NPI: 1649849340 · SUMMERSVILLE, WV 26651 · Dental Clinic/Center · NPI assigned 06/18/2021
| Authorized Official | WOOTON, KATHERINE (DENTIST) |
| NPI Enumeration Date | 06/18/2021 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 13 | $330.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 13 | 12 | $330.00 |