NPI: 1619708666 · FORT LUPTON, CO 80621 · Dental Clinic/Center · NPI assigned 08/12/2024
| Authorized Official | TRUJILLO, TONI (OWNER DENTIST) |
| NPI Enumeration Date | 08/12/2024 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 13 | $793.39 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 13 | 13 | $793.39 |