NPI: 1619677119 · WILMINGTON, DE 19810 · General Practice Dentistry · NPI assigned 03/06/2023
| Authorized Official | GREEN, KYLE (OWNER) |
| NPI Enumeration Date | 03/06/2023 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 13 | $901.27 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 13 | 13 | $901.27 |