BOW, LESLEY
NPI: 1356592968
· PIKEVILLE, KY 41501
· Pediatrics Physician
· NPI assigned 10/02/2008
$982.60
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2020 |
79 |
$982.60 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
18 |
18 |
$565.00 |
| 99401 |
|
12 |
12 |
$284.70 |
| 99406 |
|
18 |
18 |
$79.78 |
| 81002 |
|
14 |
14 |
$27.68 |
| 85018 |
|
17 |
17 |
$25.44 |