NPI: 1649216656 · EL DORADO, AR 71730 · General Practice Dentistry · NPI assigned 06/20/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 42 | $1K |
| 2019 | 15 | $372.40 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 57 | 41 | $1K |