NPI: 1396924544 · MIDDLESBORO, KY 40965 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 10/24/2007
| Authorized Official | WILSON, BRUCE (PRESIDENT) |
| NPI Enumeration Date | 10/24/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 16 | $487.50 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0330 | Panoramic radiographic image | 16 | 14 | $487.50 |