NPI: 1750973046 · EL DORADO, AR 71730 · General Practice Dentistry · NPI assigned 02/08/2021
| Authorized Official | LINDSEY, KAREN (OFFICE MANAGER) |
| NPI Enumeration Date | 02/08/2021 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 12 | $319.20 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 12 | 12 | $319.20 |