NPI: 1013137025 · SAULT SAINTE MARIE, MI 49783 · General Practice Dentistry · NPI assigned 05/01/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 14 | $364.00 |
| 2019 | 25 | $672.00 |
| 2020 | 14 | $364.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 53 | 53 | $1K |