NPI: 1740791292 · DAVISON, MI 48423 · Dental Clinic/Center · NPI assigned 10/23/2017
| Authorized Official | AFTAB, JAMEEL (OWNER) |
| NPI Enumeration Date | 10/23/2017 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 13 | $251.61 |
| 2024 | 12 | $279.25 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 25 | 25 | $530.86 |