NPI: 1083103311 · INDIANA, PA 15701 · Orthodontics and Dentofacial Orthopedic Dentist · NPI assigned 05/02/2018
| Authorized Official | CAVALANCIA, JEFFREY (OWNER/DOCTOR) |
| NPI Enumeration Date | 05/02/2018 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 200 | $22K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D8670 | Periodic orthodontic treatment visit | 200 | 200 | $22K |