NPI: 1265844310 · CLINTON TOWNSHIP, MI 48035 · General Practice Dentistry · NPI assigned 05/23/2014
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 13 | $364.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 13 | 13 | $364.00 |