IOWA ORAL AND MAXILLOFACIAL SURGEONS, PC
NPI: 1609846583
· WEST DES MOINES, IA 50266
· Oral and Maxillofacial Pathology Dentist
· NPI assigned 01/24/2006
$289.48
Total Medicaid Paid
Provider Details
| Authorized Official | WEIRICH, DIANA (INSURANCE COORDINATOR) |
| NPI Enumeration Date | 01/24/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
13 |
$289.48 |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
13 |
13 |
$289.48 |