NPI: 1437344868 · NEWBURGH, IN 47630 · Dentist · NPI assigned 09/10/2007
| Authorized Official | DOUGHYT, TARA (OFFICE MANAGER) |
| NPI Enumeration Date | 09/10/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 14 | $67.74 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 14 | 13 | $67.74 |