NPI: 1962471631 · CLARKSTON, MI 48348 · Dentist · NPI assigned 03/16/2006
| Authorized Official | REGIANI, DAVID (OWNER/DENTIST) |
| NPI Enumeration Date | 03/16/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12 | $369.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | Prophylaxis - child | 12 | 12 | $369.00 |