NPI: 1972269314 · ROCK HILL, SC 29730 · Dental Clinic/Center · NPI assigned 11/10/2021
| Authorized Official | WOOLSTON, DAVID (CLINICAL DIRECTOR) |
| NPI Enumeration Date | 11/10/2021 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 16 | $648.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 16 | 16 | $648.00 |