NPI: 1932649571 · PONTE VEDRA BEACH, FL 32082 · Student in an Organized Health Care Education/Training Program · NPI assigned 03/01/2017
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 12 | $60.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0274 | Bitewings - four radiographic images | 12 | 12 | $60.00 |