NPI: 1134148596 · SAINT IGNACE, MI 49781 · General Practice Dentistry · NPI assigned 07/18/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 16 | $448.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 16 | 16 | $448.00 |