NPI: 1679648521 · BELLEVUE, NE 68005 · General Practice Dentistry · NPI assigned 11/22/2006
| Authorized Official | THOMAS, PHIL (DENTIST PRESIDENT) |
| NPI Enumeration Date | 11/22/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 17 | $352.00 |
| 2020 | 14 | $320.46 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0140 | Limited oral evaluation - problem focused | 31 | 31 | $672.46 |