NPI: 1285952895 · DALLAS, TX 75208 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 05/06/2010
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12 | $330.72 |
| Code | Description | Claims | Bene. Records | Total Paid |
|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 12 | 12 | $330.72 |