NPI: 1013132364 · CHEBOYGAN, MI 49721 · General Practice Dentistry · NPI assigned 04/13/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12 | $336.00 |
| 2021 | 12 | $252.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 24 | 24 | $588.00 |