NPI: 1366883076 · WASHINGTON, PA 15301 · Student in an Organized Health Care Education/Training Program · NPI assigned 07/10/2013
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 123 | $8K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 123 | 25 | $8K |