NPI: 1780273201 · MELBOURNE, AR 72556 · Dental Clinic/Center · NPI assigned 01/11/2021
| Authorized Official | WILES, SONYA (OWNER) |
| NPI Enumeration Date | 01/11/2021 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 15 | $372.40 |
| 2023 | 25 | $665.00 |
| 2024 | 13 | $256.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 53 | 53 | $1K |