NPI: 1154651511 · LA GRANGE, TX 78945 · Orthodontics and Dentofacial Orthopedic Dentist · NPI assigned 01/07/2010
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 256 | $77K |
| 2023 | 13 | $6K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D8670 | Periodic orthodontic treatment visit | 269 | 267 | $83K |