NPI: 1700276318 · ARCHDALE, NC 27263 · General Practice Dentistry · NPI assigned 02/03/2015
| Authorized Official | MILLER, CHAD (PRESIDENT) |
| NPI Enumeration Date | 02/03/2015 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 224 | $4K |
| 2019 | 297 | $6K |
| 2020 | 131 | $3K |
| 2021 | 136 | $4K |
| 2022 | 55 | $2K |
| 2023 | 32 | $785.48 |
| 2024 | 45 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 543 | 475 | $12K |
| D1110 | Prophylaxis - adult | 247 | 211 | $8K |
| D0272 | Bitewings - two radiographic images | 59 | 53 | $965.73 |
| D1120 | Prophylaxis - child | 31 | 27 | $595.01 |
| D1206 | Topical application of fluoride varnish | 40 | 39 | $564.25 |