NPI: 1417088238 · OVERLAND PARK, KS 66211 · Dental Clinic/Center · NPI assigned 03/07/2007
| Authorized Official | PATRICK, RICHARD (PRESIDENT) |
| NPI Enumeration Date | 03/07/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 13 | $252.00 |
| Code | Description | Claims | Bene. Records | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 13 | 12 | $252.00 |