NPI: 1760862635 · MASON, MI 48854 · Dental Clinic/Center · NPI assigned 06/04/2015
| Authorized Official | KEMPEINEN, DAVID (PRESIDENT) |
| NPI Enumeration Date | 06/04/2015 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 14 | $280.00 |
| 2022 | 13 | $348.00 |
| 2023 | 12 | $125.47 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 39 | 39 | $753.47 |