DE LA ROCHA, HECTOR
NPI: 1467483115
· MONTEBELLO, CA 90640
· Pediatrics Physician
· NPI assigned 07/05/2006
$108.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
75 |
$108.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90685 |
|
12 |
12 |
$108.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
37 |
37 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26 |
25 |
$0.00 |