NPI: 1306968953 · HUMBOLDT, IA 50548 · Dental Clinic/Center · NPI assigned 04/04/2007
| Authorized Official | SCHOLL, GRACE (OFFICE MANAGER) |
| NPI Enumeration Date | 04/04/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 14 | $216.44 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 14 | 12 | $216.44 |