NPI: 1467228122 · MACOMB, MI 48044 · Dental Clinic/Center · NPI assigned 12/04/2023
| Authorized Official | TYE, ERIC (OWNER) |
| NPI Enumeration Date | 12/04/2023 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 12 | $332.75 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 12 | 12 | $332.75 |