NPI: 1134416373 · ENID, OK 73703 · Anesthesiology Physician · NPI assigned 07/08/2011
| Authorized Official | WISE, KIMBERLY (BUSINESS ADMINISTRATOR) |
| NPI Enumeration Date | 07/08/2011 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 13 | $4K |
| 2022 | 32 | $10K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 00170 | Anesthesia for intraoral procedures, including biopsy | 45 | 45 | $14K |