NPI: 1518251230 · NEW HUDSON, MI 48165 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 05/31/2011
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 12 | $715.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0140 | Limited oral evaluation - problem focused | 12 | 12 | $715.00 |