NPI: 1720125842 · CLINTON, MI 49236 · Dental Clinic/Center · NPI assigned 01/30/2007
| Authorized Official | RIZZO, JAN (OWNER) |
| NPI Enumeration Date | 01/30/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12 | $360.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | Prophylaxis - child | 12 | 12 | $360.00 |