NPI: 1891731204 · SAINT JOSEPH, MI 49085 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 06/22/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 13 | $845.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0140 | Limited oral evaluation - problem focused | 13 | 13 | $845.00 |