NPI: 1790747558 · BARABOO, WI 53913 · General Practice Dentistry · NPI assigned 04/05/2006
| Authorized Official | UTZINGER, ARNOLD (PRESIDENT) |
| NPI Enumeration Date | 04/05/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12 | $167.36 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 12 | 12 | $167.36 |