NPI: 1063534584 · JOHNSON CITY, NY 13790 · General Practice Dentistry · NPI assigned 04/04/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 13 | $312.75 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 13 | 12 | $312.75 |