NPI: 1659305647 · WOOSTER, OH 44691 · Pediatrics Physician · NPI assigned 07/10/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 30 | $300.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 30 | 12 | $300.00 |