NPI: 1780930545 · RIO RANCHO, NM 87124 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 07/31/2012
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 38 | $7K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D7240 | Removal of impacted tooth - completely bony | 38 | 13 | $7K |