CITY OF HOUSTON
NPI: 1235274952
· HOUSTON, TX 77009
· Public Health Dentist
· NPI assigned 02/20/2007
$72.00
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: TRAN CARAPUCCI, THERESA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2022 |
31 |
$72.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
31 |
26 |
$72.00 |