OSAMA ELSABAGH MD PLLC
NPI: 1437653532
· WALLED LAKE, MI 48390
· Pediatrics Physician
· NPI assigned 03/22/2018
$416.06
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
22 |
$285.04 |
| 2019 |
14 |
$131.02 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
22 |
21 |
$285.04 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
14 |
14 |
$131.02 |