NPI: 1841339686 · GRANITE CITY, IL 62040 · General Practice Dentistry · NPI assigned 02/06/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 20 | $496.80 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 20 | 20 | $496.80 |