NPI: 1831286525 · LEBANON, PA 17042 · General Practice Dentistry · NPI assigned 10/06/2006
| Authorized Official | DIEROLF, TYNA (ONWER) |
| NPI Enumeration Date | 10/06/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 29 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 29 | 29 | $2K |