NPI: 1588876445 · BURTON, MI 48519 · Pediatric Nephrology Physician · NPI assigned 05/04/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 12 | $161.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 12 | 12 | $161.00 |