NPI: 1811418593 · ALPENA, MI 49707 · General Practice Dentistry · NPI assigned 07/03/2017
| Authorized Official | TARKINGTON, ANDREW (PRESIDENT) |
| NPI Enumeration Date | 07/03/2017 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 16 | $360.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 16 | 16 | $360.00 |