ARIZONA COMMUNITY PHYSICIANS PC
NPI: 1225172349
· TUCSON, AZ 85712
· Radiology Clinic/Center
· NPI assigned 02/20/2007
$218.12
Total Medicaid Paid
Provider Details
| Authorized Official | LEVEY, LARRY (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 02/20/2007 |
Related Entities
Other providers sharing the same authorized official: LEVEY, LARRY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
48 |
$218.12 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
24 |
12 |
$218.12 |
| 90686 |
|
24 |
12 |
$0.00 |