NPI: 1366458879 · WHITE LAKE, MI 48383 · General Practice Dentistry · NPI assigned 08/01/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12 | $336.00 |
| 2020 | 24 | $672.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 36 | 36 | $1K |