NPI: 1194909143 · POTEAU, OK 74953 · General Practice Dentistry · NPI assigned 12/27/2007
| Authorized Official | HORN, JOHN (MANAGER) |
| NPI Enumeration Date | 12/27/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 12 | $209.16 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0272 | Bitewings - two radiographic images | 12 | 12 | $209.16 |