NPI: 1265662217 · COLUMBUS, IN 47201 · General Practice Dentistry · NPI assigned 07/23/2009
| Authorized Official | CLOCK, ADAM (OWNER/PRESIDENT/MEMBER) |
| NPI Enumeration Date | 07/23/2009 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12 | $45.16 |
| 2022 | 14 | $268.69 |
| 2023 | 13 | $318.35 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 39 | 38 | $632.20 |