MORTENSEN, LAUREN
NPI: 1750795993
· HOLLAND, MI 49423
· Pediatrics Physician
· NPI assigned 06/16/2014
$98.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
27 |
$98.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
14 |
$98.00 |
| 90686 |
|
13 |
13 |
$0.00 |