NPI: 1104029560 · LOGAN, UT 84321 · General Practice Dentistry · NPI assigned 06/06/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 33 | $2K |
| 2021 | 14 | $961.70 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 47 | 45 | $3K |