NPI: 1902810336 · ANDALUSIA, AL 36420 · General Practice Dentistry · NPI assigned 07/28/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 41 | $588.00 |
| 2019 | 24 | $459.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 65 | 61 | $1K |