EDWARDS, ANDREA
NPI: 1114217205
· SANDY, UT 84094
· Pediatrics Physician
· NPI assigned 04/11/2011
$289.56
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
13 |
$29.04 |
| 2019 |
36 |
$260.52 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
31 |
31 |
$246.00 |
| 90686 |
|
18 |
18 |
$43.56 |