NPI: 1417451345 · DANVILLE, IL 61832 · Student in an Organized Health Care Education/Training Program · NPI assigned 03/23/2018
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 12 | $326.15 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 12 | 12 | $326.15 |