NPI: 1679212369 · FOWLERVILLE, MI 48836 · Dental Clinic/Center · NPI assigned 06/01/2022
| Authorized Official | STINES, CHRISTOPHER (PRESIDENT) |
| NPI Enumeration Date | 06/01/2022 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 15 | $433.00 |
| 2023 | 13 | $396.10 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 28 | 28 | $829.10 |