NPI: 1629508734 · DYER, IN 46311 · General Practice Dentistry · NPI assigned 06/13/2017
| Authorized Official | FATLAND, KEVIN (DENTIST/PRESIDENT) |
| NPI Enumeration Date | 06/13/2017 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 14 | $132.24 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 14 | 12 | $132.24 |