NPI: 1336786300 · FRUITPORT, MI 49415 · Dental Clinic/Center · NPI assigned 12/09/2019
| Authorized Official | SNELLER, JESSICA (OWNER) |
| NPI Enumeration Date | 12/09/2019 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 16 | $448.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 16 | 16 | $448.00 |