NPI: 1639377211 · FENTON, MI 48430 · Dentist · NPI assigned 07/05/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 13 | $308.00 |
| 2022 | 12 | $319.00 |
| 2023 | 14 | $318.22 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 39 | 39 | $945.22 |