NPI: 1134602543 · DIAMOND BAR, CA 91765 · Dental Clinic/Center · NPI assigned 09/11/2018
| Authorized Official | TCHABOUKIAN, JOHN (DENTIST/OWNER) |
| NPI Enumeration Date | 09/11/2018 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 12 | $792.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 12 | 12 | $792.00 |