NPI: 1932621737 · MISSOURI VALLEY, IA 51555 · General Practice Dentistry · NPI assigned 07/13/2017
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 14 | $122.76 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0220 | Intraoral - periapical first radiographic image | 14 | 12 | $122.76 |