NPI: 1073689899 · BURTON, MI 48509 · General Practice Dentistry · NPI assigned 11/24/2006
| Authorized Official | RAJU, PRABHA (OWNER DOCTOR) |
| NPI Enumeration Date | 11/24/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 12 | $455.97 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0140 | Limited oral evaluation - problem focused | 12 | 12 | $455.97 |