NPI: 1255638631 · CONWAY, AR 72032 · Dentist · NPI assigned 02/19/2011
| Authorized Official | RICHARDSON, LEOTIS (OWNER) |
| NPI Enumeration Date | 02/19/2011 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 130 | $8K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D7140 | Extraction, erupted tooth or exposed root | 130 | 12 | $8K |