NPI: 1376103663 · WILLIAMSBURG, IA 52361 · General Practice Dentistry · NPI assigned 06/18/2019
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 60 | $800.47 |
| 2023 | 13 | $312.56 |
| Code | Description | Claims | Bene. Records | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 73 | 71 | $1K |