NPI: 1093103954 · SIMI VALLEY, CA 93063 · General Practice Dentistry · NPI assigned 12/30/2014
| Authorized Official | AMINOV, DMITRY (DENTIST) |
| NPI Enumeration Date | 12/30/2014 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 12 | $192.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 12 | 12 | $192.00 |