NPI: 1942939137 · ADA, MI 49301 · General Practice Dentistry · NPI assigned 06/06/2022
| Authorized Official | SALHADAR, SAMY (OWNER DENTIST) |
| NPI Enumeration Date | 06/06/2022 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 27 | $641.24 |
| Code | Description | Claims | Bene. Records | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 27 | 27 | $641.24 |