NPI: 1841535788 · FUQUAY VARINA, NC 27526 · Dentist · NPI assigned 12/04/2012
| Authorized Official | MCCORMICK, BRYDEN (OWNER) |
| NPI Enumeration Date | 12/04/2012 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 14 | $368.44 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 14 | 14 | $368.44 |