BUSH, DAVID
NPI: 1538144159
· PAYSON, UT 84651
· Pediatrics Physician
· NPI assigned 12/07/2005
$160.60
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
24 |
$160.60 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90686 |
|
12 |
12 |
$88.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$72.60 |