NPI: 1699274308 · ROCKFORD, MI 49341 · General Practice Dentistry · NPI assigned 02/08/2018
| Authorized Official | HUDSON, WENDY (BUSINESS ADMINISTRATOR) |
| NPI Enumeration Date | 02/08/2018 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 13 | $168.00 |
| 2021 | 26 | $476.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 39 | 39 | $644.00 |