NPI: 1700464450 · HOT SPRINGS VILLAGE, AR 71909 · Dentist · NPI assigned 04/01/2021
| Authorized Official | SEAMON, AMANDA (OFFICE MANAGER) |
| NPI Enumeration Date | 04/01/2021 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 13 | $345.80 |
| 2022 | 12 | $319.20 |
| 2023 | 12 | $307.35 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 37 | 37 | $972.35 |