NPI: 1093774242 · MARIETTA, OH 45750 · Pediatrics Physician · NPI assigned 03/17/2006
| Authorized Official | WITSCHEY, JOHN (ADMINISTRATOR) |
| NPI Enumeration Date | 03/17/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 243 | $3K |
| 2019 | 182 | $2K |
| 2020 | 128 | $913.48 |
| 2021 | 1,492 | $17K |
| 2022 | 410 | $6K |
| 2023 | 389 | $8K |
| 2024 | 652 | $26K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1351 | Sealant - per tooth | 1,376 | 428 | $42K |
| 0011A | 219 | 185 | $6K | |
| 0012A | 200 | 168 | $5K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 319 | 297 | $4K |
| 0001A | 83 | 68 | $2K | |
| 0002A | 34 | 33 | $1K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 59 | 39 | $912.75 |
| D1206 | Topical application of fluoride varnish | 29 | 29 | $863.24 |
| 90686 | 160 | 154 | $806.33 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 81 | 70 | $650.22 |
| 0124A | 14 | 12 | $624.86 | |
| 90734 | 173 | 168 | $573.60 | |
| 90715 | 59 | 58 | $188.71 | |
| 90651 | 12 | 12 | $45.00 | |
| 91300 | 189 | 158 | $0.62 | |
| 91301 | 475 | 380 | $0.28 | |
| 91312 | 14 | 12 | $0.00 |