NPI: 1003455320 · SAINT CLAIR SHORES, MI 48081 · Dental Clinic/Center · NPI assigned 01/03/2020
| Authorized Official | WAKEEM, JEHAN (OWNER/MANAGER) |
| NPI Enumeration Date | 01/03/2020 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 13 | $332.75 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 13 | 13 | $332.75 |