PELHAM LINKS OF SIMPSONVILLE, LLC
NPI: 1588962567
· GREER, SC 29650
· General Practice Dentistry
· NPI assigned 03/01/2011
$178.20
Total Medicaid Paid
Provider Details
| Authorized Official | WALDROP, MARY (INSURANCE/AR SPECIALIST) |
| Parent Organization | PELHAM LINKS FAMILY & COSMETIC DENTISTRY, PA |
| NPI Enumeration Date | 03/01/2011 |
Related Entities
Other providers sharing the same authorized official: WALDROP, MARY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
12 |
$178.20 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
12 |
12 |
$178.20 |