HIGH POINT FAMILY DENTISTRY LLC
NPI: 1548829088
· RIDGELAND, SC 29936
· Dental Clinic/Center
· NPI assigned 06/09/2019
$434.80
Total Medicaid Paid
Provider Details
| Authorized Official | GOWER, EMERSON (OWNER) |
| NPI Enumeration Date | 06/09/2019 |
Related Entities
Other providers sharing the same authorized official: GOWER, EMERSON
| Provider | City | State | Total Paid |
|---|
| EG DMD, LLC |
VARNVILLE |
SC |
$31K |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
12 |
$434.80 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0140 |
Limited oral evaluation - problem focused |
12 |
12 |
$434.80 |