NPI: 1578901146 · SAYRE, PA 18840 · Dentist · NPI assigned 06/05/2013
| Authorized Official | OWEN, PATRICK (OWNER) |
| NPI Enumeration Date | 06/05/2013 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12 | $268.20 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 12 | 12 | $268.20 |