NPI: 1124113634 · SHELBY TOWNSHIP, MI 48316 · General Practice Dentistry · NPI assigned 10/03/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12 | $336.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 12 | 12 | $336.00 |