NPI: 1588664411 · SUMMERVILLE, SC 29485 · Pediatrics Physician · NPI assigned 07/21/2005
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 12 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 12 | 12 | $1K |