NPI: 1548725765 · CORBIN, KY 40701 · Orthodontics and Dentofacial Orthopedic Dentist · NPI assigned 02/01/2019
| Authorized Official | TACKETT, STEPHEN (ORTHODONTIST) |
| NPI Enumeration Date | 02/01/2019 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 12 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D8670 | Periodic orthodontic treatment visit | 12 | 12 | $5K |