NPI: 1053991703 · WHITE LAKE, MI 48383 · General Practice Dentistry · NPI assigned 04/08/2021
| Authorized Official | KARIM, ENAS (PARTNER) |
| NPI Enumeration Date | 04/08/2021 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 13 | $393.25 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 13 | 13 | $393.25 |