NPI: 1194904292 · ROCK ISLAND, IL 61201 · Orthodontics and Dentofacial Orthopedic Dentist · NPI assigned 10/25/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 54 | $11K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D8670 | Periodic orthodontic treatment visit | 54 | 46 | $11K |