NPI: 1912030826 · GARY, IN 46404 · General Practice Dentistry · NPI assigned 03/13/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 27 | $194.18 |
| 2019 | 16 | $381.59 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 43 | 35 | $575.77 |