NOVA SOUTHEASTERN UNIVERSITY, INC
NPI: 1093442824
· FT LAUDERDALE, FL 33316
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 08/02/2022
$785.97
Total Medicaid Paid
Provider Details
| Authorized Official | ESTEVEZ, ROSEMERY (DIRECTOR OF CONTRACTING) |
| Parent Organization | NOVA SOUHTEASTERN UNIVERSITY, INC |
| NPI Enumeration Date | 08/02/2022 |
Related Entities
Other providers sharing the same authorized official: ESTEVEZ, ROSEMERY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
29 |
$785.97 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0330 |
Panoramic radiographic image |
14 |
14 |
$613.14 |
| D0140 |
Limited oral evaluation - problem focused |
15 |
15 |
$172.83 |