NPI: 1689720922 · GLOVERSVILLE, NY 12078 · General Practice Dentistry · NPI assigned 01/27/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 12 | $299.86 |
| 2022 | 12 | $327.12 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 24 | 24 | $626.98 |