NPI: 1689444622 · CLINTON, MI 49236 · Dental Clinic/Center · NPI assigned 01/02/2024
| Authorized Official | JACKSI, HELIN (OWNER) |
| NPI Enumeration Date | 01/02/2024 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 14 | $181.50 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 14 | 14 | $181.50 |