NPI: 1396121455 · PARKESBURG, PA 19365 · Dental Clinic/Center · NPI assigned 07/30/2015
| Authorized Official | ZACCARIA, THOMAS (MBR) |
| NPI Enumeration Date | 07/30/2015 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 12 | $308.76 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 12 | 12 | $308.76 |