NPI: 1275983603 · LOWELL, IN 46356 · Dentist · NPI assigned 06/16/2016
| Authorized Official | PULVER, DONALD (PRESIDENT) |
| NPI Enumeration Date | 06/16/2016 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 14 | $539.60 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 14 | 14 | $539.60 |