CREVISTON AND PEDERSEN LLC
NPI: 1174641690
· MOSES LAKE, WA 98837
· 152W00000X
$121K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
1,970 |
$60K |
| 2019 |
1,957 |
$58K |
| 2020 |
140 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
|
563 |
561 |
$39K |
| 92340 |
|
1,909 |
1,791 |
$37K |
| 92004 |
|
435 |
433 |
$33K |
| 92015 |
|
1,160 |
1,150 |
$12K |