ZAVOD KING BARTLETT PEDIATRICS
NPI: 1235206921
· ARDMORE, PA 19003
· Pediatrics Physician
· NPI assigned 11/29/2006
$764.84
Total Medicaid Paid
Provider Details
| Authorized Official | KING, FRANK (PRESIDENT) |
| NPI Enumeration Date | 11/29/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
38 |
$473.00 |
| 2023 |
14 |
$291.84 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
40 |
40 |
$764.84 |
| 90686 |
|
12 |
12 |
$0.00 |