NPI: 1376288209 · BLUFFTON, SC 29910 · Orthodontics and Dentofacial Orthopedic Dentist · NPI assigned 05/04/2022
| Authorized Official | FIEGLE, TRAVIS (PRESIDENT) |
| NPI Enumeration Date | 05/04/2022 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 45 | $45K |
| 2023 | 15 | $15K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D8670 | Periodic orthodontic treatment visit | 60 | 60 | $60K |