FAMILY ORAL SURGERY SPECIALISTS PLC
NPI: 1598865651
· RICHFIELD, MN 55423
· Oral and Maxillofacial Pathology Dentist
· NPI assigned 09/25/2006
$692.90
Total Medicaid Paid
Provider Details
| Authorized Official | HUERTA, BELINDA (CREDENTIALING COORDINATOR) |
| Parent Organization | FAMILY ORAL SURGERY SPECIALISTS PLC |
| NPI Enumeration Date | 09/25/2006 |
Related Entities
Other providers sharing the same authorized official: HUERTA, BELINDA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
13 |
$692.90 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9310 |
|
13 |
13 |
$692.90 |