GRAVELLE, LISA
NPI: 1821028820
· SALT LAKE CITY, UT 84107
· Obstetrics & Gynecology Physician
· NPI assigned 07/04/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
12 |
$995.46 |
| 2020 |
25 |
$317.96 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
25 |
25 |
$1K |
| 90686 |
|
12 |
12 |
$0.00 |