NPI: 1134240468 · TEXARKANA, TX 75501 · General Practice Dentistry · NPI assigned 04/03/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 12 | $282.24 |
| 2021 | 12 | $282.24 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 24 | 24 | $564.48 |