NPI: 1518362268 · ROSE CITY, MI 48654 · Dental Clinic/Center · NPI assigned 10/23/2014
| Authorized Official | THORSON, CRAIG (OWNER) |
| NPI Enumeration Date | 10/23/2014 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 14 | $392.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 14 | 14 | $392.00 |