NPI: 1578663589 · CROSS LANES, WV 25313 · General Practice Dentistry · NPI assigned 09/22/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 16 | $250.00 |
| 2019 | 36 | $380.00 |
| 2022 | 15 | $330.00 |
| 2024 | 12 | $330.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 79 | 67 | $1K |