CENTERVILLE DENTAL
NPI: 1174881965
· CENTERVILLE, TN 37033
· General Practice Dentistry
· NPI assigned 04/30/2012
Provider Details
| Authorized Official | LEE, JAMIE (OWNER) |
| NPI Enumeration Date | 04/30/2012 |
Related Entities
Other providers sharing the same authorized official: LEE, JAMIE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
42 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
12 |
12 |
$521.72 |
| D1208 |
Topical application of fluoride, excluding varnish |
17 |
17 |
$345.50 |
| D0120 |
Periodic oral evaluation - established patient |
13 |
13 |
$314.08 |