NPI: 1629502216 · TROY, MO 63379 · Student in an Organized Health Care Education/Training Program · NPI assigned 04/20/2017
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 15 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 15 | 15 | $0.00 |