NPI: 1033197090 · CHANUTE, KS 66720 · General Practice Dentistry · NPI assigned 01/09/2006
| Authorized Official | WILLIAMS, KENNETH (PRESIDENT) |
| NPI Enumeration Date | 01/09/2006 |
Other providers sharing the same authorized official: WILLIAMS, KENNETH
| Provider | City | State | Total Paid |
|---|---|---|---|
| ALLIANCE HEALTHCARE SYSTEM INC | HOLLY SPRINGS | MS | $2.80M |
| RESTORATIVE CARE HEALTH CENTER L.L.C. | NEW ORLEANS | LA | $26K |
| FAMILY DENTISTRY & ASSOC. OF BELLEVILLE P.C. | BELLEVILLE | MI | $6K |
| KENNETH L WILLIAMS MD PHD | NASHVILLE | TN | $5K |
| ALLIANCE HEALTHCARE SYSTEM INC | POTTS CAMP | MS | $2K |
| PROGRESSIVE MEDICAL MANAGEMENT OF BATESVILLE LLC | BATESVILLE | MS | $0.00 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 12 | $252.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 12 | 12 | $252.00 |