NPI: 1306443486 · METAMORA, MI 48455 · Dental Clinic/Center · NPI assigned 10/02/2020
| Authorized Official | PYLES, ZACHARY (OWNER) |
| NPI Enumeration Date | 10/02/2020 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 13 | $313.92 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 13 | 13 | $313.92 |