NPI: 1710508676 · SAINT CLAIRSVILLE, OH 43950 · General Practice Dentistry · NPI assigned 05/01/2020
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 12 | $204.96 |
| 2024 | 13 | $436.28 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 25 | 25 | $641.24 |