NPI: 1649870304 · PLANO, TX 75093 · Surgery Physician · NPI assigned 10/30/2020
| Authorized Official | EDWARDS, SHERRY (ADMINISTRATOR) |
| NPI Enumeration Date | 10/30/2020 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 35 | $4K |
| 2024 | 14 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 41899 | Unlisted procedure, dentoalveolar structures | 49 | 36 | $9K |