NPI: 1861437055 · SPRINGFIELD, MO 65807 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 06/19/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 29 | $714.00 |
| 2019 | 45 | $665.60 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0140 | Limited oral evaluation - problem focused | 74 | 71 | $1K |