NPI: 1790812279 · FULTON, MS 38843 · Dentist · NPI assigned 02/28/2007
| Authorized Official | MARQUIS, GEORGE (PRESIDENT) |
| NPI Enumeration Date | 02/28/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 24 | $0.00 |
| 2019 | 145 | $4K |
| 2020 | 60 | $1K |
| 2022 | 150 | $2K |
| 2023 | 39 | $620.08 |
| 2024 | 16 | $383.46 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | Prophylaxis - child | 189 | 149 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 87 | 66 | $2K |
| D1206 | Topical application of fluoride varnish | 97 | 63 | $1K |
| D0120 | Periodic oral evaluation - established patient | 35 | 30 | $641.03 |
| D0330 | Panoramic radiographic image | 26 | 12 | $538.13 |