NPI: 1861909939 · CASPER, WY 82601 · Dental Clinic/Center · NPI assigned 01/10/2018
| Authorized Official | TOFT, JENELLE (GENERAL DENTIST) |
| NPI Enumeration Date | 01/10/2018 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 18 | $409.56 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 18 | 13 | $409.56 |