NPI: 1811161342 · ROCHESTER HILLS, MI 48309 · General Practice Dentistry · NPI assigned 04/16/2008
| Authorized Official | MANSOUR, GREGORY (OWNER) |
| NPI Enumeration Date | 04/16/2008 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 12 | $332.75 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 12 | 12 | $332.75 |