KONGBANDALSUKE, NONGNUCH
NPI: 1730438359
· BELLFLOWER, CA 90706
· Nurse Practitioner
· NPI assigned 08/29/2012
$129.34
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
45 |
$129.34 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
29 |
29 |
$129.34 |
| 90686 |
|
16 |
16 |
$0.00 |