NPI: 1952170839 · LOUISVILLE, KY 40229 · Dental Clinic/Center · NPI assigned 12/20/2023
| Authorized Official | MCMILLEN, VALERIE (ASSOCIATE DENTIST) |
| NPI Enumeration Date | 12/20/2023 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 12 | $330.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 12 | 12 | $330.00 |