NPI: 1538224563 · SAINT ALBANS, WV 25177 · General Practice Dentistry · NPI assigned 12/27/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 12 | $300.00 |
| 2023 | 14 | $281.12 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 26 | 24 | $581.12 |