NPI: 1831804772 · SAINT LOUIS, MO 63104 · Orthodontics and Dentofacial Orthopedic Dentist · NPI assigned 01/16/2023
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 46 | $11K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D8670 | Periodic orthodontic treatment visit | 46 | 46 | $11K |