NPI: 1396889515 · JEFFERSONVILLE, IN 47130 · General Practice Dentistry · NPI assigned 02/19/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 18 | $203.22 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 18 | 12 | $203.22 |