N. ROUSE WILSON, III, DDS, PA
NPI: 1679657886
· PITTSBORO, NC 27312
· General Practice Dentistry
· NPI assigned 10/24/2006
$331.14
Total Medicaid Paid
Provider Details
| Authorized Official | WILSON, SUSAN (BUSINESS MANAGER) |
| NPI Enumeration Date | 10/24/2006 |
Related Entities
Other providers sharing the same authorized official: WILSON, SUSAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
16 |
$331.14 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D0120 |
Periodic oral evaluation - established patient |
16 |
15 |
$331.14 |