NPI: 1417332420 · BOILING SPRINGS, SC 29316 · Dentist · NPI assigned 07/21/2015
| Authorized Official | DUCKETT, DEBORAH (OWNER) |
| NPI Enumeration Date | 07/21/2015 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 24 | $307.92 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0220 | Intraoral - periapical first radiographic image | 24 | 24 | $307.92 |