NPI: 1295766566 · OMAHA, NE 68114 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 07/05/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 14 | $154.00 |
| Code | Description | Claims | Bene. Records | Total Paid |
|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 14 | 14 | $154.00 |