NPI: 1093252280 · SPRINGFIELD, MI 49037 · General Practice Dentistry · NPI assigned 01/25/2017
| Authorized Official | HOUGHTALING, ROBERT (OWNER) |
| NPI Enumeration Date | 01/25/2017 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 19 | $364.00 |
| Code | Description | Claims | Bene. Records | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 19 | 19 | $364.00 |