BANKETT, TOLLESE
NPI: 1831409218
· LAPLATA, MD 20646
· Pediatrics Physician
· NPI assigned 10/19/2010
$209.52
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
30 |
$209.52 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90686 |
|
13 |
13 |
$209.52 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
17 |
17 |
$0.00 |