NPI: 1275605610 · FORT MILL, SC 29715 · General Practice Dentistry · NPI assigned 11/14/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 13 | $308.60 |
| 2024 | 13 | $312.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 26 | 26 | $620.60 |