NPI: 1700400058 · LYNDHURST, NJ 07071 · Student in an Organized Health Care Education/Training Program · NPI assigned 06/02/2020
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 54 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 54 | 30 | $5K |