NPI: 1245302017 · DOVER, DE 19901 · Dental Clinic/Center · NPI assigned 11/15/2006
| Authorized Official | MCCLURE, GREGORY (DENTAL DIRECTOR) |
| NPI Enumeration Date | 11/15/2006 |
Other providers sharing the same authorized official: MCCLURE, GREGORY
| Provider | City | State | Total Paid |
|---|---|---|---|
| STATE OF DELAWARE | DOVER | DE | $313K |
| STATE OF DELAWARE | DOVER | DE | $148K |
| GOODWILL EDUCATION INITIATIVES INCORPORATED | INDIANAPOLIS | IN | $2K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,720 | $152K |
| 2019 | 1,580 | $61K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | 437 | 433 | $30K | |
| D1120 | 539 | 536 | $29K | |
| D1351 | 534 | 111 | $27K | |
| D1208 | 729 | 727 | $23K | |
| D1110 | 289 | 289 | $21K | |
| D0274 | 379 | 379 | $20K | |
| D0120 | 420 | 418 | $17K | |
| D0272 | 442 | 439 | $16K | |
| D2391 | 58 | 41 | $10K | |
| D0220 | 405 | 398 | $9K | |
| D0230 | 332 | 326 | $7K | |
| D0330 | 26 | 26 | $2K | |
| D1206 | 22 | 21 | $577.92 | |
| D0603 | 38 | 38 | $0.00 | |
| D0602 | 553 | 550 | $0.00 | |
| D0601 | 97 | 97 | $0.00 |