NPI: 1396966073 · RUSHVILLE, IN 46173 · Dentist · NPI assigned 05/01/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 12 | $479.25 |
| 2023 | 17 | $678.65 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 29 | 29 | $1K |