NPI: 1902172166 · ROSELLE PARK, NJ 07204 · Student in an Organized Health Care Education/Training Program · NPI assigned 03/31/2012
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 18 | $1K |
| 2019 | 83 | $6K |
| 2020 | 37 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D8670 | Periodic orthodontic treatment visit | 138 | 138 | $10K |