NPI: 1790767648 · CHEYENNE, WY 82001 · General Practice Dentistry · NPI assigned 11/16/2005
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 13 | $352.00 |
| 2022 | 29 | $686.40 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 42 | 36 | $1K |