POMEROY DENTAL CENTER
NPI: 1245770353
· POMEROY, WA 99347
· Dentist
· NPI assigned 03/08/2017
Provider Details
| Authorized Official | WILSON, DAN (OWNER) |
| NPI Enumeration Date | 03/08/2017 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
60 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
29 |
28 |
$643.44 |
| D1206 |
Topical application of fluoride varnish |
31 |
29 |
$404.57 |