NPI: 1346596376 · CASPER, WY 82601 · Dentist · NPI assigned 07/27/2012
| Authorized Official | CASSITY, JESSICA (DENTIST) |
| NPI Enumeration Date | 07/27/2012 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 12 | $384.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 12 | 12 | $384.00 |