NPI: 1902880859 · KINGSVILLE, TX 78363 · Pediatrics Physician · NPI assigned 12/05/2005
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 39 | $297.92 |
| 2024 | 22 | $302.50 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 61 | 24 | $600.42 |