NPI: 1033325436 · FAYETTEVILLE, AR 72703 · Orthodontics and Dentofacial Orthopedic Dentist · NPI assigned 05/15/2007
| Authorized Official | STORMS, DARRIN (PRESIDENT) |
| NPI Enumeration Date | 05/15/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 136 | $15K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D8670 | Periodic orthodontic treatment visit | 136 | 104 | $15K |