NPI: 1558312710 · PENNSBURG, PA 18073 · General Practice Dentistry · NPI assigned 05/13/2006
| Authorized Official | BRAY, RICHARD (PRESIDENT) |
| NPI Enumeration Date | 05/13/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 13 | $310.83 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 13 | 13 | $310.83 |