NPI: 1912994914 · WINTER HAVEN, FL 33881 · Public Health Dentist · NPI assigned 10/04/2005
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 13 | $548.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 13 | 13 | $548.00 |