NPI: 1578698502 · AUGUSTA, GA 30909 · General Practice Dentistry · NPI assigned 02/22/2007
| Authorized Official | HARDY, ROBERT (OWNER) |
| NPI Enumeration Date | 02/22/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 13 | $299.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 13 | 13 | $299.00 |