NPI: 1235797804 · LEWISBURG, WV 24901 · General Practice Dentistry · NPI assigned 05/30/2019
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 15 | $385.00 |
| 2022 | 14 | $357.50 |
| 2023 | 12 | $302.50 |
| 2024 | 14 | $357.50 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 55 | 53 | $1K |