BRACKENS, ROSALYND
NPI: 1518300029
· LIBERTY TOWNSHIP, OH 45044
· Pediatrics Physician
· NPI assigned 04/15/2013
$270.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
86 |
$270.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
24 |
13 |
$270.00 |
| 3078F |
|
31 |
30 |
$0.00 |
| 3074F |
|
31 |
30 |
$0.00 |