NPI: 1316110778 · MARQUETTE, MI 49855 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 04/08/2008
| Authorized Official | STANCHINA, RICHARD (PRESIDENT) |
| NPI Enumeration Date | 04/08/2008 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 12 | $715.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0140 | Limited oral evaluation - problem focused | 12 | 12 | $715.00 |