NPI: 1720286115 · CEDAR RAPIDS, IA 52403 · Pediatrics Physician · NPI assigned 07/06/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 15 | $591.57 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 15 | 15 | $591.57 |