All Medicaid billing entities listing DACOSTA, THEODORE (PHYSICIAN) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| New Jersey | 1 | $308K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | DACOSTA MEDICAL GROUP LLC | ORANGE, NJ | Gastroenterology Physician | $308K |