NPI: 1992097497 · WEST BLOOMFIELD, MI 48322 · General Practice Dentistry · NPI assigned 05/03/2011
| Authorized Official | WOODRUFF, WILLIAM (PRESIDENT) |
| NPI Enumeration Date | 05/03/2011 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12 | $313.90 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 12 | 12 | $313.90 |