NPI: 1417107889 · KERMIT, WV 25674 · General Practice Dentistry · NPI assigned 09/23/2008
| Authorized Official | SAMMONS, CHARLES (OWNER) |
| NPI Enumeration Date | 09/23/2008 |
Other providers sharing the same authorized official: SAMMONS, CHARLES
| Provider | City | State | Total Paid |
|---|---|---|---|
| CHARLES SAMMONS, DDS, PLLC | LOUISA | KY | $114K |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 12 | $180.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0220 | Intraoral - periapical first radiographic image | 12 | 12 | $180.00 |