NPI: 1396101101 · HAMPTON COVE, AL 35763 · Dentist · NPI assigned 01/08/2016
| Authorized Official | POPE, JONATHAN (OWNER/DENTIST) |
| NPI Enumeration Date | 01/08/2016 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 13 | $390.00 |
| Code | Description | Claims | Bene. Records | Total Paid |
|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 13 | 13 | $390.00 |