NPI: 1982602470 · EDEN PRAIRIE, MN 55344 · Diagnostic Radiology Physician · NPI assigned 07/08/2005
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 12 | $869.77 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | 12 | 12 | $869.77 |