NPI: 1073587176 · WICHITA, KS 67208 · Pediatrics Physician · NPI assigned 02/15/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 20 | $364.68 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 20 | 20 | $364.68 |