NPI: 1528154887 · WACO, TX 76712 · Dentist · NPI assigned 10/05/2006
| Authorized Official | COFER, RICK (DENTIST) |
| NPI Enumeration Date | 10/05/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 17 | $490.45 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 17 | 17 | $490.45 |