NPI: 1013761121 · KENNER, LA 70065 · Dental Clinic/Center · NPI assigned 04/15/2024
| Authorized Official | DUBOUE, JACLYN (MANAGING MEMBER/ DENTIST) |
| NPI Enumeration Date | 04/15/2024 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 24 | $533.43 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0210 | Intraoral - complete series of radiographic images | 24 | 12 | $533.43 |