NPI: 1366887515 · BIRMINGHAM, AL 35249 · Student in an Organized Health Care Education/Training Program · NPI assigned 05/01/2013
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 12 | $286.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 12 | 12 | $286.00 |