NPI: 1104336049 · WYOMING, MI 49509 · Dental Clinic/Center · NPI assigned 10/05/2017
| Authorized Official | SOLT, KEVIN (OWNER DENTIST) |
| NPI Enumeration Date | 10/05/2017 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 12 | $240.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 12 | 12 | $240.00 |