ALEJO, WILFREDO
NPI: 1114990785
· DIAMOND BAR, CA 91765
· Pediatrics Physician
· NPI assigned 02/13/2006
$725.61
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
32 |
$0.00 |
| 2021 |
14 |
$725.61 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14 |
14 |
$725.61 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
32 |
12 |
$0.00 |