NPI: 1801872494 · SOUTH PORTLAND, ME 04106 · Pediatric Nurse Practitioner · NPI assigned 12/16/2005
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12 | $161.16 |
| 2019 | 47 | $550.63 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 59 | 51 | $711.79 |