NPI: 1316107139 · ROCHESTER, IN 46975 · Dentist · NPI assigned 06/16/2008
| Authorized Official | FROUNFELTER, LORI (OFFICE MANAGER) |
| NPI Enumeration Date | 06/16/2008 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 14 | $22.58 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 14 | 14 | $22.58 |