NPI: 1578064481 · SHELBY TOWNSHIP, MI 48316 · General Practice Dentistry · NPI assigned 02/26/2018
| Authorized Official | PENZIEN, JONATHAN (OWNER) |
| NPI Enumeration Date | 02/26/2018 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 12 | $332.75 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 12 | 12 | $332.75 |