NPI: 1356956577 · NOVI, MI 48375 · General Practice Dentistry · NPI assigned 09/14/2020
| Authorized Official | HALLFORD, JESSICA (OFFICE MANAGER) |
| NPI Enumeration Date | 09/14/2020 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 15 | $364.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 15 | 15 | $364.00 |