NPI: 1104261023 · ST GEORGE, UT 84790 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 05/06/2013
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 14 | $409.50 |
| Code | Description | Claims | Bene. Records | Total Paid |
|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 14 | 14 | $409.50 |