NPI: 1093762874 · SAULT SAINTE MARIE, MI 49783 · General Practice Dentistry · NPI assigned 05/27/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 13 | $336.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 13 | 13 | $336.00 |