NPI: 1164756938 · SUITLAND, MD 20746 · General Practice Dentistry · NPI assigned 09/28/2009
| Authorized Official | STALEY-NEITHER, NEKIA (OWNER) |
| NPI Enumeration Date | 09/28/2009 |
Other providers sharing the same authorized official: STALEY-NEITHER, NEKIA
| Provider | City | State | Total Paid |
|---|---|---|---|
| SPECIAL CARE DENTISTRY AT LANDOVER | LANDOVER | MD | $252K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 14 | $407.12 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 14 | 14 | $407.12 |