CREVISTON AND PEDERSEN LLC
NPI: 1386762417
· MOSES LAKE, WA 98837
· 152W00000X
$160K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
2,495 |
$77K |
| 2019 |
2,371 |
$72K |
| 2020 |
375 |
$11K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
|
838 |
829 |
$57K |
| 92004 |
|
568 |
552 |
$44K |
| 92340 |
|
2,279 |
2,011 |
$42K |
| 92015 |
|
1,556 |
1,530 |
$17K |