NPI: 1720073703 · SPRINGFIELD, MO 65807 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 09/15/2005
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 17 | $223.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0140 | Limited oral evaluation - problem focused | 17 | 17 | $223.00 |