NPI: 1205868080 · SALISBURY, NC 28147 · General Practice Dentistry · NPI assigned 07/06/2006
| Authorized Official | FORTNER, BETHANY (OFFICE MANAGER) |
| NPI Enumeration Date | 07/06/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 12 | $311.52 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 12 | 12 | $311.52 |