NPI: 1942510979 · CHATTANOOGA, TN 37402 · Orthodontics and Dentofacial Orthopedic Dentist · NPI assigned 10/08/2010
| Authorized Official | MCDANIEL, ANDREW (SECRETARY) |
| NPI Enumeration Date | 10/08/2010 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 83 | $7K |
| 2019 | 28 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D8670 | Periodic orthodontic treatment visit | 111 | 93 | $9K |