NPI: 1881237402 · NEWINGTON, CT 06111 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 10/27/2019
| Authorized Official | STASULIS, CRAIG (OWNER) |
| NPI Enumeration Date | 10/27/2019 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 60 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0140 | Limited oral evaluation - problem focused | 60 | 58 | $3K |