NPI: 1720243918 · CLEVELAND, TN 37311 · Orthodontics and Dentofacial Orthopedic Dentist · NPI assigned 07/28/2008
| Authorized Official | WEATHERSBY, MICHAEL (SHAREHOLDER) |
| NPI Enumeration Date | 07/28/2008 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 510 | $39K |
| 2019 | 276 | $24K |
| 2020 | 35 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D8670 | Periodic orthodontic treatment visit | 821 | 790 | $66K |