NPI: 1821678566 · SENATOBIA, MS 38668 · General Practice Dentistry · NPI assigned 04/08/2021
| Authorized Official | ERVIN, SAMANTHA (OFFICE MANAGER) |
| NPI Enumeration Date | 04/08/2021 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 13 | $31.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 13 | 12 | $31.00 |