NPI: 1033808787 · DEABORN, MI 48124 · Student in an Organized Health Care Education/Training Program · NPI assigned 05/08/2023
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 13 | $567.35 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 13 | 13 | $567.35 |