NPI: 1891172508 · LEXINGTON, SC 29072 · General Practice Dentistry · NPI assigned 05/01/2015
| Authorized Official | PRICE, JOEL (OWNER/DENTISIT) |
| NPI Enumeration Date | 05/01/2015 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 13 | $299.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 13 | 13 | $299.00 |