NPI: 1255495081 · ELMWOOD PARK, IL 60707 · Orthodontics and Dentofacial Orthopedic Dentist · NPI assigned 12/19/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 101 | $17K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D8670 | Periodic orthodontic treatment visit | 101 | 96 | $17K |