NPI: 1386296671 · AMES, IA 50010 · General Practice Dentistry · NPI assigned 07/16/2019
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 17 | $391.79 |
| 2022 | 12 | $314.06 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 29 | 29 | $705.85 |