NPI: 1467563890 · RACELAND, LA 70394 · General Practice Dentistry · NPI assigned 08/31/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 12 | $604.15 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 12 | 12 | $604.15 |