1811345671 TSUI TIFFANY ANWHAY 2021 FFS RENDERING SNC AGE 0-20 11 34 1 2 1 1 1 1
1811345671 TSUI TIFFANY ANWHAY 2021 FFS RENDERING SNC AGE 21+ 225 540 15 23 86 203 18 21
1811355134 PEJMAN-GONZALEZ NATASHA 2021 FFS RENDERING SNC AGE 0-20 316 442 311 397 41 69 312 410
1811355134 PEJMAN-GONZALEZ NATASHA 2021 FFS RENDERING SNC AGE 21+ 84 180 59 76 76 146 61 87
1811368590 ZHU JESSICA J 2021 FFS RENDERING SNC AGE 0-20 45 100 41 84 1 2 36 74
1811368590 ZHU JESSICA J 2021 FFS RENDERING SNC AGE 21+ 172 554 133 338 79 232 111 244
1811370232 THOMAS RALPH J 2021 FFS RENDERING SNC AGE 0-20 778 1,842 628 1,018 207 355 164 183
1811370232 THOMAS RALPH J 2021 FFS RENDERING SNC AGE 21+ 694 1,500 264 297 242 510 58 60
1811407208 SEGURA MARIA EUGENIA 2021 FFS RENDERING SNC AGE 0-20 231 311 217 291 43 80 53 108
1811407208 SEGURA MARIA EUGENIA 2021 FFS RENDERING SNC AGE 21+ 393 609 223 323 205 310 20 31
1811407406 ALLMAN PENNY LEA 2021 FFS RENDERING SNC AGE 0-20 11 12 11 12 0 0 0 0
1811407406 ALLMAN PENNY LEA 2021 FFS RENDERING SNC AGE 21+ 1 2 1 1 1 1 0 0
1811408123 NGUYEN JULIE K 2021 FFS RENDERING SNC AGE 0-20 309 722 293 472 98 240 252 326
1811408123 NGUYEN JULIE K 2021 FFS RENDERING SNC AGE 21+ 545 1,768 460 881 288 790 441 898
1811460611 HIRA JATINDER 2021 FFS RENDERING SNC AGE 0-20 225 323 224 322 1 1 0 0
1811460611 HIRA JATINDER 2021 FFS RENDERING SNC AGE 21+ 334 856 313 723 159 475 0 0
1811901127 MASON-DOZIER CHARLYNE 2021 FFS RENDERING SNC AGE 0-20 84 134 81 120 14 21 46 60
1811901127 MASON-DOZIER CHARLYNE 2021 FFS RENDERING SNC AGE 21+ 256 504 123 156 185 374 86 133
1821026766 HSU, DORA, DDS 2021 FFS RENDERING SNC AGE 0-20 186 514 167 330 105 263 131 175
1821026766 HSU, DORA, DDS 2021 FFS RENDERING SNC AGE 21+ 172 709 98 115 158 615 112 191
1821125758 MENDEZ MARITZA E 2021 FFS RENDERING SNC AGE 0-20 66 72 63 64 1 1 51 51
1821125758 MENDEZ MARITZA E 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 0 0 0 0
1821168634 TAWATARI ARTHUR T 2021 FFS RENDERING SNC AGE 0-20 439 986 359 548 221 449 214 248
1821168634 TAWATARI ARTHUR T 2021 FFS RENDERING SNC AGE 21+ 601 1,887 395 614 409 996 233 434
1821185497 BEGAY TAMANA DOLLICIA 2021 FFS RENDERING SNC AGE 0-20 885 1,220 696 794 291 372 35 37
1821185497 BEGAY TAMANA DOLLICIA 2021 FFS RENDERING SNC AGE 21+ 207 261 76 79 134 159 22 33
1821285545 BUQUING REOZEL R 2021 FFS RENDERING SNC AGE 0-20 20 28 11 14 1 2 14 16
1821285545 BUQUING REOZEL R 2021 FFS RENDERING SNC AGE 21+ 30 42 1 2 20 29 13 16
1821300138 THAKUR YOGITA B 2021 FFS RENDERING SNC AGE 0-20 1,073 1,767 913 1,143 378 608 935 1,200
1821300138 THAKUR YOGITA B 2021 FFS RENDERING SNC AGE 21+ 25 34 15 19 1 1 21 23
1821386285 MAKAN SIRISH 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 1 1 1 1
1821387192 RIDDELL, JEFFREY C MD 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 0 0 0 0
1821409533 SAMIAEI NADIEH 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 0 0 0 0
1821409533 SAMIAEI NADIEH 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 0 0 0 0
1821467655 MELZER SAMANTHA A 2021 FFS RENDERING SNC AGE 0-20 30 43 20 28 1 2 19 27
1821467655 MELZER SAMANTHA A 2021 FFS RENDERING SNC AGE 21+ 417 1,025 349 750 122 238 337 755
1821520487 AUSTIN CONNIE L 2021 FFS RENDERING SNC AGE 0-20 327 569 240 272 178 355 75 91
1821520487 AUSTIN CONNIE L 2021 FFS RENDERING SNC AGE 21+ 331 639 173 182 286 567 44 58
1821525767 VACURA SARRIS BRITTANY N 2021 FFS RENDERING SNC AGE 0-20 138 165 130 151 29 35 111 129
1821525767 VACURA SARRIS BRITTANY N 2021 FFS RENDERING SNC AGE 21+ 90 139 90 139 0 0 90 139
1821525767 VACURA SARRIS BRITTANY N 2021 GMC RENDERING SNC AGE 0-20 1 1 1 1 0 0 0 0
1821541178 CHEN KRISTI L. 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 0 0 1 1
1821544701 TRAN PAUL 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 1 1 1 1
1821547498 CHUNG ROBERT M 2021 FFS RENDERING SNC AGE 0-20 502 763 443 575 87 131 460 555
1821547498 CHUNG ROBERT M 2021 FFS RENDERING SNC AGE 21+ 475 992 268 291 253 504 365 468
1821574617 KOSHA PARISA J 2021 FFS RENDERING SNC AGE 0-20 1,174 1,340 1,065 1,179 124 137 851 922
1821574617 KOSHA PARISA J 2021 FFS RENDERING SNC AGE 21+ 166 280 54 56 77 100 43 45
1821602533 PAXTON RACHEL EMILY 2021 FFS RENDERING SNC AGE 0-20 297 929 238 479 146 354 135 174
1821602533 PAXTON RACHEL EMILY 2021 FFS RENDERING SNC AGE 21+ 352 1,271 217 418 271 799 171 280
1821602970 CHHEA THANGCHANTHI N 2021 FFS RENDERING SNC AGE 0-20 52 60 42 44 17 19 41 41
1821602970 CHHEA THANGCHANTHI N 2021 FFS RENDERING SNC AGE 21+ 16 20 1 1 1 2 1 1
1821699133 AHMAD AYESHA I 2021 FFS RENDERING SNC AGE 0-20 33 42 22 22 1 2 15 15
1821699133 AHMAD AYESHA I 2021 FFS RENDERING SNC AGE 21+ 118 218 53 68 63 92 62 95
1821699133 AHMAD AYESHA I 2021 GMC RENDERING SNC AGE 21+ 1 1 0 0 1 1 0 0
1831108091 LAW SHU Y 2021 FFS RENDERING SNC AGE 0-20 549 1,080 162 206 136 263 150 192
1831108091 LAW SHU Y 2021 FFS RENDERING SNC AGE 21+ 299 667 33 53 153 326 37 58
1831108901 PRIVATE HOSPITALIST MEDICAL 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 0 0 0 0
1831204288 COLAS, CHUCK R DO 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 0 0 1 1
1831245539 ARCA, LEANDRO SANTOS, DDS 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 1 1 1 1
1831245539 ARCA, LEANDRO SANTOS, DDS 2021 FFS RENDERING SNC AGE 21+ 137 299 91 117 63 109 98 154
1831275908 ACHUCK CORDELIA 2021 FFS RENDERING SNC AGE 0-20 751 1,378 718 1,058 199 339 702 906
1831275908 ACHUCK CORDELIA 2021 FFS RENDERING SNC AGE 21+ 1,043 2,855 939 1,593 664 1,382 840 1,356
1831278761 BAILEY GERALD W 2021 FFS RENDERING SNC AGE 0-20 2,482 3,218 1,448 1,593 1,604 2,025 856 894
1831292028 MORLEY JEFFREY S 2021 FFS RENDERING SNC AGE 0-20 1 2 0 0 1 1 1 1
1831292028 MORLEY JEFFREY S 2021 FFS RENDERING SNC AGE 21+ 97 210 0 0 96 204 48 87
1831299890 BEENE JOHN MARTIN 2021 FFS RENDERING SNC AGE 0-20 628 2,502 531 1,219 164 587 488 1,080
1831299890 BEENE JOHN MARTIN 2021 FFS RENDERING SNC AGE 21+ 387 2,042 282 612 152 835 336 963
1831310663 LIU STANLEY 2021 FFS RENDERING SNC AGE 0-20 634 950 251 319 95 183 241 291
1831310663 LIU STANLEY 2021 FFS RENDERING SNC AGE 21+ 849 1,874 623 928 326 600 606 801
1831343227 HABBOUSH SARMAD J 2021 FFS RENDERING SNC AGE 0-20 420 1,155 382 646 173 431 260 314
1831343227 HABBOUSH SARMAD J 2021 FFS RENDERING SNC AGE 21+ 583 2,105 431 765 410 1,155 404 504
1831395425 BONNER KENNETH 2021 FFS RENDERING SNC AGE 0-20 93 111 44 47 17 22 36 37
1831395425 BONNER KENNETH 2021 FFS RENDERING SNC AGE 21+ 88 163 39 44 51 105 40 45
1831404680 BARRAGAN, MAGGIE M, RDHAP 2021 FFS RENDERING SNC AGE 0-20 21 21 21 21 0 0 13 13
1831457118 DANG, ELAINE DDS 2021 FFS RENDERING SNC AGE 0-20 371 798 291 371 95 192 12 21
1831457118 DANG, ELAINE DDS 2021 FFS RENDERING SNC AGE 21+ 384 1,465 164 170 233 664 66 144
1831478726 SILVA GALAN JOYCE MARLETTE 2021 FFS RENDERING SNC AGE 0-20 332 387 308 341 26 45 1 1
1831478726 SILVA GALAN JOYCE MARLETTE 2021 FFS RENDERING SNC AGE 21+ 616 855 267 287 355 568 1 1
1831478734 ELIMELECH DAVID 2021 FFS RENDERING SNC AGE 0-20 181 635 181 635 40 118 181 635
1831478734 ELIMELECH DAVID 2021 FFS RENDERING SNC AGE 21+ 188 652 188 652 79 235 188 652
1831501345 NGUYEN THANH TRUNG T 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 1 1 0 0
1831504166 CHUNG PETER J 2021 FFS RENDERING SNC AGE 0-20 393 620 151 184 150 224 116 132
1831504166 CHUNG PETER J 2021 FFS RENDERING SNC AGE 21+ 255 497 131 225 170 299 72 125
1831529163 SITJAR MARICRIS TOPICO 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 0 0 0 0
1831529163 SITJAR MARICRIS TOPICO 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 1 1 1 1
1831550037 REITER HILARY 2021 FFS RENDERING SNC AGE 0-20 1 2 1 1 0 0 1 1
1831550037 REITER HILARY 2021 FFS RENDERING SNC AGE 21+ 212 372 14 20 78 134 60 90
1831571694 MORIGUCHI KRISTIN M 2021 FFS RENDERING SNC AGE 0-20 545 755 435 532 186 255 418 504
1831571694 MORIGUCHI KRISTIN M 2021 FFS RENDERING SNC AGE 21+ 225 299 139 161 131 163 132 154
1831596816 DIAZ DOMINIQUE 2021 FFS RENDERING SNC AGE 21+ 263 405 1 1 263 405 0 0
1831608876 ALCALA BARBOSA KARINA 2021 FFS RENDERING SNC AGE 0-20 543 718 408 479 180 240 14 22
1831608876 ALCALA BARBOSA KARINA 2021 FFS RENDERING SNC AGE 21+ 495 837 201 225 324 493 77 152
1831635317 DEZA ROLANDO ABRAHAM N 2021 FFS RENDERING SNC AGE 0-20 1 2 0 0 1 2 0 0
1831635317 DEZA ROLANDO ABRAHAM N 2021 FFS RENDERING SNC AGE 21+ 96 945 46 100 90 847 43 84
1831703800 VALVERDE INGERSOLL YESSENIA 2021 FFS RENDERING SNC AGE 0-20 288 452 146 162 179 290 112 119
1831703800 VALVERDE INGERSOLL YESSENIA 2021 FFS RENDERING SNC AGE 21+ 471 1,249 145 164 415 879 184 413
1831744010 LEE JONATHAN QUAN 2021 FFS RENDERING SNC AGE 0-20 18 34 15 22 1 2 15 18
1831744010 LEE JONATHAN QUAN 2021 FFS RENDERING SNC AGE 21+ 165 482 137 192 107 278 135 180
1841203502 CERVANTES-PRADO VERONICA A 2021 FFS RENDERING SNC AGE 0-20 315 568 218 304 53 83 44 52
1841203502 CERVANTES-PRADO VERONICA A 2021 FFS RENDERING SNC AGE 21+ 406 770 100 108 157 331 25 28
1841207958 STONNER PATRICK J 2021 FFS RENDERING SNC AGE 0-20 557 1,220 526 986 144 301 417 725
1841207958 STONNER PATRICK J 2021 FFS RENDERING SNC AGE 21+ 996 2,123 748 1,098 467 1,049 288 486
1841207958 STONNER PATRICK J 2021 GMC RENDERING SNC AGE 21+ 1 1 0 0 1 1 0 0
1841238367 ELSHAFIE MOHAMED A 2021 FFS RENDERING SNC AGE 0-20 581 1,260 471 816 202 532 438 750
1841238367 ELSHAFIE MOHAMED A 2021 FFS RENDERING SNC AGE 21+ 368 897 202 345 206 535 314 628
1841253564 MARDIROSIAN, HOVIK, DDS 2021 FFS RENDERING SNC AGE 0-20 36 37 27 27 1 1 30 31
1841253564 MARDIROSIAN, HOVIK, DDS 2021 FFS RENDERING SNC AGE 21+ 16 16 1 1 1 1 1 1
1841267853 CHU GIANG HUONG 2021 FFS RENDERING SNC AGE 0-20 253 432 210 230 99 154 224 272
1841267853 CHU GIANG HUONG 2021 FFS RENDERING SNC AGE 21+ 138 326 69 76 94 194 84 118
1841275823 ARAGON JOHN R 2021 FFS RENDERING SNC AGE 0-20 480 1,165 406 706 121 234 404 547
1841275823 ARAGON JOHN R 2021 FFS RENDERING SNC AGE 21+ 468 1,788 286 470 361 1,088 297 481
1841328366 CARTER MARIANELA M 2021 FFS RENDERING SNC AGE 0-20 971 1,453 841 1,207 760 1,092 398 511
1841328366 CARTER MARIANELA M 2021 FFS RENDERING SNC AGE 21+ 431 745 211 310 329 564 102 124
1841365863 PONNALA SRIDEVI 2021 FFS RENDERING SNC AGE 0-20 335 369 266 287 66 75 58 64
1841365863 PONNALA SRIDEVI 2021 FFS RENDERING SNC AGE 21+ 72 82 24 25 44 50 1 2
1841386422 KIM BRIAN S. 2021 FFS RENDERING SNC AGE 0-20 396 1,271 396 1,271 0 0 396 1,271
1841386422 KIM BRIAN S. 2021 FFS RENDERING SNC AGE 21+ 481 1,866 481 1,866 0 0 481 1,866
1841386422 KIM BRIAN S. 2021 GMC RENDERING SNC AGE 0-20 1 2 1 2 0 0 1 2
1841386422 KIM BRIAN S. 2021 GMC RENDERING SNC AGE 21+ 11 38 11 38 0 0 11 38
1841448610 PEKARSKI YANA 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 0 0 1 1
1841465721 TRAN DIENAN N 2021 FFS RENDERING SNC AGE 0-20 75 151 75 151 23 41 75 151
1841465721 TRAN DIENAN N 2021 FFS RENDERING SNC AGE 21+ 429 1,406 429 1,405 187 424 429 1,405
1841490703 MAYOR CARLOS A 2021 FFS RENDERING SNC AGE 0-20 232 500 151 247 73 150 126 140
1841490703 MAYOR CARLOS A 2021 FFS RENDERING SNC AGE 21+ 800 2,100 571 873 351 798 484 762
1841548849 ANWAR ADNAN 2021 FFS RENDERING SNC AGE 0-20 89 112 77 93 24 29 50 54
1841569738 LEONG MICHELLE T 2021 FFS RENDERING SNC AGE 0-20 793 1,212 730 981 241 327 704 864
1841569738 LEONG MICHELLE T 2021 FFS RENDERING SNC AGE 21+ 274 442 158 170 114 178 179 207
1841577749 NGUYEN MINH B 2021 FFS RENDERING SNC AGE 0-20 196 300 144 173 91 134 139 148
1841577749 NGUYEN MINH B 2021 FFS RENDERING SNC AGE 21+ 347 578 225 258 250 402 179 207
1841584786 LOPEZ ACOSTA OSCAR A 2021 FFS RENDERING SNC AGE 0-20 189 535 189 533 0 0 189 533
1841584786 LOPEZ ACOSTA OSCAR A 2021 FFS RENDERING SNC AGE 21+ 576 2,154 576 2,154 1 2 576 2,154
1841597457 LUBO, SAHYLI V, DDS 2021 FFS RENDERING SNC AGE 0-20 64 102 42 71 19 23 51 68
1841597457 LUBO, SAHYLI V, DDS 2021 FFS RENDERING SNC AGE 21+ 156 285 66 103 74 128 82 89
1841597457 LUBO, SAHYLI VERONICE DDS 2021 FFS RENDERING SNC AGE 0-20 64 102 42 71 19 23 51 68
1841597457 LUBO, SAHYLI VERONICE DDS 2021 FFS RENDERING SNC AGE 21+ 156 285 66 103 74 128 82 89
1841604048 GOPALAKRISHNAN KHUSHBU A 2021 FFS RENDERING SNC AGE 0-20 1,054 1,290 908 1,052 162 193 673 754
1841604048 GOPALAKRISHNAN KHUSHBU A 2021 FFS RENDERING SNC AGE 21+ 145 191 80 84 68 85 90 99
1841615481 TSANG LINDA 2021 FFS RENDERING SNC AGE 0-20 394 664 355 509 127 196 312 339
1841615481 TSANG LINDA 2021 FFS RENDERING SNC AGE 21+ 683 1,447 563 841 299 506 569 718
1841671054 EVANS-MCDONALD KATHERINE LISA 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 1 1 0 0
1841697539 BARROW BRITTNEY 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 0 0 1 1
1841697729 OVBUDE OMONLEGHO 2021 FFS RENDERING SNC AGE 0-20 102 193 1 2 39 80 1 2
1841697729 OVBUDE OMONLEGHO 2021 FFS RENDERING SNC AGE 21+ 112 219 1 1 60 103 14 22
1841728169 TAKEUCHI SAWAKO S 2021 FFS RENDERING SNC AGE 0-20 842 1,891 811 1,508 197 370 766 1,272
1841728169 TAKEUCHI SAWAKO S 2021 FFS RENDERING SNC AGE 21+ 1,088 2,962 906 1,453 421 957 971 1,843
1841741360 SONG ESTHER H 2021 FFS RENDERING SNC AGE 0-20 301 584 165 263 132 242 218 372
1841741360 SONG ESTHER H 2021 FFS RENDERING SNC AGE 21+ 552 1,541 189 302 266 608 316 740
1841741360 SONG ESTHER H 2021 GMC RENDERING SNC AGE 0-20 1 1 0 0 0 0 1 1
1841741360 SONG ESTHER H 2021 GMC RENDERING SNC AGE 21+ 1 1 1 1 0 0 1 1
1841747243 VOSHALL GIOVANNA 2021 FFS RENDERING SNC AGE 0-20 443 873 416 666 120 234 349 437
1841747243 VOSHALL GIOVANNA 2021 FFS RENDERING SNC AGE 21+ 417 1,326 373 594 239 720 350 537
1841773850 DUONG ALEX 2021 FFS RENDERING SNC AGE 0-20 491 1,440 364 645 377 744 210 250
1841773850 DUONG ALEX 2021 FFS RENDERING SNC AGE 21+ 460 1,645 241 345 424 1,294 129 160
1841850161 DIEP BRIAN 2021 FFS RENDERING SNC AGE 0-20 657 1,286 210 295 184 317 178 249
1841850161 DIEP BRIAN 2021 FFS RENDERING SNC AGE 21+ 395 949 49 89 282 570 65 107
1841870300 WELLS ADRIENNE E 2021 FFS RENDERING SNC AGE 0-20 218 319 1 1 0 0 0 0
1841870300 WELLS ADRIENNE E 2021 FFS RENDERING SNC AGE 21+ 149 362 0 0 1 1 0 0
1851050652 EWERT TAYLOR DANIELLE 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 0 0 0 0
1851050652 EWERT TAYLOR DANIELLE 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 1 1 1 1
1851305908 APPLEFIELD PAUL S 2021 FFS RENDERING SNC AGE 0-20 29 37 28 36 1 1 28 36
1851305908 APPLEFIELD PAUL S 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 1 1 1 1
1851315741 SUFI GURMINDERAJI S 2021 FFS RENDERING SNC AGE 0-20 459 1,349 443 1,328 13 15 445 1,330
1851315741 SUFI GURMINDERAJI S 2021 FFS RENDERING SNC AGE 21+ 667 2,427 606 2,345 52 61 607 2,345
1851428411 HAROUNI JACK 2021 FFS RENDERING SNC AGE 0-20 37 46 16 17 19 27 13 14
1851428411 HAROUNI JACK 2021 FFS RENDERING SNC AGE 21+ 127 222 44 52 94 153 46 53
1851431225 CHANG HAO K 2021 FFS RENDERING SNC AGE 0-20 149 219 135 168 28 40 83 90
1851431225 CHANG HAO K 2021 FFS RENDERING SNC AGE 21+ 438 721 267 332 203 324 104 129
1851432470 LLOYD TASONA 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 0 0 0 0
1851469712 RUSTAMZADEH DAVID 2021 FFS RENDERING SNC AGE 0-20 14 20 1 1 1 1 1 2
1851469712 RUSTAMZADEH DAVID 2021 FFS RENDERING SNC AGE 21+ 217 485 111 188 167 356 113 193
1851479372 AGUEY OMAR JOSE 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 0 0 0 0
1851484794 GILL HARPREET K 2021 FFS RENDERING SNC AGE 0-20 323 989 277 701 94 219 307 688
1851484794 GILL HARPREET K 2021 FFS RENDERING SNC AGE 21+ 558 2,005 365 680 352 1,152 493 1,178
1851484794 GILL HARPREET K 2021 GMC RENDERING SNC AGE 0-20 1 1 0 0 0 0 1 1
1851484794 GILL HARPREET K 2021 GMC RENDERING SNC AGE 21+ 1 1 1 1 1 1 1 1
1851494975 REYES MARCO A 2021 FFS RENDERING SNC AGE 0-20 135 211 106 120 52 89 98 105
1851494975 REYES MARCO A 2021 FFS RENDERING SNC AGE 21+ 640 1,157 176 180 481 791 315 375
1851518096 PRAVEEN MEENA 2021 FFS RENDERING SNC AGE 0-20 488 647 340 382 182 240 320 361
1851518096 PRAVEEN MEENA 2021 FFS RENDERING SNC AGE 21+ 837 1,437 526 673 485 772 527 677
1851528939 GUPTA SUD SABINA 2021 FFS RENDERING SNC AGE 0-20 197 216 134 145 52 57 133 143
1851529358 NGUYEN LISA B 2021 FFS RENDERING SNC AGE 0-20 430 755 367 507 125 188 324 402
1851539464 MAKAR GEORGE E 2021 FFS RENDERING SNC AGE 21+ 17 64 1 2 17 62 1 1
1851557532 DOMINICS JR LUIS R 2021 FFS RENDERING SNC AGE 0-20 588 658 28 28 134 144 16 17
1851557532 DOMINICS JR LUIS R 2021 FFS RENDERING SNC AGE 21+ 569 774 54 56 363 468 1 1
1851588297 TADLE GUIA C 2021 FFS RENDERING SNC AGE 0-20 499 799 416 572 280 409 356 421
1851588297 TADLE GUIA C 2021 FFS RENDERING SNC AGE 21+ 755 1,571 448 612 651 1,219 406 550
1851601801 KAUR PARMINDER 2021 FFS RENDERING SNC AGE 0-20 13 17 1 1 12 14 1 1
1851601801 KAUR PARMINDER 2021 FFS RENDERING SNC AGE 21+ 66 78 17 17 55 63 11 11
1851725436 TU TOM K 2021 FFS RENDERING SNC AGE 0-20 246 379 211 262 93 156 175 233
1851725436 TU TOM K 2021 FFS RENDERING SNC AGE 21+ 352 822 228 394 267 546 224 414
1851731566 RUGGLES MATHEW 2021 FFS RENDERING SNC AGE 0-20 24 24 0 0 1 1 23 23
1851731566 RUGGLES MATHEW 2021 FFS RENDERING SNC AGE 21+ 53 54 1 1 33 34 19 19
1851754956 TSANG, MICHELLE MD 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 0 0 0 0
1851784268 LEE ALEXANDER W 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 1 1 1 1
1851788095 BURCHETT CHRISTOPHER 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 0 0 1 1
1851788095 BURCHETT CHRISTOPHER 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 0 0 1 1
1851831416 LEE KIRA C 2021 FFS RENDERING SNC AGE 0-20 120 271 42 62 33 63 38 48
1851848196 SHIMANE MARY J 2021 FFS RENDERING SNC AGE 0-20 273 310 239 262 36 45 151 170
1851848196 SHIMANE MARY J 2021 FFS RENDERING SNC AGE 21+ 168 238 100 110 78 110 93 122
1851909121 THAKKAR ABHI DIPAKBHAI 2021 FFS RENDERING SNC AGE 0-20 893 2,171 872 1,857 192 324 844 1,165
1851909121 THAKKAR ABHI DIPAKBHAI 2021 FFS RENDERING SNC AGE 21+ 537 1,471 499 789 284 703 484 675
1861162570 OBEROI RAKSHIT RAJU 2021 FFS RENDERING SNC AGE 0-20 275 409 248 342 59 82 219 235
1861162570 OBEROI RAKSHIT RAJU 2021 FFS RENDERING SNC AGE 21+ 199 319 157 197 96 125 146 173
1861166803 WILSON SEDONNI SIMONE 2021 FFS RENDERING SNC AGE 0-20 150 213 125 148 34 53 107 125
1861166803 WILSON SEDONNI SIMONE 2021 FFS RENDERING SNC AGE 21+ 83 167 53 68 37 75 55 72
1861404113 STRAIN PHYLISS A 2021 FFS RENDERING SNC AGE 0-20 179 189 115 120 57 59 123 128
1861404113 STRAIN PHYLISS A 2021 FFS RENDERING SNC AGE 21+ 191 206 87 91 111 115 72 77
1861422529 AMIGON REMEDIOS A 2021 FFS RENDERING SNC AGE 0-20 674 723 46 51 160 171 137 142
1861422529 AMIGON REMEDIOS A 2021 FFS RENDERING SNC AGE 21+ 604 708 83 102 500 570 224 237
1861422529 AMIGON REMEDIOS A 2021 PHP RENDERING SNC AGE 21+ 1 1 1 1 0 0 1 1
1861528044 NAGY RICHARD JAMES 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 0 0 1 1
1861538381 ROMERO MERCAY M 2021 FFS RENDERING SNC AGE 0-20 1,329 1,669 1,196 1,383 173 224 1,140 1,199
1861538381 ROMERO MERCAY M 2021 FFS RENDERING SNC AGE 21+ 35 36 20 21 20 20 11 11
1861545170 RAJABIAN REZA 2021 FFS RENDERING SNC AGE 0-20 479 828 409 514 165 300 352 414
1861545170 RAJABIAN REZA 2021 FFS RENDERING SNC AGE 21+ 574 1,187 410 569 339 669 301 341
1861569402 AI FANGYU CATHY 2021 FFS RENDERING SNC AGE 0-20 1,183 2,017 1,064 1,643 318 435 1,000 1,498
1861569402 AI FANGYU CATHY 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 1 1 1 1
1861571796 ELICK WILEY M 2021 FFS RENDERING SNC AGE 0-20 5,572 6,927 5,539 6,774 3,411 3,935 5,526 6,739
1861613614 GOGTE PRIYA G 2021 FFS RENDERING SNC AGE 0-20 117 321 39 65 63 148 94 146
1861613614 GOGTE PRIYA G 2021 FFS RENDERING SNC AGE 21+ 238 678 50 76 179 425 170 278
1861615726 VU, KIM-ANH THI DDS 2021 FFS RENDERING SNC AGE 0-20 39 64 39 64 0 0 39 64
1861615726 VU, KIM-ANH THI DDS 2021 FFS RENDERING SNC AGE 21+ 233 541 233 541 0 0 233 541
1861624389 NEFT AMBER L 2021 FFS RENDERING SNC AGE 0-20 762 967 721 852 89 121 713 835
1861624389 NEFT AMBER L 2021 FFS RENDERING SNC AGE 21+ 476 780 441 611 155 284 382 441
1861630733 MOSCHREF JASMIN 2021 FFS RENDERING SNC AGE 0-20 53 68 28 33 24 32 24 28
1861630733 MOSCHREF JASMIN 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 0 0 1 1
1861652935 UDALL BROOK M 2021 FFS RENDERING SNC AGE 0-20 63 100 30 43 22 35 41 56
1861652935 UDALL BROOK M 2021 FFS RENDERING SNC AGE 21+ 118 191 39 58 61 96 58 89
1861708554 PERRY KASEY S 2021 FFS RENDERING SNC AGE 0-20 1,321 4,479 1,299 3,963 171 480 1,276 3,005
1861708554 PERRY KASEY S 2021 FFS RENDERING SNC AGE 21+ 787 4,024 726 2,306 313 1,611 716 1,830
1861769549 LIVINGOOD ANDREA N 2021 FFS RENDERING SNC AGE 0-20 1,463 4,988 1,463 4,988 0 0 1,463 4,988
1861769549 LIVINGOOD ANDREA N 2021 FFS RENDERING SNC AGE 21+ 251 629 250 628 0 0 250 628
1861775306 KANAYAMA NARIHIDE 2021 FFS RENDERING SNC AGE 0-20 517 626 375 431 154 190 364 417
1861775306 KANAYAMA NARIHIDE 2021 FFS RENDERING SNC AGE 21+ 469 802 377 581 143 176 371 631
1861786154 DHILLON SUKHJINDER S 2021 FFS RENDERING SNC AGE 0-20 146 220 60 107 69 85 1 1
1861786154 DHILLON SUKHJINDER S 2021 FFS RENDERING SNC AGE 21+ 864 1,297 41 42 756 1,092 51 54
1861816365 SALVADOR ROJAS RAQUEL DELFINA 2021 FFS RENDERING SNC AGE 0-20 181 199 150 152 31 41 150 152
1861816365 SALVADOR ROJAS RAQUEL DELFINA 2021 FFS RENDERING SNC AGE 21+ 187 226 129 143 78 91 129 143
1861831414 HUANG TAMMY 2021 FFS RENDERING SNC AGE 0-20 488 914 488 914 0 0 488 914
1861831414 HUANG TAMMY 2021 FFS RENDERING SNC AGE 21+ 194 510 194 510 0 0 194 510
1861840258 TA LUKE 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 0 0 0 0
1861876724 FU CHRISTINE 2021 FFS RENDERING SNC AGE 0-20 1,245 2,880 927 1,847 692 1,485 906 1,780
1861876724 FU CHRISTINE 2021 FFS RENDERING SNC AGE 21+ 466 1,111 195 335 393 863 219 437
1861912909 MIN DAVID W 2021 FFS RENDERING SNC AGE 0-20 190 528 166 326 69 173 162 242
1861912909 MIN DAVID W 2021 FFS RENDERING SNC AGE 21+ 298 1,222 192 288 165 589 195 304
1861956724 HILLIARD THESALONICA PAIGE 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 0 0 1 1
1861959223 MOORE JULIE 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 1 1 0 0
1861978454 VENKATESH ANCHITA 2021 FFS RENDERING SNC AGE 0-20 11 13 11 13 0 0 11 13
1861978454 VENKATESH ANCHITA 2021 FFS RENDERING SNC AGE 21+ 44 45 42 43 1 1 42 43
1871072736 PEREIRA MARIANA D 2021 FFS RENDERING SNC AGE 0-20 1,322 1,536 903 1,086 215 223 940 1,123
1871072736 PEREIRA MARIANA D 2021 FFS RENDERING SNC AGE 21+ 677 721 72 76 523 553 73 73
1871073965 TANG YIN 2021 FFS RENDERING SNC AGE 0-20 228 793 149 295 152 412 85 127
1871073965 TANG YIN 2021 FFS RENDERING SNC AGE 21+ 379 1,783 210 467 316 1,220 167 363
1871144402 HOPPER ALICIA KAYLIN 2021 FFS RENDERING SNC AGE 0-20 87 211 85 207 1 1 18 41
1871144402 HOPPER ALICIA KAYLIN 2021 FFS RENDERING SNC AGE 21+ 150 484 150 484 127 423 1 1
1871506360 MANSOUR, ENGELLA S, DDS 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 1 1 1 1
1871506360 MANSOUR, ENGELLA S, DDS 2021 FFS RENDERING SNC AGE 21+ 86 282 43 49 72 231 24 24
1871520775 LIMSICO SIEOW Y 2021 FFS RENDERING SNC AGE 0-20 1,050 1,654 946 1,223 382 638 942 1,115
1871520775 LIMSICO SIEOW Y 2021 FFS RENDERING SNC AGE 21+ 233 472 127 167 182 350 140 163
1871539221 WHITE MICHAEL J 2021 FFS RENDERING SNC AGE 0-20 46 123 46 123 0 0 46 123
1871539221 WHITE MICHAEL J 2021 FFS RENDERING SNC AGE 21+ 138 403 138 403 0 0 138 403
1871539221 WHITE MICHAEL J 2021 PHP RENDERING SNC AGE 21+ 1 1 1 1 0 0 1 1
1871602904 TANIOKA DARRON T 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 1 1 1 1
1871602904 TANIOKA DARRON T 2021 FFS RENDERING SNC AGE 21+ 73 234 22 31 69 213 18 22
1871635243 UYANNE, JOHN A MD 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 1 1 0 0
1871636845 MAMANI-CANCINO CESAR Z 2021 FFS RENDERING SNC AGE 0-20 378 895 360 714 68 115 101 137
1871636845 MAMANI-CANCINO CESAR Z 2021 FFS RENDERING SNC AGE 21+ 361 1,086 278 434 183 461 185 331
1871644757 LEE WILLIAM P 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 1 1 0 0
1871662353 ROHRS TINA L 2021 FFS RENDERING SNC AGE 0-20 16 17 12 12 1 1 1 1
1871662353 ROHRS TINA L 2021 FFS RENDERING SNC AGE 21+ 35 37 17 17 31 32 20 20
1871666024 MOHAMED AYESHA S 2021 FFS RENDERING SNC AGE 0-20 293 556 262 420 166 307 274 338
1871666024 MOHAMED AYESHA S 2021 FFS RENDERING SNC AGE 21+ 194 382 87 114 121 218 131 192
1871667832 MENDOZA MARY G 2021 FFS RENDERING SNC AGE 0-20 241 284 127 142 178 211 54 57
1871667832 MENDOZA MARY G 2021 FFS RENDERING SNC AGE 21+ 220 267 114 135 204 248 84 95
1871753459 CHEN MINDY M 2021 FFS RENDERING SNC AGE 0-20 69 149 69 149 0 0 69 149
1871753459 CHEN MINDY M 2021 FFS RENDERING SNC AGE 21+ 97 383 95 373 0 0 95 373
1871763425 KAPADIA MEHA 2021 FFS RENDERING SNC AGE 0-20 484 875 465 757 79 129 436 558
1871763425 KAPADIA MEHA 2021 FFS RENDERING SNC AGE 21+ 320 615 275 362 117 248 266 321
1871791947 LIN LI T. 2021 FFS RENDERING SNC AGE 0-20 132 192 132 192 0 0 132 192
1871791947 LIN LI T. 2021 FFS RENDERING SNC AGE 21+ 215 434 215 434 0 0 215 434
1871807016 PLEITEZ ERICK A 2021 FFS RENDERING SNC AGE 0-20 236 381 148 169 109 172 173 196
1871807016 PLEITEZ ERICK A 2021 FFS RENDERING SNC AGE 21+ 860 1,993 247 293 627 1,381 423 519
1871810846 CHO NAM S 2021 FFS RENDERING SNC AGE 0-20 47 53 0 0 13 14 28 29
1871810846 CHO NAM S 2021 FFS RENDERING SNC AGE 21+ 265 307 1 1 123 137 116 125
1871853481 CENTER FOR FAMILY HEALTH 2021 FFS RENDERING SNC AGE 0-20 676 3,140 544 1,510 334 1,414 595 1,642
1871853481 CENTER FOR FAMILY HEALTH 2021 FFS RENDERING SNC AGE 21+ 540 1,989 512 1,308 293 759 521 1,349
1871888123 AL-RAWI WISAM 2021 FFS RENDERING SNC AGE 0-20 34 34 22 22 1 1 17 17
1871888123 AL-RAWI WISAM 2021 FFS RENDERING SNC AGE 21+ 195 200 103 105 53 54 67 67
1871911297 HANN MICHAEL E 2021 FFS RENDERING SNC AGE 0-20 1,156 1,728 1,092 1,313 76 83 1,093 1,310
1871911297 HANN MICHAEL E 2021 FFS RENDERING SNC AGE 21+ 267 325 194 227 162 198 191 223
1871912717 ABDALLAH, WALID F MD 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 1 1 1 1
1871934778 CHOGLE ISHWAREE RAJIV 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 1 1 0 0
1871963090 RUMINSON JONATHAN W 2021 FFS RENDERING SNC AGE 0-20 3,966 6,354 2,528 2,982 2,738 4,230 1,498 1,588
1871963090 RUMINSON JONATHAN W 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 1 1 1 1
1871992065 GOPAL MALA 2021 FFS RENDERING SNC AGE 0-20 745 868 537 592 190 225 509 560
1871993238 KADIVETI VENKATESWARL 2021 FFS RENDERING SNC AGE 0-20 927 5,321 878 3,888 334 1,232 859 2,697
1871993238 KADIVETI VENKATESWARL 2021 FFS RENDERING SNC AGE 21+ 648 3,790 541 1,768 337 1,685 547 1,490
1881018778 HUERTA JR WILLIAM 2021 FFS RENDERING SNC AGE 0-20 542 1,155 523 888 154 261 516 654
1881018778 HUERTA JR WILLIAM 2021 FFS RENDERING SNC AGE 21+ 460 1,087 407 613 177 397 382 498
1881052777 HARRISON MIA A 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 0 0 1 1
1881052777 HARRISON MIA A 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 1 1 0 0
1881071454 BAL JAGRUP S 2021 FFS RENDERING SNC AGE 0-20 1,072 3,368 1,035 2,793 173 517 1,032 2,343
1881071454 BAL JAGRUP S 2021 FFS RENDERING SNC AGE 21+ 771 3,589 703 2,035 318 1,408 696 1,661
1881071744 BAO DEAN-PAUL 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 0 0 1 1
1881087062 GONZALES BRITTANY L 2021 FFS RENDERING SNC AGE 0-20 346 579 301 414 98 152 73 91
1881087062 GONZALES BRITTANY L 2021 FFS RENDERING SNC AGE 21+ 332 731 202 276 169 334 170 272
1881169944 KWON JESSICA D 2021 FFS RENDERING SNC AGE 0-20 71 153 64 86 29 65 64 86
1881169944 KWON JESSICA D 2021 FFS RENDERING SNC AGE 21+ 32 66 21 27 15 25 21 27
1881212876 SALVIE BRIAN A 2021 FFS RENDERING SNC AGE 0-20 86 97 58 66 15 15 32 33
1881212876 SALVIE BRIAN A 2021 FFS RENDERING SNC AGE 21+ 75 92 43 46 39 46 34 37
1881214203 RIZK MARK A 2021 FFS RENDERING SNC AGE 0-20 47 54 1 1 0 0 0 0
1881214203 RIZK MARK A 2021 FFS RENDERING SNC AGE 21+ 29 31 0 0 1 1 0 0
1881696607 TJIOE, HERMAWAN, DDS INC 2021 FFS RENDERING SNC AGE 0-20 509 988 508 986 0 0 508 986
1881696607 TJIOE, HERMAWAN, DDS INC 2021 FFS RENDERING SNC AGE 21+ 1,083 3,832 1,075 3,811 0 0 1,076 3,813
1881717882 MONIZ, SHARILYN T, DDS 2021 FFS RENDERING SNC AGE 0-20 879 1,194 711 889 144 179 648 758
1881717882 MONIZ, SHARILYN T, DDS 2021 FFS RENDERING SNC AGE 21+ 393 477 143 147 174 207 122 124
1881736684 BARAKZOY MOSTAFA 2021 FFS RENDERING SNC AGE 0-20 1,240 2,436 793 997 502 863 762 988
1881736684 BARAKZOY MOSTAFA 2021 FFS RENDERING SNC AGE 21+ 1,422 4,616 405 475 1,026 3,031 437 565
1881745347 ABBAS HAYTHAM M 2021 FFS RENDERING SNC AGE 0-20 104 162 69 90 40 64 84 126
1881745347 ABBAS HAYTHAM M 2021 FFS RENDERING SNC AGE 21+ 91 161 47 53 66 116 66 109
1881754489 CHEN CANDICE Y 2021 FFS RENDERING SNC AGE 0-20 770 1,778 211 325 277 517 186 271
1881754489 CHEN CANDICE Y 2021 FFS RENDERING SNC AGE 21+ 253 447 34 57 162 263 41 65
1881760114 JAUL DOUGLAS H 2021 FFS RENDERING SNC AGE 0-20 254 854 11 14 1 1 253 845
1881760114 JAUL DOUGLAS H 2021 FFS RENDERING SNC AGE 21+ 1 2 0 0 0 0 1 1
1881780351 NGUYEN OANH T 2021 FFS RENDERING SNC AGE 0-20 437 663 351 525 252 430 124 140
1881780351 NGUYEN OANH T 2021 FFS RENDERING SNC AGE 21+ 22 35 14 23 1 1 1 1
1881789113 MAUNGMAUNG, TIN, DDS 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 1 1 0 0
1881894020 HARO IRIS DE LA CARIDAD 2021 FFS RENDERING SNC AGE 0-20 885 1,723 789 1,196 451 843 852 1,267
1881894020 HARO IRIS DE LA CARIDAD 2021 FFS RENDERING SNC AGE 21+ 15 16 0 0 1 1 1 1
1881923027 KIM DIANA H 2021 FFS RENDERING SNC AGE 0-20 218 417 26 28 30 44 155 316
1881923027 KIM DIANA H 2021 FFS RENDERING SNC AGE 21+ 308 597 1 2 198 358 128 215
1881946523 CHUNG WILLIAM R 2021 FFS RENDERING SNC AGE 0-20 413 900 383 646 128 239 368 510
1881946523 CHUNG WILLIAM R 2021 FFS RENDERING SNC AGE 21+ 642 1,317 496 670 311 564 516 706
1881952158 ERHARD MICHAEL 2021 FFS RENDERING SNC AGE 0-20 266 440 183 235 149 244 190 246
1881952158 ERHARD MICHAEL 2021 FFS RENDERING SNC AGE 21+ 409 915 180 225 293 657 228 318
1891004131 CURAMENG JOANN D 2021 FFS RENDERING SNC AGE 0-20 351 588 304 411 123 197 225 256
1891004131 CURAMENG JOANN D 2021 FFS RENDERING SNC AGE 21+ 431 1,222 355 579 264 738 303 464
1891048500 KHAJAVI, SUZAN DDS 2021 FFS RENDERING SNC AGE 0-20 207 659 183 344 85 290 178 283
1891048500 KHAJAVI, SUZAN DDS 2021 FFS RENDERING SNC AGE 21+ 329 1,413 233 355 194 745 239 383
1891161113 TEMNITZER RADKA V 2021 FFS RENDERING SNC AGE 0-20 408 521 356 435 56 69 226 261
1891161113 TEMNITZER RADKA V 2021 FFS RENDERING SNC AGE 21+ 126 154 53 63 66 74 38 46
1891177630 BODINI CHANCE JAMES 2021 FFS RENDERING SNC AGE 0-20 99 187 45 72 35 57 45 70
1891177630 BODINI CHANCE JAMES 2021 FFS RENDERING SNC AGE 21+ 148 301 70 108 78 135 73 121
1891195053 TODOROV BOYAN 2021 FFS RENDERING SNC AGE 0-20 50 91 45 65 30 61 43 56
1891195053 TODOROV BOYAN 2021 FFS RENDERING SNC AGE 21+ 129 240 117 156 89 155 99 133
1891272399 KAZAK NIKITA FELIKSOVICH 2021 FFS RENDERING SNC AGE 0-20 401 487 304 358 87 105 232 270
1891272399 KAZAK NIKITA FELIKSOVICH 2021 FFS RENDERING SNC AGE 21+ 534 661 198 211 223 273 180 192
1891279485 PHAN JUDY THI 2021 FFS RENDERING SNC AGE 0-20 194 241 187 230 1 2 178 213
1891279485 PHAN JUDY THI 2021 FFS RENDERING SNC AGE 21+ 404 701 355 529 224 413 265 270
1891281242 MARASHI ZOHREH 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 0 0 1 1
1891281242 MARASHI ZOHREH 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 1 1 1 1
1891335618 FALSAFI HASSAN 2021 FFS RENDERING SNC AGE 0-20 406 1,078 281 471 165 410 271 389
1891335618 FALSAFI HASSAN 2021 FFS RENDERING SNC AGE 21+ 1,872 6,682 1,006 1,575 1,162 3,379 1,285 2,497
1891341517 LAZO KTLENNE LEHI 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 0 0 1 1
1891341517 LAZO KTLENNE LEHI 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 0 0 1 1
1891788345 TAYLOR RANDALL T 2021 FFS RENDERING SNC AGE 0-20 761 1,260 247 312 141 195 233 292
1891788345 TAYLOR RANDALL T 2021 FFS RENDERING SNC AGE 21+ 667 1,510 96 158 433 874 153 232
1891821765 FULLER, CLAYTON S, DDS 2021 FFS RENDERING SNC AGE 0-20 12 15 1 1 0 0 1 1
1891821765 FULLER, CLAYTON S, DDS 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 0 0 0 0
1891830378 CHING KAREN TANIGUCHI 2021 FFS RENDERING SNC AGE 0-20 46 56 16 17 19 24 16 16
1891841268 NGUYEN QUYNH T 2021 FFS RENDERING SNC AGE 0-20 118 267 118 267 1 1 118 267
1891841268 NGUYEN QUYNH T 2021 FFS RENDERING SNC AGE 21+ 219 682 219 682 1 1 219 682
1891874897 MARATHE KAUSTUBH K 2021 FFS RENDERING SNC AGE 0-20 50 88 42 61 30 41 37 52
1891874897 MARATHE KAUSTUBH K 2021 FFS RENDERING SNC AGE 21+ 87 160 69 102 40 61 69 95
1891927505 MAGALLANES ELIZABETH 2021 FFS RENDERING SNC AGE 0-20 693 1,192 683 1,154 34 53 679 1,134
1891927505 MAGALLANES ELIZABETH 2021 FFS RENDERING SNC AGE 21+ 326 722 309 583 145 304 309 584
1891938692 NGUYEN PHUC V 2021 FFS RENDERING SNC AGE 0-20 73 107 37 41 33 48 73 107
1891938692 NGUYEN PHUC V 2021 FFS RENDERING SNC AGE 21+ 110 201 59 66 64 110 110 201
1891982559 JARED, JOHNSON S MD 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 0 0 1 1
1891982559 JARED, JOHNSON S MD 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 1 1 1 1
1902019805 EISENHOFER, KAREN F DDS 2021 FFS RENDERING SNC AGE 0-20 922 1,102 916 1,088 18 18 913 1,084
1902019805 EISENHOFER, KAREN F DDS 2021 FFS RENDERING SNC AGE 21+ 313 400 312 394 1 1 312 394
1902085855 SHIH YEN S 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 1 1 1 1
1902085855 SHIH YEN S 2021 FFS RENDERING SNC AGE 21+ 58 138 26 30 31 50 38 54
1902118656 SINGH BONNIE HARPREET 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 1 1 0 0
1902144918 WASEER AYESHA R 2021 FFS RENDERING SNC AGE 0-20 248 452 220 337 105 167 190 222
1902144918 WASEER AYESHA R 2021 FFS RENDERING SNC AGE 21+ 496 1,394 375 485 383 1,033 387 578
1902153489 LIU FRANK 2021 FFS RENDERING SNC AGE 0-20 185 543 170 412 41 121 141 334
1902153489 LIU FRANK 2021 FFS RENDERING SNC AGE 21+ 388 1,895 316 905 202 690 331 1,157
1902212053 ROBOUBI MOJDEH 2021 FFS RENDERING SNC AGE 0-20 33 50 29 38 13 20 1 1
1902212053 ROBOUBI MOJDEH 2021 FFS RENDERING SNC AGE 21+ 128 272 61 99 94 174 19 26
1902239957 BAJWA JASHANJOT S 2021 FFS RENDERING SNC AGE 0-20 271 609 162 241 114 258 191 319
1902239957 BAJWA JASHANJOT S 2021 FFS RENDERING SNC AGE 21+ 697 2,015 354 520 362 840 439 929
1902273782 HALEY THEODORE B 2021 FFS RENDERING SNC AGE 0-20 223 245 74 77 62 65 49 50
1902273782 HALEY THEODORE B 2021 FFS RENDERING SNC AGE 21+ 330 392 101 108 182 207 133 137
1902319197 BLAS BLANCA 2021 FFS RENDERING SNC AGE 0-20 74 79 63 67 0 0 0 0
1902319197 BLAS BLANCA 2021 FFS RENDERING SNC AGE 21+ 879 1,147 850 1,115 0 0 0 0
1902340847 TAN CAROLYN O 2021 FFS RENDERING SNC AGE 0-20 318 1,157 289 727 121 344 262 502
1902340847 TAN CAROLYN O 2021 FFS RENDERING SNC AGE 21+ 424 2,090 343 777 275 1,242 325 601
1902381452 MAGANA SUSANA 2021 FFS RENDERING SNC AGE 0-20 189 207 164 175 50 55 173 181
1902381452 MAGANA SUSANA 2021 FFS RENDERING SNC AGE 21+ 97 124 38 42 90 113 38 42
1902412992 SAMA NATELI 2021 FFS RENDERING SNC AGE 0-20 450 1,563 337 890 219 549 1 1
1902412992 SAMA NATELI 2021 FFS RENDERING SNC AGE 21+ 516 1,894 283 663 320 956 29 56
1902428238 JOHNSON JARED JOSHUA 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 0 0 1 1
1902428238 JOHNSON JARED JOSHUA 2021 FFS RENDERING SNC AGE 21+ 23 25 1 1 1 1 1 1
1902496789 WU APRIL SHIH 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 0 0 0 0
1902903669 KUNUKKASSERIL MERIN 2021 FFS RENDERING SNC AGE 0-20 674 887 600 668 128 188 594 666
1902903669 KUNUKKASSERIL MERIN 2021 FFS RENDERING SNC AGE 21+ 667 831 541 597 286 346 546 600
1902909054 PORTALES RAMON 2021 FFS RENDERING SNC AGE 0-20 1,224 2,331 1,191 2,065 205 295 1,140 1,647
1902909054 PORTALES RAMON 2021 FFS RENDERING SNC AGE 21+ 574 1,337 488 781 282 577 448 613
1902954928 SIPOWICZ, MARIA C MD 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 0 0 0 0
1902972938 DAO TU T 2021 FFS RENDERING SNC AGE 0-20 619 863 363 413 189 284 302 315
1902972938 DAO TU T 2021 FFS RENDERING SNC AGE 21+ 676 1,512 393 526 463 916 293 326
1912033465 HSZIEH KEVIN CHIH W 2021 FFS RENDERING SNC AGE 0-20 321 809 252 410 146 296 242 366
1912033465 HSZIEH KEVIN CHIH W 2021 FFS RENDERING SNC AGE 21+ 71 91 1 2 34 39 1 2
1912042086 SCHMIDT EUGENE J. 2021 FFS RENDERING SNC AGE 0-20 60 82 33 41 30 39 13 15
1912042086 SCHMIDT EUGENE J. 2021 FFS RENDERING SNC AGE 21+ 390 608 135 164 217 305 91 109
1912045113 TING PEGGY K 2021 FFS RENDERING SNC AGE 0-20 405 939 335 507 237 522 269 333
1912045113 TING PEGGY K 2021 FFS RENDERING SNC AGE 21+ 872 2,177 454 526 699 1,680 388 459
1912100355 FRENCH DONALD L 2021 FFS RENDERING SNC AGE 0-20 387 483 83 94 93 111 106 127
1912100355 FRENCH DONALD L 2021 FFS RENDERING SNC AGE 21+ 526 899 73 139 287 408 125 199
1912137316 DANIEL WAYNE J 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 0 0 0 0
1912137316 DANIEL WAYNE J 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 0 0 0 0
1912146598 HO MICHAEL H 2021 FFS RENDERING SNC AGE 21+ 14 18 0 0 14 18 0 0
1912164435 NGUYEN AMY P 2021 FFS RENDERING SNC AGE 0-20 124 183 68 80 41 57 30 32
1912164435 NGUYEN AMY P 2021 FFS RENDERING SNC AGE 21+ 387 576 50 55 46 51 26 28
1912187576 VU SOPHIA N 2021 FFS RENDERING SNC AGE 0-20 11 13 1 1 1 1 1 1
1912187576 VU SOPHIA N 2021 FFS RENDERING SNC AGE 21+ 314 603 107 143 219 392 124 173
1912249426 CHALLA ANNIE L 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 1 1 1 1
1912249426 CHALLA ANNIE L 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 1 1 0 0
1912313438 NAZARKHAN FATHIMA SARAH 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 0 0 0 0
1912346719 SPASOV STANISLAV N 2021 FFS RENDERING SNC AGE 0-20 149 350 137 204 67 121 135 189
1912346719 SPASOV STANISLAV N 2021 FFS RENDERING SNC AGE 21+ 182 724 156 283 151 493 149 198
1912354689 AGRAWAL PRIYADARSHIN 2021 FFS RENDERING SNC AGE 0-20 114 214 90 121 58 98 55 64
1912354689 AGRAWAL PRIYADARSHIN 2021 FFS RENDERING SNC AGE 21+ 504 1,603 253 328 430 1,220 284 455
1912367673 HUA SPENCER S 2021 FFS RENDERING SNC AGE 0-20 163 295 143 198 43 75 141 189
1912367673 HUA SPENCER S 2021 FFS RENDERING SNC AGE 21+ 327 1,177 230 347 194 512 241 468
1912394735 BJELLA, KIRK MD 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 0 0 1 1
1912425489 GUZMAN-SILVA MARIA 2021 FFS RENDERING SNC AGE 0-20 59 63 53 54 1 2 0 0
1912425489 GUZMAN-SILVA MARIA 2021 FFS RENDERING SNC AGE 21+ 543 789 238 248 494 731 1 1
1912465626 IYER GAYATHRI P 2021 FFS RENDERING SNC AGE 0-20 526 1,084 370 508 230 445 184 203
1912465626 IYER GAYATHRI P 2021 FFS RENDERING SNC AGE 21+ 535 1,426 264 366 387 881 114 128
1912493974 GOMEZ BERNARDETTE 2021 FFS RENDERING SNC AGE 0-20 189 221 165 185 1 2 21 24
1912493974 GOMEZ BERNARDETTE 2021 FFS RENDERING SNC AGE 21+ 330 493 129 141 208 354 16 19
1912512492 AKABIKE ANDREA 2021 FFS RENDERING SNC AGE 0-20 998 1,814 955 1,467 271 470 932 1,354
1912512492 AKABIKE ANDREA 2021 FFS RENDERING SNC AGE 21+ 344 801 269 426 199 457 260 349
1912533597 AL SAMMARRAIE MOHLAB N 2021 FFS RENDERING SNC AGE 0-20 609 799 513 604 139 181 474 525
1912533597 AL SAMMARRAIE MOHLAB N 2021 FFS RENDERING SNC AGE 21+ 385 706 170 259 288 439 124 144
1912533597 AL SAMMARRAIE MOHLAB N 2021 PHP RENDERING SNC AGE 0-20 1 1 1 1 0 0 1 1
1912935206 BYRAM CHARLES D 2021 FFS RENDERING SNC AGE 0-20 107 126 95 105 19 24 97 106
1912935206 BYRAM CHARLES D 2021 FFS RENDERING SNC AGE 21+ 222 257 181 192 48 55 196 208
1912984436 WESTBIE, DONALD K MD 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 0 0 1 1
1922043892 RAYA RALPH L 2021 FFS RENDERING SNC AGE 0-20 849 1,507 811 1,259 233 377 777 1,049
1922043892 RAYA RALPH L 2021 FFS RENDERING SNC AGE 21+ 485 1,043 408 534 317 595 402 630
1922053032 MURPHY MELANIE K 2021 FFS RENDERING SNC AGE 0-20 423 710 378 491 140 223 379 451
1922053032 MURPHY MELANIE K 2021 FFS RENDERING SNC AGE 21+ 331 732 202 232 189 375 216 309
1922053099 SANCHEZ-RODRIGU ALMA R 2021 FFS RENDERING SNC AGE 0-20 9,106 19,313 6,878 9,617 5,532 9,274 1,066 1,215
1922053099 SANCHEZ-RODRIGU ALMA R 2021 FFS RENDERING SNC AGE 21+ 6,880 19,512 2,001 2,472 6,279 16,411 565 643
1922053099 SANCHEZ-RODRIGU ALMA R 2021 PHP RENDERING SNC AGE 21+ 1 1 0 0 1 1 0 0
1922053305 SCHEEL, PHILIP R MD 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 1 1 0 0
1922108448 HALEY ELEANOR Z 2021 FFS RENDERING SNC AGE 0-20 50 76 36 49 11 13 44 57
1922108448 HALEY ELEANOR Z 2021 FFS RENDERING SNC AGE 21+ 365 816 226 326 159 245 309 540
1922121466 MOY, JEFFREY F MD 2021 GMC RENDERING SNC AGE 21+ 1 1 0 0 0 0 0 0
1922128511 PALHAN SANDHYA 2021 FFS RENDERING SNC AGE 0-20 100 119 70 80 39 46 45 48
1922128511 PALHAN SANDHYA 2021 FFS RENDERING SNC AGE 21+ 144 230 92 115 81 136 68 87
1922136027 TRYON DWIGHT M 2021 FFS RENDERING SNC AGE 0-20 183 398 183 398 0 0 183 398
1922136027 TRYON DWIGHT M 2021 FFS RENDERING SNC AGE 21+ 190 502 190 502 0 0 190 502
1922242668 WHITE AMANDA 2021 FFS RENDERING SNC AGE 0-20 84 125 82 122 1 1 62 92
1922242668 WHITE AMANDA 2021 FFS RENDERING SNC AGE 21+ 440 1,131 399 1,020 74 136 111 171
1922262054 MEHTA ROSHANI P 2021 FFS RENDERING SNC AGE 0-20 772 844 102 107 256 285 71 73
1922262054 MEHTA ROSHANI P 2021 FFS RENDERING SNC AGE 21+ 718 864 178 197 556 637 133 137
1922262054 MEHTA ROSHANI P 2021 PHP RENDERING SNC AGE 0-20 1 1 0 0 1 1 0 0
1922275254 ALLEN II GREGORY P 2021 FFS RENDERING SNC AGE 0-20 742 859 465 510 167 189 356 391
1922319169 NUNEZ AUSTIN 2021 FFS RENDERING SNC AGE 0-20 353 451 267 307 129 164 108 120
1922319169 NUNEZ AUSTIN 2021 FFS RENDERING SNC AGE 21+ 206 302 79 85 95 135 92 113
1922386192 ATLURI SRI V 2021 FFS RENDERING SNC AGE 0-20 655 1,216 511 784 186 304 625 862
1922386192 ATLURI SRI V 2021 FFS RENDERING SNC AGE 21+ 364 636 73 90 125 236 346 487
1922485408 KIM ANDREW 2021 FFS RENDERING SNC AGE 0-20 275 510 267 429 51 94 245 314
1922485408 KIM ANDREW 2021 FFS RENDERING SNC AGE 21+ 136 435 118 187 92 267 113 167
1922510494 PHAM PHUONG HOANG 2021 FFS RENDERING SNC AGE 0-20 234 299 228 286 13 19 211 258
1922510494 PHAM PHUONG HOANG 2021 FFS RENDERING SNC AGE 21+ 421 787 381 580 222 460 292 296
1922551803 PHAM THANH D 2021 FFS RENDERING SNC AGE 0-20 194 403 144 222 87 140 158 238
1922551803 PHAM THANH D 2021 FFS RENDERING SNC AGE 21+ 327 843 160 211 266 571 244 373
1922619634 GORITSKAIA ANNA V 2021 FFS RENDERING SNC AGE 0-20 563 1,287 340 565 388 648 121 139
1922619634 GORITSKAIA ANNA V 2021 FFS RENDERING SNC AGE 21+ 612 2,069 365 728 510 1,323 208 295
1922685221 KHODE AKSHITA 2021 FFS RENDERING SNC AGE 0-20 377 577 329 454 152 222 238 267
1922685221 KHODE AKSHITA 2021 FFS RENDERING SNC AGE 21+ 761 1,416 480 618 535 860 411 583
1932123692 TALLEY BRIAN C 2021 FFS RENDERING SNC AGE 0-20 39 67 1 1 32 51 1 1
1932196649 DAVIS BONNIE JEANNE 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 0 0 1 1
1932196649 DAVIS BONNIE JEANNE 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 0 0 1 1
1932260601 COSTANZA VICTOR J 2021 FFS RENDERING SNC AGE 0-20 441 679 316 370 194 307 136 148
1932265923 OLMEZOVA, IRINA, DDS 2021 FFS RENDERING SNC AGE 0-20 110 116 92 93 15 19 55 56
1932265923 OLMEZOVA, IRINA, DDS 2021 FFS RENDERING SNC AGE 21+ 497 981 208 241 300 685 170 193
1932284775 NG EMIL SIU H 2021 FFS RENDERING SNC AGE 0-20 423 1,387 401 1,060 76 277 394 964
1932284775 NG EMIL SIU H 2021 FFS RENDERING SNC AGE 21+ 1,119 6,588 895 2,945 694 2,761 818 3,235
1932311982 FONG GLORIA WONG 2021 FFS RENDERING SNC AGE 0-20 186 215 56 58 45 51 42 44
1932311982 FONG GLORIA WONG 2021 FFS RENDERING SNC AGE 21+ 261 326 78 81 135 175 101 109
1932364510 NALAMATI SAILAJA 2021 FFS RENDERING SNC AGE 0-20 567 786 522 592 142 205 523 591
1932364510 NALAMATI SAILAJA 2021 FFS RENDERING SNC AGE 21+ 237 535 32 36 171 324 29 36
1932365111 LY MAI T 2021 FFS RENDERING SNC AGE 0-20 734 1,163 569 762 174 252 151 170
1932365111 LY MAI T 2021 FFS RENDERING SNC AGE 21+ 855 1,397 386 418 429 707 524 629
1932373628 JOHNSON BEVERLY ANN 2021 FFS RENDERING SNC AGE 0-20 714 1,743 681 1,355 170 276 621 806
1932373628 JOHNSON BEVERLY ANN 2021 FFS RENDERING SNC AGE 21+ 425 1,170 400 712 194 463 380 544
1932379443 YUEN, SELENE S MD 2021 FFS RENDERING SNC AGE 21+ 1 2 0 0 1 1 1 1
1932405156 MAGARRO LEONEL E 2021 FFS RENDERING SNC AGE 0-20 430 630 352 427 118 175 326 348
1932405156 MAGARRO LEONEL E 2021 FFS RENDERING SNC AGE 21+ 414 1,051 247 347 286 576 220 308
1932488871 BASARAN ISMAIL E 2021 FFS RENDERING SNC AGE 0-20 198 315 182 266 26 37 97 112
1932488871 BASARAN ISMAIL E 2021 FFS RENDERING SNC AGE 21+ 231 404 122 151 87 152 95 98
1932512647 PAEK AGELINA 2021 FFS RENDERING SNC AGE 0-20 313 381 216 252 80 104 193 222
1932512647 PAEK AGELINA 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 0 0 1 1
1932531241 LEVAN KENT B 2021 FFS RENDERING SNC AGE 0-20 156 211 77 97 75 100 55 66
1932531241 LEVAN KENT B 2021 FFS RENDERING SNC AGE 21+ 258 515 25 29 200 361 120 175
1932568144 PALMER MARTIN K 2021 FFS RENDERING SNC AGE 0-20 253 376 219 289 56 78 204 211
1932568144 PALMER MARTIN K 2021 FFS RENDERING SNC AGE 21+ 226 396 153 193 118 197 144 168
1932635257 KAGAN FRIDA 2021 FFS RENDERING SNC AGE 0-20 1,113 1,561 971 1,249 216 261 689 807
1932635257 KAGAN FRIDA 2021 FFS RENDERING SNC AGE 21+ 404 617 231 265 207 281 186 215
1932703352 NG DESMOND 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 0 0 1 1
1932736774 HELAIRE EBONY SHARDAE 2021 FFS RENDERING SNC AGE 0-20 78 86 42 45 24 28 38 39
1932736774 HELAIRE EBONY SHARDAE 2021 FFS RENDERING SNC AGE 21+ 29 32 11 11 20 23 1 1
1932754215 DHAITI YOLENE 2021 FFS RENDERING SNC AGE 0-20 15 17 1 1 1 1 1 1
1932754215 DHAITI YOLENE 2021 FFS RENDERING SNC AGE 21+ 44 54 14 14 31 40 0 0
1932772290 TSAI ZOE 2021 FFS RENDERING SNC AGE 0-20 58 104 43 60 15 27 41 61
1932772290 TSAI ZOE 2021 FFS RENDERING SNC AGE 21+ 85 189 61 84 47 103 60 82
1942209770 BOEN KYUNG L 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 1 1 0 0
1942244728 PINEDA LAM LADY FATIMA 2021 FFS RENDERING SNC AGE 0-20 1,163 2,484 900 1,205 645 1,294 831 1,098
1942244728 PINEDA LAM LADY FATIMA 2021 FFS RENDERING SNC AGE 21+ 40 42 27 29 13 13 26 27
1942247184 YANG KATHERINE H 2021 FFS RENDERING SNC AGE 0-20 336 629 211 257 178 390 187 220
1942281746 DUDAR, BRIAN WESLEY, DDS 2021 FFS RENDERING SNC AGE 0-20 39 62 39 62 0 0 39 62
1942281746 DUDAR, BRIAN WESLEY, DDS 2021 FFS RENDERING SNC AGE 21+ 43 62 43 62 0 0 43 62
1942306402 VARGAS PHILIP J 2021 FFS RENDERING SNC AGE 0-20 117 134 87 92 35 42 80 85
1942306402 VARGAS PHILIP J 2021 FFS RENDERING SNC AGE 21+ 307 404 222 250 117 154 216 245
1942315320 BRAMBILA-BRAGA NATASHA E 2021 FFS RENDERING SNC AGE 0-20 1,529 2,701 1,267 1,769 393 548 1,058 1,314
1942331673 CHONG ROBYN E 2021 FFS RENDERING SNC AGE 0-20 439 621 401 497 31 48 414 496
1942331673 CHONG ROBYN E 2021 FFS RENDERING SNC AGE 21+ 369 862 226 276 159 324 311 458
1942331673 CHONG ROBYN E 2021 PHP RENDERING SNC AGE 0-20 1 1 1 1 0 0 1 1
1942380118 NGUYEN, CHARLES T MD 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 0 0 0 0
1942380118 NGUYEN, CHARLES TUAN-TU S MD 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 0 0 0 0
1942396817 PATINO STELLA P 2021 FFS RENDERING SNC AGE 21+ 1 2 0 0 1 2 0 0
1942406145 PAK-SUH, YOUNG HEE DMD 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 0 0 1 1
1942406145 PAK-SUH, YOUNG HEE DMD 2021 FFS RENDERING SNC AGE 21+ 32 45 28 30 12 18 27 29
1942430749 LIM SOY M 2021 FFS RENDERING SNC AGE 0-20 383 1,050 361 816 205 379 222 270
1942430749 LIM SOY M 2021 FFS RENDERING SNC AGE 21+ 310 967 269 453 253 686 202 230
1942483581 KU TONY KONG S 2021 FFS RENDERING SNC AGE 0-20 250 1,211 244 903 67 276 235 587
1942483581 KU TONY KONG S 2021 FFS RENDERING SNC AGE 21+ 541 3,455 491 1,635 231 1,196 500 1,805
1942595053 KANG CHRIS 2021 FFS RENDERING SNC AGE 0-20 525 779 273 306 228 364 249 260
1942595053 KANG CHRIS 2021 FFS RENDERING SNC AGE 21+ 678 1,509 373 480 509 1,176 375 399
1942595624 LANE LESLIE ANN 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 0 0 0 0
1942623657 BORREGO COMMUNITY HEALTH 2021 FFS RENDERING SNC AGE 0-20 70 219 55 168 13 42 51 153
1942623657 BORREGO COMMUNITY HEALTH 2021 FFS RENDERING SNC AGE 21+ 29 102 14 42 17 54 11 36
1942625330 CAMPOS GLADYS ADELI M 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 0 0 1 1
1942625330 CAMPOS GLADYS ADELI M 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 1 1 1 1
1942632203 AJLOUNY MARIA 2021 FFS RENDERING SNC AGE 0-20 85 134 48 61 52 76 63 70
1942632203 AJLOUNY MARIA 2021 FFS RENDERING SNC AGE 21+ 348 1,033 150 257 270 624 213 344
1942638861 CHANG CAROLINE A 2021 FFS RENDERING SNC AGE 0-20 51 112 33 68 1 2 33 68
1942638861 CHANG CAROLINE A 2021 FFS RENDERING SNC AGE 21+ 45 110 31 66 20 46 29 60
1942701818 HERNANDO NINA MICHELLE 2021 FFS RENDERING SNC AGE 0-20 586 710 583 706 12 12 566 683
1942701818 HERNANDO NINA MICHELLE 2021 FFS RENDERING SNC AGE 21+ 384 550 382 548 1 1 382 548
1942704762 GOLDSTEIN JULIA ROSE 2021 FFS RENDERING SNC AGE 0-20 574 739 484 537 110 158 417 441
1942704762 GOLDSTEIN JULIA ROSE 2021 FFS RENDERING SNC AGE 21+ 251 338 185 214 93 118 175 206
1942734538 TAM, ASHLIE DO 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 1 1 0 0
1942776166 FOX ANGELICA AGUILERA 2021 FFS RENDERING SNC AGE 0-20 38 65 22 27 17 34 0 0
1942776166 FOX ANGELICA AGUILERA 2021 FFS RENDERING SNC AGE 21+ 454 1,136 241 377 376 827 0 0
1942815402 STONE JENNIFER NICOLE 2021 FFS RENDERING SNC AGE 0-20 480 2,236 426 1,288 265 1,013 433 1,068
1942815402 STONE JENNIFER NICOLE 2021 FFS RENDERING SNC AGE 21+ 245 1,432 80 212 186 903 213 851
1942852934 MATSUHARA AMANDA R 2021 FFS RENDERING SNC AGE 0-20 32 76 29 59 1 2 30 59
1942852934 MATSUHARA AMANDA R 2021 FFS RENDERING SNC AGE 21+ 237 540 141 299 155 302 144 279
1942860937 JESSON JENIFER E 2021 FFS RENDERING SNC AGE 0-20 384 785 359 601 97 133 272 309
1942860937 JESSON JENIFER E 2021 FFS RENDERING SNC AGE 21+ 520 1,675 411 841 303 566 314 498
1942878491 LAKER GRIFFIN HUISH 2021 FFS RENDERING SNC AGE 0-20 160 571 108 269 36 108 58 112
1942878491 LAKER GRIFFIN HUISH 2021 FFS RENDERING SNC AGE 21+ 192 878 108 284 84 348 77 190
1952454019 AMBROSIO BERNABE BARR U 2021 FFS RENDERING SNC AGE 0-20 33 44 28 28 1 2 1 1
1952454019 AMBROSIO BERNABE BARR U 2021 FFS RENDERING SNC AGE 21+ 34 69 22 25 20 37 1 2
1952454241 AZHAR FARID 2021 FFS RENDERING SNC AGE 0-20 566 736 514 574 124 171 207 216
1952454241 AZHAR FARID 2021 FFS RENDERING SNC AGE 21+ 292 564 234 303 150 254 224 293
1952457913 LARKIN KELLY N 2021 FFS RENDERING SNC AGE 0-20 5,244 12,952 3,846 6,651 3,083 5,818 689 864
1952457913 LARKIN KELLY N 2021 FFS RENDERING SNC AGE 21+ 4,280 13,796 1,082 1,853 3,887 11,655 301 445
1952457913 LARKIN KELLY N 2021 GMC RENDERING SNC AGE 21+ 1 1 0 0 1 1 0 0
1952489577 TAMORIA, SHIRLEY A MD 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 0 0 0 0
1952507600 DE CASTRO CLARISSA 2021 FFS RENDERING SNC AGE 0-20 996 1,286 811 961 477 570 629 671
1952507600 DE CASTRO CLARISSA 2021 FFS RENDERING SNC AGE 21+ 1,381 1,958 827 944 1,009 1,347 682 735
1952507600 DE CASTRO CLARISSA 2021 PHP RENDERING SNC AGE 0-20 1 1 1 1 0 0 1 1
1952515884 NEVAREZ GUS L 2021 FFS RENDERING SNC AGE 0-20 55 98 55 98 0 0 55 98
1952515884 NEVAREZ GUS L 2021 FFS RENDERING SNC AGE 21+ 42 126 42 126 0 0 42 126
1952525990 NEVES JOHN A 2021 FFS RENDERING SNC AGE 0-20 519 594 331 374 100 109 266 294
1952536963 KUGA MIKAKO 2021 FFS RENDERING SNC AGE 0-20 96 157 45 52 41 59 26 27
1952536963 KUGA MIKAKO 2021 FFS RENDERING SNC AGE 21+ 95 191 36 59 43 67 30 38
1952547523 CHIU SAMUEL H 2021 FFS RENDERING SNC AGE 0-20 12 14 1 1 1 1 1 1
1952547523 CHIU SAMUEL H 2021 FFS RENDERING SNC AGE 21+ 97 163 76 106 19 21 84 144
1952558454 PHAM LANCHI N 2021 FFS RENDERING SNC AGE 0-20 1,711 2,532 61 62 69 85 56 57
1952558454 PHAM LANCHI N 2021 FFS RENDERING SNC AGE 21+ 149 200 57 62 90 125 37 39
1952582827 DE OLIVEIRA OMAR G 2021 FFS RENDERING SNC AGE 0-20 226 460 0 0 0 0 0 0
1952582827 DE OLIVEIRA OMAR G 2021 FFS RENDERING SNC AGE 21+ 818 2,034 0 0 0 0 0 0
1952595365 MALINBAUM LORI K 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 0 0 1 1
1952595365 MALINBAUM LORI K 2021 FFS RENDERING SNC AGE 21+ 44 50 12 12 20 24 11 11
1952597460 GARDEZY NAJIA 2021 FFS RENDERING SNC AGE 0-20 191 469 183 380 33 71 150 226
1952597460 GARDEZY NAJIA 2021 FFS RENDERING SNC AGE 21+ 281 984 245 526 99 362 246 530
1952638298 YIM GREGORY E 2021 FFS RENDERING SNC AGE 0-20 59 145 22 78 0 0 22 78
1952660433 NG JOSEPHINE C 2021 FFS RENDERING SNC AGE 0-20 44 54 37 41 18 22 37 37
1952660433 NG JOSEPHINE C 2021 FFS RENDERING SNC AGE 21+ 74 101 33 34 67 88 38 40
1952698482 LUONG PHI D 2021 FFS RENDERING SNC AGE 0-20 730 832 532 568 167 194 487 519
1952698482 LUONG PHI D 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 1 1 0 0
1952749301 LERIAS NICHOLAS 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 0 0 0 0
1952750861 NGUYEN LINH M 2021 FFS RENDERING SNC AGE 0-20 837 943 549 589 327 372 462 488
1952750861 NGUYEN LINH M 2021 FFS RENDERING SNC AGE 21+ 863 985 337 366 542 605 246 259
1952758823 PORRAS-GUADERRAMA THELMA 2021 FFS RENDERING SNC AGE 0-20 337 393 313 346 1 1 19 19
1952758823 PORRAS-GUADERRAMA THELMA 2021 FFS RENDERING SNC AGE 21+ 637 1,041 277 284 373 759 33 34
1952787285 FABIYI SIMIADE I 2021 FFS RENDERING SNC AGE 0-20 269 590 264 557 31 39 254 532
1952787285 FABIYI SIMIADE I 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 0 0 1 1
1952808339 SOTO SONIA 2021 FFS RENDERING SNC AGE 0-20 28 28 20 20 1 1 20 20
1952808339 SOTO SONIA 2021 FFS RENDERING SNC AGE 21+ 29 29 1 1 16 16 1 1
1952827461 MOGRI RASHIDA T 2021 FFS RENDERING SNC AGE 0-20 297 829 266 573 69 225 213 443
1952827461 MOGRI RASHIDA T 2021 FFS RENDERING SNC AGE 21+ 484 2,281 292 609 326 1,587 288 585
1952841900 PEZESHKIAN ARMEN JOSEPH 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 1 1 0 0
1952851719 DOGRA MEENAKSHI 2021 FFS RENDERING SNC AGE 0-20 424 730 120 151 57 77 161 209
1952857237 ABADESCO AUTUMN 2021 FFS RENDERING SNC AGE 0-20 402 708 378 576 101 153 374 505
1952857237 ABADESCO AUTUMN 2021 FFS RENDERING SNC AGE 21+ 617 1,526 507 942 408 703 433 499
1952864654 AGUILAR LAURA 2021 FFS RENDERING SNC AGE 0-20 47 47 36 36 1 1 36 36
1952864654 AGUILAR LAURA 2021 FFS RENDERING SNC AGE 21+ 20 20 13 13 1 1 13 13
1962044347 ABAUNZA ELIZABETH 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 0 0 0 0
1962044347 ABAUNZA ELIZABETH 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 1 1 1 1
1962415588 JUNG, SUSAN C MD 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 1 1 0 0
1962492991 COOK GEORGE W 2021 FFS RENDERING SNC AGE 0-20 143 304 75 107 42 78 1 1
1962492991 COOK GEORGE W 2021 FFS RENDERING SNC AGE 21+ 388 1,084 143 196 165 427 79 104
1962505438 CORNILLE REBECCA A 2021 FFS RENDERING SNC AGE 0-20 258 355 141 157 117 168 134 148
1962505438 CORNILLE REBECCA A 2021 FFS RENDERING SNC AGE 21+ 980 1,677 346 402 834 1,356 220 258
1962525972 PIERCE FRANKLIN 2021 FFS RENDERING SNC AGE 0-20 990 1,564 847 1,269 194 332 306 476
1962525972 PIERCE FRANKLIN 2021 FFS RENDERING SNC AGE 21+ 413 632 291 379 313 485 57 101
1962685461 KIM, BEN 2021 FFS RENDERING SNC AGE 0-20 101 175 90 151 11 11 87 101
1962685461 KIM, BEN 2021 FFS RENDERING SNC AGE 21+ 238 978 146 253 145 370 193 531
1962752089 KIM YOON HEE 2021 FFS RENDERING SNC AGE 0-20 87 260 82 172 29 96 79 164
1962752089 KIM YOON HEE 2021 FFS RENDERING SNC AGE 21+ 248 1,023 219 557 107 396 225 637
1962790592 DEMISSIE ELIAS 2021 FFS RENDERING SNC AGE 0-20 14 21 0 0 0 0 0 0
1962790592 DEMISSIE ELIAS 2021 FFS RENDERING SNC AGE 21+ 46 112 0 0 0 0 1 1
1962790592 DEMISSIE ELIAS 2021 GMC RENDERING SNC AGE 21+ 1 1 0 0 0 0 0 0
1962801738 ABDELRAHIM ADHAM F 2021 FFS RENDERING SNC AGE 0-20 987 2,527 931 1,654 518 1,186 818 1,060
1962801738 ABDELRAHIM ADHAM F 2021 FFS RENDERING SNC AGE 21+ 518 1,875 301 346 483 1,694 306 334
1962814038 PHAM THOMAS M 2021 FFS RENDERING SNC AGE 0-20 206 303 173 211 64 100 109 126
1962814038 PHAM THOMAS M 2021 FFS RENDERING SNC AGE 21+ 195 404 112 145 121 257 105 137
1962819292 JIMENEZ LAURA 2021 FFS RENDERING SNC AGE 0-20 138 146 131 137 1 1 1 1
1962819292 JIMENEZ LAURA 2021 FFS RENDERING SNC AGE 21+ 251 317 135 139 128 184 1 1
1962823906 CHU ALVIN 2021 FFS RENDERING SNC AGE 0-20 54 116 50 67 26 64 40 49
1962823906 CHU ALVIN 2021 FFS RENDERING SNC AGE 21+ 524 1,445 442 688 442 1,103 426 651
1962858423 LIU HUI 2021 FFS RENDERING SNC AGE 0-20 225 294 192 231 127 149 149 151
1962858423 LIU HUI 2021 FFS RENDERING SNC AGE 21+ 355 537 221 258 238 334 202 228
1962883843 LEUNG CHRISTINE P 2021 FFS RENDERING SNC AGE 0-20 206 335 28 29 15 23 13 13
1962883843 LEUNG CHRISTINE P 2021 FFS RENDERING SNC AGE 21+ 332 815 153 267 99 148 39 41
1962890608 TRAWICK KATHERINE ANN 2021 FFS RENDERING SNC AGE 0-20 388 624 346 524 366 547 210 263
1962890608 TRAWICK KATHERINE ANN 2021 FFS RENDERING SNC AGE 21+ 596 1,128 326 495 528 875 166 207
1962890608 TRAWICK KATHERINE ANN 2021 GMC RENDERING SNC AGE 0-20 1 1 1 1 0 0 0 0
1962915157 JIMENEZ JANICE 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 0 0 0 0
1962915157 JIMENEZ JANICE 2021 FFS RENDERING SNC AGE 21+ 73 78 70 75 0 0 0 0
1962941294 TORRES NUVIA 2021 FFS RENDERING SNC AGE 0-20 19 22 17 20 1 1 0 0
1962941294 TORRES NUVIA 2021 FFS RENDERING SNC AGE 21+ 64 74 14 15 49 58 0 0
1962976456 ONWUKA FAITH AMARACHUKWU 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 0 0 0 0
1962999623 LUE TING Y 2021 FFS RENDERING SNC AGE 0-20 812 1,106 728 899 104 132 19 21
1962999623 LUE TING Y 2021 FFS RENDERING SNC AGE 21+ 530 856 181 207 344 520 86 147
1972081156 OWEN AUSTIN 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 0 0 1 1
1972081156 OWEN AUSTIN 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 0 0 1 1
1972084879 CHUNG TRINA K 2021 FFS RENDERING SNC AGE 0-20 62 80 50 58 17 20 43 48
1972084879 CHUNG TRINA K 2021 FFS RENDERING SNC AGE 21+ 1 2 1 2 1 1 1 1
1972093482 KYLE KAREN GAIL 2021 FFS RENDERING SNC AGE 0-20 168 224 166 222 15 24 0 0
1972093482 KYLE KAREN GAIL 2021 FFS RENDERING SNC AGE 21+ 254 592 252 584 153 310 0 0
1972096709 ISHAK RIOSALINE A 2021 FFS RENDERING SNC AGE 0-20 657 1,084 613 843 295 425 528 585
1972096709 ISHAK RIOSALINE A 2021 FFS RENDERING SNC AGE 21+ 1,209 2,584 968 1,287 850 1,512 877 1,198
1972123248 SITLIN MELODY 2021 FFS RENDERING SNC AGE 0-20 146 177 82 89 54 72 1 1
1972123248 SITLIN MELODY 2021 FFS RENDERING SNC AGE 21+ 287 387 60 72 209 266 43 66
1972516417 CELENTANO, CHRISTOPHER M 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 0 0 1 1
1972521680 ZANDERS III CHARLES 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 1 1 1 1
1972521680 ZANDERS III CHARLES 2021 FFS RENDERING SNC AGE 21+ 181 861 146 361 118 459 152 525
1972541654 KOUSHAKJIAN HOURY 2021 FFS RENDERING SNC AGE 0-20 70 106 70 106 1 1 70 106
1972541654 KOUSHAKJIAN HOURY 2021 FFS RENDERING SNC AGE 21+ 206 538 206 537 100 139 206 537
1972572162 MANNION WILLIAM PATRICK 2021 FFS RENDERING SNC AGE 0-20 94 133 78 111 20 22 78 111
1972572162 MANNION WILLIAM PATRICK 2021 FFS RENDERING SNC AGE 21+ 104 144 75 108 35 36 75 108
1972616621 PHAN OANH T 2021 FFS RENDERING SNC AGE 0-20 325 569 236 301 109 194 299 380
1972616621 PHAN OANH T 2021 FFS RENDERING SNC AGE 21+ 584 1,607 319 363 357 994 506 757
1972624021 AWARIEFE, HENRY S OKPAKO 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 1 1 1 1
1972634277 WALTER DANIEL JAMES 2021 FFS RENDERING SNC AGE 0-20 23 40 23 40 0 0 20 34
1972634277 WALTER DANIEL JAMES 2021 FFS RENDERING SNC AGE 21+ 123 236 122 235 1 1 78 137
1972645638 PHAM CHIEU L 2021 FFS RENDERING SNC AGE 0-20 157 161 90 90 34 34 70 70
1972679603 MERCADO-ULIT, MARILOU S, DDS 2021 FFS RENDERING SNC AGE 0-20 459 524 420 466 69 76 393 428
1972679603 MERCADO-ULIT, MARILOU S, DDS 2021 FFS RENDERING SNC AGE 21+ 278 387 210 247 115 153 206 233
1972681104 UYANNE JETTIE 2021 FFS RENDERING SNC AGE 0-20 65 83 0 0 12 14 34 36
1972681104 UYANNE JETTIE 2021 FFS RENDERING SNC AGE 21+ 343 556 19 23 84 92 177 237
1972697134 ANDERSON ALAN M 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 0 0 1 1
1972697134 ANDERSON ALAN M 2021 FFS RENDERING SNC AGE 21+ 32 71 32 71 0 0 32 71
1972705515 HEID LEE PAUL 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 0 0 0 0
1972710317 NACPIL-ALVAREZ MARIA L 2021 FFS RENDERING SNC AGE 0-20 1,140 1,654 1,046 1,373 394 491 1,025 1,279
1972710317 NACPIL-ALVAREZ MARIA L 2021 FFS RENDERING SNC AGE 21+ 537 852 484 677 274 385 486 677
1972755304 ALBERT ROBERT D 2021 FFS RENDERING SNC AGE 0-20 1,050 1,440 1,034 1,412 31 33 1,033 1,409
1972755304 ALBERT ROBERT D 2021 FFS RENDERING SNC AGE 21+ 559 836 548 811 31 35 548 808
1972817526 DUPUIS WILLIAM C 2021 FFS RENDERING SNC AGE 0-20 48 100 41 82 1 2 15 15
1972817526 DUPUIS WILLIAM C 2021 FFS RENDERING SNC AGE 21+ 82 181 46 98 32 48 22 30
1972936961 TURI, VERONIKA DDS 2021 FFS RENDERING SNC AGE 0-20 173 638 156 252 108 370 158 233
1972936961 TURI, VERONIKA DDS 2021 FFS RENDERING SNC AGE 21+ 208 1,213 183 413 183 1,013 164 216
1972936961 TURI, VERONIKA DDS 2021 PHP RENDERING SNC AGE 0-20 1 1 1 1 0 0 1 1
1972964559 HAMZEH RAZAN 2021 FFS RENDERING SNC AGE 0-20 339 732 338 731 1 1 338 731
1972964559 HAMZEH RAZAN 2021 FFS RENDERING SNC AGE 21+ 388 1,117 388 1,117 1 1 388 1,117
1972966679 CAINE, TEAH MD 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 0 0 0 0
1972966679 CAINE, TEAH MD 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 0 0 0 0
1972989697 PHAM COREY P 2021 FFS RENDERING SNC AGE 0-20 133 187 115 152 118 164 37 43
1972989697 PHAM COREY P 2021 FFS RENDERING SNC AGE 21+ 288 436 152 201 246 353 59 67
1972990778 THAI DAVID 2021 FFS RENDERING SNC AGE 0-20 600 1,006 551 734 228 393 512 591
1972990778 THAI DAVID 2021 FFS RENDERING SNC AGE 21+ 440 948 228 254 321 657 287 402
1982013074 ALARCON DANIELLE C 2021 FFS RENDERING SNC AGE 0-20 1,001 1,927 871 1,055 429 710 886 1,118
1982054276 SHANKAR NARAYAN GEETHA 2021 FFS RENDERING SNC AGE 0-20 449 942 389 605 229 427 343 391
1982054276 SHANKAR NARAYAN GEETHA 2021 FFS RENDERING SNC AGE 21+ 787 2,069 560 750 635 1,460 508 628
1982072526 FLORES RICARDO 2021 FFS RENDERING SNC AGE 0-20 396 584 348 436 106 160 325 376
1982072526 FLORES RICARDO 2021 FFS RENDERING SNC AGE 21+ 358 868 292 421 217 456 319 503
1982130910 BURRIS BRIANA 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 1 1 1 1
1982130910 BURRIS BRIANA 2021 FFS RENDERING SNC AGE 21+ 13 16 0 0 1 1 1 1
1982151494 RIOS JASMINE 2021 FFS RENDERING SNC AGE 0-20 132 147 128 143 1 1 1 1
1982151494 RIOS JASMINE 2021 FFS RENDERING SNC AGE 21+ 422 525 221 247 205 278 1 1
1982161188 HAYASHI-WELLS RIE 2021 FFS RENDERING SNC AGE 21+ 12 18 1 1 1 2 1 1
1982181772 NIKI VAHID 2021 FFS RENDERING SNC AGE 0-20 591 1,397 531 984 157 311 203 252
1982181772 NIKI VAHID 2021 FFS RENDERING SNC AGE 21+ 782 2,407 596 959 426 1,157 595 717
1982199147 HO DAVID Q 2021 FFS RENDERING SNC AGE 0-20 1,023 1,966 873 1,577 916 1,624 425 685
1982199147 HO DAVID Q 2021 FFS RENDERING SNC AGE 21+ 682 1,449 374 636 573 1,151 158 218
1982252888 YEE MICHAEL 2021 FFS RENDERING SNC AGE 0-20 27 27 23 23 1 1 21 21
1982252888 YEE MICHAEL 2021 FFS RENDERING SNC AGE 21+ 21 24 13 13 1 2 13 13
1982260832 RANI POONAM 2021 FFS RENDERING SNC AGE 0-20 578 2,108 564 1,731 85 209 520 1,061
1982260832 RANI POONAM 2021 FFS RENDERING SNC AGE 21+ 489 1,598 470 1,285 130 345 422 833
1982614483 HUYNH LOAN T 2021 FFS RENDERING SNC AGE 0-20 172 328 172 328 0 0 172 328
1982614483 HUYNH LOAN T 2021 FFS RENDERING SNC AGE 21+ 294 591 294 591 0 0 294 591
1982619664 KLAIR JASLEEN 2021 FFS RENDERING SNC AGE 0-20 78 92 35 41 43 50 35 35
1982619664 KLAIR JASLEEN 2021 FFS RENDERING SNC AGE 21+ 370 667 112 137 313 546 123 135
1982627659 SAUNDERS, MICHELE JOYCE 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 0 0 0 0
1982627659 SAUNDERS, MICHELE JOYCE 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 0 0 0 0
1982660452 VU DUC T 2021 FFS RENDERING SNC AGE 0-20 14 21 14 21 0 0 14 21
1982660452 VU DUC T 2021 FFS RENDERING SNC AGE 21+ 534 1,235 534 1,235 0 0 534 1,235
1982675963 TRAN VINH N 2021 FFS RENDERING SNC AGE 0-20 1 2 1 1 1 1 1 1
1982675963 TRAN VINH N 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 1 1 1 1
1982727715 TORDILLA NELSON E 2021 FFS RENDERING SNC AGE 0-20 1,403 1,860 1,016 1,171 414 574 888 984
1982727715 TORDILLA NELSON E 2021 FFS RENDERING SNC AGE 21+ 103 128 84 91 28 38 75 81
1982728440 ULATOWSKI TADEUS 2021 FFS RENDERING SNC AGE 0-20 405 1,232 119 204 160 423 32 60
1982728440 ULATOWSKI TADEUS 2021 FFS RENDERING SNC AGE 21+ 500 1,594 34 50 268 679 93 320
1982739736 WILLIAM SALLY S 2021 FFS RENDERING SNC AGE 0-20 85 87 62 62 35 36 34 34
1982739736 WILLIAM SALLY S 2021 FFS RENDERING SNC AGE 21+ 112 117 47 47 85 88 34 34
1982833067 FOK ELAINE 2021 FFS RENDERING SNC AGE 0-20 65 84 51 62 23 24 48 51
1982833067 FOK ELAINE 2021 FFS RENDERING SNC AGE 21+ 103 146 41 43 75 97 47 52
1982841342 NGUYEN NHUHA T 2021 FFS RENDERING SNC AGE 0-20 14 21 1 2 1 1 1 1
1982841342 NGUYEN NHUHA T 2021 FFS RENDERING SNC AGE 21+ 63 92 25 27 39 54 20 20
1982850723 DIAZ OSLEYDIS 2021 FFS RENDERING SNC AGE 0-20 22 53 12 14 12 29 11 17
1982850723 DIAZ OSLEYDIS 2021 FFS RENDERING SNC AGE 21+ 156 379 91 115 104 201 92 163
1982852059 KARUNAKARAN PAULINE M 2021 FFS RENDERING SNC AGE 0-20 439 782 380 643 51 82 312 481
1982852059 KARUNAKARAN PAULINE M 2021 FFS RENDERING SNC AGE 21+ 1,451 3,759 1,125 2,438 392 886 514 933
1982852059 KARUNAKARAN PAULINE M 2021 GMC RENDERING SNC AGE 0-20 1 1 1 1 0 0 1 1
1982852059 KARUNAKARAN PAULINE M 2021 GMC RENDERING SNC AGE 21+ 1 1 1 1 0 0 1 1
1982874673 SHIKARAM CHITRA NAG 2021 FFS RENDERING SNC AGE 0-20 51 67 39 46 14 21 33 36
1982874673 SHIKARAM CHITRA NAG 2021 FFS RENDERING SNC AGE 21+ 138 240 81 95 81 136 84 110
1982883575 PETROPOULOS VICKI C 2021 FFS RENDERING SNC AGE 0-20 11 20 11 20 0 0 11 20
1982883575 PETROPOULOS VICKI C 2021 FFS RENDERING SNC AGE 21+ 15 32 15 32 0 0 15 32
1982901716 ELANGO JUDITH MBOKATONG 2021 FFS RENDERING SNC AGE 0-20 59 88 29 34 49 73 1 1
1982901716 ELANGO JUDITH MBOKATONG 2021 FFS RENDERING SNC AGE 21+ 32 52 1 1 29 46 1 1
1982937785 TURNER PORTIA DENISE 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 1 1 1 1
1982937785 TURNER PORTIA DENISE 2021 FFS RENDERING SNC AGE 21+ 68 91 11 13 42 51 18 23
1982999553 ZWERS ANDREW J 2021 FFS RENDERING SNC AGE 0-20 582 886 509 667 170 255 325 401
1982999553 ZWERS ANDREW J 2021 FFS RENDERING SNC AGE 21+ 472 900 322 451 219 391 287 395
1992030415 KARTOUNIAN ANI A 2021 FFS RENDERING SNC AGE 0-20 200 354 17 20 1 1 1 1
1992030415 KARTOUNIAN ANI A 2021 FFS RENDERING SNC AGE 21+ 328 776 82 145 17 19 24 27
1992052674 IKAHIHIFO EMILY WAUNEKA BERG 2021 FFS RENDERING SNC AGE 0-20 14 19 0 0 11 15 1 1
1992052674 IKAHIHIFO EMILY WAUNEKA BERG 2021 FFS RENDERING SNC AGE 21+ 24 40 1 1 16 26 1 1
1992077572 SEVILLA PEREZ SHAMIR 2021 FFS RENDERING SNC AGE 0-20 163 249 108 178 69 71 108 178
1992077572 SEVILLA PEREZ SHAMIR 2021 FFS RENDERING SNC AGE 21+ 197 324 126 228 86 96 126 228
1992112940 ALKASEER MAAMON K 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 1 1 1 1
1992119598 WILKS KONITA L 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 1 1 1 1
1992119598 WILKS KONITA L 2021 FFS RENDERING SNC AGE 21+ 41 45 12 13 16 17 1 1
1992127005 ROH GRACE S 2021 FFS RENDERING SNC AGE 0-20 340 386 275 306 148 161 273 304
1992127005 ROH GRACE S 2021 FFS RENDERING SNC AGE 21+ 213 267 108 131 163 192 109 130
1992146211 DECKER DANA LAUREN 2021 FFS RENDERING SNC AGE 0-20 643 1,091 481 653 349 592 370 463
1992146211 DECKER DANA LAUREN 2021 FFS RENDERING SNC AGE 21+ 350 742 159 213 259 551 154 189
1992150197 KWAK, HANNAH J MD 2021 FFS RENDERING SNC AGE 0-20 1 1 0 0 0 0 1 1
1992185326 WOODSON JESSICA 2021 FFS RENDERING SNC AGE 0-20 676 856 581 694 75 103 1 1
1992185326 WOODSON JESSICA 2021 FFS RENDERING SNC AGE 21+ 594 1,136 112 124 477 796 105 246
1992193726 BODMAN RONA A 2021 FFS RENDERING SNC AGE 0-20 664 751 406 437 224 255 406 438
1992193726 BODMAN RONA A 2021 FFS RENDERING SNC AGE 21+ 915 1,104 399 435 539 625 505 573
1992227789 CARLSON RYAN SCOTT 2021 FFS RENDERING SNC AGE 21+ 1 1 0 0 1 1 0 0
1992292007 EBRAHIMI NAHRIN V 2021 FFS RENDERING SNC AGE 0-20 15 31 13 24 1 1 13 24
1992292007 EBRAHIMI NAHRIN V 2021 FFS RENDERING SNC AGE 21+ 358 944 338 732 116 227 322 563
1992358964 GUEVARRA ROBLEN P 2021 FFS RENDERING SNC AGE 0-20 867 1,763 759 1,362 210 303 19 24
1992358964 GUEVARRA ROBLEN P 2021 FFS RENDERING SNC AGE 21+ 973 2,897 679 1,207 551 1,230 32 52
1992703763 CAMPBELL, F.E. 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 1 1 1 1
1992797583 MACAOAY MARK C 2021 FFS RENDERING SNC AGE 0-20 1,794 2,998 1,555 2,141 390 530 1,334 1,589
1992826929 PARKER MIRIAM LOUISE 2021 FFS RENDERING SNC AGE 0-20 328 533 270 430 282 451 103 171
1992826929 PARKER MIRIAM LOUISE 2021 FFS RENDERING SNC AGE 21+ 383 631 152 203 321 526 75 96
1992826929 PARKER MIRIAM LOUISE 2021 GMC RENDERING SNC AGE 0-20 1 1 1 1 1 1 0 0
1992836829 BADER CHRISTIAN A 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 1 1 1 1
1992836829 BADER CHRISTIAN A 2021 FFS RENDERING SNC AGE 21+ 85 299 1 1 63 150 38 129
1992846430 MONTEJO-KADERA CONSTANZA 2021 FFS RENDERING SNC AGE 0-20 197 231 148 169 52 58 110 121
1992846430 MONTEJO-KADERA CONSTANZA 2021 FFS RENDERING SNC AGE 21+ 1 1 1 1 1 1 1 1
1992908412 HOKANSON NICOLE 2021 FFS RENDERING SNC AGE 0-20 26 30 25 29 0 0 1 1
1992908412 HOKANSON NICOLE 2021 FFS RENDERING SNC AGE 21+ 31 36 31 35 1 1 0 0
1992917926 JOB ALLEN J 2021 FFS RENDERING SNC AGE 0-20 1 1 1 1 1 1 1 1
1992938864 DUNIVAN JANETTE 2021 FFS RENDERING SNC AGE 0-20 103 241 103 241 0 0 103 241
1992938864 DUNIVAN JANETTE 2021 FFS RENDERING SNC AGE 21+ 92 288 92 288 0 0 92 288