UNIVERSITY OF ARKANSAS LITTLE ROCK
NPI: 1346676699
· LITTLE ROCK, AR 72204
· Student Health Clinic/Center
· NPI assigned 09/18/2013
$209.82
Total Medicaid Paid
Provider Details
| Authorized Official | SANDUSKY, MARIE (DIRECTOR) |
| NPI Enumeration Date | 09/18/2013 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
30 |
$209.82 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90686 |
|
15 |
14 |
$209.82 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
14 |
$0.00 |