NPI: 1841830999 · EAST LANSING, MI 48823 · Dental Clinic/Center · NPI assigned 01/07/2020
| Authorized Official | ENGSTROM, DENNIS (LLC MEMBER) |
| NPI Enumeration Date | 01/07/2020 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 12 | $308.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 12 | 12 | $308.00 |