NPI: 1457402125 · BOONEVILLE, KY 41314 · General Practice Dentistry · NPI assigned 01/16/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 13 | $304.20 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 13 | 13 | $304.20 |