STATE OF NEVADA HEALTH DIVISION
NPI: 1568538460
· CARSON CITY, NV 89706
· Public Health or Welfare Agency
· NPI assigned 11/24/2006
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | SEDRAN, JON (DIVISION PRIVACY OFFICER) |
| NPI Enumeration Date | 11/24/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
187 |
$0.00 |
| 2023 |
14 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90472 |
Immunization administration, each additional vaccine (list separately) |
43 |
43 |
$0.00 |
| 86580 |
|
64 |
45 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
82 |
81 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |