NPI: 1497973960 · URBANDALE, IA 50322 · General Practice Dentistry · NPI assigned 04/23/2007
| Authorized Official | DAVIDSON, DAVID (OWNER) |
| NPI Enumeration Date | 04/23/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 13 | $273.35 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 13 | 13 | $273.35 |