NPI: 1457877987 · CASPER, WY 82601 · General Practice Dentistry · NPI assigned 08/16/2017
| Authorized Official | ROCHELLE, BRIAN (DENTIST/OWNER) |
| NPI Enumeration Date | 08/16/2017 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 12 | $374.40 |
| 2024 | 12 | $468.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 24 | 24 | $842.40 |