NPI: 1164415568 · FORT ATKINSON, WI 53538 · General Practice Dentistry · NPI assigned 08/31/2005
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 44 | $584.68 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 44 | 43 | $584.68 |