NPI: 1275635815 · BEATRICE, NE 68310 · General Practice Dentistry · NPI assigned 09/03/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 26 | $572.00 |
| 2021 | 14 | $320.46 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 40 | 40 | $892.46 |