NPI: 1184114852 · FREMONT, OH 43420 · General Practice Dentistry · NPI assigned 05/17/2018
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 13 | $342.55 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 13 | 13 | $342.55 |