NPI: 1710127295 · HIGHLAND, IL 62249 · General Practice Dentistry · NPI assigned 02/24/2009
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 16 | $940.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 16 | 16 | $940.00 |