NPI: 1376855734 · OGDENSBURG, NY 13669 · Student in an Organized Health Care Education/Training Program · NPI assigned 07/13/2010
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 12 | $158.76 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 12 | 12 | $158.76 |