NPI: 1427014513 · LINCOLN PARK, MI 48146 · General Practice Dentistry · NPI assigned 04/26/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 15 | $213.69 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 15 | 13 | $213.69 |