NPI: 1013051689 · PUEBLO, CO 81004 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 02/16/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12 | $389.88 |
| 2019 | 14 | $459.34 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0140 | Limited oral evaluation - problem focused | 26 | 26 | $849.22 |