NPI: 1003425513 · BERRIEN SPRINGS, MI 49103 · Dentist · NPI assigned 07/30/2020
| Authorized Official | BALSIS, ERIC (OWNER) |
| NPI Enumeration Date | 07/30/2020 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 12 | $308.00 |
| 2021 | 12 | $336.00 |
| 2022 | 14 | $406.00 |
| 2023 | 53 | $1K |
| 2024 | 30 | $637.84 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 121 | 121 | $3K |