NPI: 1902941354 · AFTON, WY 83110 · General Practice Dentistry · NPI assigned 02/21/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 13 | $374.40 |
| 2022 | 28 | $748.80 |
| 2023 | 33 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 74 | 72 | $2K |