NPI: 1164641049 · PACOIMA, CA 91331 · General Practice Dentistry · NPI assigned 04/25/2007
| Authorized Official | SHULZHENKO, LARYSA (PRESIDENT) |
| NPI Enumeration Date | 04/25/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 31 | $1K |
| 2019 | 12 | $726.00 |
| 2020 | 31 | $273.00 |
| 2022 | 55 | $2K |
| 2023 | 77 | $18K |
| 2024 | 12 | $178.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2751 | Crown - porcelain fused to predominantly base metal | 31 | 15 | $15K |
| D2954 | 22 | 13 | $2K | |
| D0120 | Periodic oral evaluation - established patient | 31 | 29 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 27 | 27 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | 107 | 101 | $1K |