NPI: 1114291887 · CHEYENNE, WY 82009 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 02/28/2012
| Authorized Official | HAMIDI, MARIAM (OWNER/ SURGEON) |
| NPI Enumeration Date | 02/28/2012 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 25 | $1K |
| 2019 | 14 | $585.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0140 | Limited oral evaluation - problem focused | 39 | 39 | $2K |