NPI: 1427708726 · ALPENA, MI 49707 · Dental Clinic/Center · NPI assigned 03/28/2022
| Authorized Official | ARSENAULT, NICOLE (DENTIST) |
| NPI Enumeration Date | 03/28/2022 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 12 | $348.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 12 | 12 | $348.00 |