NPI: 1649963042 · WINSTON SALEM, NC 27103 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 05/31/2023
| Authorized Official | RUSSELL, BRADLY (ORAL SURGEON) |
| NPI Enumeration Date | 05/31/2023 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 12 | $123.90 |
| Code | Description | Claims | Bene. Records | Total Paid |
|---|---|---|---|---|
| D0330 | Panoramic radiographic image | 12 | 12 | $123.90 |