NPI: 1093894818 · ISHPEMING, MI 49849 · General Practice Dentistry · NPI assigned 11/03/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 13 | $364.00 |
| 2019 | 13 | $294.89 |
| 2020 | 12 | $336.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 38 | 38 | $994.89 |