NPI: 1114936754 · MOUNT PLEASANT, MI 48858 · General Practice Dentistry · NPI assigned 08/05/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12 | $280.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 12 | 12 | $280.00 |