NPI: 1003033820 · STURGIS, SD 57785 · Dentist · NPI assigned 04/20/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 25 | $691.50 |
| 2019 | 12 | $332.28 |
| 2020 | 12 | $335.28 |
| 2021 | 13 | $355.23 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 62 | 62 | $2K |