NPI: 1598010464 · WEST VALLEY, UT 84119 · General Practice Dentistry · NPI assigned 07/17/2012
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 14 | $520.77 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0220 | Intraoral - periapical first radiographic image | 14 | 12 | $520.77 |