NPI: 1376124552 · CLINTON, MI 49236 · Dental Clinic/Center · NPI assigned 04/19/2021
| Authorized Official | SOSKO, MARCY (FRONT OFFICE) |
| NPI Enumeration Date | 04/19/2021 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 14 | $348.00 |
| 2023 | 12 | $300.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 26 | 26 | $648.00 |