NPI: 1922748177 · CLIFTON PARK, NY 12065 · Orthodontics and Dentofacial Orthopedic Dentist · NPI assigned 03/29/2022
| Authorized Official | ROCKLIN, STEPHANIE (CREDENTIALING SPECIALIST) |
| NPI Enumeration Date | 03/29/2022 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 42 | $10K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D8670 | Periodic orthodontic treatment visit | 42 | 42 | $10K |