NPI: 1396308631 · SHERIDAN, WY 82801 · Dental Clinic/Center · NPI assigned 04/22/2019
| Authorized Official | SCHULTZ, PETER (OWNER) |
| NPI Enumeration Date | 04/22/2019 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 12 | $376.81 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 12 | 12 | $376.81 |