NPI: 1700034998 · MARIANNA, AR 72360 · Dental Clinic/Center · NPI assigned 09/03/2008
| Authorized Official | HALL, OSSIE M (BILLING CLERK) |
| NPI Enumeration Date | 09/03/2008 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 13 | $376.20 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0330 | Panoramic radiographic image | 13 | 12 | $376.20 |