NPI: 1356490544 · BETTENDORF, IA 52722 · General Practice Dentistry · NPI assigned 01/09/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12 | $163.70 |
| 2019 | 15 | $245.55 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 27 | 27 | $409.25 |