NPI: 1770945834 · SALT LAKE CITY, UT 84108 · Student in an Organized Health Care Education/Training Program · NPI assigned 03/28/2016
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 17 | $62.16 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 17 | 17 | $62.16 |