NPI: 1053678102 · PASCO, WA 99301 · Dentist · NPI assigned 04/13/2012
| Authorized Official | CHRISTENSEN, CINDY (OFFICE MANAGER) |
| NPI Enumeration Date | 04/13/2012 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 13 | $329.18 |
| 2022 | 12 | $318.16 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 25 | 24 | $647.34 |