NPI: 1730274663 · WEST UNION, SC 29696 · General Practice Dentistry · NPI assigned 10/04/2006
| Authorized Official | SHERMER, RONALD (OWNER/PARTNER) |
| NPI Enumeration Date | 10/04/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 13 | $500.60 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 13 | 13 | $500.60 |