NPI: 1760573877 · GOLDSBORO, NC 27534 · General Practice Dentistry · NPI assigned 09/27/2006
| Authorized Official | HINNANT, KEITH (OFFICER) |
| NPI Enumeration Date | 09/27/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 13 | $306.63 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 13 | 13 | $306.63 |