NPI: 1205015039 · KEARNEY, NE 68845 · General Practice Dentistry · NPI assigned 10/29/2007
| Authorized Official | BUSH, STEPHEN (PRESIDENT/OWNER) |
| NPI Enumeration Date | 10/29/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 40 | $814.00 |
| 2019 | 37 | $759.62 |
| 2020 | 24 | $502.36 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 101 | 101 | $2K |