NPI: 1932332285 · ALBUQUERQUE, NM 87102 · Dental Clinic/Center · NPI assigned 09/02/2009
| Authorized Official | WAGNER, STEPHEN (MAXILLOFACIAL PROSTHODONTIST) |
| NPI Enumeration Date | 09/02/2009 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 13 | $387.50 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0140 | Limited oral evaluation - problem focused | 13 | 13 | $387.50 |