NPI: 1457369308 · CHESTERFIELD, SC 29709 · Dentist · NPI assigned 08/04/2006
| Authorized Official | CLARK, CHARLES (PRESIDENT) |
| NPI Enumeration Date | 08/04/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 13 | $163.39 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0220 | Intraoral - periapical first radiographic image | 13 | 12 | $163.39 |