NPI: 1962121228 · CLINTON, MO 64735 · Dental Clinic/Center · NPI assigned 08/22/2022
| Authorized Official | ESLER, LINDA (OFFICE MANAGER) |
| NPI Enumeration Date | 08/22/2022 |
Other providers sharing the same authorized official: ESLER, LINDA
| Provider | City | State | Total Paid |
|---|---|---|---|
| VALUDENTAL ST JOSEPH LLC | SAINT JOSEPH | MO | $106K |
| VALUDENTAL OLATHE LLC | OLATHE | KS | $61K |
| VALUDENTAL SPRINGFIELD LLC | SPRINGFIELD | MO | $9K |
| VALUDENTAL ROELAND PARK LLC | ROELAND PARK | KS | $3K |
| VALUDENTAL TRUMAN CORNERS RUSSELL LLC | GRANDVIEW | MO | $438.30 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 13 | $414.40 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 13 | 12 | $414.40 |