NPI: 1992297154 · OSHKOSH, WI 54901 · Dentist · NPI assigned 06/04/2018
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 13 | $173.14 |
| 2020 | 41 | $508.68 |
| 2021 | 69 | $707.68 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 123 | 112 | $1K |