NPI: 1790066728 · MOBILE, AL 36619 · Dental Clinic/Center · NPI assigned 09/03/2011
| Authorized Official | SMALL, SHAUN (OWNER) |
| NPI Enumeration Date | 09/03/2011 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 13 | $352.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 13 | 13 | $352.00 |