NPI: 1265028484 · FAIRBANKS, AK 99701 · Anesthesiology Physician · NPI assigned 12/13/2020
| Authorized Official | KOVACICH, DIANA (ORGANIZER) |
| NPI Enumeration Date | 12/13/2020 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 15 | $6K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 00170 | Anesthesia for intraoral procedures, including biopsy | 15 | 12 | $6K |