NPI: 1629140116 · GRAND RAPIDS, MI 49508 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 11/14/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12 | $739.50 |
| Code | Description | Claims | Bene. Records | Total Paid |
|---|---|---|---|---|
| D0140 | Limited oral evaluation - problem focused | 12 | 12 | $739.50 |