NPI: 1093259335 · PLYMOUTH, MI 48170 · General Practice Dentistry · NPI assigned 12/06/2016
| Authorized Official | SHARMA, SALONI (PRESIDENT) |
| NPI Enumeration Date | 12/06/2016 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 14 | $420.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 14 | 14 | $420.00 |