NPI: 1407834740 · GRINNELL, IA 50112 · Family Medicine Physician · NPI assigned 01/06/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 21 | $767.52 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 21 | 20 | $767.52 |