NPI: 1295887081 · GREEN RIVER, WY 82935 · General Practice Dentistry · NPI assigned 01/18/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 15 | $459.00 |
| 2019 | 13 | $384.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 28 | 26 | $843.00 |