NPI: 1265656219 · NORTH PLATTE, NE 69101 · General Practice Dentistry · NPI assigned 04/12/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 14 | $359.66 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 14 | 14 | $359.66 |