Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PUDDLE DOCK PEDIATRICS PLLC

NPI: 1376324533 · PORTSMOUTH, NH 03801 · Pediatrics Physician · NPI assigned 10/12/2023

$60.33
Total Medicaid Paid
19
Total Claims
14
Beneficiaries
1
Codes Billed
2024-10
First Month
2024-10
Last Month

Provider Details

Authorized OfficialSMITH, ALYSSA (OWNER/PHYSICIAN)
NPI Enumeration Date10/12/2023

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 19 $60.33

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90460 Immunization administration through 18 years of age via any route, first or only component 19 14 $60.33