NPI: 1902907272 · MARYSVILLE, WA 98270 · General Practice Dentistry · NPI assigned 09/26/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12 | $256.29 |
| 2021 | 27 | $691.45 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 39 | 39 | $947.74 |