NPI: 1013590744 · SUMMERSVILLE, WV 26651 · Dental Clinic/Center · NPI assigned 04/30/2021
| Authorized Official | HICKEY, MARGARET (CEO) |
| NPI Enumeration Date | 04/30/2021 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 17 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0999 | Unspecified diagnostic procedure, by report | 17 | 13 | $0.00 |