NPI: 1235120395 · SHAKER HEIGHTS, OH 44122 · General Practice Dentistry · NPI assigned 10/28/2005
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 36 | $560.64 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 36 | 34 | $560.64 |