NPI: 1093879355 · CANTON, NY 13617 · General Practice Dentistry · NPI assigned 12/21/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 16 | $444.38 |
| 2024 | 29 | $782.46 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 45 | 45 | $1K |