NPI: 1104917368 · NOBLESVILLE, IN 46060 · General Practice Dentistry · NPI assigned 09/27/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 13 | $347.70 |
| 2024 | 12 | $323.40 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 25 | 25 | $671.10 |