NPI: 1154667269 · CLINTON, CT 06413 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 12/17/2012
| Authorized Official | WILK, ARTHUR (PRESIDENT) |
| NPI Enumeration Date | 12/17/2012 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 12 | $517.44 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0140 | Limited oral evaluation - problem focused | 12 | 12 | $517.44 |