NPI: 1598434805 · SAN ANTONIO, TX 78230 · Orthodontics and Dentofacial Orthopedic Dentist · NPI assigned 09/09/2021
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 33 | $2K |
| 2024 | 43 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D8670 | Periodic orthodontic treatment visit | 76 | 72 | $4K |