OWEN, ROBERT
NPI: 1821212291
· SYRACUSE, UT 84075
· Pediatrics Physician
· NPI assigned 04/13/2007
$162.33
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
30 |
$162.33 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16 |
16 |
$104.25 |
| 90688 |
|
14 |
14 |
$58.08 |