NPI: 1790078574 · SAINT LOUIS, MO 63110 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 05/26/2011
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 27 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0140 | Limited oral evaluation - problem focused | 27 | 26 | $1K |