NPI: 1134282056 · GRAND HAVEN, MI 49417 · General Practice Dentistry · NPI assigned 12/19/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 12 | $280.85 |
| 2020 | 26 | $728.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 38 | 38 | $1K |