NPI: 1639267057 · DEPEW, NY 14043 · General Practice Dentistry · NPI assigned 10/11/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12 | $297.95 |
| 2019 | 25 | $664.64 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 37 | 37 | $962.59 |