NPI: 1841265436 · ROCK SPRINGS, WY 82901 · General Practice Dentistry · NPI assigned 02/17/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 12 | $374.40 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 12 | 12 | $374.40 |