NPI: 1942356274 · PORT HURON, MI 48060 · General Practice Dentistry · NPI assigned 01/27/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 41 | $1K |
| 2020 | 36 | $980.00 |
| 2021 | 12 | $336.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 89 | 89 | $2K |