NPI: 1487930913 · HAGERSTOWN, MD 21740 · Dental Clinic/Center · NPI assigned 10/28/2011
| Authorized Official | MUNSON, ANGELS (OFFICE MANAGER) |
| NPI Enumeration Date | 10/28/2011 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 1,296 | $80K |
| 2020 | 250 | $18K |
| 2022 | 3,137 | $181K |
| 2024 | 938 | $110K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0999 | 1,932 | 1,822 | $390K | |
| D1330 | 523 | 498 | $0.00 | |
| D1206 | 210 | 202 | $0.00 | |
| D0120 | 666 | 640 | $0.00 | |
| D1208 | 499 | 473 | $0.00 | |
| D0150 | 183 | 178 | $0.00 | |
| D0272 | 181 | 172 | $0.00 | |
| D0140 | 33 | 33 | $0.00 | |
| D7140 | 25 | 12 | $0.00 | |
| D2392 | 107 | 84 | $0.00 | |
| D0330 | 67 | 63 | $0.00 | |
| D1120 | 527 | 505 | $0.00 | |
| D0220 | 62 | 62 | $0.00 | |
| D1110 | 194 | 182 | $0.00 | |
| D0274 | 200 | 194 | $0.00 | |
| D2391 | 212 | 137 | $0.00 |