NPI: 1013174069 · CORALVILLE, IA 52241 · General Practice Dentistry · NPI assigned 05/19/2008
| Authorized Official | GILBAUGH, GREGORY (OWNER) |
| NPI Enumeration Date | 05/19/2008 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 26 | $880.90 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | 26 | 26 | $880.90 |