NPI: 1437282092 · BEDFORD, IN 47421 · General Practice Dentistry · NPI assigned 03/13/2007
| Authorized Official | HECKLEY, DIANE (OWNER PRESIDENT) |
| NPI Enumeration Date | 03/13/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 22 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 22 | 15 | $0.00 |