NPI: 1811238264 · CENTENNIAL, CO 80015 · Oral and Maxillofacial Surgery Clinic/Center · NPI assigned 03/11/2013
| Authorized Official | RUSSELL, RANDALL (OWNER) |
| NPI Enumeration Date | 03/11/2013 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 12 | $840.24 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0160 | 12 | 12 | $840.24 |