NPI: 1912051202 · KENNESAW, GA 30152 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 01/23/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 40 | $734.40 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0140 | Limited oral evaluation - problem focused | 40 | 40 | $734.40 |