NPI: 1407921927 · MISHAWAKA, IN 46545 · General Practice Dentistry · NPI assigned 11/21/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 50 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 50 | 49 | $2K |