NPI: 1063074193 · SHOREWOOD, WI 53211 · General Practice Dentistry · NPI assigned 06/28/2019
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 13 | $263.01 |
| Code | Description | Claims | Bene. Records | Total Paid |
|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 13 | 13 | $263.01 |