NPI: 1336144286 · DELAWARE, OH 43015 · General Practice Dentistry · NPI assigned 06/16/2005
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 12 | $195.96 |
| 2021 | 12 | $201.96 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 24 | 24 | $397.92 |