NPI: 1477092294 · GAUTIER, MS 39553 · Dentist · NPI assigned 02/13/2017
| Authorized Official | GARNER, TERRY (OWNER) |
| NPI Enumeration Date | 02/13/2017 |
Other providers sharing the same authorized official: GARNER, TERRY
| Provider | City | State | Total Paid |
|---|---|---|---|
| VICKSBURG FAMILY DENTAL | VICKSBURG | MS | $2.64M |
| DENTAL GROUP OF ELLISVILLE, PLLC | ELLISVILLE | MS | $1.66M |
| VICKSBURG FAMILY DENTAL 61N | VICKSBURG | MS | $493K |
| DENTAL GROUP OF MAGEE PLLC | MAGEE | MS | $266K |
| MAGNOLIA FAMILY DENTAL, PLLC | MAGNOLIA | MS | $113K |
| DENTAL SOLUTIONS OF CLINTON, PLLC | CLINTON | MS | $2K |
| OXFORD FAMILY DENTAL PLLC | OXFORD | MS | $2K |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 13 | $569.69 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0330 | Panoramic radiographic image | 13 | 12 | $569.69 |