NPI: 1114068616 · SHELBY, MI 49455 · Dentist · NPI assigned 02/09/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 12 | $280.00 |
| 2020 | 12 | $336.00 |
| 2021 | 12 | $336.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 36 | 36 | $952.00 |