NPI: 1942587100 · LONETREE, CO 80124 · General Practice Dentistry · NPI assigned 11/15/2011
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 12 | $452.64 |
| Code | Description | Claims | Bene. Records | Total Paid |
|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 12 | 12 | $452.64 |