NPI: 1922363001 · SALEM, UT 84653 · Pediatrics Physician · NPI assigned 07/05/2012
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 13 | $291.98 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | 13 | 13 | $291.98 |