NPI: 1124465059 · RIGBY, ID 83442 · Dentist · NPI assigned 06/01/2013
| Authorized Official | YATES, DANIEL (DOCTOR) |
| NPI Enumeration Date | 06/01/2013 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 12 | $0.00 |
| 2022 | 38 | $594.02 |
| 2024 | 12 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 62 | 62 | $594.02 |