NPI: 1679075147 · YUKON, OK 73099 · Dentist · NPI assigned 03/01/2018
| Authorized Official | XU, ANDREW (MANAGER) |
| NPI Enumeration Date | 03/01/2018 |
Other providers sharing the same authorized official: XU, ANDREW
| Provider | City | State | Total Paid |
|---|---|---|---|
| AMERICAS DENTAL GROUP, PLLC | EL PASO | TX | $36K |
| YARBROUGH DENTAL GROUP, PLLC | EL PASO | TX | $19K |
| VISCOUNT ENDODONTIC GROUP PLLC | EL PASO | TX | $9K |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 13 | $632.79 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 13 | 13 | $632.79 |