NPI: 1104921972 · LAKE MARY, FL 32746 · Dentist · NPI assigned 09/14/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 12 | $166.80 |
| 2020 | 12 | $225.80 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 24 | 24 | $392.60 |