NPI: 1134348121 · WEST GROVE, PA 19390 · General Practice Dentistry · NPI assigned 04/25/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 13 | $354.03 |
| 2023 | 15 | $400.49 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 28 | 28 | $754.52 |