NPI: 1689692097 · OLD FORGE, PA 18518 · General Practice Dentistry · NPI assigned 07/17/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 12 | $257.92 |
| Code | Description | Claims | Bene. Records | Total Paid |
|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 12 | 12 | $257.92 |