AYANDEH HEALTH LLC
NPI: 1275061467
· KINGSTON, OK 73439
· Nurse Practitioner
· NPI assigned 06/01/2017
$256.76
Total Medicaid Paid
Provider Details
| Authorized Official | ASGARI, ARRASH (OWNER) |
| NPI Enumeration Date | 06/01/2017 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
28 |
$256.76 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
14 |
$256.76 |
| 90686 |
|
14 |
14 |
$0.00 |