NPI: 1356495543 · LOVELL, WY 82431 · General Practice Dentistry · NPI assigned 01/23/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 12 | $384.00 |
| 2020 | 15 | $480.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 27 | 27 | $864.00 |