NPI: 1346865482 · FAIRVIEW, NC 28730 · Dental Clinic/Center · NPI assigned 06/15/2020
| Authorized Official | MARTINSEN, MICHAEL (OWNER) |
| NPI Enumeration Date | 06/15/2020 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 14 | $339.72 |
| Code | Description | Claims | Bene. Records | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 14 | 12 | $339.72 |