NPI: 1083815377 · BROKEN ARROW, OK 74012 · Orthodontics and Dentofacial Orthopedic Dentist · NPI assigned 05/31/2007
| Authorized Official | EMERSON, CLINTON (MANAGER) |
| NPI Enumeration Date | 05/31/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 36 | $2K |
| 2020 | 102 | $5K |
| 2021 | 38 | $49K |
| 2022 | 27 | $23K |
| 2023 | 171 | $47K |