NPI: 1700055787 · FUQUAY VARINA, NC 27526 · General Practice Dentistry · NPI assigned 02/25/2008
| Authorized Official | HAMBY, MIKE (PRESIDENT) |
| NPI Enumeration Date | 02/25/2008 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 22 | $242.64 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 22 | 12 | $242.64 |