NPI: 1316007602 · NEW BALTIMORE, MI 48047 · General Practice Dentistry · NPI assigned 12/09/2006
| Authorized Official | FREEMAN, DANA (PRESIDENT) |
| NPI Enumeration Date | 12/09/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 13 | $308.94 |
| 2021 | 24 | $591.67 |
| 2023 | 13 | $303.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 50 | 50 | $1K |