NPI: 1164672044 · ALMONT, MI 48003 · General Practice Dentistry · NPI assigned 09/26/2008
| Authorized Official | VANDEREST, JAY (OWNER) |
| NPI Enumeration Date | 09/26/2008 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 12 | $319.20 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 12 | 12 | $319.20 |