NPI: 1881255495 · HOWELL, MI 48843 · Dental Clinic/Center · NPI assigned 06/25/2019
| Authorized Official | BREASBOIS, RYAN (PRESIDENT) |
| NPI Enumeration Date | 06/25/2019 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 13 | $302.54 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 13 | 12 | $302.54 |