NPI: 1952731705 · METAIRIE, LA 70005 · Dental Clinic/Center · NPI assigned 11/14/2013
| Authorized Official | DAVENPORT, DAVID (OWNER) |
| NPI Enumeration Date | 11/14/2013 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 22 | $237.24 |
| 2022 | 12 | $237.24 |
| 2023 | 16 | $343.20 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1208 | Topical application of fluoride, excluding varnish | 50 | 39 | $817.68 |