NPI: 1366176166 · SOUTHGATE, MI 48195 · Dental Clinic/Center · NPI assigned 07/15/2022
| Authorized Official | LEMONDS, THOMAS (PRESIDENT) |
| NPI Enumeration Date | 07/15/2022 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 28 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 28 | 28 | $1K |