NPI: 1144953456 · TRENTON, MI 48183 · Dental Clinic/Center · NPI assigned 07/05/2022
| Authorized Official | CARVER, CHAD (PRESIDENT / OWNER) |
| NPI Enumeration Date | 07/05/2022 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 12 | $302.50 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 12 | 12 | $302.50 |