NPI: 1144685330 · NORTH CHARLESTON, SC 29418 · General Practice Dentistry · NPI assigned 12/15/2015
| Authorized Official | SCHLEIFER, BRIAN (CEO) |
| NPI Enumeration Date | 12/15/2015 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 129 | $6K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 25 | 13 | $2K |
| D0274 | Bitewings - four radiographic images | 52 | 52 | $1K |
| D1110 | Prophylaxis - adult | 27 | 27 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | 13 | 13 | $526.50 |
| D0120 | Periodic oral evaluation - established patient | 12 | 12 | $276.00 |