NPI: 1144537333 · SAINT JOSEPH, MI 49085 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 09/09/2010
| Authorized Official | MITOWSKI, CINDY (OFFICE MANAGER) |
| NPI Enumeration Date | 09/09/2010 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 12 | $715.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0140 | Limited oral evaluation - problem focused | 12 | 12 | $715.00 |