NPI: 1578508834 · CLINTON, IA 52732 · General Practice Dentistry · NPI assigned 06/19/2006
| Authorized Official | DECKER, STEVEN (SECRETARY) |
| NPI Enumeration Date | 06/19/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 13 | $146.36 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 13 | 13 | $146.36 |