NPI: 1366717621 · SAN FERNANDO, CA 91340 · Pediatrics Physician · NPI assigned 03/19/2012
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 245 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 73 | 73 | $3K |
| 85018 | 66 | 66 | $131.20 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 69 | 69 | $0.00 |
| 90686 | 12 | 12 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 25 | 25 | $0.00 |