NPI: 1285093526 · GRAND PRAIRIE, TX 75051 · General Practice Dentistry · NPI assigned 02/15/2016
| Authorized Official | NE, RITA (OWNER) |
| NPI Enumeration Date | 02/15/2016 |
Other providers sharing the same authorized official: NE, RITA
| Provider | City | State | Total Paid |
|---|---|---|---|
| ROOT CANAL DENTISTS, PLLC | DALLAS | TX | $2.24M |
| BRAVO DENTAL | IRVING | TX | $87K |
| BRAVO DENTAL | DALLAS | TX | $57K |
| BRAVO DENTAL | DALLAS | TX | $26K |
| BRAVO DENTAL | GARLAND | TX | $25K |
| BRAVO DENTAL | DALLAS | TX | $20K |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 44 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0603 | 44 | 44 | $0.00 |