NPI: 1194774588 · OREM, UT 84058 · Family Medicine Physician · NPI assigned 05/10/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 14 | $525.56 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 14 | 14 | $525.56 |