NPI: 1932386398 · JOHNSTON, IA 50131 · General Practice Dentistry · NPI assigned 01/29/2008
| Authorized Official | KING, CHAD (PRESIDENT) |
| NPI Enumeration Date | 01/29/2008 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 13 | $356.61 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 13 | 12 | $356.61 |