NPI: 1598936163 · COLORADO SPRINGS, CO 80906 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 03/21/2008
| Authorized Official | RENEHAN, BRADLEY (PRESIDENT) |
| NPI Enumeration Date | 03/21/2008 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 87 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0140 | Limited oral evaluation - problem focused | 87 | 87 | $3K |