KIDS HEALTHCARE, INC
NPI: 1376732339
· KAUFMAN, TX 75142
· Pediatrics Physician
· NPI assigned 10/16/2007
$327.16
Total Medicaid Paid
Provider Details
| Authorized Official | LEWIS, CHARLES (MEDICAL DIRECTOR) |
| NPI Enumeration Date | 10/16/2007 |
Related Entities
Other providers sharing the same authorized official: LEWIS, CHARLES
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2020 |
43 |
$327.16 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
31 |
12 |
$243.04 |
| 90461 |
|
12 |
12 |
$84.12 |