NPI: 1841350824 · KERNERSVILLE, NC 27284 · General Practice Dentistry · NPI assigned 12/11/2006
| Authorized Official | PARDON, AMY-JO (PRESIDENT) |
| NPI Enumeration Date | 12/11/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 12 | $288.56 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 12 | 12 | $288.56 |