NPI: 1871224832 · MIDLAND, MI 48640 · General Practice Dentistry · NPI assigned 06/21/2022
| Authorized Official | URIBE, CARLOS (DENTIST) |
| NPI Enumeration Date | 06/21/2022 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 12 | $332.75 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 12 | 12 | $332.75 |