NPI: 1477797850 · WINSTON SALEM, NC 27103 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 04/29/2009
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 13 | $609.74 |
| 2022 | 12 | $553.80 |
| Code | Description | Claims | Bene. Records | Total Paid |
|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 25 | 25 | $1K |