NPI: 1427343763 · FORT BENNING, GA 31905 · General Practice Dentistry · NPI assigned 06/15/2011
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 14 | $525.55 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 14 | 14 | $525.55 |