SOUTHEAST MISSOURI HEALTH NETWORK
NPI: 1679019491
· EAST PRAIRIE, MO 63845
· Dentist
· NPI assigned 01/18/2017
Provider Details
| Authorized Official | DEANE, SARA (CFO) |
| Parent Organization | SOUTHEAST MISSOURI HEALTH NETWORK |
| NPI Enumeration Date | 01/18/2017 |
Related Entities
Other providers sharing the same authorized official: DEANE, SARA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
12 |
$836.80 |
| 2019 |
20 |
$435.60 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
|
12 |
12 |
$836.80 |
| D0220 |
|
20 |
12 |
$435.60 |