NPI: 1205566924 · NEW ERA, MI 49446 · Dental Clinic/Center · NPI assigned 06/15/2022
| Authorized Official | PHARES, HEATHER (DENTIST OWNER) |
| NPI Enumeration Date | 06/15/2022 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 27 | $505.32 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 27 | 27 | $505.32 |