NPI: 1174572838 · BROKEN ARROW, OK 74012 · Pediatrics Physician · NPI assigned 05/09/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 13 | $502.62 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 13 | 13 | $502.62 |