NPI: 1205896644 · PORTSMOUTH, NH 03803 · Military Health Care Provider · NPI assigned 03/27/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 15 | $286.30 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 15 | 14 | $286.30 |