NPI: 1477098440 · TORRINGTON, WY 82240 · Dentist · NPI assigned 12/30/2016
| Authorized Official | GRIGGS, LANCE (OWNER/DDS) |
| NPI Enumeration Date | 12/30/2016 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12 | $384.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 12 | 12 | $384.00 |