NPI: 1144999806 · OLNEY, MD 20832 · General Practice Dentistry · NPI assigned 09/07/2021
| Authorized Official | CHAN, IRIS (GENERAL DENTISIT) |
| NPI Enumeration Date | 09/07/2021 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 13 | $827.06 |
| 2024 | 12 | $805.44 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 25 | 25 | $2K |