NPI: 1376262360 · PELAHATCHIE, MS 39145 · Dental Clinic/Center · NPI assigned 08/24/2022
| Authorized Official | PLEASANT, CHANDLER (OWENER/DENTIST) |
| NPI Enumeration Date | 08/24/2022 |
Other providers sharing the same authorized official: PLEASANT, CHANDLER
| Provider | City | State | Total Paid |
|---|---|---|---|
| S&P VENTURES LLC | PELAHATCHIE | MS | $1K |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 17 | $313.74 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | Prophylaxis - child | 17 | 12 | $313.74 |