NPI: 1013275783 · HOUSTON, TX 77099 · Point of Service · NPI assigned 05/01/2012
| Authorized Official | EKWEM, AKUDO (OWNER) |
| NPI Enumeration Date | 05/01/2012 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 14 | $176.40 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1208 | Topical application of fluoride, excluding varnish | 14 | 12 | $176.40 |