DAGE, THEODORE
NPI: 1205344868
· MIDDLETOWN, NY 10940
· Critical Care Pediatric Nurse Practitioner
· NPI assigned 01/17/2018
$26.67
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
30 |
$26.67 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
15 |
15 |
$26.67 |
| 90686 |
|
15 |
15 |
$0.00 |