ALFRED B DADIVAS MD INC
NPI: 1184806606
· FONTANA, CA 92336
· Internal Medicine Physician
· NPI assigned 11/27/2007
$122.53
Total Medicaid Paid
Provider Details
| Authorized Official | DADIVAS, ALFRED (PRESIDENT) |
| NPI Enumeration Date | 11/27/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
243 |
$119.77 |
| 2019 |
88 |
$2.76 |
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 |
331 |
311 |
$122.53 |