NPI: 1023753878 · NORTH CHARLESTON, SC 29418 · Dentist · NPI assigned 05/04/2022
| Authorized Official | DURANT, JOHN (OWNER) |
| NPI Enumeration Date | 05/04/2022 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 12 | $108.67 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0220 | Intraoral - periapical first radiographic image | 12 | 12 | $108.67 |