NPI: 1497371397 · CARLISLE, IA 50047 · Dental Clinic/Center · NPI assigned 06/17/2020
| Authorized Official | SASS, JARED (DENTIST) |
| NPI Enumeration Date | 06/17/2020 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 14 | $157.12 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 14 | 13 | $157.12 |