NPI: 1376827832 · SALT LAKE CITY, UT 84117 · Oral and Maxillofacial Surgery Clinic/Center · NPI assigned 10/03/2011
| Authorized Official | HOPKIN, DUSTIN (PRESIDENT) |
| NPI Enumeration Date | 10/03/2011 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 16 | $536.80 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0140 | Limited oral evaluation - problem focused | 16 | 16 | $536.80 |