NPI: 1578297479 · MONROE, MI 48162 · Dental Clinic/Center · NPI assigned 07/15/2022
| Authorized Official | VALENTINE, MICHAEL (OWNER) |
| NPI Enumeration Date | 07/15/2022 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 25 | $645.00 |
| 2023 | 37 | $766.19 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 62 | 62 | $1K |