NPI: 1568682250 · N SYRACUSE, NY 13212 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 04/26/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 12 | $604.20 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 12 | 12 | $604.20 |