NPI: 1740543933 · HIGHLANDS RANCH, CO 80129 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 06/21/2012
| Authorized Official | WILLOUGHBY, BRIAN (SOLE OWNER) |
| NPI Enumeration Date | 06/21/2012 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 13 | $872.24 |
| 2024 | 15 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99222 | Initial hospital care, per day, moderate complexity | 28 | 26 | $2K |