NPI: 1447325527 · APPLETON, WI 54914 · General Practice Dentistry · NPI assigned 11/22/2006
| Authorized Official | GOSSE, RICHARD (PARTNER DENTIST) |
| NPI Enumeration Date | 11/22/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 38 | $950.96 |
| 2019 | 25 | $625.00 |
| 2020 | 12 | $328.05 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 75 | 75 | $2K |