NPI: 1790849875 · PORTAGE, PA 15946 · General Practice Dentistry · NPI assigned 12/21/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 13 | $260.00 |
| 2021 | 15 | $220.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 28 | 25 | $480.00 |