IFTIKHAR ALI KHAN, DDS, INC
NPI: 1114063112
· GLENDORA, CA 91740
· Dentist
· NPI assigned 01/29/2007
$105.00
Total Medicaid Paid
Provider Details
| Authorized Official | KHAN, IFTIKHAR (PRESIDENT) |
| NPI Enumeration Date | 01/29/2007 |
Related Entities
Other providers sharing the same authorized official: KHAN, IFTIKHAR
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
12 |
$105.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$105.00 |