NPI: 1942628250 · SOUTHFIELD, MI 48076 · Student in an Organized Health Care Education/Training Program · NPI assigned 04/03/2014
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 13 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 13 | 13 | $0.00 |