NPI: 1952699621 · PRESCOTT VALLEY, AZ 86314 · General Practice Dentistry · NPI assigned 07/15/2011
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 29 | $57.38 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 29 | 28 | $57.38 |