NPI: 1295139582 · MIDLAND, MI 48640 · Dentist · NPI assigned 10/15/2014
| Authorized Official | BAILEY, BENJAMIN (PRESIDENT) |
| NPI Enumeration Date | 10/15/2014 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 14 | $252.00 |
| 2022 | 28 | $551.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 42 | 42 | $803.00 |