NPI: 1164569794 · SOMERSET CENTER, MI 49282 · General Practice Dentistry · NPI assigned 01/31/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12 | $204.76 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 12 | 12 | $204.76 |