NPI: 1366957862 · ALPENA, MI 49707 · Oral and Maxillofacial Surgery Clinic/Center · NPI assigned 12/06/2017
| Authorized Official | RESNICK, GREGG (OWNER) |
| NPI Enumeration Date | 12/06/2017 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 12 | $348.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 12 | 12 | $348.00 |