NPI: 1285651133 · FARMINGTON, CT 06032 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 07/16/2006
| Authorized Official | THIELKE, SCHANTAL (BILLING & INSURANCE MANAGER) |
| NPI Enumeration Date | 07/16/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 71 | $3K |
| 2019 | 25 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0140 | Limited oral evaluation - problem focused | 96 | 92 | $4K |