NPI: 1114015567 · BUCKHANNON, WV 26201 · General Practice Dentistry · NPI assigned 10/11/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 13 | $403.00 |
| 2021 | 13 | $330.00 |
| 2022 | 28 | $770.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 54 | 49 | $2K |