NPI: 1558946855 · LAS CRUCES, NM 88011 · Orthodontics and Dentofacial Orthopedic Dentist · NPI assigned 03/17/2021
| Authorized Official | COOMBS, KEITH (OWNER) |
| NPI Enumeration Date | 03/17/2021 |
Other providers sharing the same authorized official: COOMBS, KEITH
| Provider | City | State | Total Paid |
|---|---|---|---|
| LAS CRUCES SMILES | LAS CRUCES | NM | $460K |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 26 | $3K |
| 2022 | 87 | $9K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D8660 | 113 | 113 | $12K |