NPI: 1659415214 · GARY, IN 46404 · General Practice Dentistry · NPI assigned 02/16/2007
| Authorized Official | HAWKINS, SHIRLEY (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 02/16/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 535 | $5K |
| 2022 | 1,421 | $13K |
| 2023 | 2,495 | $21K |
| 2024 | 616 | $7K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1,888 | 1,611 | $23K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1,216 | 1,060 | $23K |
| 83655 | 62 | 40 | $426.44 | |
| 36416 | 150 | 129 | $371.28 | |
| 90715 | 442 | 393 | $0.00 | |
| 90700 | 21 | 21 | $0.00 | |
| 90734 | 626 | 554 | $0.00 | |
| 90633 | 339 | 302 | $0.00 | |
| 90710 | 105 | 94 | $0.00 | |
| 90713 | 32 | 30 | $0.00 | |
| 90651 | 146 | 127 | $0.00 | |
| 90620 | 40 | 33 | $0.00 |