LA SIERRA MEDICAL CORP
NPI: 1164527271
· RIVERSIDE, CA 92505
· Exclusive Provider Organization
· NPI assigned 09/13/2006
$55.00
Total Medicaid Paid
Provider Details
| Authorized Official | MBAGWU, CHIDOZIE (MEDICAL DIRECTOR) |
| NPI Enumeration Date | 09/13/2006 |
Related Entities
Other providers sharing the same authorized official: MBAGWU, CHIDOZIE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
42 |
$42.00 |
| 2024 |
13 |
$13.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90686 |
|
42 |
40 |
$42.00 |
| 90715 |
|
13 |
13 |
$13.00 |