NPI: 1548371172 · VENICE, CA 90291 · Family Medicine Physician · NPI assigned 08/31/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 315 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 31 | 31 | $1K |
| 90674 | 35 | 35 | $949.55 | |
| 92552 | 29 | 29 | $439.35 | |
| 85018 | 116 | 115 | $237.80 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 91 | 91 | $0.00 |
| 90461 | 13 | 13 | $0.00 |