NPI: 1528072303 · LIVONIA,, MI 48152 · Oral & Maxillofacial Surgery (D.M.D.) · NPI assigned 07/28/2006
| Authorized Official | STACEY, KATHY (OFFICE MANAGER) |
| NPI Enumeration Date | 07/28/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 12 | $780.00 |
| 2021 | 12 | $631.90 |
| 2022 | 12 | $650.00 |
| 2023 | 14 | $816.00 |
| 2024 | 15 | $708.70 |
| Code | Description | Claims | Bene. Records | Total Paid |
|---|---|---|---|---|
| D0140 | Limited oral evaluation - problem focused | 65 | 65 | $4K |