NPI: 1639181050 · HAYDEN, ID 83835 · General Practice Dentistry · NPI assigned 08/13/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 13 | $0.00 |
| 2021 | 14 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 27 | 25 | $0.00 |