NPI: 1306565924 · EAST LANSING, MI 48823 · Dental Clinic/Center · NPI assigned 08/25/2022
| Authorized Official | PETERS, VAN-ANH (DENTIST) |
| NPI Enumeration Date | 08/25/2022 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 13 | $303.61 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 13 | 13 | $303.61 |