NPI: 1225045834 · BELMONT, MI 49306 · General Practice Dentistry · NPI assigned 08/03/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 28 | $710.00 |
| 2019 | 12 | $302.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 40 | 40 | $1K |