NPI: 1245374362 · BARABOO, WI 53913 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 02/20/2007
| Authorized Official | HERBST, ERICH (PRESIDENT) |
| NPI Enumeration Date | 02/20/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 28 | $516.12 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0140 | Limited oral evaluation - problem focused | 28 | 28 | $516.12 |