NPI: 1013381045 · LYNNWOOD, WA 98036 · Dental Clinic/Center · NPI assigned 11/13/2015
| Authorized Official | STASYUK, OLEKSANDR (OWNER) |
| NPI Enumeration Date | 11/13/2015 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 13 | $239.20 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0140 | Limited oral evaluation - problem focused | 13 | 13 | $239.20 |