NPI: 1497160592 · HAUGHTON, LA 71037 · General Practice Dentistry · NPI assigned 06/26/2014
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 12 | $326.88 |
| 2023 | 13 | $354.12 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 25 | 25 | $681.00 |