NPI: 1992938534 · SAINT PAUL, MN 55104 · Pediatrics Physician · NPI assigned 08/31/2009
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 14 | $421.08 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 14 | 14 | $421.08 |