GWON, CALLY
NPI: 1285690941
· NEWTON, MA 02462
· Pediatrics Physician
· NPI assigned 04/21/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
24 |
$231.84 |
| 2020 |
12 |
$409.00 |
| 2021 |
31 |
$300.07 |
| 2022 |
26 |
$252.38 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
42 |
39 |
$431.34 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12 |
12 |
$409.00 |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
39 |
39 |
$352.95 |