BOE, JUSTIN
NPI: 1205925864
· EDMOND, OK 73003
· Pediatrics Physician
· NPI assigned 10/12/2006
$212.97
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
39 |
$212.97 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71046 |
Radiologic examination, chest; 2 views |
17 |
17 |
$109.94 |
| 71045 |
Radiologic examination, chest; single view |
22 |
17 |
$103.03 |