NPI: 1902392061 · GUNTERSVILLE, AL 35976 · Dental Clinic/Center · NPI assigned 07/02/2018
| Authorized Official | FLOYD, DANIA (OFFICE ADMIN) |
| NPI Enumeration Date | 07/02/2018 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 14 | $350.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 14 | 14 | $350.00 |