NPI: 1528291382 · GROSSE POINTE FARMS, MI 48236 · Dentist · NPI assigned 08/27/2009
| Authorized Official | VAN WALLEGHEM, PAUL (OWNER) |
| NPI Enumeration Date | 08/27/2009 |
Other providers sharing the same authorized official: VAN WALLEGHEM, PAUL
| Provider | City | State | Total Paid |
|---|---|---|---|
| POINTE FAMILY DENTISTRY-SHELBY PLLC | SHELBY TWP | MI | $1K |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 13 | $290.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 13 | 13 | $290.00 |