NPI: 1336808450 · LA MARQUE, TX 77568 · General Practice Dentistry · NPI assigned 12/16/2021
| Authorized Official | GOMEZ, ANGELICA (MANAGER) |
| NPI Enumeration Date | 12/16/2021 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 12 | $0.00 |
| 2024 | 13 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0603 | 25 | 25 | $0.00 |