NPI: 1083248496 · ZELIENOPLE, PA 16063 · Dental Clinic/Center · NPI assigned 02/24/2020
| Authorized Official | HOFFMAN, JESSIE (MANAGING MEMBER) |
| NPI Enumeration Date | 02/24/2020 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 12 | $264.72 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 12 | 12 | $264.72 |