NPI: 1013435429 · AIKEN, SC 29803 · Dental Clinic/Center · NPI assigned 09/06/2017
| Authorized Official | GRAY, KELLI (BUSINESS COORDINATOR) |
| NPI Enumeration Date | 09/06/2017 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12 | $276.00 |
| 2020 | 12 | $272.60 |
| 2021 | 12 | $276.00 |
| 2022 | 18 | $414.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 54 | 54 | $1K |