OK, SALLY
NPI: 1487100970
· EULESS, TX 76039
· General Practice Dentistry
· NPI assigned 08/25/2016
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
99 |
$14K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2930 |
Prefabricated stainless steel crown - primary tooth |
86 |
25 |
$12K |
| D9248 |
|
13 |
13 |
$2K |