NPI: 1982157806 · CODY, WY 82414 · Dentist · NPI assigned 07/27/2016
| Authorized Official | UMPHLETT, CRYSTAL (DENTIST) |
| NPI Enumeration Date | 07/27/2016 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 12 | $374.40 |
| 2024 | 13 | $351.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 25 | 25 | $725.40 |