NPI: 1053040964 · MT PLEASANT, IA 52641 · Dental Clinic/Center · NPI assigned 06/07/2022
| Authorized Official | SHROYER, ADAM (OWNER, DENTIST) |
| NPI Enumeration Date | 06/07/2022 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 13 | $303.60 |
| 2023 | 17 | $411.39 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 30 | 30 | $714.99 |