NPI: 1710399365 · DANVILLE, IL 61832 · Student in an Organized Health Care Education/Training Program · NPI assigned 05/29/2014
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 27 | $400.29 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 27 | 27 | $400.29 |