NPI: 1023646791 · WALNUT, CA 91789 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 03/30/2020
| Authorized Official | NAZARI, MAXWELL (OWNER) |
| NPI Enumeration Date | 03/30/2020 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 32 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 32 | 13 | $2K |