PELHAM LINKS FAMILY DENTISTRY
NPI: 1619926128
· GREER, SC 29650
· General Practice Dentistry
· NPI assigned 05/10/2006
$621.00
Total Medicaid Paid
Provider Details
| Authorized Official | WALDROP, MARY (INSURANCE SPECIALIST) |
| NPI Enumeration Date | 05/10/2006 |
Related Entities
Other providers sharing the same authorized official: WALDROP, MARY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
15 |
$345.00 |
| 2020 |
12 |
$276.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
27 |
27 |
$621.00 |