NPI: 1043812076 · VICTORIA, TX 77904 · General Practice Dentistry · NPI assigned 11/13/2020
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 17 | $88.30 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 17 | 12 | $88.30 |