NPI: 1841764354 · BALCH SPRINGS, TX 75180 · General Practice Dentistry · NPI assigned 01/17/2019
| Authorized Official | MOSSMAN, MAXIM (D.D.S.) |
| NPI Enumeration Date | 01/17/2019 |
Other providers sharing the same authorized official: MOSSMAN, MAXIM
| Provider | City | State | Total Paid |
|---|---|---|---|
| MOSSPRIME DENTAL PLLC | ARLINGTON | TX | $2.55M |
| CASA MOSSMAN DENTAL PLLC | RICHARDSON | TX | $800K |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 14 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0603 | 14 | 14 | $0.00 |