NPI: 1124638200 · SPEEDWAY, IN 46224 · Dentist · NPI assigned 08/04/2020
| Authorized Official | SHIRLEY, KARINA (OWNER) |
| NPI Enumeration Date | 08/04/2020 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 51 | $6K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 51 | 12 | $6K |