NPI: 1023412079 · BOWLING GREEN, OH 43402 · Pediatric Nurse Practitioner · NPI assigned 10/20/2014
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 37 | $566.55 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 37 | 13 | $566.55 |