NPI: 1306117486 · HARVEST, AL 35749 · General Practice Dentistry · NPI assigned 01/20/2012
| Authorized Official | WILLIAMSON, ANDREW (OWNER) |
| NPI Enumeration Date | 01/20/2012 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 12 | $300.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 12 | 12 | $300.00 |