NPI: 1831701044 · GRANGER, IN 46530 · Dental Clinic/Center · NPI assigned 08/19/2020
| Authorized Official | WEBER, KELLY (OFFICE ADMIN) |
| NPI Enumeration Date | 08/19/2020 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 37 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 37 | 29 | $1K |