NPI: 1467587477 · CONWAY, SC 29526 · Orthodontics and Dentofacial Orthopedic Dentist · NPI assigned 02/22/2007
| Authorized Official | BUTLER, JENNIFER (PRESIDENT) |
| NPI Enumeration Date | 02/22/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 12 | $12K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D8670 | Periodic orthodontic treatment visit | 12 | 12 | $12K |