NPI: 1740548015 · MICHIGAN CITY, IN 46360 · Oral and Maxillofacial Surgery Clinic/Center · NPI assigned 04/24/2012
| Authorized Official | BENSON, GREGORY (OWNER) |
| NPI Enumeration Date | 04/24/2012 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 21 | $185.40 |
| 2019 | 30 | $1K |
| 2020 | 13 | $452.36 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0140 | Limited oral evaluation - problem focused | 64 | 55 | $2K |