NPI: 1437179140 · FORT WAYNE, IN 46815 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 07/19/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 12 | $362.10 |
| Code | Description | Claims | Bene. Records | Total Paid |
|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 12 | 12 | $362.10 |