NPI: 1023416732 · UTICA, MI 48317 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 12/11/2014
| Authorized Official | HILDEBRAND, JOSEPH (OWNER) |
| NPI Enumeration Date | 12/11/2014 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 13 | $835.89 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0140 | Limited oral evaluation - problem focused | 13 | 13 | $835.89 |