NPI: 1326017690 · TUSTIN, CA 92780 · Pediatrics Physician · NPI assigned 03/17/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 383 | $3K |
| 2020 | 48 | $185.49 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 115 | 115 | $3K |
| 90658 | 42 | 42 | $378.00 | |
| 92551 | 70 | 70 | $313.20 | |
| 90686 | 19 | 19 | $185.49 | |
| 99173 | 53 | 53 | $43.06 | |
| 86580 | 25 | 25 | $15.82 | |
| 85999 | 27 | 27 | $9.03 | |
| 81000 | 26 | 26 | $2.87 | |
| 81001 | 25 | 25 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 29 | 29 | $0.00 |