SANDIFER, LENA
NPI: 1164746962
· PAWLEYS ISLAND, SC 29585
· Internal Medicine Physician
· NPI assigned 03/23/2010
$167.74
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
24 |
$167.74 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12 |
12 |
$151.32 |
| 90686 |
|
12 |
12 |
$16.42 |