NPI: 1124478169 · ADRIAN, MI 49221 · General Practice Dentistry · NPI assigned 06/21/2016
| Authorized Official | TOWLER, MICHAEL (PRESIDENT) |
| NPI Enumeration Date | 06/21/2016 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12 | $252.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 12 | 12 | $252.00 |