NPI: 1356826374 · VESTAL, NY 13850 · General Practice Dentistry · NPI assigned 09/25/2018
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 47 | $1K |
| 2021 | 13 | $358.15 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 60 | 60 | $2K |