NPI: 1396906152 · CULVER CITY, CA 90230 · Student in an Organized Health Care Education/Training Program · NPI assigned 06/24/2008
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 138 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 13 | 13 | $597.85 |
| 90686 | 16 | 16 | $372.16 | |
| 85018 | 33 | 33 | $61.50 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 61 | 61 | $0.00 |
| 90461 | 15 | 15 | $0.00 |