NPI: 1518158989 · SAINT LOUIS, MO 63117 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 08/09/2007
| Authorized Official | MONTERUBIO, JOHN (PRESIDENT) |
| NPI Enumeration Date | 08/09/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 88 | $7K |
| 2024 | 199 | $9K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 287 | 27 | $15K |